A5103240235- Primary Care and Health Outcomes
- Chronic Disease Management Strategies
- Healthcare Systems and Technology
- Geriatric Care and Nursing Homes
- Interprofessional Education and Collaboration
- Patient-Provider Communication in Healthcare
- Food Security and Health in Diverse Populations
- Health disparities and outcomes
- Healthcare Operations and Scheduling Optimization
- Public Health Policies and Education
- Educational Strategies and Epistemologies
- Healthcare Policy and Management
- Health, psychology, and well-being
- Health Literacy and Information Accessibility
- Global Health Workforce Issues
- Balance, Gait, and Falls Prevention
- Family Caregiving in Mental Illness
- Healthcare Systems and Reforms
- Injury Epidemiology and Prevention
- Cancer, Hypoxia, and Metabolism
- Healthcare Quality and Management
- Education and Critical Thinking Development
- Innovations in Medical Education
- Mental Health Treatment and Access
- Health Policy Implementation Science
VA Boston Healthcare System
2018-2023
Health Services Research & Development
2023
HCL Technologies (India)
2021
United States Department of Veterans Affairs
2014-2020
Edith Nourse Rogers Memorial Veterans Hospital
2020
Boston University
2020
Abt Global (United States)
2020
University of Massachusetts Chan Medical School
2011-2014
Maine Medical Center
2010
The need to understand preferred sources of health information remains important providing patient-centered care. Internet a popular resource for information, but more traditional may still be valid patients during recent need. This study sought the characteristics that turn their doctor or healthcare provider first medical Using national cross-sectional survey, Health Information National Trend Study [HINTS], those who were compared other sources. Weighted survey responses from Cycle 1 and...
To evaluate currently available paediatric falls assessments instruments and to build a predictive fall model while also evaluating injury risk as predictor of likelihood within the inpatient population.There is lack paediatric-specific assessment little information on exploration related in hospitalized children.An ambispective, matched case-control design conducted sample 100 patients. Results Two out five performed well classify children at falls. Longer length stay, bleeding...
Marchigiano G., Eduljee N. & Harvey K. (2011) Journal of Nursing Management 19, 143–152Developing critical thinking skills from clinical assignments: a pilot study on nursing students’ self-reported perceptions Aim Clinical assignments in education provide opportunities for students to develop vital the effective delivery patient care. The purpose present was examine perceived levels confidence using when completing two types assignments. Background educators and managers are challenged...
Abstract Background and Objectives As the proportion of U.S. population over 65 living with complex chronic conditions grows, understanding how to strengthen implementation age-sensitive primary care models for older adults, such as Veterans Health Administration’s Geriatric Patient-Aligned Care Teams (GeriPACT), is critical. However, little known about which strategies can best help mitigate barriers adopting these models. We aimed identify GeriPACT address using Consolidated Framework...
To examine the prevalence and determinants of nine unmet social needs among rural compared with urban Veterans.Retrospective study using survey data collected in 2020 merged Veterans Health Administration (VA) administrative data. For each need, separate logistic regression modes were run predicting odds endorsing need adjusting for sociodemographic characteristics comorbidities.2,801 responded to (53.7% response rate). experienced high rates (e.g., 22% reported food insecurity). Unmet...
Objectives: Depression is common among Veterans. Veterans Health Administration (VHA) transforming into a Whole system of care that includes holistic treatment planning, well-being programs, and health coaching. This evaluation explores the impact on improving symptoms depression who screen positive for possible diagnosis. Materials Methods: We examined cohort started using after screening (having PHQ-2 score ≥3) at 18 VA sites. compared users with non-Whole their follow-up scores (9-36...
Geriatric Patient-Aligned Care Teams (GeriPACT) were implemented in the Department of Veterans Affairs (VA) (i.e., Patient-Centered Medical Homes for older adults) to provide high quality coordinated care adults with more risk negative health and psychosocial outcomes. The objectives this paper are: (1) present data on GeriPACT structural characteristics; (2) examine a composite measure model consistency. We utilized web survey targeting 71 physician leads resulting 62% response rate. found...
Objective: Few existing instruments measure recovery-oriented organizational climate and culture. This study developed, psychometrically assessed, validated an instrument to recovery Methods: Organizational theory evidence-based conceptualization of mental health guided development. Items from were reviewed adapted, new items developed as needed. All rated by experts. A 35-item was pilot-tested administered a national sample staff in U.S. Department Veterans Affairs Psychosocial...
Background Many previous studies of health care teamwork have taken place in clinical teams with high staffing ratios (i.e., staff to patients). Purpose The aim this study was identify clinicians’ viewpoints foundational resources necessary support good team functioning the context low ratios. Methodology We used administrative data, validated local mental chiefs, that had achieved despite U.S. Department Veterans Affairs medical centers. Guided by a recently developed model effectiveness,...
Abstract: Many health-related social needs, such as financial insecurity, are interconnected with legal needs. However, little is known about which needs more likely to be associated or whether and other interact affect health. Using data from a 2020 national mailed survey assessing among Veterans who had were at risk for cardiovascular disease (N=2,801) linked administrative data, linear regression models tested interactions between their associations self-rated In model examining the...
336 Background: LTx is the best treatment option for multinodular HCC and those with advanced liver dysfunction. Tumor progression occurs in 20-50% of pts on transplant list. TACE increasingly used as locoregional therapy a bridge to LTx. We report here our single institutional experience using carbo doxorubicin awaiting Methods: Retrospective chart review was performed all who had between 2008 June 2010. Our protocol uses fixed dose 300mg, 50mg, 10ml lipoidol solution. analyzed pt...
Over the past decade, Patient-Centered Medical Home (PCMH) model has been widely used for provision of primary care to provide more timely access, coordination and patient-centered care. Tailoring PCMH older adults is a way high quality coordinated with risk negative health psychosocial outcomes. In 2010, was implemented in Veterans Health Administration (VA) called Geriatric Patient-Aligned Care Teams (GeriPACT). The objective this paper describe structural characteristics GeriPACT...