A5025656805- Colorectal Cancer Screening and Detection
- Global Cancer Incidence and Screening
- Gastric Cancer Management and Outcomes
- Primary Care and Health Outcomes
- Hemoglobinopathies and Related Disorders
- Genetic factors in colorectal cancer
- Diabetes Management and Education
- Chronic Disease Management Strategies
- HIV/AIDS Research and Interventions
- Health and Medical Research Impacts
- Ethics in Clinical Research
- Health Policy Implementation Science
- Health Systems, Economic Evaluations, Quality of Life
- Pain Management and Opioid Use
- Health disparities and outcomes
- Economic and Financial Impacts of Cancer
- Healthcare Policy and Management
- Smoking Behavior and Cessation
- Prostate Cancer Diagnosis and Treatment
- Clinical practice guidelines implementation
- Helicobacter pylori-related gastroenterology studies
- Colorectal Cancer Surgical Treatments
- Patient Satisfaction in Healthcare
- Public Health Policies and Education
- Health Sciences Research and Education
University of California, San Francisco
2015-2024
UCSF Helen Diller Family Comprehensive Cancer Center
2022-2024
San Francisco General Hospital
2018-2024
Health Net
2024
King's College London
2024
University of Cincinnati
2024
Southern California Clinical and Translational Science Institute
2020-2024
Dartmouth Institute for Health Policy and Clinical Practice
2022
Contra Costa Health Services
2022
University of Illinois Chicago
2022
Chronically ill patients often experience difficulty paying for their medications and, as a result, use less than prescribed.The objectives of this study were to determine the relationship between with diabetes' health insurance coverage and cost-related medication underuse, association underuse outcomes, role comorbidity in process.We used patient survey linkage information hemoglobin A1C (A1C) test results.We studied 766 adults diabetes recruited from 3 Veterans Affairs (VA), 1 county,...
<h3>Background:</h3> National guidelines recommend different pharmacologic management of hypertension (HTN) without comorbidities for Black/African Americans (BAA) compared with non-BAA. We sought to 1) identify if these recommendations have influenced prescription patterns in BAA and 2) the differences uncontrolled HTN on antihypertensive medications. <h3>Methods:</h3> constructed a linked retrospective observational cohort using 2 years electronic health records data, comprising patients...
<h3>Context and Objective:</h3> Patient advisory councils (PACs) are a strategy for primary care clinics to engage patients in practice improvement. However, there is scant research on how PACs function. This study aimed understand organized identify common challenges perceived benefits of high-functioning PACs. <h3>Setting Population:</h3> Key informants identified 8 California with Leaders from each the nominated 1 clinic staff member PAC patient be interviewed. <h3>Study Design:</h3>...
<h3>Introduction:</h3> Patients with chronic non-cancer pain (CNCP) are common and have a high degree of morbidity. Previous studies document clinician frustration variability in CNCP management. We conducted this study to gather in-depth clinicians9 views about factors that affect management CNCP. <h3>Methods:</h3> survey the Primary Care MultiEthnic Network, consortium PBRNs primary care clinicians practicing low-income, medically underserved communities, network private offices....
Community health centers are uniquely positioned to address disparities in colorectal cancer (CRC) screening as they have addressed other disparities. In 2012, the federal Health Resources and Services Administration, which is funding agency for center program, added a requirement that report CRC rates standard performance measure. These annually reported, publically available data major strategic opportunity improve CRC. The Patient Protection Affordable Care Act enacted provisions expand...
BACKGROUND AND OBJECTIVE: Applying topical fluoride varnish (FV) to young children’s teeth is an effective therapeutic strategy for preventing early childhood caries (ECC). In 2008, the pediatricians at Contra Costa Regional Medical Center and Health Centers became concerned that our low-income pediatric patients had high rates of ECC very limited access dental care. We formed interdisciplinary safety net-academic partnership with University California San Francisco implement routine FV...
