A5074365032- Primary Care and Health Outcomes
- Health Policy Implementation Science
- Healthcare Policy and Management
- Mental Health and Patient Involvement
- Healthcare cost, quality, practices
- Health Systems, Economic Evaluations, Quality of Life
- Opioid Use Disorder Treatment
- Pharmaceutical Practices and Patient Outcomes
- COVID-19 and healthcare impacts
- Emergency and Acute Care Studies
- Health Sciences Research and Education
- Healthcare Systems and Technology
- Global Health Workforce Issues
- Interprofessional Education and Collaboration
- Patient Satisfaction in Healthcare
- Innovations in Medical Education
- Chronic Disease Management Strategies
- Telemedicine and Telehealth Implementation
- COVID-19 and Mental Health
- Reproductive Health and Contraception
- Colorectal Cancer Screening and Detection
- Substance Abuse Treatment and Outcomes
- Health disparities and outcomes
- Diversity and Career in Medicine
- Health and Medical Research Impacts
University of Colorado Denver
2016-2025
MaineHealth
2025
University of Vermont
2025
University of Colorado Anschutz Medical Campus
2015-2025
Dartmouth College
2024
Versar (United States)
2024
North American Primary Care Research Group
2024
American Academy of Family Physicians
2019-2022
Center For Policy Research
2021-2022
University of Kansas
1991-2022
Our website uses cookies to enhance your experience. By continuing use our site, or clicking "Continue," you are agreeing Cookie Policy | Continue JAMA HomeNew OnlineCurrent IssueFor Authors Publications Network Open Cardiology Dermatology Health Forum Internal Medicine Neurology Oncology Ophthalmology Otolaryngology–Head & Neck Surgery Pediatrics Psychiatry Archives of (1919-1959) Podcasts Clinical Reviews Editors' Summary Medical News Author Interviews More JN Learning /...
Despite its rapid adoption during the COVID-19 pandemic, it is unknown how telemedicine augmentation of in-person office visits has affected quality patient care.To examine whether care among patients exposed to differs from with only office-based care.In this retrospective cohort study, standardized measures were compared between office-only (in-person) vs March 1, 2020, November 30, 2021, across more than 200 outpatient sites in Pennsylvania and Maryland.Patients completing (video)...
The COVID-19 pandemic impacted mental health disorders, affecting both individuals with pre-existing conditions and those no prior history. However, there is limited evidence regarding the pandemic's impact on visits to primary care physicians.
<i>Objective:</i> This study was conducted to test the effectiveness of a theory-based interactive voice response (IVR) intervention improve adherence controller medications among adults with asthma. <i>Methods:</i> Fifty participants aged 18 65 years who had physician diagnosis asthma and prescription for daily inhaled corticosteroid, attended baseline visit final 10 weeks later. Participants randomized group received 2 automated IVR telephone calls separated by one month, additional call...
<b>PURPOSE</b> We wanted to describe community-based participatory research in practice-based networks the United States. <b>METHODS</b> surveyed all identified (PBRNs) States find out whether they had a mechanism for obtaining feedback or involvement from community of patients served by PBRN physicians. asked open-ended questions on how involve members and plans future and/or patients. <b>RESULTS</b> received 46 completed questionnaires (71% response rate). Twenty-four reported that have...
<h3>Objective:</h3> A crucial yet currently insufficient step in biomedical research is the translation of scientific, evidence-based guidelines and recommendations into constructs language accessible to every-day patients. By building a community solution that integrates primary care with public health community-based organizations, medical can be translated members readily implemented improve health. <h3>Methods:</h3> Using participatory approach, High Plains Research Network (HPRN) its...
Coronavirus disease 2019 (COVID-19) pandemic recovery will require a broad and coordinated effort for infection testing, immunity determination, vaccination. With the advent of several COVID-19 vaccines, dissemination delivery immunization across nation is concern. Previous patterns may reveal important components comprehensive sustainable to immunize everyone in nation.The vaccinations were enumerated by provider type using 2017 Medicare Part B Fee-For-Service data 2013-2017 Medical...
Objectives To assess primary care contributions to behavioral health in addressing unmet mental healthcare needs due the COVID-19 pandemic. Methods Secondary data analysis of 2016 2018 Medical Expenditure Panel Survey non-institutionalized US adults. We performed bivariate estimate number and percentage office-based visits prescription medications for depression anxiety disorders, any illness (AMI), severe (AMI) by physician specialty (primary care, psychiatry, subspecialty) medical...
