Background: In rural and regional areas, older Australians have poorer health outcomes and higher rates of potentially preventable hospital admissions than their metropolitan counterparts. Paramedics may be uniquely placed to improve health outcomes of rural-dwelling older adults through involvement in primary and preventive healthcare, health…

The purpose of our study was to investigate the effects of training in integrated behavioral health in the primary care (IPC) setting and evidence-based practices (EBPs) on graduate level clinical mental health counseling students' knowledge and skills for working with children and youth. This study utilized a mixed method design by recruiting a…

This population-based cohort study examined the relationship between level of continuity of primary care and subsequent emergency department (ED) visits for adults with (n = 66,484) and without intellectual and developmental disabilities (IDD)(n = 2,760,670). Individuals with IDD were more likely than individuals with no IDD to visit the ED…

The paradigm shift in healthcare from "sick care" to a disease prevention model is driven by the need to address health inequities. The new paradigm requires a change from the current "distant yet concerned" attitude to patient-relationship-centered approaches. Two questions drive this study: (a) How we can prepare physicians…

The Session Rating Scale 3.0 (SRS 3.0) is an ultra-brief measure of the therapeutic alliance, frequently used to provide feedback to the clinician during the therapeutic process (Prescott et al. [2017]. "Feedback-informed treatment in clinical practice. Reaching for excellence." American Psychological Association (APA).…

Integrated Primary and Behavioral Healthcare (IPBH) programs have been investigated extensively in community settings, but few studies have included the effect of such programs on college campuses. Studies that have examined the effects of IPBH in community settings have indicated that integrated care is more effective than primary care…

Given the increasing prevalence of autism and the importance of early intervention, it is imperative that primary care physicians (PCPs) have a thorough knowledge of autism in order to offer families appropriate guidance and support. This study comprised a systematic review of research assessing PCPs' knowledge of autism and evidence-based…

Background: Integrated primary care (IPC) can address prevalent behavioral health concerns identified in pediatric office visits, but research on IPC consultation patterns is limited. Objective: This study investigated variation in consultation rates across presenting problems, patient sociodemographic factors, and IPC treatment duration. Method:…

The prevalence of Autism Spectrum Disorder (ASD) is growing rapidly, affecting 1 in 59 children in the United States in 2018. Individuals with ASD currently receive fragmented care that threatens their health and well-being. Challenges of autism care include disconnections between the medical system and school supports, poor care coordination…

Context: Rural populations experience both a higher prevalence of and risk for premature death from chronic conditions than do their urban counterparts. Yet barriers to implement community-based chronic disease self-management programs persist. Program: The Living Well program, a multi-sector collaboration between a rural health care system and a…

Background: School-based health centers (SBHCs) have been shown to offer substantial benefits to students but we know little about how the public thinks about them. We sought to assess US public attitudes about SBHCs and the provision of 7 health service lines--primary care, preventive care, vaccinations, preventive dental care, preventive vision…

Decreased engagement in preventive services, including vaccination, during the COVID-19 pandemic represents a grave threat to global health. We use the case of the Bom Retiro Public Health Clinic in São Paulo, Brazil, to underscore how continuity of care is not only feasible, but a crucial part of health as a human right. The long-standing…

Primary care providers (PCPs) are increasingly called upon to screen for and treat depression. However, PCPs often lack the training to diagnose and treat depression. We designed an innovative 12-month evidence and mentorship-based primary care psychiatric training program entitled the University of California, Irvine (UCI) School of Medicine…

Background: Point of care ultrasound (POCUS) is increasingly used in primary care. This study seeks to determine the educational needs of primary care physicians. Methods: All primary care practitioners in Calgary, Alberta, on the electronic departmental newsletter distribution list were invited to participate in an online survey. Interests in…

The maldistribution of family physicians challenges equitable primary care access in Canada. The "Theory of Social Attachment" suggests that preferential selection and distributed training interventions have potential in influencing physician disposition. However, evaluations of these approaches have focused predominantly on rural…