- Health Systems, Economic Evaluations, Quality of Life
- Patient-Provider Communication in Healthcare
- Chronic Disease Management Strategies
- Diabetes Management and Education
- Palliative Care and End-of-Life Issues
- Diabetes Management and Research
- Lipoproteins and Cardiovascular Health
- Blood Pressure and Hypertension Studies
- Pharmaceutical industry and healthcare
- Amyloidosis: Diagnosis, Treatment, Outcomes
- Patient Satisfaction in Healthcare
- Diabetes Treatment and Management
- Atrial Fibrillation Management and Outcomes
- Cardiovascular Health and Risk Factors
- Parathyroid Disorders and Treatments
- Health disparities and outcomes
- Patient Dignity and Privacy
- Menopause: Health Impacts and Treatments
- Empathy and Medical Education
- Primary Care and Health Outcomes
- Cardiomyopathy and Myosin Studies
- Mobile Health and mHealth Applications
- Ovarian function and disorders
- Artificial Intelligence in Healthcare
- Mental Health and Patient Involvement
Stanford University
2020-2025
Stanford Health Care
2023
Mayo Clinic in Florida
2017-2022
Cardiovascular Institute of the South
2020
Mayo Clinic
2016-2019
University of Puerto Rico, Medical Sciences Campus
2017-2019
University of Puerto Rico System
2018
WinnMed
2016-2017
Geisinger Health System
2017
Mayo Clinic in Arizona
2016
Background Guidelines promote shared decision-making (SDM) for anticoagulation in patients with atrial fibrillation. We recently showed that adding a within-encounter SDM tool to usual care (UC) increases patient involvement and clinician satisfaction, without affecting encounter length. aimed estimate the extent which use of an changed adherence decided plan clinical safety end points. Methods Results conducted multicenter, encounter-level, randomized trial assessing efficacy UC versus...
Nonvalvular atrial fibrillation (AF) is a common ongoing health problem that places patients at risk of stroke. Whether and how patient addresses this depends on each patient's goals, context, values. Consequently, leading cardiovascular societies recommend using shared decision making (SDM) to individualize antithrombotic treatment in with AF. The aim study assess the extent which ANTICOAGULATION CHOICE conversation tool promotes high-quality SDM influences anticoagulation uptake adherence...
To use quantitative and qualitative methods to characterize the work patients with type 2 diabetes mellitus (T2DM) enact explore interactions between illness, treatment, life.In this mixed-methods, descriptive study, adult T2DM seen at outpatient clinic Mayo Clinic in Rochester, Minnesota, from February 1, 2016, through March 31, 2017, were invited participate. The study had 3 phases. In phase Patient Experience Treatment Self-management (PETS) scale was used quantify treatment burden. 2, a...
Background/Objectives Older adults (>75 years of age) represent two‐thirds atherosclerotic cardiovascular disease (ASCVD) deaths. The 2013 and 2018 American multi‐society cholesterol guidelines recommend using at least moderate intensity statins for older with ASCVD. We examined annual trends statin prescribing patterns in a multiethnic population Design Retrospective longitudinal study electronic health record (EHR) data from 2007 to 2018. Setting A large multi‐specialty system Northern...
How non-verbal data may influence observer-administered ratings of shared decision making is unknown. Our objective for this exploratory analysis was to determine the effect mode collection (audio+video vs. audio only) on scoring OPTION5 instrument, an observer rated measure making. We analyzed recordings 15 encounters between cancer patients and clinicians in which a clinical made. Audio+video or only were randomly assigned four trained raters, who reviewed them independently. compared...
Shared decision making (SDM) implementation remains challenging. The factors that promote or hinder of SDM tools for use during the consultation, including contextual such as clinician burnout and organizational support, remain unclear. We explored these in context a practical multicenter randomized trial evaluating effectiveness an conversation tool patients with atrial fibrillation considering anticoagulation therapy.In this cross-sectional study, we recruited clinicians who were regularly...