A5082701105- Electronic Health Records Systems
- Health Literacy and Information Accessibility
- Clinical Reasoning and Diagnostic Skills
- Mobile Health and mHealth Applications
- Telemedicine and Telehealth Implementation
- Artificial Intelligence in Healthcare and Education
- Patient-Provider Communication in Healthcare
- Breastfeeding Practices and Influences
- Data Quality and Management
- Healthcare cost, quality, practices
- Ethics in Clinical Research
- Global Cancer Incidence and Screening
- Healthcare Policy and Management
- Medical Malpractice and Liability Issues
- Palliative Care and End-of-Life Issues
- Cancer survivorship and care
- Primary Care and Health Outcomes
- Emergency and Acute Care Studies
- Health disparities and outcomes
- Patient Safety and Medication Errors
- Food Security and Health in Diverse Populations
- Healthcare Systems and Technology
University of California, San Francisco
2017-2022
University of California, Berkeley
2016-2022
San Francisco General Hospital
2017-2020
Health Net
2019
University of California, Los Angeles
2019
General Department of Preventive Medicine
2019
Berkeley College
2016
With the rapid rise in adoption of patient portals, many patients are gaining access to their personal health information online for first time. The objective this study was examine specific usability barriers portal engagement among a diverse group and caregivers.We conducted interviews using performance testing think-aloud methods with 23 2 caregivers as they attempted use features newly launched portal.In navigating portal, participants experienced basic computer (eg, difficulty mouse),...
<h3>Background:</h3> Patient portals are becoming ubiquitous. Previous research has documented substantial barriers, especially among vulnerable patient subgroups such as those with lower socioeconomic status or limited health literacy (LHL). We tested the effectiveness of delivering online, video-based portal training to patients in a safety net setting. <h3>Methods:</h3> created an online video curriculum about accessing San Francisco Health Network portal, and then randomized 93...
US health care institutions are implementing secure websites (patient portals) to achieve federal Meaningful Use (MU) certification. We sought understand efforts implement portals in "safety net" systems that provide services for low-income populations.Our rapid ethnography involved visits at 4 California safety net and in-depth interviews a fifth. Visits included with clinicians executives ( n = 12), informal focus groups front-line staff 35), observations of patient portal sign-up...
In order to address health disparities, it is important understand how vulnerable individuals seek information. This study used an adapted version of the Health Information National Trends Survey (HINTS) administered in English, Spanish, and Chinese describe behaviors preferences a diverse group urban residents.
The Earned Income Tax Credit (EITC) is the largest poverty alleviation program for families with children in US, and it has well-documented health effects. However, not all eligible receive benefits. Assessing California Communities' Experiences Safety Net Supports (ACCESS) Study interviewed 411 EITC-eligible Californians young to understand low take-up of federal EITC California's supplemental CalEITC. Interviews were conducted English Spanish 2020 2021 gather information on...
Diagnostic error in ambulatory care, a frequent cause of preventable harm, may be mitigated using the collective intelligence multiple clinicians. The National Academy Medicine has identified enhanced clinician collaboration and digital tools as means to improve diagnostic process.This study aims assess efficacy output confidence accuracy care cases (from primary urgent clinic visits) with uncertainty.This is pragmatic randomized controlled trial uncertainty from clinicians at clinics 2...
The study sought to evaluate if peer input on outpatient cases impacted diagnostic confidence.This randomized trial of a intervention occurred among 28 clinicians with case-level randomization. Encounters uncertainty were entered onto digital platform collect from ≥5 clinicians. primary outcome was confidence. We used mixed-effects logistic regression analyses assess for impact confidence.Among the 509 (255 control; 254 intervention), did not confidence (odds ratio [OR], 1.46; 95% interval...
Little is known about the epidemiology of diagnosis in primary care. A prospective observational cohort study was conducted adults presenting between August and December 2018 to care clinics across two health systems with an undiagnosed medical problem. Primary outcomes were (1) likelihood a definitive by 12 months (2) time diagnosis. Multivariate logistic regression used assess for factors associated reaching diagnosis, multivariable Cox Bivariate models explore unadjusted relationships...
<sec> <title>BACKGROUND</title> Diagnostic error in ambulatory care, a frequent cause of preventable harm, may be mitigated using the collective intelligence multiple clinicians. The National Academy Medicine has identified enhanced clinician collaboration and digital tools as means to improve diagnostic process. </sec> <title>OBJECTIVE</title> This study aims assess efficacy output confidence accuracy care cases (from primary urgent clinic visits) with uncertainty. <title>METHODS</title> is...