A5062401117- Primary Care and Health Outcomes
- Health Policy Implementation Science
- Patient Satisfaction in Healthcare
- Healthcare Policy and Management
- Clinical practice guidelines implementation
- COVID-19 epidemiological studies
- Interprofessional Education and Collaboration
- COVID-19 and healthcare impacts
- Global Health Workforce Issues
- Health Systems, Economic Evaluations, Quality of Life
- Telemedicine and Telehealth Implementation
- Influenza Virus Research Studies
- Geriatric Care and Nursing Homes
- Patient-Provider Communication in Healthcare
- American Constitutional Law and Politics
- Community Health and Development
- Chronic Disease Management Strategies
- Respiratory viral infections research
- Health disparities and outcomes
- Health Sciences Research and Education
- Asthma and respiratory diseases
- Healthcare Quality and Management
- Diabetes Management and Education
- Ethics in Clinical Research
- Health Literacy and Information Accessibility
Rutgers, The State University of New Jersey
2020-2025
University of South Florida
2023-2024
Brunswick (United States)
2024
University of Illinois Chicago
2024
Rutgers Sexual and Reproductive Health and Rights
2021-2024
Johnson University
2023
New York University
2019-2022
Oregon Health & Science University
2021-2022
United States Department of Veterans Affairs
2022
University of Washington
2013-2021
Policy Points Telehealth has many potential advantages during an infectious disease outbreak such as the COVID-19 pandemic, and pandemic accelerated shift to telehealth a prominent care delivery mode. Not all health providers patients are equally ready take part in revolution, which raises concerns for equity after pandemic. Without proactive efforts address both patient- provider-related digital barriers associated with socioeconomic status, wide-scale implementation of amid may reinforce...
Introduction Mechanisms explain how implementation strategies work. Implementation research requires careful operationalisation and empirical study of the causal pathway(s) by which effect change, factors that may amplify or weaken their effects. Understanding mechanisms is critically important to replicate findings, learn from negative studies adapt an strategy developed in one setting another. Without understanding mechanisms, it difficult design produce expected effects across contexts,...
Background In April 2009, the most recent pandemic of influenza A began. We present first estimates mortality based on newly-released final data deaths in 2009 and 2010 United States. Methods obtained pneumonia from National Center for Health Statistics (NCHS). Age- sex-specific death rates, age-standardized were calculated. Using negative binomial Serfling-type methods, excess was calculated separately by sex age groups. Results many groups, observed cause-specific rates October November...
Primary care practices have remained on the frontline of health service delivery throughout COVID-19 pandemic. The purpose our study was to understand early pandemic experience primary practices, how they adapted processes for chronic disease management and preventive care, future potential these practices' adaptations.We interviewed 44 providers staff at 22 high-performing located United States between March May 2020. Interviews were transcribed coded using a modified rapid assessment...
The authors declare no conflicts of interest. data that support the findings this study are available from corresponding author upon reasonable request. Data S1: Supporting Information. Please note: publisher is not responsible for content or functionality any supporting information supplied by authors. Any queries (other than missing content) should be directed to article.
<h3>PURPOSE</h3> Despite the growing popularity of stepped-wedge cluster randomized trials (SW-CRTs) for practice-based research, design's advantages and challenges are not well documented. The objective this study was to identify SW-CRT design large-scale intervention implementations in primary care settings. <h3>METHODS</h3> EvidenceNOW: Advancing Heart Health initiative, funded by Agency Healthcare Research Quality, included a large collection SW-CRTs. We conducted qualitative interviews...
Background: Patients who survive gunshot wounds often have retained missiles. Unlike intra-articular missiles, extra-articular missiles (EARMs) are not routinely removed. Cases of lead toxicity from EARMs been described. This study seeks to determine whether blood levels elevated in emergency department patients with compared matched controls, clinical symptoms more prevalent than and longer missile retention times or recent hypermetabolic conditions associated higher levels. Methods: One...
Background: Osteoporosis is a growing public health concern due to its rising prevalence and excess morbidity mortality. Automated patient registries have gained great importance in disease management of major chronic diseases, but are rarely used osteoporosis. Objectives: To construct an automated, population-based registry Setting: The electronic medical records pharmacy databases 2 million member organization Israel (Maccabi Healthcare Services). Methods: Included the were adults who...
Abstract Research Objective Studies have found that race/ethnicity concordance between patients and providers improves medication adherence among with hypertension single CVD outcomes (eg, blood pressure control). Our objective was to examine the association of patient‐physician on Million Hearts “ABCS” guidelines: (A) aspirin when indicated, (B) control, (C) cholesterol management, (S) smoking screening cessation. To best our knowledge, this is first study impact guideline multiple outcome...
