Family practice最新文献

{"title":"Current state of electronic problems lists in primary care: a rapid scoping review.","authors":"Rajesh Nair, Ian Bekker, Alexander Singer, Francis Lau","doi":"10.1093/fampra/cmag036","DOIUrl":"10.1093/fampra/cmag036","url":null,"abstract":"<p><strong>Background: </strong>Electronic problem lists (PLs) are central to the problem-oriented medical record and increasingly underpin clinical decision support (CDS), interoperability, and emerging artificial intelligence applications in primary care. However, persistent concerns regarding PL accuracy, completeness, and governance limit their clinical value.</p><p><strong>Objective: </strong>To update the foundational framework proposed by Hodge and Narus by synthesizing contemporary evidence on electronic PLs in primary care and primary care-relevant settings.</p><p><strong>Methods: </strong>We conducted a rapid scoping review following Joanna Briggs Institute guidance and PRISMA-ScR reporting standards. MEDLINE (Ovid) was searched for peer-reviewed studies published between March 2016 and May 2026. Eligible studies examined digital PLs or extractable PL-related practices relevant to primary care. Findings were synthesized using a hybrid inductive-deductive approach and mapped to the seven Hodge and Narus themes.</p><p><strong>Results: </strong>A total of 103 studies were included. Across settings, PLs were widely recognized as foundational for longitudinal care, safety, and coordination. However, incomplete, outdated, or inconsistently maintained PLs remained common. Persistent challenges included unclear ownership, workflow misalignment, and variability in what constitutes a \"problem.\" Emerging technologies-including CDS, natural language processing, and machine learning-were increasingly used to support PL generation, curation, reconciliation, and organization, with greatest benefit when embedded within clinician-led workflows.</p><p><strong>Conclusion: </strong>Despite technological advances, the clinical value of electronic PLs in primary care continues to depend on governance, workflow integration, and shared accountability. Updating the Hodge and Narus framework highlights the need for sociotechnical approaches to PL improvement as PLs become integral to CDS and artificial intelligence-enabled care.</p>","PeriodicalId":12209,"journal":{"name":"Family practice","volume":"43 4","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13255725/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148224165","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Identifying clinical signs of child abuse in primary care: a systematic review.","authors":"Naïs Corsi, Nolwenn Van der Windt, Quentin Menage, Laure Rouge, Catherine Laporte, Mathilde Vicard-Olagne","doi":"10.1093/fampra/cmag052","DOIUrl":"10.1093/fampra/cmag052","url":null,"abstract":"<p><strong>Introduction: </strong>Child abuse may be the cause of clinical signs that are often poorly understood, leading to an underestimation of violence. According to United Nations agencies, 1 billion children worldwide are victims of violence.</p><p><strong>Objective: </strong>The objective of this study was to identify the clinical signs of abused children during a consultation in primary care.</p><p><strong>Study design: </strong>A systematic review was conducted in the PubMed, Cochrane, PsycInfo, Embase, and CINAHL databases from 1996 to January 2024. The studies included focused on children aged 0-18 who were victims of abuse and presenting in primary care.</p><p><strong>Results: </strong>Among the 3811 articles found in the databases, 19 were included in the review. Signs of physical trauma included fractures, bruises, burns, and genital and neurological injuries. Somatic symptoms in children may include abdominal pain, persistent nonspecific symptoms, and atopic manifestations such as eczema or asthma. The psychological symptoms identified were depression, despair, and anxiety. Abuse is also associated with behavioral disorders (externalizing or internalizing behaviors) and developmental delays (language, learning, and social interaction disorders).</p><p><strong>Conclusion: </strong>Few articles have investigated the clinical signs of child victims of violence presenting in primary care. These children may present with various clinical signs (physical trauma, pain, atopy, psychological disorders, behavioral disorders, developmental delays) that highlight the importance of considering abuse as the cause.