Journal of Primary Care and Community Health最新文献

{"title":"Profiles of Non-medical Drivers and Health Burden Associated With Care Seeking Among Rural Women.","authors":"Elizabeth Ekren, Saksham Adhikari, Shadi Maleki, Jessica K Sexton, Christina Aubert, Maria Tomasso, Russell Hopkins, Melinda M Villagran","doi":"10.1177/21501319261432462","DOIUrl":"10.1177/21501319261432462","url":null,"abstract":"<p><strong>Background: </strong>Non-medical drivers of health, including social, demographic, and geographic conditions, play an important role in shaping women's healthcare use in rural settings. How these intersecting factors form patterns that influence care seeking remains underexamined.</p><p><strong>Methods: </strong>A cross-sectional survey (<i>n</i> = 159) was conducted through public health service sites across 29 rural counties in Texas, United States. K-means clustering identified groups of women with shared patterns of health burden, health-related social needs, and geographic proximity to care. Chi-square tests and one-way ANOVA assessed demographic differences, and a Generalized Linear Model estimated the proportion of times participants reported receiving needed care based on profile membership and demographics.</p><p><strong>Results: </strong>Seven clusters, interpreted as profiles, reflected variation in combinations of health burden, health-related social needs, and geographic proximity. Cluster membership and difficulty affording healthcare were significantly associated with higher odds of receiving needed care. Women in profiles characterized by multiple co-occurring constraints, as well as one profile marked by elevated health-related social needs, had significantly lower odds of receiving care compared to the reference profile with no constraints.</p><p><strong>Conclusions: </strong>Findings suggest that profile-based, analytic approaches may help clarify differences in unmet care needs and inform more targeted efforts to address delayed or forgone care in rural settings.</p>","PeriodicalId":46723,"journal":{"name":"Journal of Primary Care and Community Health","volume":"17 ","pages":"21501319261432462"},"PeriodicalIF":2.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13039639/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147575855","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"World Kidney Day 2025 in Gdańsk: Results and Insights From Community-Based Screening for Kidney Diseases and Their Risk Factors.","authors":"Jakub Ruszkowski, Judyta Borchet, Damian Stencelewski, Piotr Kapiszka, Daria Urban, Maciej Pancewicz, Agata Błach, Aleksandra Mańkowska, Alicja Dębska-Ślizień","doi":"10.1177/21501319261422888","DOIUrl":"10.1177/21501319261422888","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Chronic kidney disease (CKD) is often asymptomatic in early stages, making community screening initiatives crucial. This study describes a comprehensive awareness and screening initiative during World Kidney Day 2025 in Gdańsk, Poland. The objectives were to: (1) evaluate the feasibility and effectiveness of a collaborative community-based CKD screening and health education model, (2) determine the prevalence of decreased estimated Glomerular Filtration Rate (eGFR &lt;60 mL/min/1.73 m²) using 3 different estimation equations, (3) analyze discrepancies between self-reported and objectively measured obesity as a CKD risk factor, (4) assess the usability of point-of-care creatinine testing device (Nova Max Pro Creatinine and eGFR Meter) in community screening settings, and (5) formulate recommendations for optimizing future community-based kidney health screening initiatives based on implementation experience.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;A collaborative event was organized by the Medical University of Gdańsk and the University of Gdańsk at a local shopping center. Trained volunteers administered CKD risk factor questionnaires, performed blood pressure measurements, and conducted capillary blood creatinine testing with on-site eGFR calculation using the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) 2009 equation. Participants received educational materials, urine test strips, and nutritional information. Data were subsequently reanalyzed using CKD-EPI 2021 and European Kidney Function Consortium (EKFC) equations.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;171 participants (67.3% women, median age 63 years) were screened. Self-reported risk factors included hypertension (38.6%), obesity (18.7%), nonsteroidal anti-inflammatory drugs (NSAIDs) use (16.4%), cardiovascular disease (15.8%), smoking (15.8%), family history of kidney disease (15.2%), and diabetes (11.1%). Decreased eGFR (&lt;60 mL/min/1.73 m²) was identified in 4.1% (CKD-EPI 2009), 2.9% (CKD-EPI 2021), or 5.8% (EKFC) of participants. Among 86 participants with measured body mass index (BMI), 9.3% were unaware of their obesity despite BMI ≥30 kg/m². Furthermore, volunteers described the Nova Max Pro Creatinine and eGFR Meter as very easy to use. Recommendations for future community-based kidney health screening initiatives were formulated.