New Jersey's COVID-19 Temporary Emergency Reciprocity Licensure program provided temporary licenses to more than 31,000 out-of-state health care practitioners. As one of the first hot spots in US, Jersey is uniquely positioned provide insights on enabling an workforce through licensure address critical, ongoing concerns about supply. In January 2021 we surveyed licensees. We analyzed 10,000 survey responses and found that practitioners who used license originated from every state both...
ABSTRACT New Jersey's COVID-19 Temporary Emergency Reciprocity Licensure Program provided temporary licenses to more than 31000 out-of-state healthcare practitioners, over a quarter of whom were mental health providers. As the need for care accelerated during pandemic, especially among disparity populations, expanding provider pools may be critical tool increase access care. In January 2021, we surveyed licensees. We analyzed 4500 responses examine impact licensure program on overall and...
There is a lack of studies establishing the association between allergic rhinitis (AR) and despair, suicidal thinking, suicide attempts in adolescents children at population level. This study aimed to investigate whether there are associations attempts.The utilized data from middle through high school 2005-2021 who enrolled Korea Youth Risk Behavior Web-based Survey (KYRBS; 1,067,169). We assessed context both non-atopic atopic AR. Multivariable analysis was used determine variables.The...
Abstract Previous studies have examined the prevalence of allergic diseases in adolescents 1–2 years after emergence COVID-19 pandemic. However, more data is needed to understand long-term impact on diseases. Thus, we aimed examine trend atopic dermatitis Korean before and during pandemic across 14 years. Additionally, analyze risk factors (AD) based results. The Disease Control Prevention Agency conducted Korea Youth Risk Behavior Web-based Survey from 2009 2022, which for this study were...
To identify primary care structures and processes that have the highest lowest impact on chronic disease management screening prevention outcomes as well to assess feasibility of implementing these into practice.
Abstract Background Annual wellness visits (AWVs) have the potential to improve general health and well-being, but little is known about role of AWVs during COVID-19 pandemic. Objective We examined determinants effectiveness having an AWV among Medicare beneficiaries in 2020. Methods employed a cross-sectional study design using data from 2020 Current Beneficiary Survey. Our outcomes included utilization, preventive care status, satisfaction. To examine for AWV, we performed linear...
Rural-dwelling Department of Veterans Affairs (VA) enrollees are at high risk for a wide variety mental health-related disorders. The objective this study is to examine the variation in types and nonmental health services received by rural VA who have diagnosis.The Andersen Aday behavioral model use Agency Healthcare Research Quality Medical Expenditure Panel Survey (MEPS) data were used how with diagnoses accessed places care from 1999 2009. Population survey weights applied MEPS data,...
Abstract We conducted public health investigations of 8 organ transplant recipients who tested positive for severe acute respiratory syndrome coronavirus 2 infection. Findings suggest the most likely source transmission was community or healthcare exposure, not donor. Transplant centers should educate candidates and about infection prevention recommendations.
Abstract Background Effective strategies are needed to increase implementation and sustainability of evidence-based tobacco dependence treatment (TDT) in public health systems low- middle-income countries (LMICs). Our two-arm cluster randomized controlled trial (VQuit) found that a multicomponent strategy was effective increasing provider adherence TDT guidelines commune center (CHCs) Vietnam. In this paper, we present findings from post-implementation qualitative assessment factors...
Few studies have assessed the fidelity of practice facilitation (PF) as an implementation strategy, and none used a priori definition or conceptual framework to guide assessment. The authors adapted Conceptual Framework for Implementation Fidelity assessment in HealthyHearts NYC, intervention that PF improve adoption cardiovascular disease evidence-based guidelines primary care practices. Data from web-based tracking system 257 practices measured using 4 categories: frequency, duration,...
<h3>Background:</h3> Guidelines for managing and preventing chronic disease tend to be well-known. Yet, translation of this evidence into practice is inconsistent. We identify a combination factors that are connected guideline concordant delivery evidence-informed care in primary care. <h3>Methods:</h3> Cross-sectional observational study; purposively selected 22 practices vary on size, ownership geographic location, using National Quality Forum metrics ensure had ≥ 70% quality level at...
Abstract Background Healthcare reform in the United States has focused on improving value of health care, but there are some concerns about inequitable delivery value-based care. Objective We examine whether receipt high- and low-value care differs by education levels. Methods employed a repeated cross-sectional study design using data from 2010–2019 Medical Expenditure Panel Survey. Our outcomes included 8 high-value services across 3 categories 9 categories. primary independent variable...
<h3>Background:</h3> There is no commonly accepted comprehensive framework for describing the practical specifics of external support practice change. Our goal was to develop such a taxonomy that could be used by both groups or researchers and health care leaders. <h3>Methods:</h3> The leaders 8 grants from Agency Research Quality EvidenceNOW study improving cardiovascular preventive services in over 1500 primary practices nationwide worked collaboratively 18 months descriptions key domains...