A5053845445- Healthcare Systems and Technology
- Patient Satisfaction in Healthcare
- Patient-Provider Communication in Healthcare
- Telemedicine and Telehealth Implementation
- Mobile Health and mHealth Applications
- Diabetes Management and Education
- Primary Care and Health Outcomes
- Electronic Health Records Systems
- Diabetes, Cardiovascular Risks, and Lipoproteins
- Diabetes Management and Research
- Pharmacology and Obesity Treatment
- Chronic Disease Management Strategies
- Obesity and Health Practices
- Health Literacy and Information Accessibility
- Healthcare Policy and Management
- Medical Research and Practices
- Machine Learning in Healthcare
- Digital Mental Health Interventions
- LGBTQ Health, Identity, and Policy
- Cardiac Health and Mental Health
- Sexuality, Behavior, and Technology
- Medical Coding and Health Information
- Artificial Intelligence in Healthcare
- Long-Term Effects of COVID-19
- Imbalanced Data Classification Techniques
Boston University
2016-2025
VA Boston Healthcare System
2025
VA New England Healthcare System
2021-2024
Bedford VA Research Corporation
2011-2023
University School
2013-2022
Mölnlycke Health Care (United Kingdom)
2021
Edith Nourse Rogers Memorial Veterans Hospital
2013-2020
United States Department of Veterans Affairs
2015-2019
Boston Medical Center
2010-2011
We sought to operationalize and validate data-driven approaches identify transgender individuals in the U.S. Department of Veteran Affairs (VA) health care system through a retrospective analysis using VA administrative data from 2006 2018. Besides gender identity disorder (GID) diagnoses, combination non-GID elements were used potential veterans, including: 1) endocrine disorder, unspecified or not otherwise specified codes, 2) receipt sex hormones associated with documented veteran's...
Abstract Objective This work aims to guide clinicians practicing endocrinology in the use of telehealth (synchronous patient-clinician visits conducted over video or telephone) for outpatient care. Participants The Endocrine Society convened a 9-member panel US endocrinologists with expertise clinical care, operations, patient-centered health care delivery research, and/or evidence-based medicine. Evidence literature search identify studies published since 2000 about endocrinology. One...
Background: Electronic consultations (e-consults) offer rapid access to specialist input without the need for a patient visit. E-consult implementation began in 2011 at VA Boston Healthcare System (VABHS). By early 2013, e-consults were available all clinical services. In this implementation, requesting clinician selects desired consultation within electronic health record (EHR) ordering menu, which creates an form that is pre-populated with demographic information and allows free-text entry...
Background: Many health care systems now allow patients to access their electronic record (EHR) notes online through patient portals. Medical jargon in EHR can confuse patients, which may interfere with potential benefits of notes. Objective: The aim this study was develop and evaluate the usability content quality NoteAid, a Web-based natural language processing system that links medical terms lay definitions, is, definitions easily understood by people. Methods: NoteAid incorporates two...
To assess the association of birth weight with incident type 2 diabetes, and possible mediating influence obesity, in a large cohort U.S. black women.The Black Women's Health Study is an ongoing prospective study. We used Cox proportional hazards models to estimate incidence rate ratios (IRRs) 95% CI for categories (very low [<1,500 g], [1,500-2,499 high [≥4,000 g]) reference normal (2,500-3,999 g). Models were adjusted age, questionnaire cycle, family history caloric intake, preterm birth,...
Successful coordination of specialty care requires understanding the perspectives patients, primary providers, and specialists—that is, “triad.” This study used qualitative methods to compare these in an integrated health system, using diabetes as exemplar. Primary providers endocrinologists relied on interclinician relationships coordinate care. Clinicians rarely included patients or other staff their conceptualization coordination. Patients often assumed responsibility for but struggled...
Background: Improper dosing of medications such as insulin can cause hypoglycemic episodes, which may lead to severe morbidity or even death. Although secure messaging was designed for exchanging nonurgent messages, patients sometimes report hypoglycemia events through messaging. Detecting these patient-reported adverse help alert clinical teams and enable early corrective actions improve patient safety. Objective: We aimed develop a natural language processing system, called HypoDetect...
Importance Telemedicine can increase access to endocrinology care for people with type 2 diabetes (T2D), but patterns of use and outcomes telemedicine specialty adults T2D beyond initial uptake in 2020 are not known. Objective To evaluate their association glycemic control among varying clinical complexity receiving T2D. Design, Setting, Participants Retrospective cohort study a single large integrated US health system. were who had visit from May October 2020. Data analyzed June 2022 2023....
Abstract Objectives To identify determinants of continuous glucose monitoring (CGM) implementation from primary care providers’ (PCPs’) perspectives and examine the associations these with both PCP intent to discuss CGM eligible patients facility-level uptake CGM. Study design Cross-sectional survey. Methods A survey about for type 2 diabetes on insulin was distributed all PCPs in Department Veterans Affairs (VA) health system October 2023-April 2024. Multi-item scales measured perceived...
Hypertension, hyperlipidemia, diabetes, and obesity in middle adulthood each elevate the long-term risk of cardiovascular disease (CVD). The prevalence these conditions among women veterans is incompletely described.To describe CVD factors adulthood.Serial cross-sectional studies data from Diabetes Epidemiologic Cohorts (DEpiC), a national, longitudinal set including information on all patients Veterans Health Administration (VA).Women (n = 255,891) men 2,271,605) aged 35-64 receiving VA...
Recent emphasis on value based care and population management, such as Accountable Care Organizations in the United States, promote patient navigation to improve quality of reduce costs. Evidence supporting efficacy for chronic disease is limited. The objective this study was evaluate effect a program medical administrative outcomes among patients with diabetes an urban, safety-net hospital clinic setting. A retrospective cohort pre- post-intervention periods conducted. Eligible were those...
Electronic consultation is an emerging mode of specialty care delivery that allows primary providers and their patients to obtain specialist expertise without in-person visit. While studies individual programs have demonstrated benefits related timely access care, electronic not achieved widespread use in the United States. The lack common evaluation metrics across health systems concerns generalizability existing efforts may be hampering further growth. We sought identify gaps knowledge...
Background Patients play a critical role in managing their health, especially the context of chronic conditions like diabetes. Electronic patient portals have been identified as potential means to improve engagement; that is, patients’ involvement care. However, little is known about pathways through which may help patients engage Objective Our objective understand how an electronic portal facilitates engagement among individuals with Methods This qualitative study employed semistructured...
The impact of e-consults on total consultative services was evaluated. After implementing infectious diseases within an electronically integrated healthcare system, consultation volume increased. As compared with face-to-face consultations, were more often related to antimicrobial guidance and requested by off-site providers. E-consults increased the breadth consults.
Women with diabetes have higher low-density lipoprotein (LDL) levels than men, resulting in apparent disparities between genders on quality indicators tied to LDL thresholds.To investigate whether gender persist when accounting for clinical action statins or cardiovascular risk.Retrospective cohort study.Veterans Health Administration patients (21,780 women and 646,429 men) aged 50-75 diabetes.Threshold measure: < 100 mg/dL; ≥ mg/dL the patient was prescribed a moderate high-dose statin at...