We wanted to determine whether providing home fecal occult blood test (FOBT) kits eligible patients during influenza inoculation (flu shot) clinics can contribute higher colorectal cancer screening (CRCS) rates.The study was time randomized. On 8 dates of an annual flu shot clinic at the San Francisco General Hospital, were offered shots as usual (control group) and on 9 other dates, both FOBT (intervention group).The included 514 aged 50 79 years, with 246 in control group 268 intervention...
<h3>PURPOSE</h3> Practice-based research networks (PBRNs) are increasingly seen as important vehicles to translate into practice, although less is known about the process of engaging diverse communities in PBRN research. The objective this study was identify strategies for successfully recruiting and retaining racial/ethnic studies. <h3>METHODS</h3> This collaborative, multisite engaged 5 8 PRImary care MultiEthnic Network (PRIME Net) consortium that conducts with traditionally...
A large pool of clinicians are needed to meet the growing demand for HIV preexposure prophylaxis. We surveyed a mixed group specialists and nonspecialists in San Francisco Bay Area determine their attitudes toward training needs regarding prescribing prophylaxis persons at increased risk infection. Willingness prescribe was associated with experience caring HIV-infected patients (adjusted odds ratio 4.76, 95% confidence interval: 1.43 15.76, P = 0.01). Desire further concerns about drug...
The great potential for reducing the cancer burden and disparities through prevention early detection is unrealized at population level. A new community-based coalition, San Francisco Cancer Initiative (SF CAN), focuses on city county of Francisco, where leading cause death. SF CAN an integrated, cross-sector collaboration launched in November 2016. It brings together Department Public Health; University California, Francisco; major health systems; community coalitions to exert collective...
Colorectal cancer (CRC) incidence and mortality are increasing in many low- middle-income countries (LMICs), possibly due to a combination of changing lifestyles improved healthcare infrastructure facilitate diagnosis. Unfortunately, large proportion CRC cases these remain undiagnosed or diagnosed at advanced stages, resulting poor outcomes. Decreasing trends HICs likely evidence-based screening treatment approaches that not widely available LMICs. Formative research identify emerging...
We tested the effectiveness of offering home fecal immunochemical tests (FITs) during influenza vaccination clinics to increase colorectal cancer screening (CRCS).In a clinical trial at Kaiser Permanente Northern California in Redwood City, Richmond, South San Francisco, Union and Fresno, we randomly assigned clinic dates intervention (FIT offered) or control not compared subsequent CRCS activity.Clinic staff provided FITs 53.9% (1805/3351) patients aged 50 75 years. In intent-to-treat...
Background Hydroxyurea prevents disease complications among patients with sickle cell (SCD). Although its efficacy has been endorsed by the National Health Lung and Blood Institute evidence-based guidelines, adoption is low, both SCD providers. Mobile health (mHealth) apps provide benefits in improving medication adherence self-efficacy chronic diseases have facilitated prescription medical However, mHealth not systematically tested as a tool to increase hydroxyurea nor combination of...
Abstract Introduction: Traditionally, research institutions have valued individual achievements such as principal investigator and lead authorship status primary indicators in the academic promotions process. However, scientific process increasingly requires collaboration by teams of researchers across multiple disciplines, sometimes including experts outside academia, often referred to “team science.” We sought determine whether there is agreement about what constitutes team science at our...
<h3>Background:</h3> Cigarette smoking rates remain disproportionately high among low income populations with unmet social and behavioral health needs. To address this problem, we sought to develop evaluate the feasibility, acceptability, preliminary effectiveness of a novel cessation program for community centers that serve these populations. <h3>Methods:</h3> We implemented randomized pilot trial two programs in three county operated center (CHC) sites: (1) systematic assessment habits...
<h3>Introduction:</h3> Previous research has found an association between low health literacy and poor clinical outcomes in type 2 Diabetes Mellitus (T2DM) patients. We sought to determine if this can be mitigated by a self-management support (SMS) program provided trained workers using technology assisted menu driven program, called Connection Health (CTH). <h3>Methods:</h3> This study is secondary analysis from randomized trial of similar versions CTH implemented 12 Northern California...