A5065583926- Religion, Spirituality, and Psychology
- Smoking Behavior and Cessation
- Dietary Effects on Health
- BRCA gene mutations in cancer
- Nutrition, Genetics, and Disease
- Healthcare Policy and Management
- Grief, Bereavement, and Mental Health
- Electronic Health Records Systems
- Religion, Society, and Development
- Health disparities and outcomes
- Stress Responses and Cortisol
- Primary Care and Health Outcomes
- Epigenetics and DNA Methylation
- Religion and Society Interactions
- Palliative Care and End-of-Life Issues
- Birth, Development, and Health
- Nicotinic Acetylcholine Receptors Study
- Racial and Ethnic Identity Research
- Asthma and respiratory diseases
- Health Systems, Economic Evaluations, Quality of Life
- Obesity, Physical Activity, Diet
- Global Cancer Incidence and Screening
- Behavioral Health and Interventions
- Race, Genetics, and Society
- Migration, Health and Trauma
Massachusetts General Hospital
2015-2025
Harvard University
2013-2024
University of the West Indies System
2019-2021
University Hospitals Coventry and Warwickshire NHS Trust
2019
University of the West Indies
2018
Lemuel Shattuck Hospital
2013-2017
Broad Institute
2017
Genomics (United Kingdom)
2016
MGH Institute of Health Professions
2007-2016
HealthInsight
2012
Despite a consensus that the use of health information technology should lead to more efficient, safer, and higher-quality care, there are no reliable estimates prevalence adoption electronic records in U.S. hospitals.
Electronic health records have the potential to improve delivery of care services. However, in United States, physicians been slow adopt such systems. This study assessed physicians' adoption outpatient electronic records, their satisfaction with systems, perceived effect systems on quality care, and barriers adoption.In late 2007 early 2008, we conducted a national survey 2758 physicians, which represented response rate 62%. Using definition for that was based expert consensus, determined...
Electronic health records (EHRs) are promising tools to improve quality and efficiency in care, but data on their adoption rate limited. We identified surveys EHR assessed quality. Although returned widely different estimates of use, when available information is limited studies high or medium quality, national possible: Through 2005, approximately 23.9 percent physicians used EHRs the ambulatory setting, while 5 hospitals computerized physician order entry. Large gaps knowledge, including...
research journals [10][11][12][13][14][15][16][17].Throughout the 20th century, race had no standard defi nition in medical, epidemiological, or health services [18][19][20][21].In epidemiology, vaguely referred to "persons who are relatively homogenous with respect biologic inheritance" [18].One survey of medical and epidemiological
Understanding whether electronic health records, as currently adopted, improve quality and efficiency has important implications for how best to employ the estimated $20 billion in information technology incentives authorized by American Recovery Reinvestment Act of 2009. We examined record adoption U.S. hospitals relationship efficiency. Across a large number metrics examined, relationships were modest at generally lacked statistical or clinical significance. However, presence decision...
The use of racial variables in genetic studies has become a matter intense public debate, with implications for research design and translation into practice. Using on smoking as springboard, the authors examine history categories, current practices, arguments against using race analyses. argue that sociopolitical constructs appropriate monitoring health disparities are not investigating etiology complex diseases. More powerful methods addressing population structure exist, unacceptable...
Previous longitudinal studies have consistently shown an association between attendance at religious services and lower all-cause mortality, but the literature on associations other measures of religion spirituality (R/S) mortality is limited. We followed 36,613 respondents from Black Women's Health Study 2005 through December 31, 2013 to assess R/S incident using proportional hazards models. After control for numerous demographic health covariates, together with variables, attending several...
Among patients with multiple chronic conditions, there is increasing appreciation of the complex interrelatedness diseases. Previous studies have focused on prevalence and economic burden associated much less known about mortality rate specific combinations diseases.Measure in 11 conditions.Cohort study veteran health care users.Veterans between 55 64 years that used Veterans Health Administration services October 1999 September 2000.Patients were identified as having one or more following:...
The few studies of the relationship between religion and/or spirituality (R/S) and hypertension are conflicting. We hypothesized that R/S may reduce risk by buffering adverse physiological effects stress. prospectively assessed association with within Black Women's Health Study (BWHS), a cohort study initiated in 1995 follows participants through biennial questionnaires. 2005 questionnaire included four questions: (i) extent to which one's is involved coping stressful situations, (ii)...
To the extent that health information technology (IT) improves care quality, differential adoption among providers serve vulnerable populations may exacerbate disparities. This first national survey of federally funded community centers (CHCs) shows although 26 percent reported some electronic record (EHR) capacity and 13 have minimal set EHR functionalities, CHCs serving most poor uninsured patients were less likely to a functional EHR. cited lack capital as top barrier adoption. Ensuring...
Some hospitals that disproportionately care for poor patients are falling behind in adopting electronic health records (EHRs). Data from a national survey indicate early evidence of an emerging digital divide: U.S. provide to large numbers also had minimal use EHRs. These same lagged others quality performance as well, but those with EHR systems seemed have eliminated the gap. findings suggest EHRs should be major policy goal reform measures targeting serve populations patients.
The association between religious service attendance, coping, and hypertension is unclear. Prospective research assessment of potential mediators needed to understand this relationship. From 2001-2013, we prospectively followed 44,281 nonhypertensive women who provided information on attendance coping in the Nurses' Health Study II. Cox regression mediation analyses were conducted assess associations religion hypertension. There 453,706 person-years follow-up 11,773 incident cases. Women...
Abstract Obesity and type 2 diabetes disproportionately impact U.S. racial ethnic minority communities low‐income populations. Improvements in implementing efficacious interventions to reduce the incidence of are underway (i.e., National Diabetes Prevention Program), but challenges effectively scaling‐up successful reaching at‐risk populations remain. In October 2017, Institutes Health convened a workshop understand how (1) address socioeconomic other environmental conditions that perpetuate...
Objective. To examine differences in the process of care for Medicaid-enrolled white, Hispanic, and black children with asthma. Design. Retrospective cohort study using Medicaid claims data to analyze asthma 1994, including all white (non-Hispanic), Hispanic (aged 2–18 years) non-health maintenance organization portion Massachusetts program (N = 5773). Main outcome measures included performance on 6 claims-based process-of-care that reflect national guidelines. Measures addressed primary...
Aim: To investigate childhood abuse victimization in relation to adult DNA methylation levels a novel region of NR3C1, with emotional support as possible modifier. Materials & methods: 295 participants from the Black Women's Health Study. Multivariable linear regression models were used compute differences mean percent levels. Results: Women reporting exhibited higher NR3C1 than nonabused women, clear dose–response relationship. Childhood appeared attenuate associations only among women...