</p>","PeriodicalId":12209,"journal":{"name":"Family practice","volume":"43 4","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148590975","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"General practice care models and satisfaction in Australian residential aged care homes: a national survey of GPs, practice nurses, and managers.","authors":"Kate H Marshall, Mary A Burns, Christopher J Poulos, Roslyn G Poulos, Andrew Montague, Ebony T Lewis, Russell Pearson, Joel J Rhee","doi":"10.1093/fampra/cmag044","DOIUrl":"10.1093/fampra/cmag044","url":null,"abstract":"<p><strong>Background: </strong>Residential aged care homes (RACHs) in Australia support a growing population with complex healthcare needs. General practitioners (GPs), supported by practice nurses (PNs) and practice managers (PMs), play a central role providing medical care. Care models vary widely in these settings, and evidence on provider satisfaction and workforce sustainability is fragmented.</p><p><strong>Objective: </strong>To describe general practice care models in Australian RACHs, and examine satisfaction and workforce intentions among GPs, PNs, and PMs.</p><p><strong>Methods: </strong>A national online survey of GPs, PNs, and PMs involved in RACH care was conducted between June and August 2023. Descriptive and bivariate analyses examined associations between demographic and practice characteristics, satisfaction across care elements, and GP intentions to continue working in aged care.</p><p><strong>Results: </strong>Of 105 GP respondents, 87% were currently providing RACH care (58% aged 40-59 years; 53% female). Care was predominantly delivered through unstructured models (70%). Over half (53%) reported high satisfaction with their care model, while 59% were dissatisfied with remuneration; satisfaction did not differ by model type. Twenty-four PNs and 23 PMs participated, reporting high satisfaction with GP collaboration yet lower satisfaction with RACH staff relationships. Younger, less experienced GPs were more likely to plan to cease RACH work within one year (both P = .001, Cramér's V = 0.33-0.39), and metropolitan GPs were less likely to anticipate long-term involvement (P = .016, Cramér's V = 0.32).</p><p><strong>Conclusion: </strong>General practice remains central to aged care but faces persistent workforce and structural pressures. Addressing remuneration, workload, and cross-sector collaboration is critical to sustaining high-quality general practice in RACHs.</p>","PeriodicalId":12209,"journal":{"name":"Family practice","volume":"43 4","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13320702/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148360207","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Virtual and in-person interpretation: a qualitative study from the perspective of professional medical interpreters.","authors":"Kathryn Freeman, Marin Melloy, Faiza Aziz, Chloe Botsford, Sherri Fong, Lauren McPherson","doi":"10.1093/fampra/cmag033","DOIUrl":"10.1093/fampra/cmag033","url":null,"abstract":"<p><strong>Purpose: </strong>Professional medical interpreters aim to provide high-quality interpretation for non-English language preference (NELP) patients; however, the impact of various interpreter modalities (virtual versus in-person) is unclear. This project explored the impact of interpreter modality on the in-person care experience through focus groups with medical interpreters to identify strengths, limitations, and clinical situations where in-person or virtual interpretation modalities are most beneficial.</p><p><strong>Methods: </strong>We conducted a qualitative study using focus groups with professional medical interpreters. Sessions were recorded, transcribed, and anonymized. Transcripts were then coded and analyzed using thematic analysis.</p><p><strong>Results: </strong>We conducted five focus groups with 24 professional medical interpreters and identified four themes: relationship development; understanding and accuracy; accessibility, flexibility, and flow; and care quality. Interpreters found many functions are best served through in-person interpreters. However, there are certain circumstances in which virtual interpreters can be effectively utilized to increase access and allow flexibility.</p><p><strong>Conclusions: </strong>Interpreters primarily promote in-person interpreters for increased understanding, equity, and human connection to best serve patients. They provided salient examples and a deep understanding to inform the utility of different modalities in various clinical situations. There are opportunities for health systems, clinicians, and families to improve access to interpretation and ensure interpreters can use their full skill set to improve patient care and equity.