A5102814525- HIV, Drug Use, Sexual Risk
- Global Cancer Incidence and Screening
- Patient-Provider Communication in Healthcare
- Hepatitis C virus research
- Palliative Care and End-of-Life Issues
- Health Policy Implementation Science
- Interprofessional Education and Collaboration
- HIV/AIDS Research and Interventions
- Lung Cancer Diagnosis and Treatment
- Colorectal Cancer Screening and Detection
- Health and Medical Research Impacts
- Health Literacy and Information Accessibility
- Lipoproteins and Cardiovascular Health
- Cleft Lip and Palate Research
- Child Nutrition and Feeding Issues
- Disaster Response and Management
- Cultural Competency in Health Care
- Telemedicine and Telehealth Implementation
- Long-Term Effects of COVID-19
- Mental Health and Patient Involvement
- Cancer survivorship and care
- Antibiotic Use and Resistance
- Opioid Use Disorder Treatment
- Mental Health Treatment and Access
- Emergency and Acute Care Studies
Dartmouth Institute for Health Policy and Clinical Practice
2021-2024
Dartmouth College
2021-2024
Dartmouth Hospital
2022
Dartmouth–Hitchcock Medical Center
2021
King's College London
2020
Lishman Health Foundation
2019
Pennsylvania State University
2013
Introduction: Colorectal cancer (CRC) is the third leading cause of death among women in USA. Rural populations have lower rates CRC screening than their urban counterparts, and rural compared with men. The purpose this qualitative study was to identify (1) beliefs primary care physicians (PCPs) about communities, (2) factors that may gender disparities areas, (3) solutions overcome those barriers.Methods: Semi-structured interviews were conducted 17 PCPs practicing central Pennsylvania....
Background Preterm infants may remain in neonatal intensive care units (NICUs) to receive proper nutrition via nasogastric tube feedings. However, prolonged NICU stays can have negative effects for the patient, family and health system. Aim To demonstrate how a patient-centred, design thinking informed approach supported development of pilot programme enable earlier discharge preterm babies. Method We report on our thinking-empathy building design, initial outcomes considerations ongoing...
Before the predicted March 2020 surge of COVID-19, US healthcare organizations were charged with developing resource allocation policies. We assessed policy preparedness and substantive triage criteria within existing policies using a cross-sectional survey distributed to public health personnel providers between 23 April 23, 2020. Personnel from 68 34 states responded. While half did not yet have formal policies, all but 4 in process Using manual abstraction natural language processing, we...
The Susan and Richard Levy Healthcare Delivery Incubator is designed to bring about rapid, sustainable, scalable, transformational health care redesign. All 10 projects in the initial 3 cohorts of teams embraced process-forming diverse following a design-thinking informed curriculum-and each successfully implemented improvements or innovations by end their project. purpose this article identify key features teams' work that may help account for projects' success. For completed, findings from...
Hospitalizations for serious infections requiring long-term intravenous (IV) antimicrobials related to injection drug use have risen sharply over the last decade. At our rural tertiary care center, opportunities treatment of underlying substance disorders were often missed during these hospital admissions. Once medically stable, home IV antimicrobial therapy has not traditionally been offered this patient population due theoretical concerns about misuse catheters, leading discharges with...
Early access to specialty palliative care is associated with better quality of life, less intensive end-of-life treatment and improved outcomes for patients advanced cancer. However, significant variation exists in implementation integration care. This study compares the organizational, sociocultural, clinical factors that support or hinder across three U.S. cancer centers using an in-depth mixed methods case design proposes a middle range theory further characterize integration.Mixed data...
Abstract Maternal and Child Health Services (MCHS) provide ideal settings for oral disease prevention. In Victoria (Australia), child mouth-checks (Lift-the-Lip) health promotion (OHP) occur during MCHS visits. This study trialled Tooth-Packs (OHP resources, toothbrushes, toothpastes) distribution within to (i) assess the impacts of on family (OH) behaviours knowledge, including Nurses (MCHN) referral practices dental services, (ii) determine feasibility acceptability incorporating into MCHN...
Abstract Introduction Healthcare systems are actively working to innovate their care delivery models, seeking improve service quality, patient and provider satisfaction, reduce cost. Methods By critically evaluating our experiences date, this article highlights challenges may face in the process of trying redesign healthcare offers insights on how navigate hurdles. We identify barriers to—and ultimately approaches promote—rapid, scalable, sustainable, transformative redesign. Results...
We describe racially discordant oncology encounters involving EOL decision-making. Fifty-eight provider interviews were content analyzed using the tenets of problematic integration theory. found discussions between non-Black providers and their Black patients often complex anxiety-inducing. That anxiety consisted (1) ontological uncertainty in which characterized nature as distrustful, especially context clinical trials; (2) epistemological intercultural incompetency perceived lack patient...
This article explores the demand and utilization of a rural post-acute COVID syndrome clinic. Electronic health records were used to identify referrals between April 2021 2022 describe characteristics referred patients generated specialty services. Of 747 received, 363 (48.6%) met criteria for an appointment seen, vast majority (89.6%) via Telehealth. Most resided in communities (63.1%) female (75.2%); mean age was 49, 17% hospitalized during their acute illness. Nearly half (49%) had at...
People who inject drugs are experiencing syndemic conditions with increasing risk of infection hepatitis C (HCV) and HIV. However, rates accessing HCV HIV testing treatment among people low for various reasons, including the criminalization drug use, which leads to a focus on treating use rather than caring users. For many drugs, health care becomes form structural violence, resulting in traumatic experiences, fear police unmet needs, avoidance medical care. There is clear need novel...
Abstract Lung cancer screening (LCS) is severely under-utilized by eligible individuals living in rural areas. The purpose of this study to increase LCS a population applying combined systems and design approach identify needed health system-level changes proactively potential facilitators roadblocks for the across multiple levels an academic medical center. Data processes gaps included referral data, 26 stakeholder interviews with providers, clinical staff patients, review record fields...
<sec> <title>BACKGROUND</title> People who inject drugs are experiencing syndemic conditions with increasing risk of infection hepatitis C (HCV) and HIV. However, rates accessing HCV HIV testing treatment among people low for various reasons, including the criminalization drug use, which leads to a focus on treating use rather than caring users. For many drugs, health care becomes form structural violence, resulting in traumatic experiences, fear police unmet needs, avoidance medical care....
<sec> <title>UNSTRUCTURED</title> People who inject drugs are at increased risk of Hepatitis C (HCV) and human immunodeficiency virus (HIV); unfortunately, traditional healthcare approaches have failed to adequately reach support this population. Rates accessing HCV HIV treatment among individuals low for a variety reasons, including negative experiences with healthcare, suggesting need novel testing delivery. In short report we discuss challenges - as well strategies navigate these...