A5030960632- Patient-Provider Communication in Healthcare
- Patient Satisfaction in Healthcare
- Medication Adherence and Compliance
- Healthcare professionals’ stress and burnout
- Health Systems, Economic Evaluations, Quality of Life
- Diversity and Career in Medicine
- Health Literacy and Information Accessibility
- Fire effects on ecosystems
- Climate Change and Health Impacts
- Adolescent and Pediatric Healthcare
- Healthcare Systems and Technology
- COVID-19 and Mental Health
- Chronic Disease Management Strategies
- Geriatric Care and Nursing Homes
- Child Nutrition and Water Access
- Innovations in Medical Education
- Food Security and Health in Diverse Populations
University of California, San Diego
2022-2025
Scripps Institution of Oceanography
2024-2025
Human Longevity (United States)
2024
Physicians of all specialties experienced unprecedented stressors during the COVID-19 pandemic, exacerbating preexisting burnout. We examine burnout's association with perceived and actionable electronic health record (EHR) workload factors personal, professional, organizational characteristics goal identifying levers that can be targeted to address
Physician burnout is an ongoing epidemic; electronic health record (EHR) use has been associated with burnout, and the burden of EHR inbasket messages grown in context COVID-19 pandemic. Understanding how are physician may uncover new insights for intervention strategies.To evaluate associations between message characteristics burnout.Cross-sectional study a single academic medical center involving physicians from multiple specialties. Data collection took place April to September 2020, data...
A primary concern of public health researchers involves identifying and quantifying heterogeneous exposure effects across population subgroups. Understanding the magnitude direction these on a given scale provides ability to recommend policy prescriptions assess external validity findings. Traditional methods for effect measure modification analyses require manual model specification that is often impractical or not feasible conduct in high-dimensional settings. Recent developments machine...
To examine sociodemographic factors associated with having unmet needs in medications, mental health, and food security among older adults during the COVID-19 pandemic.Primary data secondary from electronic health records (EHR) an age-friendly academic system 2020 were used.Observational study examining food, health.Data a computer-assisted telephone interview EHR on community-dwelling patients analyzed.Among 3400 eligible patients, 1921 (53.3%) (average age 76, SD 11) responded, 857 (45%)...
A primary concern of public health researchers involves identifying and quantifying heterogeneous exposure effects across population subgroups. Understanding the magnitude direction these on a given scale provides ability to recommend policy prescriptions assess external validity findings. Furthermore, increasing popularity in fields such as precision medicine that rely accurate estimation high-dimensional interaction has highlighted importance understanding effect modification. Traditional...
Background Effective primary care necessitates follow-up actions by the patient beyond visit. Prior research suggests room for improvement in adherence. Objective This study sought to understand patients’ views on their visits, plans generated therein, and self-reported adherence after 3 months. Methods As part of a large multisite cluster randomized pragmatic trial health organizations, patients completed 2 surveys—the first within 7 days index visit another months later. For this analysis...
<h3>Context:</h3> Despite various attempts to improve patient-clinician communication, there has been limited head-to-head comparison of these efforts. <h3>Objective:</h3> enhance building on a previous pilot that created promising prototypes interventions. Population <h3>Studied:</h3> 4,852 patients and 114 primary care clinicians in 21 clinics 3 health systems 2 states the U.S. <h3>Intervention:</h3> A cluster randomized controlled trial with arms: in-person communication coaching...
Importance Despite various attempts to improve patient-clinician communication, there has been limited head-to-head comparison of these efforts. Objective To assess whether clinician coaching (mobile application or in-person) is more effective than reminder posters in examination rooms and mobile app use noninferior in-person coaching. Design, Setting, Participants A cluster randomized clinical trial with 3 arms. total 21 primary care clinics participated health systems the US; participants...
<sec> <title>BACKGROUND</title> Effective primary care necessitates follow-up actions by the patient beyond visit. Prior research suggests room for improvement in adherence. </sec> <title>OBJECTIVE</title> This study sought to understand patients’ views on their visits, plans generated therein, and self-reported adherence after 3 months. <title>METHODS</title> As part of a large multisite cluster randomized pragmatic trial health organizations, patients completed 2 surveys—the first within 7...
Identifying heterogeneity of treatment or exposure effects among subgroups a study population is important in public health to identify target with priority. Previous approaches have relied on the estimation conditional average effect, which requires effect modifiers be specified priori and for limited number potential modifiers. More recently, machine learning (ML) algorithms been proposed observational studies, allow greater flexibility accuracy identification heterogeneous...