</p>","PeriodicalId":12209,"journal":{"name":"Family practice","volume":"43 4","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13296992/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148327859","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The digital heartbeat: a qualitative descriptive study on women's views on preventing cardiovascular disease in primary care.","authors":"Ilhem Chaima Bousbiat, Samira Abbasgholizadeh-Rahimi, Roland Grad, Charo Rodríguez","doi":"10.1093/fampra/cmag041","DOIUrl":"10.1093/fampra/cmag041","url":null,"abstract":"<p><strong>Background: </strong>This empirical study aims to explore women's perspectives on cardiovascular disease and the use of digital health interventions (DHIs) for their primary prevention and to gather insights on essential features for developing artificial intelligent-enabled technologies.</p><p><strong>Methods: </strong>Adopting a qualitative descriptive research design, we conducted 15 semi-structured, in-depth interviews via Zoom with women at higher risk for cardiovascular disease. Participants were women over 40 years old, residing in Quebec, with at least one cardiovascular disease risk factor, and proficient in English. Recruitment was from a McGill University-affiliated clinic. An inductive thematic analysis approach was used for data analysis.</p><p><strong>Results: </strong>Five major themes were identified: (i) understanding cardiovascular disease in a variety of ways, (ii) barriers and challenges to preventing cardiovascular disease in women, (iii) women taking charge of their cardiovascular well-being, (iv) mixed perspectives regarding artificial intelligent-enabled technologies for cardiovascular disease prevention such as Xi-Care, and (v) range of suggestions for the format and design of a prospective artificial intelligent-enabled technologies.</p><p><strong>Conclusions: </strong>Despite the prevalence of cardiovascular disease, there is a significant knowledge gap among women regarding the chronic nature and manifestations of these diseases. Artificial intelligent-enabled technologies like Xi-Care, with the potential for customization and interactive engagement, could enhance the primary prevention of cardiovascular disease in women, providing valuable insights for the subsequent phases of the project leading to Xi-Care's development.</p>","PeriodicalId":12209,"journal":{"name":"Family practice","volume":"43 4","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13280644/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148276677","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Concordance analysis of common hand pathology referrals from primary care to plastic surgery: a retrospective cross-sectional study.","authors":"Taylor Incze, Kimberley Yuen, Avalon O'Connor, Cameron F Leveille, Hélène Retrouvey, Ammara Ghumman, Carolyn Lévis, Achilles Thoma","doi":"10.1093/fampra/cmag031","DOIUrl":"10.1093/fampra/cmag031","url":null,"abstract":"<p><strong>Background: </strong>Hand conditions are commonly referred from primary care to plastic surgery; however, no prior studies have assessed diagnostic concordance between family physicians and plastic surgeons.</p><p><strong>Objectives: </strong>This study aimed to evaluate the accuracy and agreement of referring diagnoses for common hand pathologies.</p><p><strong>Methods: </strong>We conducted a retrospective cross-sectional study of 141 adult referrals from family physicians to plastic surgery for hand conditions at a tertiary care center over a 1-year period. Referrals were classified into five categories: correct, incorrect, missed main diagnosis, missed other diagnoses, and vague. Diagnostic accuracy and concordance were evaluated using descriptive statistics, Cohen's kappa (κ), and Gwet's AC1.</p><p><strong>Results: </strong>Among 141 patients, 142 referring diagnoses and 167 final diagnoses were recorded. Carpal tunnel syndrome (29.9%) and Dupuytren's disease (13.8%) were the most common referrals. Overall diagnostic concordance was substantial (κ = 0.67; 95% confidence interval [CI], 0.58-0.73). Concordance was highest for carpal tunnel syndrome and Dupuytren's disease (both κ = 0.88), and lower for trigger finger (κ = 0.69), ganglions (κ = 0.53), and first carpometacarpal joint osteoarthritis (κ = 0.52). Diagnostic accuracy of family physicians was 70.7%. Most diagnoses were made clinically by the plastic surgeon at the initial consultation.</p><p><strong>Conclusion: </strong>Diagnostic concordance between family physicians and plastic surgeons was substantial. While carpal tunnel syndrome and Dupuytren's disease showed high agreement, lower concordance for other hand conditions highlights opportunities for focused educational tools to improve diagnostic precision in primary care.