- Patient-Provider Communication in Healthcare
- Mental Health and Patient Involvement
- Healthcare Systems and Technology
- Empathy and Medical Education
- Management and Organizational Studies
- Health Literacy and Information Accessibility
- Primary Care and Health Outcomes
- Occupational Health and Safety Research
- Employment and Welfare Studies
- Workplace Health and Well-being
- Electoral Systems and Political Participation
- Public Relations and Crisis Communication
- Healthcare Decision-Making and Restraints
- Environmental Justice and Health Disparities
- Academic Freedom and Politics
- Mobile Health and mHealth Applications
- Mentoring and Academic Development
- Medical Education and Admissions
- Posttraumatic Stress Disorder Research
- Qualitative Comparative Analysis Research
- Global Cancer Incidence and Screening
- Psychotherapy Techniques and Applications
- Healthcare professionals’ stress and burnout
- Health Sciences Research and Education
- Health Policy Implementation Science
University of Pennsylvania
1995-2024
Philadelphia VA Medical Center
2019-2023
Penn Center for AIDS Research
2022
Philadelphia University
1987
Importance Guidelines recommend shared decision-making prior to initiating lung cancer screening (LCS). However, evidence is lacking on how best implement in clinical practice. Objective To evaluate the impact of an LCS Decision Tool (LCSDecTool) quality and uptake. Design, Setting, Participants This randomized trial enrolled participants at Veteran Affairs Medical Centers Philadelphia, Pennsylvania; Milwaukee, Wisconsin; West Haven, Connecticut, from March 18, 2019, September 29, 2021, with...
There is increasing interest in actively involving patients the process of medical research to help ensure relevant and important both researchers people affected by disease under study. This project examined recently formed Vasculitis Patient-Powered Research Network (VPPRN), a rare network, better understand what investigators learned from working on teams together. Qualitative interviews were conducted phone with patients, physician/PhD-investigators, study managers/staff who participated...
Moral injury (MI) is gaining traction within the Department of Veterans Affairs (VA) as an essential construct for understanding important dimension suffering experienced by U.S. combat-deployed Veterans. A VA chaplain and a psychologist at Corporal Michael J. Crescenz Medical Center in Philadelphia co-facilitate 12-week Injury Group (MIG) to provide education about MI, collective responsibility consequences warfare, related topics. Community Ceremony chapel, immediately following Week 10,...
The search for ways to cut health care costs in organizations has rarely considered the direct relationship between organizational variables and health. This article hypothesizes that illness within a particular organization may be related social dynamics of work setting. Data was gathered from survey corporation with 13,000 employees who 16 organizations. An index reported symptoms correlated scales developed questions issues. Using stepwise multiple regression, 20% variance aggregate...
Importance Prior studies have revealed gender differences in the milestone and clinical competency committee assessment of emergency medicine (EM) residents. Objective To explore disparities reasons for such narrative comments from EM attending physicians to Design, Setting, Participants This multicenter qualitative analysis examined 10 488 among faculty residents between 2015 2018 5 training programs US. Data were analyzed 2019 2021. Main Outcomes Measures Differences by study site....
Rarely do scholars or activists employ a rhetorical framework to help uncover and discover the persuasive aspects of public meetings. This paper examines meetings held in Pitman, New Jersey, site country's number one toxic waste dump. analysis looks at three presentation scientific information public: 1) content meetings; 2) form 3) what was excluded from these By better understanding meetings, we can prevent democratic process ignoring, quieting, suppressing dissent.
Background A shared decision-making (SDM) process for lung cancer screening (LCS) includes a discussion between clinicians and patients about benefits potential harms. Expert-driven taxonomies consider mortality reduction benefit false-positives, incidental findings, overdiagnosis, overtreatment, radiation exposure, direct indirect costs of LCS as Objective To explore whether conceptualize the attributes differently from expert-driven taxonomies. Design Cross-sectional study with...
Web-based tools developed to facilitate a shared decision-making (SDM) process may the implementation of lung cancer screening (LCS), an evidence-based intervention improve outcomes. Veterans have specific risk factors and experiences that affect benefits potential harms LCS thus value veteran-centric decision tool (LCSDecTool).This study aims conduct usability testing LCSDecTool designed for veterans receiving care at Veteran Affairs medical center.Usability was conducted in prototype...
Although many successful Community Advisory Boards (CABs) are discussed in the literature, some articles report that community members feel they treated as token participants, or their voices not heard. This article describes initial steps we took designing an effective and empowered CAB, underlying group dynamics principles employed to formulate this structure processes instituted. We focused on how build decision-making procedures support enhance group’s function effectiveness over long...
This case study recounts an intervention into the senior leadership group of a state-owned organization in South Africa. What started as executive education program was transformed consulting project, journey discovery for both this and consultants. The turbulent oftentimes inverted experiences work with team are examined via five anomalous events that form basis theorizing about how consultants can function containers emotions client system. In consultants' willingness to absorb...
Community Advisory Boards (CABs) often, “carry” important ideas and concepts for the larger organization of which they are a part. The word in this context, means that person or group expresses verbal nonverbal messages inform others what institution acknowledges, also it cannot bear to feel talk about. These expressions may include attitudes expectations, values, risks, disowned features qualities. A can contain, “carry,” express formal, informal, unconscious issues department system. In...
As citizens seek safety and redress from a proliferation of environmental dangers, there is need to explore citizen protest in environmentally troubled communities. This case study examines failed the community with country's number one toxic waste dump. The paper employs resource mobilization as theoretical lens through which this protest. factors that favored (opportunities challenge elites, ability mobilize resources, organizational coherency, recognition by those power); worked against...
This replication study explores the relationship between organizational dynamics and employee health. A previous by Smith, Kaminstein, Makadok found that using step-wise multiple regression, 20% of variance an aggregated health symptoms index administered to members ASCORP, a financial services organization employing 13, 000 people, was accounted for three variables (organization-person balance, treatment, discrimination) after controlling demographics. There were several methodological...
<sec> <title>BACKGROUND</title> Web-based tools developed to facilitate a shared decision-making (SDM) process may the implementation of lung cancer screening (LCS), an evidence-based intervention improve outcomes. Veterans have specific risk factors and experiences that affect benefits potential harms LCS thus value veteran-centric decision tool (LCSDecTool). </sec> <title>OBJECTIVE</title> This study aims conduct usability testing LCSDecTool designed for veterans receiving care at Veteran...