Family Medicine

Digital physician–pharmacist collaboration improves glycemic control and ASCVD risk in T2D

This 12-month cluster RCT in six Chinese primary care clinics enrolled 574 adults with type 2 diabetes. The intervention added pharmacist counseling delivered via four in-person visits plus biweekly mobile health education to usual physician care. Compared with controls, intervention patients had greater HbA1c reduction (-2.57 vs -1.96 percentage points; P<.001) and larger 10-year ASCVD risk reduction (-1.35 vs 0.01). Fasting and 2-hour postprandial glucose, waist measures, blood pressure, triglycerides, and total cholesterol all improved more with the collaborative model. 1

GLP-1 RA regimens for obesity show frequent switching and modest persistence over 12 months

This US cohort study evaluated GLP-1 receptor agonist treatment patterns among adults with overweight or obesity but no diabetes. Investigators assessed 12-month switching, adherence, and persistence across GLP-1 agents used for weight management. About 65% of patients were adherent at 12 months, and only approximately 52% remained persistent on therapy. Frequent switching and discontinuation underscore the need to anticipate insurance, supply, tolerability, and cost barriers during obesity treatment planning. 2

Population postpartum depression screening improves detection and accelerates diagnosis

This retrospective cohort analyzed 19,234 women (20,448 births) across health areas in Bizkaia, Spain, from 2020–2023. A population-based postpartum depression screening program was compared with usual care in areas without structured screening. Screened women had higher raw PPD prevalence (7.4%) than unscreened women in the intervention area (4.1%) and non-intervention areas (4.4%). Screening independently increased PPD identification (HR 1.26; p=0.001) and shortened median time to diagnosis (105 vs 180–215 days). 3

Cost-related delayed or forgone care among Latino adults is associated with higher ED use

This cross-sectional analysis pooled 2019–2024 National Health Interview Survey data for 17,344 Latino adults aged 18–64 years. Overall, 16.9% reported cost-related delayed or forgone physical or mental health care in the prior year. Those reporting delayed or forgone care had higher odds of at least one ED visit (AOR 1.78; 95% CI 1.59–2.01) after adjustment. Higher ED use was also associated with female sex, lower education, public insurance, non-Mexican heritage, and poorer self-rated health. 4