A5034415704- Primary Care and Health Outcomes
- Healthcare Policy and Management
- Opioid Use Disorder Treatment
- Substance Abuse Treatment and Outcomes
- Health Policy Implementation Science
- Global Health Workforce Issues
- Health disparities and outcomes
- Chronic Disease Management Strategies
- Health and Medical Research Impacts
- Emergency and Acute Care Studies
- Family Support in Illness
- Diabetes Management and Education
- Pharmaceutical Practices and Patient Outcomes
- Patient Satisfaction in Healthcare
- Climate Change and Health Impacts
- Mental Health Treatment and Access
- Obesity and Health Practices
- Public Health Policies and Education
- Healthcare cost, quality, practices
- Artificial Intelligence in Healthcare and Education
- Mental Health and Patient Involvement
- Telemedicine and Telehealth Implementation
- Health Literacy and Information Accessibility
- Prenatal Substance Exposure Effects
- HIV Research and Treatment
Virginia Commonwealth University
2015-2025
Carilion Clinic
2024
Virginia Tech
2024
Augusta University
2024
Department of Medical Assistance Services
2023
Case Western Reserve University
2022
University of London
2015
Pediatric emergency department (ED) visits for mental health are costly and often preventable. Access to primary care behavioral providers can improve reduce unnecessary ED visits. Quantitative analysis of the Virginia All-Payers Claims Database assess outpatient children adolescents up age 21 years between 2016 2021. We determined proportion seen by or one week year before an visit, how many had follow-up within two months after. Results: From 2021, pediatric dropped 14%, but rose 10.6%,...
This study explores the implications of UK Department Health's intention to introduce charging for undocumented migrants primary health care.Following a background review relevant recent literature, 12 in-depth qualitative interviews were conducted with experts on vulnerable populations in England and/or English care system, collaboration Doctors World UK. Data analysed qualitatively using thematic coding and framework analysis.Stakeholders concerned that implementing could deter medically...
The 2021 National Academies of Sciences, Engineering, and Medicine (NASEM) report on Implementing High-Quality Primary Care identifies 5 high-level objectives regarding payment, access, workforce development, information technology, implementation. Nine junior primary care leaders (3 internal medicine, 3 family pediatrics) invited from broad geographies, practice settings, academic backgrounds used appreciative inquiry to identify priorities for the future care. Highlighting voices these...
There were more than 100,000 fatal drug overdoses in the U.S. 2021 alone. In recent years, there has been a shift opioid mortality from predominantly White rural communities to Black urban communities. This study aimed identify Virginia disproportionately affected by overdose crisis and better understand systemic factors contributing disparities mortality.
Abstract Background: Recruiting underrepresented people and communities in research is essential for generalizable findings. Ensuring representative participants can be particularly challenging practice-level dissemination implementation trials. Novel use of real-world data about practices the they serve could promote more equitable inclusive recruitment. Methods: We used a comprehensive primary care clinician practice database, Virginia All-Payers Claims Database, HealthLandscape mapping...
<h3>Background:</h3> Primary care is the foundation of health care, resulting in longer lives and improved equity. was frontline COVID-19 pandemic public response essential for access to care. Yet primary faces substantial structural systemic challenges. As part a longitudinal analysis track capacity we surveyed every practice Virginia 2018 again 2022. <h3>Methods:</h3> Surveys were emailed or mailed up 6 times nonresponders received phone call. Questions assessed organizational...
<h3>Introduction:</h3> Practice-based research networks (PBRNs) improve primary care by addressing issues that matter to clinicians. Building trust between researchers and teams is essential this process, which often requires visiting practices cultivate relationships perform activities. However, in a recent study using practice facilitation the delivery of preventive service, COVID-19 pandemic prompted us convert all planned from an in-person virtual format. This eliminated need commute...
PURPOSE Primary care is the foundation of health workforce and only part that extends life improves equity. Previous research on geographic specialty distribution physicians has relied American Medical Association’s Masterfile, but these data have limitations overestimate workforce. METHODS We present a pragmatic, systematic, more accurate method for identifying primary using National Plan Provider Enumeration System (NPPES) Virginia All-Payer Claims Database (VA-APCD). Between 2015 2019, we...
The COVID-19 pandemic resulted in a worsening mental health crisis, while also dramatically reducing access to in-person primary care services. Primary care, an essential provider of services, rapidly adopted telemedicine address behavioral needs. Here we examine the provision services by during pandemic, including use telemedicine. METHODS: Data were collected via series national, cross-sectional surveys clinicians November 2020 Larry A. Green Center. survey was distributed through network...
<h3>Background:</h3> Primary care is crucial to the health of individuals and communities, but it faces numerous structural systemic challenges. Our study assessed state primary in Virginia prepare for Medicaid expansion. It also provides insight into frontline prior an unprecedented global COVID-19 pandemic. <h3>Methods:</h3> We surveyed 1622 practices understand organizational characteristics, scope care, capacity, stress. <h3>Results:</h3> Practices (484) varied type, ownership, location,...
Unhealthy alcohol use (UAU) is the fourth most preventable cause of death in US. The US Preventive Services Task Force recommends that primary care clinicians routinely screen all adults 18 years and older for UAU; however, this preventive service poorly implemented.
<h3>Background:</h3> Access to high-quality primary care requires adequate numbers of physicians (PCPs) as well appropriate clinician panel size. Excess number patients per has been associated with higher physician burnout and may hinder timely patient access care. Despite these important implications, there have few studies date investigating the dimensions optimal This study aims review variations in size based on practice population characteristics. <h3>Methods:</h3> We queried 2021...
<h3>Introduction:</h3> The opioid epidemic results in over 100,000 deaths annually. Virginia and many other states have received funding from national-level settlements, administered through the Opioid Abatement Authority (OAA), to help combat this crisis. We are developing an online toolkit city county officials identify implement evidence-based strategies address mortality. While resources already exist, initiative aims provide both broad individualized content cities counties them...
<h3>Context:</h3> There has been a steady increase in pediatric emergency department (ED) visits for mental health. These are costly and preventable, representing failure to address the health needs of children. Increasing access primary care clinicians who better able screen treat conditions can improve reduce unnecessary ED visits. The Virginia Mental Health Access Program (VMAP) is statewide initiative that helps providers take children adolescents with through provider education...
Objectives: Guidelines recommend addressing health behaviors, mental health, and social needs in primary care. However, it is unclear how often patients want support to address these risks. As part of a randomized trial comparing enhanced care planning versus usual care, we evaluated what risks wanted address. Methods: All with multiple chronic conditions, 1 or more which was uncontrolled, from 81 clinicians 30 practices. Using My Own Health Report (MOHR), identified prioritized their create...