</p>","PeriodicalId":12209,"journal":{"name":"Family practice","volume":"43 3","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13186190/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147971847","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Structural instability in phenotype-oriented artificial intelligence: a conceptual perspective from a model system for primary care implementation.","authors":"Shucheng Chen","doi":"10.1093/fampra/cmag026","DOIUrl":"10.1093/fampra/cmag026","url":null,"abstract":"<p><strong>Background: </strong>Artificial intelligence (AI) systems are increasingly deployed in primary care to classify complex, non-disease phenotypes such as frailty states, depression risk profiles, cardiometabolic subtypes, and multidimensional health constructs. While reported accuracy is often high, the structural stability of these systems across populations and practice environments remains insufficiently examined.</p><p><strong>Methods: </strong>This editorial draws on patterns observed across a structured synthesis of 35 multimodal deep learning studies applied to a non-disease phenotype framework used in community preventive care (PROSPERO: CRD420261276844).</p><p><strong>Results: </strong>Three recurring concerns emerged: asymmetric sensitivity and specificity, extreme cross-study heterogeneity, and limited external validation. In the reviewed literature, sensitivity ranged from 0.31 to 0.70 across categories, whereas specificity ranged from 0.87 to 1.00. Between-study heterogeneity was extreme, with I2 values frequently exceeding 95%, and the 95% prediction interval for overall accuracy ranged from 0.51 to 1.00. These values are presented as indicators of performance dispersion across contexts rather than as definitive performance benchmarks.</p><p><strong>Conclusions: </strong>Architectural sophistication alone does not ensure cross-context robustness. For primary care-where populations and workflows are inherently heterogeneous-instability may translate into misclassification, inequitable performance, and erosion of trust. We argue for a shift from architecture-centric benchmarking to phenotype-governed development. A four-pillar KNOW framework-Knowledge-grounded phenotype definition, Normative data governance, Outcome-calibrated validation, and Workflow-integrated deployment-is proposed to guide safer and more reliable implementation of phenotype-oriented AI systems in primary care.</p>","PeriodicalId":12209,"journal":{"name":"Family practice","volume":"43 3","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147971870","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Seasonal pseudohyperkalaemia in primary care: are there lessons to be learnt?","authors":"Rokaiba Afrin, Amro Maarouf, Ritesh Sah, Rousseau Gama, Tejas Kalaria","doi":"10.1093/fampra/cmag035","DOIUrl":"10.1093/fampra/cmag035","url":null,"abstract":"<p><strong>Background: </strong>Seasonal pseudohyperkalaemia refers to an artefactual elevation of in vitro serum potassium observed during colder weather. Primary care samples may be especially susceptible due to longer transport times at low ambient temperatures. Uncertainty about the validity of unexpected high potassium results necessitates further investigation to avoid patient harm. We evaluated whether pseudohyperkalaemia was more frequent in blood samples from primary care collected during a warm month compared to a cold month of the year.</p><p><strong>Methods: </strong>A retrospective audit of samples originating from primary care practices (West Birmingham and the Black Country region, UK) in which an initial critically high serum potassium concentration of ≥ 6.5 mmol/L was reported in the months of August and November 2024. Pseudohyperkalaemia was defined as a repeat potassium measurement taken within 7 days that was ≤ 5.3 mmol/L.</p><p><strong>Results: </strong>Out of 17 critical hyperkalaemia results in August and 74 in November 2024, pseudohyperkalaemia was confirmed in 7 (41.2%) and 61 (82.4%) cases, respectively. The mean (standard deviation) decrease in potassium on repeat testing in November (1.94 ± 0.75 mmol/L) was greater (P = 0.001) than in August (0.98 ± 0.94 mmol/L). The estimated glomerular filtration rate (eGFR) ≥ 60 ml/min/1.73m2 decreased the likelihood but did not abolish the possibility of genuine hyperkalaemia.</p><p><strong>Conclusions: </strong>Cold weather exacerbates in vitro hyperkalaemia caused by longer transport time of primary care samples, increasing the frequency of pseudohyperkalaemia. This imposes additional pressure on stretched clinical services. Faster or temperature-controlled transport or on-site centrifugation in primary care may help mitigate this problem.</p>","PeriodicalId":12209,"journal":{"name":"Family practice","volume":"43 3","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148028388","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Smoking cessation success prediction of parents of children with acute respiratory system disease and influencing factors: a cross-sectional study.","authors":"Sema Uçaroğlu, Dilek Menekşe","doi":"10.1093/fampra/cmag013","DOIUrl":"10.1093/fampra/cmag013","url":null,"abstract":"<p><strong>Background: </strong>The study aimed to describe the level of smoking cessation success among parents of children with acute respiratory diseases and to examine its associations with selected parental characteristics.