A5068463223- Primary Care and Health Outcomes
- Healthcare Policy and Management
- Opioid Use Disorder Treatment
- Global Health Workforce Issues
- Diversity and Career in Medicine
- Health Policy Implementation Science
- Substance Abuse Treatment and Outcomes
- Health disparities and outcomes
- Maternal and Perinatal Health Interventions
- Sinusitis and nasal conditions
- Mental Health Treatment and Access
- Health, psychology, and well-being
- Healthcare cost, quality, practices
- Patient-Provider Communication in Healthcare
- Community Health and Development
- Public Health Policies and Education
- Prenatal Substance Exposure Effects
- Healthcare professionals’ stress and burnout
- Food Security and Health in Diverse Populations
- Healthcare Systems and Technology
- Musculoskeletal pain and rehabilitation
- Innovations in Medical Education
- Mental Health and Patient Involvement
- Health Promotion and Cardiovascular Prevention
- Nasal Surgery and Airway Studies
University of Washington
2022-2025
Seattle University
2025
University of Houston
2023-2024
Theodore Roosevelt High School
2024
University of Kansas Medical Center
2024
Center For Policy Research
2013-2023
University of Kentucky
2021-2023
Virginia Commonwealth University
2017-2022
Agency for Healthcare Research and Quality
2021-2022
American Academy of Family Physicians
2021
Effectively engaging patients in their care is essential to improve health outcomes, satisfaction with the experience, reduce costs, and even benefit clinician experience.This article will address topic of patient engagement directly review relationships between literacy engagement.While there are many ways define family engagement, this consider as "patients, families, representatives, professionals working active partnership at various levels across system -direct care, organizational...
<h3>Background:</h3> Despite clear evidence demonstrating the influence of social determinants on health, whether and how clinicians should address these remain unclear. We aimed to understand primary care clinicians9 experiences administering a needs screening instrument. <h3>Methods:</h3> Using prospective, observational design, we identified patients living in communities with lower education income seen by 17 from 12 practices northern Virginia. Before office visits, completed surveys,...
Loneliness has important health consequences. Little is known, however, about loneliness in primary care patient populations. This study describes the prevalence of patients presenting for and associations with self-reported demographic factors, utilization, health-related quality life.We conducted cross-sectional surveys adults routine to outpatient practices 2 diverse practice-based research networks. The 3-item University California, Los Angeles Scale was utilized determine loneliness.The...
Family physicians traditionally have played an integral role in delivering babies as a component of the comprehensive care they provide for women. The proportion family who report providing any maternity continues to decrease. This trend is particularly concerning because are most widely distributed specialty and essential health access rural areas.
<h3>BACKGROUND</h3> Primary care clinicians write 45% of all opioid prescriptions in the United States, but little is known about characteristics patients who receive them and prescribe opioids primary settings. Our study aimed to describe patient clinician clinicians' perspectives chronic prescribing care. <h3>METHODS</h3> Using a mixed methods approach, we completed an analysis 2016 electronic health records from 21 practices identify had received opioids, which defined as receipt...
The United States is facing a social isolation and loneliness crisis. In response, the US Surgeon General issued an advisory in May 2023 recommending actions that health care, community programs, services can take to collaboratively improve connection. Primary care has critical role play implementing General's recommendations. We present as medical issues highlight next steps for primary sector combat this epidemic.
<h3>Purpose:</h3> Little is known about incorporating community data into clinical care. This study sought to understand the associations of cold spots (census tracts with worse income, education, and composite deprivation). <h3>Methods:</h3> Across 12 practices, we assessed relationship between outcomes (obesity, uncontrolled diabetes, pneumonia vaccination, cancer screening—colon, cervical, prostate—and aspirin chemoprophylaxis) for 152,962 patients. We geocoded linked addresses census...
As the largest and most widely distributed of primary care physicians, family physicians have an important role in providing mental health care, especially rural underserved areas. However, proportion who report is low. Policy barriers such as payment for services should be explored to ensure access patients across urban continuum.
Primary care research is central to the successful transformation of delivery, providing crucial evidence overcome longstanding and widespread threats challenges realization primary care's full potential. The Agency for Healthcare Research Quality (AHRQ), as federal agency specifically charged with conducting supporting research, plays a pivotal role in generating needed advance care. Drawing upon decades AHRQ-supported studies, extensive stakeholder consultation, Care Summit held fall 2020,...
Buprenorphine can be used in primary care to treat opioid use disorder, but many family physicians feel unprepared for patients with addiction. We sought describe preparedness provide and current provision of buprenorphine treatment by early career using data from the 2016 National Family Medicine Graduate Survey. Of 1,979 respondents, 10.0% reported treatment, 7.0% provision. Residency preparation was most highly associated (odds ratio = 13.50; 95% CI, 7.59-24.03). Efforts increase training...
<h3>Background:</h3> Despite widespread recognition that adherence to clinical preventive guidelines improves patient outcomes, clinicians struggle implement guideline changes in a timely manner. Multiple factors influence adoption and effective implementation. However, few studies evaluate their collective inter-related effects. This qualitative study provides comprehensive picture of the interplay between multiple on uptake new or changed guidelines. <h3>Methods:</h3> Semistructured...
As the largest and most widely distributed of primary care physicians, family physicians have an important role in providing women's health care, especially rural underserved areas. The proportion who are attending to women is declining. Policy intervention may be needed help maintain comprehensiveness necessary address wide range medical problems they encounter within their practices.
Loneliness is associated with poor health outcomes, and there growing attention on loneliness as a social determinant of health. Our study sought to determine the associations between community factors loneliness. The Three-Item Scale zip codes residence were collected in primary care practices Colorado Virginia. Living higher unemployment, access care, lower income, proportions blacks, transportation was mean scores. Future studies that examine interventions addressing may be more effective...
Integrating behavioral health into primary care can improve access to and patient outcomes. We used 2017-2021 American Board of Family Medicine continuing certificate examination registration questionnaire responses determine the characteristics family physicians who work collaboratively with professionals. With a 100% response rate, 38.8% 25,222 reported working professionals, those in independently owned practices South having substantially lower rates. Future research exploring these...
There were more than 100,000 fatal drug overdoses in the U.S. 2021 alone. In recent years, there has been a shift opioid mortality from predominantly White rural communities to Black urban communities. This study aimed identify Virginia disproportionately affected by overdose crisis and better understand systemic factors contributing disparities mortality.
<h3>Introduction:</h3> As an increasing number of rural hospitals close their maternity care units, many the approximately 28 million reproductive-age women living in America do not have local access to obstetric services. We sought describe characteristics and distribution cesarean section-providing family physicians who may provide critical services maintaining hospitals. <h3>Methods:</h3> Using a cross-sectional study design, we linked data from 2017 2022 American Board Family Medicine's...