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;Community-based CKD screening using a collaborative academic model is feasible and effective for combined early detection and health education initiatives. The substantial variation in detection rates between eGFR formulas necessitates careful equation selection, with CKD-EPI 2009 remaining optimal for European populations. Self-assessment proves unreliable for identifying obesity as a CKD risk factor, requiring objective measurements. Point-of-care creatinine testing demonstrates high usability for community settings. Future initiatives should prioritize demographic diversification, standa","PeriodicalId":46723,"journal":{"name":"Journal of Primary Care and Community Health","volume":"17 ","pages":"21501319261422888"},"PeriodicalIF":2.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13051141/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147610488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinician Recommendations for Discussing Online Health Information With Adolescents: A Qualitative Study.","authors":"Cambray Smith, Sarah Rebbeor, Melissa B Gilkey, Betsy Sleath, Christopher M Shea, Leah Frerichs, Bianca A Allison","doi":"10.1177/21501319261437319","DOIUrl":"10.1177/21501319261437319","url":null,"abstract":"<p><strong>Introduction/objectives: </strong>Adolescents frequently encounter online health information (OHI). We aimed to synthesize clinician recommendations for engaging adolescents about OHI during clinical encounters.</p><p><strong>Methods: </strong>United States clinicians with expertise in adolescent sexual and reproductive health (SRH) participated in virtual semi-structured interviews. Transcripts were analyzed using rapid qualitative methods to generate descriptive themes.</p><p><strong>Results: </strong>Twenty-four clinicians from all U.S. regions participated. Participants emphasized the importance of addressing OHI given its accessibility, ubiquity, broad topical relevance (eg, SRH, nutrition, vaccines), and variable health impacts (ie, positive and negative). Clinicians described 4 entry points for discussion: patient initiation, screening, topic-specific conversations, and resource provision. They suggested strategies to build digital literacy (eg, assessing content creator motivations) and health literacy (eg, contextualizing population risks without dismissing personal anecdotes). Communication approaches included acknowledging partial truths before providing medical context and avoiding blanket dismissal of online content. Clinicians advised against directly labeling patients' claims as \"misinformation,\" recommending instead more neutral, patient-friendly language.</p><p><strong>Conclusions: </strong>As clinicians increasingly navigate OHI in practice, these expert recommendations can help support digital and health literacy while fostering trust and improving adolescent-clinician communication.</p>","PeriodicalId":46723,"journal":{"name":"Journal of Primary Care and Community Health","volume":"17 ","pages":"21501319261437319"},"PeriodicalIF":2.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13053968/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147628984","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of Iron Deficiency Anemia in Infants Aged 6 to 18 Months Attending the Well-Baby Clinic in Primary Health Care Centers (PHCC) in Jeddah.","authors":"Asmaa Mohammad Alrefaie, Danah Mohamed Alghamdi, Reema Abdulaziz Alghamdi, Wejdan Talal Almutairi, Renad Nasser Balubaid, Rena Y Abualjamal, Ibrahim Sallah Alibrahim, Sara Saraj Abed, Mohammad Omar Alfattani, Areej Saad Alowfi","doi":"10.1177/21501319261435299","DOIUrl":"https://doi.org/10.1177/21501319261435299","url":null,"abstract":"<p><strong>Introduction: </strong>Iron deficiency anemia (IDA) is one of the most common nutritional deficiencies in infants and can significantly impact cognitive and physical development if left untreated. This study aimed to estimate the prevalence of IDA among infants aged 6 to 18 months attending well-baby clinics at primary health care centers (PHCCs) in City, Saudi Arabia, and to assess associated demographic and clinical factors.</p><p><strong>Methods: </strong>A cross-sectional study was conducted from May 2022 to April 2023 across 3 PHCCs in the City. Infants aged 6 to 18 months presenting for routine vaccination were included through non-probability consecutive sampling. Data were extracted from the electronic health record system, including demographic details, laboratory values (Hgb, MCV, MCH, RDW, and serum ferritin), and management records. IDA was defined as low hemoglobin, low MCV, and high RDW, or low hemoglobin plus low ferritin. Statistical analyses were performed using RStudio with significance set at <i>P</i> < .05.</p><p><strong>Results: </strong>Of 1,827 infants included, 732 (40.1%) had laboratory screening data available. The median age was 10.0 months, and 50.5% were male. IDA was identified in 38 infants (5.2%; 95% CI: 3.8%-7.0%). Male infants had a significantly higher prevalence of IDA than females (7.6% vs 2.3%, <i>P</i> = .005). No significant differences in IDA prevalence were found across PHC centers (<i>P</i> = .173) or by age group (<i>P</i> = .537). Proper management documentation was available for 113 infants, with 61.1% receiving appropriate care.