Many scholars now critique successful aging terminology. Nonetheless, there is incomplete analysis of the political motivations behind development and/or effects widespread use these terms. This article suggests that people who developed terms and settings within which they work parallels an themselves illustrates continuing negative perception aging. study fleshes out a more thorough sociopolitical contexts surrounding paradigm so it can help renew expand existing critiques. The authors...

To assess risk-adjusted outcomes and participant perceptions following a statewide coaching program for bariatric surgeons.Coaching has emerged as new approach improving individual surgeon performance, but lacks evidence linking to clinical outcomes.This took place between October 2015 February 2018 in the Michigan Bariatric Surgery Collaborative. Surgeons were categorized coach, participant, or nonparticipant an interrupted time series analysis. Multilevel logistic regression models...

Introduction: Rural populations routinely rank poorly on common health indicators. While it is understood that rural residents face barriers to care, the exact nature of these remains unclear. To further define barriers, a qualitative study primary care physicians practicing in communities was performed. Methods: Semistructured interviews were conducted with areas within western Pennsylvania, third largest population USA, using purposively sampling. Data then transcribed, coded, and analyzed...

Background: This qualitative research explored the lived experiences of patients who experienced postponement elective cardiac and vascular surgery due to coronavirus disease 2019 (COVID-19). We know very little about during novel pandemic. Understanding patient voice may play an important role in prioritization postponed cases triage moving forward. Methods: Utilizing a hermeneutical phenomenological design, we interviewed 47 individuals or COVID-19 Data were analyzed informed by methods....

Importance Black pregnant people with low income face inequities in health care access and outcomes the US, yet their voices have been largely absent from redesigning prenatal care. Objective To examine patients’ workers’ experiences delivery a low-income population to inform innovations improve coordination, access, quality, outcomes. Design, Setting, Participants For this qualitative study, human-centered design–informed interviews were conducted at clinics 19 patients who currently or up...

The "surgical personality" is a mostly negative academic and cultural image of the surgeon as egotistical, paternalistic, inflexible. Because this image, surgeons have been viewed resistant to change some behaviors, vulnerability, for example, are "suspect" because they seemingly threaten professional competency. We report on exit interviews who participated in coaching program demonstrate how their narratives challenge surgical "personality" forge an evolving more open identity.We...

Objective: This qualitative study explored the impact of postoperative complications on surgeons and their well-being. Background: Complications are an inherent component surgical practice. Although there have been extensive efforts to reduce complications, not well-studied. Surgeons often left process own emotional responses these effects which well characterized. Methods: We conducted 46 semi-structured interviews with a diverse range practicing across Michigan explore effect overall The...

Against a backdrop of scant literature on commonalities and differences among diverse groups menopausal women within the United States, little attempt by scholars in any country to study ways which both privilege oppression can shape women's ideas experiences menopause, this study, 61 varied racial-ethnic class locations Midwestern state were asked about different meanings menopause. African American Chicanas, particularly working-class women, viewed menopause as positive experience, whereas...

Sociologists who study and work with older adults often use the term “aging in place” when discussing adults' residential environments. Aging place suggests that what is best for people (and society at large) to remain environment (e.g. home neighborhood) which they have lived most of their lives. The goal this was utilize theory environmental press a sample living central city Detroit begin understand levels satisfaction environment, examine potential limitations aging place. A random...

Despite the clear benefits of palliative care, surgical patients are less likely to receive care consultations when compared their medical counterparts. In this context, we conducted semi-structured interviews with a diverse range practicing surgeons better understand surgeon attitudes and experiences both approaches specialty services.Forty-six from community, tertiary-care, academic institutions across state Michigan agreed participate in study. Each participant's interview lasted between...

Abstract Background Electronic Medical Records (EMRs) are a rich data source to measure and improve quality of care. As Canadian primary health care (PHC) EMRs mature, there is increasing potential use EMR for performance measurement. This study identifies describes current uses measurement considerations further its in the context. Methods We applied qualitative case design descriptive assessment three phases, consulting multiple sources including scientific grey literature, system leaders...

Objective: To derive and validate a polygenic risk score (PRS) to predict the occurrence severity of diverticulitis understand potential for incorporation PRS in current decision-making. Background: quantifies genetic variation into continuous measure risk. There is need improved stratification guide surgical decision-making that could be fulfilled by PRS. It unknown how surgeons might integrate Methods: We derived with 44 single-nucleotide polymorphisms associated diverticular disease UK...

Abstract Facial differences associated with cleft lips are often stigmatizing and can negatively impact psychosocial development quality of life. However, little is known regarding patients’ responses to societal expectations appearance, or how these may utilization revision surgery. Thus, patients at least 8 years age (n = 31) were purposively sampled for semi-structured interviews. After verbatim transcription, first cycle coding proceeded a semantic approach, which revealed patterns that...

Optimal implementation research and practice often relies on rapidly performing, analyzing, interpreting qualitative work such as interviews. Performing interviews in person with traditional approaches to transcription can present substantial burdens, including logistics of in-person meetings, the cost time both conducting transcribing Recent advances language processing technology coupled technocultural shifts largely due COVID pandemic have decreased barriers science work. In this...