A5010162414- Palliative Care and End-of-Life Issues
- Geriatric Care and Nursing Homes
- Healthcare Policy and Management
- Family and Patient Care in Intensive Care Units
- Patient-Provider Communication in Healthcare
- Patient Dignity and Privacy
- Patient Satisfaction in Healthcare
- Primary Care and Health Outcomes
- Childhood Cancer Survivors' Quality of Life
- Cancer survivorship and care
- Musculoskeletal pain and rehabilitation
- Heart Failure Treatment and Management
- Pain Management and Opioid Use
- COVID-19 and Mental Health
- Health Systems, Economic Evaluations, Quality of Life
- Emergency and Acute Care Studies
- Grief, Bereavement, and Mental Health
- Chronic Disease Management Strategies
- Pediatric Pain Management Techniques
- Frailty in Older Adults
- Healthcare professionals’ stress and burnout
- Economic and Financial Impacts of Cancer
- Telemedicine and Telehealth Implementation
- Nursing Diagnosis and Documentation
- Intensive Care Unit Cognitive Disorders
RAND Corporation
2016-2025
UCLA Health
2012-2022
Fielding Graduate University
2017-2022
University of Southern California
2021
University of Colorado Anschutz Medical Campus
2021
University of California, San Francisco
2021
San Francisco VA Medical Center
2021
VA Eastern Colorado Health Care System
2021
VA West Los Angeles Medical Center
2017
Frederick S. Pardee RAND Graduate School
2017
Abstract Evidence suggests that people vary in their desire to undertake protective actions during a health emergency, and trust authorities may influence decision making. We sought examine how the experts White House leadership COVID‐19 pandemic impacts individuals' decisions adopt recommended such as mask‐wearing. A mediation analysis was conducted using cross‐sectional U.S. survey data collected between March 27 30, 2020, elucidate leadership, perceptions of susceptibility severity...
The United States has seen increasing shifts toward home- and community-based services (HCBS) in place of institutional care for long-term supports. However, research neglected to assess whether these have improved access HCBS persons with dementia. This paper identifies barriers facilitators, discusses how contribute disparities dementia living rural areas exacerbate minoritized populations.
Background: The COVID-19 pandemic introduced a rapid adoption and scale-up of telehealth for palliative care services in the United Sates. Objectives: To examine compare in-person versus experience among outpatient programs patients. Design: Mixed-methods study (1) comparing patient survey data received between September 2020 February 2021 from patients who only those (2) qualitative interviews with providers. Data this were collected as part larger effort to develop quality measures States....
Background: Early and repeated patient–provider conversations about advance care planning (ACP) are now widely recommended. We sought to characterize barriers strategies for realizing an iterative model of ACP communication. Methods: A total 2 multidisciplinary focus groups 3 semistructured interviews with 20 providers at a large Veterans Affairs medical center. Thematic analysis was employed identify salient themes. Results: Barriers included variation among in approaches ACP, lack useful...
Opioid prescribing for chronic pain, including the potential over-reliance and misuse, is a public health concern.In context of Veterans Administration (VA) primary care team-based pain management, we aimed to understand providers' perceptions barriers reducing opioid use improving nonpharmacologic management therapies (NPTs) pain.A semistructured interview elucidated provider experiences with assessing managing pain. Emergent themes were mapped known dimensions VA access.Informants included...
Background: Early patient-physician care planning discussions may influence the intensity of end-of-life (EOL) received by veterans with advanced cancer. Objective: The study objective was to evaluate association between medical record documentation and EOL among Methods: This a retrospective cohort study. Subjects were 665 veteran decedents diagnosed stage IV colorectal, lung, or pancreatic cancer in 2008, followed till death end period 2011. We estimated effect documented within one month...
Background: Telehealth for outpatient palliative care has grown rapidly since the COVID-19 pandemic, yet there remain important questions about use of telehealth underserved patient populations in a "postpandemic" society. Objective: To examine current perspectives from interdisciplinary providers on and in-person among patients. Methods: We conducted semi-structured interviews with clinic staff (n = 17) one health system United States. Results: Providers endorsed tele-palliative patients...
Abstract Background To support interoperability and care planning across provider types, the Improving Medicare Post‐Acute Care Transformation Act of 2014 (IMPACT Act) requires submission standardized patient assessment data using instruments provided by Centers for & Medicaid Services (CMS). CMS was tasked with developing elements (SADEs) within clinical categories named in IMPACT Act. Method We used environmental scans, subject matter expert, stakeholder input to identify candidate...
Importance Stress First Aid is an evidence-informed peer-to-peer support intervention to mitigate the effect of COVID-19 pandemic on well-being health care workers (HCWs). Objective To evaluate effectiveness a tailored compared with usual HCWs’ at hospitals and federally qualified centers (FQHCs) during pandemic. Design, Setting, Participants This cluster randomized clinical trial comprised 3 cohorts HCWs who were enrolled from March 2021 through July 2022 28 FQHCs in US. Participating sites...