</p><p><strong>Conclusion: </strong>The study found a moderate prevalence of IDA among infants aged 6 to 18 months, with male infants at significantly higher risk. The findings highlight the need for improved routine screening and follow-up management, particularly among high-risk subgroups, to prevent long-term developmental complications associated with iron deficiency anemia.</p>","PeriodicalId":46723,"journal":{"name":"Journal of Primary Care and Community Health","volume":"17 ","pages":"21501319261435299"},"PeriodicalIF":2.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13121488/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785414","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Measuring Clients' Satisfaction and Trust in Community Health Workers: Results From a Cross-Sectional Survey.","authors":"Slawa Rokicki, Sang Hee Won, Leslie Kantor","doi":"10.1177/21501319261426753","DOIUrl":"https://doi.org/10.1177/21501319261426753","url":null,"abstract":"<p><strong>Background: </strong>Community health workers (CHWs) are widely deployed in the United States to support the health of underserved communities, yet little is known about the extent to which clients of CHWs are satisfied with the services they receive and their level of trust with their CHWs. We assessed levels of trust, satisfaction, and feelings of empowerment of clients served by CHWs.</p><p><strong>Methods: </strong>We conducted a cross-sectional survey among clients of CHWs employed at health care and community-based organizations throughout New Jersey between June and July 2024. Client trust was measured using the Trust in CHWs Scale, assessing subscales of health care competence and respectful communication. Satisfaction was measured using a 4-point Likert scale. Empowerment was measured using the Influence of CHWs on Empowerment Scale. We used multiple linear regression models to examine predictors of client trust in CHWs.</p><p><strong>Results: </strong>Seventy-five participants completed the survey (89% women; 37% Latino; 40% Black; 17% White). Among participants, 100% reported that they trusted the information their CHW provides, 97.4% were very or somewhat satisfied with the services they received, and 89% reported that they can make better decisions about their health because of their interactions with their CHWs. While overall levels of health care competence (mean 3.3 out of 4) and respectful communication (mean 3.4 out of 4) were high, housing insecurity, being uninsured, and being disabled were associated with significantly lower scores on subscales. Clients who had more frequent interactions with their CHWs had greater levels of trust in their CHWs.</p><p><strong>Conclusions: </strong>In the current era of medical mistrust, our findings support CHWs as essential public health workers who promote trusted health information to underserved communities. Unmet social needs, such as housing insecurity, may lower clients' assessment of satisfaction and trust in CHWs. Findings underscore the importance of alignment and integration of CHW programs with health and social care systems to address the social determinants of health.</p>","PeriodicalId":46723,"journal":{"name":"Journal of Primary Care and Community Health","volume":"17 ","pages":"21501319261426753"},"PeriodicalIF":2.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13121484/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Regional Differences and Trends Within Texas in HPV Vaccination Among Medicaid-insured Adolescents.","authors":"Erika L Thompson, Yong Shan, Kirsten Y Eom, Miranda E Cano, Yong-Fang Kuo","doi":"10.1177/21501319261432414","DOIUrl":"10.1177/21501319261432414","url":null,"abstract":"<p><strong>Objectives: </strong>The purpose of this study was to compare regional HPV vaccination rates and trends among the Texas Medicaid population of adolescents in 2019 to 2021.</p><p><strong>Methods: </strong>We constructed 3 annual cross-sectional cohorts from Texas Medicaid data from 2019 to 2021, including a total of 1 531 301 individuals contributing 2 757 577 person-years of adolescents aged 9-18 for this analysis. The primary outcome was an observed HPV vaccine dose during the study period. We conducted multivariable logistic regression to estimate the odds of HPV vaccination based on region and the socio-demographic predictor variables.</p><p><strong>Results: </strong>Overall, the HPV vaccination incidence rate was 13.1% for Medicaid adolescent clients in Texas. The 2020 and 2021 cohorts were significantly less likely to be vaccinated for HPV than the 2019 cohort. Regional variation was detected for adolescents. Significant differences were observed in both age cohorts by sex, race/ethnicity, urbanicity, and cohort year.