A5091681202- Primary Care and Health Outcomes
- Complementary and Alternative Medicine Studies
- Food Security and Health in Diverse Populations
- Musculoskeletal pain and rehabilitation
- Obesity, Physical Activity, Diet
- Homelessness and Social Issues
- Palliative Care and End-of-Life Issues
- Mindfulness and Compassion Interventions
- Mental Health and Patient Involvement
- Cultural Competency in Health Care
- Cancer survivorship and care
- Innovations in Medical Education
- Diabetes Management and Education
- Childhood Cancer Survivors' Quality of Life
- Emergency and Acute Care Studies
- Pain Management and Placebo Effect
- Acupuncture Treatment Research Studies
- Patient Satisfaction in Healthcare
- Migration, Health and Trauma
- Empathy and Medical Education
- Global Health Workforce Issues
- Pain Management and Opioid Use
- Family and Patient Care in Intensive Care Units
- Obesity and Health Practices
- Patient-Provider Communication in Healthcare
University of California, San Francisco
2015-2025
University of California, Irvine
2024
Osher Center for Integrative Medicine
2019-2023
San Francisco General Hospital
2021
Research on disparities in health and care has demonstrated that social, economic, political factors are key drivers of poor outcomes. Yet the role such structural forces been incorporated unevenly into medical training. The framework competency offers a paradigm for training professionals to recognize respond impact upstream, patient care.
Abstract Objective To assess mental health related outcomes of Recipe4Health, a multisectoral social care partnership implementing produce prescriptions with or without group medical visits (GMVs). Study Setting and Design Recipe4Health was implemented at five community centers from 2020 to 2023. Primary teams referred patients food insecurity and/or nutrition‐sensitive chronic conditions (e.g., diabetes, depression) 16 weeks Food Farmacy (produce prescriptions) the option GMV participation....
Background The COVID-19 pandemic exacerbated pain care inequities for low-income people. Telehealth Integrative Pain Management Program (t-IPMP) was developed to provide management services patients in public health clinics of the San Francisco Health Network (SFHN). Adapted from an existing program, t-IPMP delivered multimodal treatment via telehealth groups when in-person healthcare restricted. Objective This mixed-methods study evaluates feasibility and acceptability t-IPMP. Methods We...
Inclusive research is needed to understand how contemplative practices are used by people of diverse identities. Metta meditation-also known as loving-kindness meditation-may be particularly relevant for committed equity and justice because the social nature practice. Using community-based participatory an intersectional framework, we assessed in a meditation community teach practice metta meditation. In partnership between university researchers center, conducted virtual focus groups on...
Food as Medicine is a rapidly developing area of health care in the United States, aimed at concurrently addressing nutrition-sensitive chronic conditions and food nutrition insecurity. Recipe4Health (R4H) program with an integrative equity focus. It provides prescriptions for locally grown produce ('Food Farmacy') or without group medical visits, alongside training clinic staff. To describe initial implementation R4H four Federally Qualified Health Centers Northern California, using...
In 2020, the state of California started financially incentivizing primary care practices to screen for adverse childhood events (ACEs). its current Medicaid 1115 waiver, also has encouraged health teams social risks (SR) - (eg, food, housing, and transportation insecurity). this qualitative study, we explore community center (CHC) staff patient perspectives about opportunities barriers integrating adult screening ACEs SR. We identified eligible CHCs through claims data on and/or...
In this article, I examine group medical visits, a clinic-based intervention that aims to improve patient health by combining clinical care, education and peer support. Research shows care inequalities are reproduced through the interplay of interpersonal, institutional, structural factors. changing social relations made possible including support an expanded role for knowledge. The qualitative data presented here part mixed-methods study how visits integrative medicine combined implemented...
Integrative group medical visits (IGMVs) aim to increase access complementary and integrative health care, which is particularly relevant for low-income people. We sought describe IGMV programs in US safety-net clinics through a survey of providers.
Abstract Introduction Postpartum health is in crisis the United States, with rising pregnancy‐related mortality and worsening racial inequities. The World Health Organization recommends four postpartum visits during 6 weeks after childbirth, yet standard care States generally one visit birth. We present community midwifery as a model concordant guidelines, describing this of its potential to improve for birthing people babies. Methods conducted semi‐structured interviews 34 midwives...
To use a psychosocial framework to examine the pain experiences of low-income, ethnically diverse patients before and after an Integrative Pain Management Program (IPMP).
Introduction Chronic conditions, such as diabetes, obesity, heart disease and depression, are highly prevalent frequently co-occur with food insecurity in communities served by community health centres the USA. Community increasingly implementing ‘Food Medicine’ programmes to address dual challenge of chronic conditions insecurity, yet they have been infrequently evaluated. Methods analysis The goal this quasi-experimental study was evaluate effectiveness Recipe4Health, a programme....
There is strong evidence for clinical benefits of group medical visits (GMVs) (also known as shared appointments) prenatal care, diabetes, chronic pain, and a wide range other conditions. GMVs can increase access to integrative care while providing additional including increased clinician-patient contact time, cost savings, support with prevention self-management During the COVID-19 pandemic, many sites are experimenting new models delivery virtual using telehealth. Little research has...
e13717 Background: The 2023 Society for Integrative Oncology-ASCO joint guideline recommends mindfulness-based interventions (MBIs) as the non-pharmacologic therapy with highest level of evidence to improve anxiety and depression symptoms experienced by adults cancer. However, predominately derives from White breast cancer survivors. Racial ethnic minority patients have less access integrative symptom support worse outcomes. To address these gaps, we designed piloted a series group medical...
Background Mindfulness-based interventions (MBIs) are supported by clinical practice guidelines as effective non-pharmacologic for common symptoms experienced cancer patients, including anxiety, depression, and fatigue. However, the evidence predominately derives from White breast survivors. Racial ethnic minority patients have less access to integrative oncology care worse outcomes. To address these gaps, we designed piloted a series of mindfulness-based group medical visits (MB-GMVs),...
Objectives: This article describes the implementation of a group medical visit (GMV) model to increase access integrative oncology (IO) care. The most challenging and critical time high-quality IO care is while patients are receiving conventional cancer therapy. Often demand for individual clinic consultations precludes this from occurring. A three-session GMV program was designed alleviate barriers during active treatment. Design: consolidated framework used research focused ethnography...
Introduction: The recent White House Conference on Hunger, Nutrition, and Health in October 2022 made it a national priority to address food nutrition insecurity reduce inequities nutrition-related chronic conditions such as heart diease. ‘Food Medicine’ is increasing implemented the dual challenge of food/nutrition disease. Food Medicine refers integration food-based interventions into healthcare prevent treat However, there limited rigorous evidence impact health. Methods: We examined...
Purpose Acupressure and therapeutic touch may be beneficial for symptom management increasing general well-being children undergoing cancer treatment. has the benefit of stimulating targeted acupuncture points while providing touch. We sought to explore relationship between acupressure experience among being treated who received acupressure. Methods In Children in Treatment a Childhood Cancer trial, hospitalized using specified control as well well-being. was delivered by professionals...