A5008854587- Healthcare Policy and Management
- Primary Care and Health Outcomes
- Patient Satisfaction in Healthcare
- Health Systems, Economic Evaluations, Quality of Life
- Healthcare cost, quality, practices
- Global Health Care Issues
- Emergency and Acute Care Studies
- Geriatric Care and Nursing Homes
- HIV/AIDS Research and Interventions
- Chronic Disease Management Strategies
- Healthcare Systems and Technology
- HIV, Drug Use, Sexual Risk
- Health disparities and outcomes
- Global Health Workforce Issues
- Interpreting and Communication in Healthcare
- Healthcare Quality and Management
- Patient-Provider Communication in Healthcare
- Hospital Admissions and Outcomes
- Radiation Dose and Imaging
- Food Security and Health in Diverse Populations
- HIV Research and Treatment
- Healthcare innovation and challenges
- Medication Adherence and Compliance
- Healthcare Systems and Reforms
- Nursing Education, Practice, and Leadership
S.P.E.C.I.E.S.
2024
Hesco (United States)
2024
Anna Needs Neuroblastoma Answers
2024
Kaiser Foundation Hospital
2021
Mission Bio (United States)
2021
Mission Health
2021
Lee University
2014-2020
University of California, San Francisco
2011-2020
Agency for Healthcare Research and Quality
2017-2018
San Francisco General Hospital
2005-2017
Patients recall or comprehend as little half of what physicians convey during an outpatient encounter. To enhance recall, comprehension, and adherence, it is recommended that elicit patients' comprehension new concepts tailor subsequent information, particularly for patients with low functional health literacy. It not known how frequently apply this interactive educational strategy, whether associated improved outcomes.We used direct observation to measure the extent which primary care...
<h3>Background</h3> Patients from racial and ethnic minority groups use fewer health care services are less satisfied with their than patients the majority white population. These disparities may be attributable in part to or cultural differences between physicians. <h3>Objective</h3> To determine whether concordance physicians affects patients' satisfaction of care. <h3>Methods</h3> We analyzed data 1994 Commonwealth Fund's Minority Health Survey, a nationwide, telephone survey...
<h3>Objective.</h3> —To examine whether the higher hospital admission rates for chronic medical conditions such as asthma, hypertension, congestive heart failure, obstructive pulmonary disease, and diabetes in low-income communities resulted from community differences access to care, prevalence of diseases, propensity seek or physician admitting style. <h3>Design.</h3> —Analysis California discharge data. We calculated hospitalization these five 250 ZIP code clusters that define urban...
Patients who are members of minority groups may be more likely than others to consult physicians the same race or ethnic group, but little is known about relation between patients' group and supply likelihood that minority-group will care for poor black Hispanic patients.
OBJECTIVES. Our objective was to evaluate whether referral primary care settings would be clinically appropriate for and acceptable patients waiting emergency department nonemergency conditions. METHODS. We studied 700 at a public hospital. Access alternative sources of medical care, clinical appropriateness use, patients' willingness use services were measured compared between with without regular source care. RESULTS. Nearly half (45%) the cited access barriers as their reason using...
This study seeks to determine whether minority Americans tend see physicians of their own race as a matter choice or simply because are more conveniently located within predominantly communities. Using data from the Commonwealth Fund 1994 National Comparative Survey Minority Health Care, we found that black and Hispanic sought care personal preference language, not solely geographic accessibility. As populations continue grow, demand for is likely increase. Keeping up with this will require...
Managed-care organizations' use of financial incentives to influence the practice primary care physicians is controversial. We studied prevalence and effects these incentives.
Few data are available regarding how patients view the role of primary care physicians as "gatekeepers" in managed systems.To determine extent to which value their first-contact providers and coordinators referrals, whether perceive that impede access specialists, problems gaining specialists associated with a reduction patients' trust confidence physicians.Cross-sectional survey mailed fall 1997 12707 adult who were members plans received from 10 large physician groups California. The...
Objectives. To explore whether differences in disease prevalence, severity, or emergency department (ED) admission thresholds explain why black persons, Medicaid, and uninsured patients have higher hospitalization rates for ambulatory care sensitive (ACS) conditions. Materials methods. The National Hospital Ambulatory Care Survey was used to analyze the ED utilization, severity (assessed by triage category), rates, follow-up plans adults with five chronic ACS conditions (asthma, obstructive...
Objectives: We determined proportions of high-risk persons tested for HIV, the reasons testing and not testing, attitudes perceptions regarding HIV information that is critical planning prevention programs. Methods: Cross-sectional interview study at high risk infection (men who have sex with men [MSM]; injection drug users [IDUs]; heterosexual recruited from gay bars, street outreach, sexually transmitted disease clinics) among six states participating in Testing Survey (HITS) 1995 to 1996...
To determine whether the length of a queue at public hospital emergency department was associated with increased likelihood patients' leaving without being seen by physician and adversely affected health or their subsequent use care services.Observational cohort. Patients were surveyed during 1 week in July 1990 received follow-up survey 7 to 14 days later. The responses patients who left compared those physician.Emergency San Francisco (Calif) General Hospital.All English-, Spanish-,...
Academic medical centers are under enormous pressure to improve quality and cut costs while preserving education.To determine whether a reorganized academic service, led by faculty members who attended more often became involved earlier intensively in care, would lower without compromising education.Alternate-day controlled trial.Inpatient general service.The 1623 patients discharged from the Moffitt-Long service between July 1, 1995, June 30, 1996.We divided our 4-team inpatient into 2...
Sexual harassment has become a national concern and one that is increasingly recognized in the field of medicine. Although there are reports sexual medical trainees, little information on prevalence this problem whether it adequately addressed by training institutions.
We will address the strategic, organizational, and technical aspects that must be considered through an assessment of current landscape data available to clinicians patients for use in clinical decision making opportunities enhancing body evidence.2. work better identify describe ongoing activities contributing narrowing evidence gap approaches leverage extend volumes relevant digital health care facilitate efficient, streamlined randomized trials high-quality observational studies.3....
The interest in measuring health status with survey instruments has not been matched an analysis of their performance characteristics the field. We used Medical Outcome Study Short Form (MOS-20) to assess outcomes among patients who were hospitalized one two public hospitals. mailed MOS-20 and a series transition questions, which asked about changes health, admitted previous year. received 414 completed surveys from 480 at baseline follow-up data on 90% these six months later. Baseline...
<h3>Objective.</h3> —To examine whether the higher hospital admission rates for chronic medical conditions such as asthma, hypertension, congestive heart failure, obstructive pulmonary disease, and diabetes in low-income communities resulted from community differences access to care, prevalence of diseases, propensity seek or physician admitting style. <h3>Design.</h3> —Analysis California discharge data. We calculated hospitalization these five 250 ZIP code clusters that define urban...
Objective. To determine whether Medicaid managed care is associated with lower hospitalization rates for ambulatory sensitive conditions than fee‐for‐service. We also explored there was a differential effect of by patient's race or ethnicity on the conditions. Data Sources/Study Setting. Electronic hospital discharge abstracts all California temporary assistance to needy families (TANF)‐eligible beneficiaries less age 65 who were admitted acute hospitals in between 1994 and 1999. Study...
Many low-income U.S. citizens experience interruptions in health insurance coverage.To determine the rate of hospitalization for ambulatory care-sensitive conditions among Medicaid beneficiaries with coverage.Retrospective cohort study.California population.4,735,797 adults California age 18 to 64 years who received a minimum 1 month coverage between 1998 2002.Time an condition.Sixty-two percent experienced at least interruption during study period. The 3 most common resulting were heart...