</p><p><strong>Conclusion: </strong>Declines in HPV vaccination after the COVID-19 pandemic among Texas Medicaid-insured adolescents are of urgent concern if HPV-related cancers are to be prevented. Furthermore, regional differences are apparent throughout Texas, which may contribute to an unequal burden of future disease.</p>","PeriodicalId":46723,"journal":{"name":"Journal of Primary Care and Community Health","volume":"17 ","pages":"21501319261432414"},"PeriodicalIF":2.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13033061/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147533375","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Heat Vulnerability and Community Resilience: A Survey Analysis in Dallas, Texas.","authors":"Sanjna Bhatia, Maya Garg, Anusha Govind, Michael Wu, Sheila Modi","doi":"10.1177/21501319261447612","DOIUrl":"10.1177/21501319261447612","url":null,"abstract":"<p><p>Introduction and ObjectivesThe incidence of heat-related illness continues to rise, disproportionately affecting older adults, marginalized racial and ethnic groups, low-income communities, and individuals with chronic medical conditions. Urban heat islands (UHIs) are urban areas with higher ambient temperatures than surrounding regions. This study aims to identify heat vulnerability factors among populations living in UHIs in Dallas, Texas.MethodsA community-based, cross-sectional survey was conducted at three health fairs in Dallas, Texas from April to October 2025. Data was self-reported.ResultsA total of 78 survey responses were collected. The sample was predominantly female (81.8%) and Hispanic/Latino (58.4%), with most participants reporting low-income status. Although most respondents had home air conditioning (93.6%), nearly half limited or avoided use due to electricity costs (47.4%). Some reported outdoor non-air-conditioned work (30.8%) or mobility limitations affecting access to cooling (12.8%). Only 42.3% knew the location of the nearest cooling center, and only 37.2% were aware of resources to help with power bills.ConclusionsThis assessment demonstrates that heat vulnerability in Dallas extends beyond environmental exposure and is driven by energy poverty, limited resource awareness, and structural inequities. Despite access to air conditioning, financial barriers and preparedness gaps constrain adequate heat responses.</p>","PeriodicalId":46723,"journal":{"name":"Journal of Primary Care and Community Health","volume":"17 ","pages":"21501319261447612"},"PeriodicalIF":2.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13145022/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785353","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and Evaluation of an AI Avatar Educational Tool for Depression and Anxiety: A Qualitative Pilot Study.","authors":"Adam Bleik, Patricia Marr, Shelly-Anne Li, Debbie Kwan, Catherine Ji, Kori Leblanc, Yuki Meng, Christine Papoushek","doi":"10.1177/21501319251413030","DOIUrl":"10.1177/21501319251413030","url":null,"abstract":"<p><strong>Background: </strong>Depression and anxiety affect nearly 1 in 4 Canadians. Traditional patient education materials, such as handouts, are often lengthy and difficult to understand, leading to disengagement. Human-like artificial intelligence (AI) avatars offer a novel way to supplement education by delivering consistent, engaging video content that mimics human interaction and is easily accessible online.</p><p><strong>Objective: </strong>This pilot study aimed to develop a human-like, non-generative AI avatar educational video to support education on antidepressants for patients living with depression and anxiety. The secondary objectives were to evaluate participants perceptions of the tool across 3 domains: credibility, satisfaction, and understanding.</p><p><strong>Methods: </strong>The video was developed through 2 Plan-Do-Study-Act (PDSA) cycles, informed by prior research on patient-reported barriers and enablers to antidepressant use. After viewing the video, participants completed a survey assessing the 3 domains. Success was predefined as ≥60% of participants rating each domain ≥4 on a 5-point Likert scale. Open-ended feedback was summarized descriptively to help inform revisions.</p><p><strong>Results: </strong>Fifteen University Health Network (UHN) Patient Partners participated in PDSA Cycle 1, most with lived experience of depression or anxiety and high digital literacy. Success thresholds were achieved for credibility (75%) and satisfaction (67%) but not for understanding (50%). After revisions, 10 participants from the original group completed PDSA Cycle 2, where all domains exceeded thresholds (credibility 90%, satisfaction 85%, understanding 82%). Participants described the tool as trustworthy, clear, and engaging.</p><p><strong>Conclusion: </strong>This pilot study demonstrated that human-like, non-generative AI avatars can be an effective supplementary educational tool to deliver education on antidepressants for individuals with depression and anxiety. The tool demonstrated acceptability across credibility, satisfaction, and perceived understanding, highlighting its potential to enhance patient engagement and access to reliable information. As a scalable and adaptable format, avatar-based education may extend beyond mental health to other conditions, languages, and clinical settings. Future studies should examine its impact on knowledge retention, treatment adherence, and integration into clinical practice.