</p><p><strong>Methods: </strong>This analytical cross-sectional study was carried out with 385 smoking parents between November 2022 and July 2023. In the study, the data were collected using the Descriptive Information Form and the Smoking Cessation Success Prediction Scale (SCSPS). The data were analyzed with the SPSS program, using descriptive statistics and multivariable regression analyses. This research was conducted using the convenience sampling approach following the STROBE guideline.</p><p><strong>Result: </strong>The mean SCSPS score of the parents was 32.65 ± 8.54. Higher SCSPS scores were observed among parents whose children had been hospitalized twice in the past year due to respiratory illnesses (β = 0.328, P = 0.043) and among parents who had attempted smoking cessation (β = 0.321, P = 0.001). Moreover, women who tried to quit smoking during pregnancy had significantly higher SCSPS scores (β = 0.201, P = 0.029). In unadjusted analyses, SCSPS scores differed significantly according to family type and Spouse smoking status (P < 0.05). However, this association was not statistically significant in the multivariable regression analysis.</p><p><strong>Conclusion: </strong>Parents' smoking cessation success prediction was at a moderate level. Individuals whose children were hospitalized twice in the last year due to respiratory system disease, and who tried to quit smoking, had a higher prediction of smoking cessation success. Moreover, women who tried to quit smoking during pregnancy had a higher prediction of success.</p>","PeriodicalId":12209,"journal":{"name":"Family practice","volume":"43 3","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13049481/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147618673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implementing the screening for poverty and related social determinants and intervening to improve knowledge of and links to resources (SPARK) in primary care clinics across Canada.","authors":"Leanne Kosowan, Joseph J O'Rourke, Dana Howse, Lane Williams, Itunuoluwa Adekoya, Abigail Zita Seshie, Alannah Delahunty-Pike, Mélanie Ann Smithman, Alan Katz, Eunice Abaga, Alexander Zsager, Jane Cooney, Marjeiry Robinson, Dorothy Mary Senior, Kris Aubrey-Bassler, Emily Gard Marshall, Cory Neudorf, Nazeem Muhajarine, Isabelle Fortuna, Archna Gupta, Andrew D Pinto","doi":"10.1093/fampra/cmaf109","DOIUrl":"10.1093/fampra/cmaf109","url":null,"abstract":"<p><strong>Background: </strong>Routine systematic collection of social determinants data can inform improvements to health service delivery and system and policy planning.</p><p><strong>Objective: </strong>This cohort study reports on the implementation of the SPARK tool to collect and integrate demographic and social needs data in primary care.</p><p><strong>Methods: </strong>The 20-question SPARK tool was implemented from September 2022 to October 2023 at five primary care clinics. Implementation was evaluated using the following outcomes: acceptability, appropriateness, adoption, feasibility, fidelity, cost, penetration, and sustainability. Data included: clinic checklists (n = 5), training evaluations (n = 33), SPARK tool responses (n = 2063), patient surveys (n = 1368), and provider and staff surveys (n = 36). Survey responses were analyzed using frequency (%) and mean (SD). Open-ended responses were analyzed to identify key themes.</p><p><strong>Results: </strong>There was strong acceptability and adoption of the tool. Collection methods contributed to variation in perceived relevance, compatibility and barriers. Among patients, 90.5% indicated the tool was clear and easy to complete, and 84.5% had a positive experience. A minority of patients (7.8%) indicated difficulty answering ≥1 question on SPARK. Among clinic staff and providers, 96.7% reported the tool was useful, and 81.8% had a positive experience. Clinics highlighted concerns with resource allocation and suggested adjustments to collection, integration, and personnel to support implementation.</p><p><strong>Conclusions: </strong>The SPARK tool is acceptable and feasible for adoption in primary care clinics. This study provides practical insight into implementing demographic and social needs data collection, including adaptations to clinic workflows, enhanced integration platforms, and supports that ensure the sustainability of social needs screening in primary care.</p>","PeriodicalId":12209,"journal":{"name":"Family practice","volume":"43 3","pages":""},"PeriodicalIF":1.9,"publicationDate":"2026-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13100817/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147766756","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}