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March/April 2021 Annals of Family Medicine Tip Sheet


Study Reveals New Hope for Men With Common Urinary Issues
A new systematic review of evidence recommends the use of behavioral self-management treatments for common urinary issues experienced by upwards of 70 percent of older men. Common symptoms include trouble urinating, increased frequency and incontinence. These symptoms can have a substantial negative impact on sleep, social functioning and quality of life. Several guidelines recommend self-management techniques like health education, advice on fluid intake, and bladder retraining; however, in practice, self-management is often excluded from the menu of treatment options that include medication and surgery.
Researchers at Bond University s Institute for Evidence-Based Healthcare found that self-management interventions reduced the severity of lower urinary tract symptoms. The reduction in symptoms appeared similar in groups receiving medications versus self-management interventions. However, compared with drugs alone, ....

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New collaborative care model offers help for patients with mental health need


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Members of the Perelman School of Medicine at the University of Pennsylvania and its health system developed and implemented a new model of collaborative care called The Penn Integrated Care (PIC) program. PIC includes a resource center to support intake, triage and referral management and collaborative care services in primary care practices. PIC was created to increase access to and engagement with mental health professionals to improve mental and physical health outcomes. Primary care physicians were able to refer patients with any mental health symptom or condition to PIC. In 12 months, 6,124 unique patients were referred from eight primary care clinics to either the PIC Resource Center or were connected with a mental health professional. Most were triaged to collaborative care or specialty health care with active referral management. ....

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