Journal of general internal medicine
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Adults with type 2 diabetes (T2DM) and adverse social determinants of health experience barriers to healthful eating, and achieve poorer glycemic control and clinical outcomes. ⋯ NCT04034511.
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Rural communities have been significantly affected by opioid use disorder (OUD) and related harms but have less access to evidence-based medications for opioid use disorder (MOUD), such as buprenorphine. Given the shortage of specialists in these areas, rural primary care is an important setting to expand buprenorphine access, but implementation is limited. ⋯ Implementation strategies targeted toward the implementation climate are critical to support buprenorphine prescribing in rural primary care.
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Narrative medicine (NM) emphasizes the vital role healthcare stories play in conveying patients' experiences and expanding health professionals' reflective capacity. Though predicated on inclusivity, social justice, and equality, NM programs do not tend to include communities with marginalized health narratives due to a paucity of trained facilitators. ⋯ We successfully recruited and engaged participants from minoritized communities to facilitate NM sessions. Future efforts should focus on objective assessments of skills, and more in-depth research using focus groups, observation, and key informant interviews.