</p>","PeriodicalId":46723,"journal":{"name":"Journal of Primary Care and Community Health","volume":"17 ","pages":"21501319251413030"},"PeriodicalIF":2.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12819983/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146012857","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Having a Routine Source of Healthcare and Its Impact on Colorectal Cancer Screening Recommendation Compliance.","authors":"Kate Goodin, Derrick Nyantakyi Owusu, Bill Brooks","doi":"10.1177/21501319251403286","DOIUrl":"10.1177/21501319251403286","url":null,"abstract":"<p><strong>Introduction: </strong>Colorectal cancer (CRC) screening rates remain low in the US. Previous research has indicated that primary care providers are trusted sources for healthcare recommendations, including cancer screening.</p><p><strong>Methods: </strong>CRC module questions within the 2022 BRFSS were reviewed and multivariable logistic regression was used to explore the relationship between healthcare engagement and likelihood of CRC screening.</p><p><strong>Results: </strong>Results showed that those with the highest level of healthcare seeking behavior were almost 10 times as likely to receive appropriate CRC screening compared to the lowest engagement group. In a multivariable logistic regression, this relationship remained with higher healthcare engagement having an odds ratio of 5.951 compared to low engagement.</p><p><strong>Discussion: </strong>This study indicates seeing a regular healthcare provider in the past year is associated with increased CRC screening. These results confirmed he role that marriage/partnership plays in cancer screening in the US which should be an intervention area considered. This study re-emphasized that there remain racial/ethnic disparities in CRC screening with almost all groups receiving less CRC screening compared to White, non-Hispanic respondents.</p><p><strong>Conclusion: </strong>This research re-emphasizes the critical role that primary care providers play in the landscape of patient care and specifically identifies these settings as key for intervening to increase uptake of CRC screening recommendations.</p>","PeriodicalId":46723,"journal":{"name":"Journal of Primary Care and Community Health","volume":"17 ","pages":"21501319251403286"},"PeriodicalIF":2.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12921159/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146221244","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health Care Use and Outcomes Among Participants Enrolled in the Mayo Clinic Primary Care House Call Program: A Case-Control Study.","authors":"Paul Y Takahashi, Bonnie C Sohn, Brandon P Verdoorn, Anupam Chandra, Natalie F Mohammad, Lindsey M Philpot, Rachel D Havyer, Daniel L Roellinger, Matthew G Johnson, Jennifer West, Gregory J Hanson, Maria D Mendoza De la Garza","doi":"10.1177/21501319261432120","DOIUrl":"10.1177/21501319261432120","url":null,"abstract":"<p><strong>Introduction/objectives: </strong>House call programs provide care for homebound patients. We conducted a case-control study to compare hospitalization and/or emergency department (ED) use by patients enrolled in a primary care house call program versus ambulatory (community-dwelling) patients.</p><p><strong>Methods: </strong>Program enrollees (cases) were matched by age and self-reported gender to community-dwelling patients (controls). The primary exposure was the combination of hospitalization and/or ED visits for 1 year before the index date (October 1, 2024). We used unadjusted and adjusted conditional logistic regression to determine differences in health care use.</p><p><strong>Results: </strong>We identified 26 cases (median [range] age, 84 [66-98] years; 16 [62%] female) and 130 controls. All cases had 4 or more chronic diseases, as compared with 87 (67%) of controls (<i>P</i> = .003). A higher proportion of cases than controls had previous hospitalization and/or ED visits (84.6% vs 27.7%; <i>P</i> < .001). After adjusting for the number of chronic illnesses, no differences in previous hospitalization and/or ED use were identified between groups.</p><p><strong>Conclusions: </strong>Cases had more chronic illnesses and more hospitalizations and/or ED visits than community-dwelling controls. The comorbid health burden of participants in the house call program drove greater health care use and justifies a higher level of care for this medically complex patient population.</p>","PeriodicalId":46723,"journal":{"name":"Journal of Primary Care and Community Health","volume":"17 ","pages":"21501319261432120"},"PeriodicalIF":2.5,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13051139/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147610436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}