To assess the safety and effectiveness of manual vacuum aspiration for abortion in a primary care office setting.Retrospective chart audit.Private family practice office.A total 1769 consecutive women who obtained an this between January 1, 1993, December 31, 1995, whom 1677 medical charts were available review.Rate complete abortion, estimated blood loss, rate complications. Complications included early complications uterine perforation, cervical injury, hospitalization, late pelvic...
Abstract Background The birth outcomes of undocumented women have not been systematically studied on a large scale. growing number giving in the United States has important implications for clinical care and public health policy. objective this study was to describe immigrants Colorado. Methods Retrospective descriptive singleton births 5961 using certificate data 1998–1999. Results Undocumented mothers were younger, less educated, more likely be single. They had higher rates anemia, gain...
Community engagement has become a major contributor to medical research during the past 10 years and is an essential component of current National Institutes Health (NIH) Roadmap Clinical Translational Science Awards program.[1][1][,2][2] But, what community? And
<h3>Background:</h3> Because of the Coronavirus disease 2019 (COVID 19) pandemic, many primary care practices have transitioned to telehealth visits keep patients at home and decrease transmission disease. Yet, little is known about nationwide capacity for delivering services via telehealth. <h3>Methods:</h3> Using 2016 National Ambulatory Medical Survey we estimated number proportion reported that could be provided We also performed cross-tabulations calculate physicians providing telephone...
The graduate medical education (GME) system is heavily subsidized by the public in return for producing physicians who meet society's needs. Under terms of this implicit social contract, decisions about how funding allocated are deferred to individual training sites. Institutions receiving face potential conflicts interest, which have at times prioritized institutional purposes and needs over societal needs, highlighting that there little accountability such used. cost burden assessing many...
Pharmaceutical samples are commonly used in ambulatory care settings. There is limited research on their use or impact health providers and patients.To determine the extent of personal drug over a 1-year period by physicians medical office staff.An anonymous cross-sectional survey all physicians, resident nursing staff, staff family practice residency.Quantity taken for use.Of 55 surveys issued, 53 (96%) were returned. A total 230 separate reported amounts ranging from 1 dose to greater than...
For underserved and disenfranchised communities in the United States, affordable, effective health care can be nearly inaccessible, which often leads to exclusion of these from relevant medical information care. Barriers are especially salient minority communities, where language, traditions customs, socioeconomics, access education serve as additional roadblocks accessing services. These factors have contributed a national disparity crisis that unnecessarily places some vulnerable position...
The Coronavirus disease 2019 (COVID 19) pandemic has resulted in a rapid shift to telehealth and many services that need in-person care have been avoided. Yet, as practices payment policies return new normal, there will be questions about what proportion of visits should done vs telehealth. Using the 2016 National Ambulatory Medical Survey (NAMCS), we estimated were amenable before COVID-19 guide. We divided into those needed could via Any visit included at least 1 service where was counted...
<h3>PURPOSE</h3> Evidence supports treatment for opioid use disorder (OUD) with buprenorphine in primary care practices (PCPs). Barriers that slow implementation of this include inadequately trained staff. This study aimed to increase the number rural PCPs providing OUD buprenorphine. evaluation describes impact a practice team training on and delivery Colorado. <h3>METHODS</h3> Implementing Technology Medication Assisted Treatment Team Training Rural Colorado (IT MATTTRs) was multilevel...
Introduction: People in rural regions frequently lack resources for mental health support. Changing Our Mental and Emotional Trajectory (COMET) is a universal, community-based program designed to address emotional issues early prevent crises. COMET Community Training short, interactive training that teaches people how initiate supportive potentially conversation using the simple, 7-item Conversational Gravity Assist. This article describes reports on feasibility acceptability of its...
Background and Objectives: Family medicine has experienced wide variation in the proportion of allopathic medical students it attracts, ranging from a high 16.8% to low 6.8%. We sought measure changes specialty choice between start school graduation. Methods: compared reported on American Association Medical Colleges annual Matriculating Student Questionnaire (MSQ) 2014 2017 with Graduation (GQ) 2018 2021. Results: Among 55,635 who completed both MSQ GQ, more than 70% changed their...
For decades, researchers have utilized paper card studies to assess primary care clinician (PCC) perceptions across various clinical and practice topics. Since 2022, cards can be completed electronically through the electronic health record (EHR) or a novel smartphone application (app). These delivery modalities not previously been evaluated head-to-head. We report findings from work in progress comparing paper, EHR, app-delivered cards. The Northern New England CO-OP Practice Community...