A5017683664- Colorectal Cancer Screening and Detection
- Primary Care and Health Outcomes
- Health Policy Implementation Science
- Global Cancer Incidence and Screening
- Interprofessional Education and Collaboration
- Health Systems, Economic Evaluations, Quality of Life
- Economic and Financial Impacts of Cancer
- Gastric Cancer Management and Outcomes
- Healthcare Policy and Management
- Health Sciences Research and Education
- Mental Health and Patient Involvement
- Global Health Workforce Issues
- Diverticular Disease and Complications
- Food Security and Health in Diverse Populations
- Community Health and Development
- Telemedicine and Telehealth Implementation
- Healthcare Systems and Technology
- Clinical practice guidelines implementation
- Patient Satisfaction in Healthcare
- Chronic Disease Management Strategies
- Nuclear and radioactivity studies
- Obesity, Physical Activity, Diet
- Colorectal Cancer Surgical Treatments
- Public Health Policies and Education
- Health disparities and outcomes
Research Network (United States)
2015-2025
Oregon Health & Science University
2015-2024
Portland State University
2019-2024
University of Portland
2015-2024
VA Portland Health Care System
2023
Kaiser Permanente Center for Health Research
2019-2023
University of South Carolina
2019
AltaMed
2019
Dartmouth Institute for Health Policy and Clinical Practice
2018
Dartmouth–Hitchcock Medical Center
2018
<h3>PURPOSE</h3> An isolated focus on 1 disease at a time is insufficient to generate the scientific evidence needed improve health of persons living with more than chronic condition. This article explores how bring context into research efforts multiple conditions (MCC). <h3>METHODS</h3> Forty-five experts, including MCC, family and friend caregivers, researchers, policy makers, funders, clinicians met critically consider 4 aspects incorporating MCC: key contextual factors, research,...
Importance Approximately 60 million adults live in rural regions of the US, which historically have low rates colorectal cancer (CRC) screening and follow-up. Rural residents enrolled Medicaid particularly CRC follow-up rates. Objective To determine effectiveness implementation a collaborative health plan–clinic program mailed fecal immunochemical test (FIT) outreach patient navigation to colonoscopy following an abnormal FIT result when implemented clinics as part standard care. Design,...
<h3>Purpose:</h3> This article describes the electronic health record (EHR)-related experiences of practices striving to integrate behavioral and primary care using tailored, evidenced-based strategies from 2012 2014; challenges, workarounds initial information technology (HIT) solutions that emerged during implementation. <h3>Methods:</h3> was an observational, cross-case comparative study 11 diverse practices, including 8 clinics 3 community mental centers focused on implementation...
In healthcare change interventions, on-the-ground learning about the implementation process is often lost because of a primary focus on outcome improvements. This paper describes Learning Evaluation, methodological approach that blends quality improvement and research methods to study innovations.
Objectives. To assess the prevalence of Adverse Childhood Experiences (ACEs) and their association with behavioral health in American Indian (AI) non-AI populations South Dakota. Methods. We included validated ACE questionnaire a statewide survey 16,001 households. examined ACEs conditions AI associations between health. Results. Compared non-AIs, AIs displayed higher including abuse, neglect, household dysfunction had total number ACEs. For having six or more significantly increased odds...
<h3>Purpose:</h3> To identify how organizations prepare clinicians to work together integrate behavioral health and primary care. <h3>Methods:</h3> Observational cross-case comparison study of 19 U.S. practices, 11 participating in Advancing Care Together, 8 from the Integration Workforce Study. Practices varied size, ownership, geographic location, experience delivering integrated Multidisciplinary teams collected data (field notes direct practice observations, semistructured interviews,...
ABSTRACT Photovoice is a participatory action research methodology that involves the use of photography and enables people to document, reflect upon, communicate community needs policymakers for purpose promoting social change. We describe how photovoice was used engage rural youth in childhood obesity prevention obtain their perspectives assets barriers influenced children's physical activity diets county. The photographs stories produced by garnered public interest were beneficial raising...
<h3>Background:</h3> More than 20 years ago the Institute of Medicine advocated for integration physical and behavioral health care. Today, practices are integrating care in response to recent policy initiatives. However, few studies describe how is accomplished real-world without financial or research support available most randomized controlled trials. <h3>Methods:</h3> To study integrate care, we conducting a cross-case comparative, mixed-methods 11 participating Advancing Care Together...
The patient-centered medical home (PCMH) is a promising framework for the redesign of primary care and more recently specialty care.As defined by Agency Healthcare Research Quality, PCMH has 5 attributes: comprehensive care, coordinated accessible services, quality safety.Evidence increasingly demonstrates that to best achieve Triple Aim (improved outcomes, decreased cost, enhanced patient experience), treatment behavioral health (including mental health, substance use, life stressors) must...
<h3>Background:</h3> Integrating behavioral health and primary care is beneficial to patients systems. However, for integration be widely adopted, studies demonstrating its benefits in community practices are needed. The objective of this study was evaluate effect integrated care, adapted local contexts, on depression severity patients9 experience care. <h3>Methods:</h3> This used a convergent mixed-methods design, merging findings from quasi-experimental with patient interviews conducted as...
<h3>Purpose:</h3> To provide empirical evidence on key organizing constructs shaping practical, real-world integration of behavior health and primary care to comprehensively address patients9 medical, emotional, behavioral needs. <h3>Methods:</h3> In a comparative case study using an immersion-crystallization approach, multidisciplinary team analyzed data from observations practice operations, interviews, surveys members, implementation diaries. Practices were drawn 2 studies practices...
<h3>Purpose:</h3> This paper sought to describe how clinicians from different backgrounds interact deliver integrated behavioral and primary health care, the contextual factors that shape such interactions. <h3>Methods:</h3> was a comparative case study in which multidisciplinary team used an immersion-crystallization approach analyze data observations of practice operations, interviews with members, implementation diaries. The observed practices were drawn 2 studies: Advancing Care...
We measured vertical and horizontal variation in canopy transmittance of photosynthetically active radiation five Pseudotsuga menziesii (Mirb.) Franco-Tsuga heterophylla (Raf.) Sarg. (Douglas-fir-western hemlock) stands the central Cascades southern Washington to determine how stand structure age affect forest light environment. The shape mean profile was related height, but height maximum progressively lower than tree older stands. rate attenuation declined with both overstory understory. A...
Abstract Purpose To explore the perceived barriers, resources, and training needs of rural primary care providers in relation to implementing American Medical Association Expert Committee recommendations for assessment, treatment, prevention childhood obesity. Methods In‐depth interviews were conducted with 13 Oregon. Transcribed thematically coded. Results Barriers addressing obesity fell into 5 categories: barriers related practice (time constraints, lack reimbursement, few opportunities...
<h3>Purpose:</h3> This study sought to describe features of the physical space in which practices integrating primary care and behavioral health work identify arrangements that enable integration care. <h3>Methods:</h3> We conducted an observational 19 diverse located across United States. Practice-level data included field notes from 2–4-day site visits, transcripts semistructured interviews with clinicians clinical staff, online implementation diary posts, facility photographs. A...
The Agency for Healthcare Research and Quality (AHRQ) launched the EvidenceNOW Initiative to rapidly disseminate implement evidence-based cardiovascular disease (CVD) preventive care in smaller primary practices. AHRQ funded eight grantees (seven regional Cooperatives one independent national evaluation) participate EvidenceNOW. evaluation examines quality improvement efforts outcomes more than 1500 small practices (restricted those with fewer ten physicians per clinic). Examples of external...