A5059728091- Pain Management and Opioid Use
- Opioid Use Disorder Treatment
- Attention Deficit Hyperactivity Disorder
- Health Policy Implementation Science
- COVID-19 Clinical Research Studies
- Pharmaceutical Practices and Patient Outcomes
- Primary Care and Health Outcomes
- Healthcare Systems and Technology
- Diabetes Treatment and Management
- Healthcare Policy and Management
- Musculoskeletal pain and rehabilitation
- Health Systems, Economic Evaluations, Quality of Life
- Telemedicine and Telehealth Implementation
- Pediatric Pain Management Techniques
- Pain Mechanisms and Treatments
- Long-Term Effects of COVID-19
- Electronic Health Records Systems
- Patient Satisfaction in Healthcare
- Global Cancer Incidence and Screening
- COVID-19 and healthcare impacts
- Mobile Health and mHealth Applications
- Customer Service Quality and Loyalty
- Substance Abuse Treatment and Outcomes
- Public Health Policies and Education
- Gastric Cancer Management and Outcomes
Penn State Milton S. Hershey Medical Center
2021-2025
Pennsylvania State University
2021-2025
University of New Mexico
2024
University of Iowa
2024
Research Network (United States)
2024
Creative Commons
2022
Colorado Mesa University
2022
E Ink (South Korea)
2022
Chestnut Hill College
2022
Medical University of South Carolina
2022
<h3>PURPOSE</h3> Primary care physicians spend nearly 2 hours on electronic health record (EHR) tasks per hour of direct patient care. Demand for non–face-to-face care, such as communication through a portal and administrative tasks, is increasing contributing to burnout. The goal this study was assess time allocated by primary within the EHR indicated user-event log data, both during clinic (defined 8:00 am 6:00 pm Monday Friday) outside hours. <h3>METHODS</h3> We conducted retrospective...
The role of sodium-glucose co-transporter 2 inhibitor (SGLT2i) drugs in the management diabetes and cardiovascular disease is well-established, but emerging evidence suggests potential effects on cancer outcomes, including gastrointestinal (GI) cancers. We conducted an extensive, sex-oriented, real-world data analysis to investigate whether SGLT2i can enhance GI outcomes when used alongside standard therapies such as chemotherapy radiotherapy. study applied a retrospective cohort design with...
<h3>PURPOSE</h3> Cardiovascular disease is the leading cause of mortality and morbidity in United States. Primary care teams can be best suited to improve quality lower costs for patients with cardiovascular disease. This study evaluates associations between primary team communication, interaction, coordination (ie, social networks); care; <h3>METHODS</h3> Using a sociometric survey, 155 health professionals from 31 at 6 clinics identified whom they interact daily about patient care. Social...
This paper reports on the feasibility, acceptability, and effectiveness of an innovative implementation strategy named "systems consultation" aimed at improving adherence to clinical guidelines for opioid prescribing in primary care. While have been developed, they not widely implemented, even as abuse reaches epidemic levels. We tested a blended consisting several discrete strategies, including audit feedback, academic detailing, external facilitation. The study compares four intervention...
<h3>Objective:</h3> This study examined patient portal utilization by analyzing the pattern of time and feature use patients, thus to identify functionalities characteristics that may inform future strategies enhance communication care coordination through online portals. <h3>Methods:</h3> We conducted a retrospective patients at 18 family medicine clinics over 5-year period using access log records in electronic health record database. Dimensionality reduction analysis was applied group...
Stimulant prescriptions increased by 250% in the United States from 2006-2016 while diagnoses for ADHD minimally increased. There is insufficient data regarding who may be recipients of these new stimulant and safety stimulants have come under scrutiny some populations. We aim to describe trends across biopsychosocial patient level factors between 2010 2020.We applied a retrospective observational cohort design utilizing electronic health records 52 healthcare organizations sourced TriNetX...
Introduction: Prescription stimulants are an effective FDA approved treatment for attention deficit hyperactivity disorder (ADHD) however their safety has come under scrutiny. Multiple studies demonstrate safe use in pediatric populations, but prescriptions increasing to adults and it is not evident which comorbidities might place people at risk of adverse outcomes. The aim this study identify factors cardiovascular events individuals exposed across the lifespan. Methods: We conducted a case...
Aims Prescribing restrictions have significantly impacted patients with chronic pain, leading to opioid medication tapering and reduced access. This study examines the consequences of these their impact on patient health pain management strategies.
Abstract Background The role of sodium-glucose co-transporter 2 inhibitor (SGLT2i) drugs in the management diabetes and cardiovascular disease is well-established, but emerging evidence suggests potential effects on cancer outcomes, including gastrointestinal (GI) cancers. We conducted an extensive, sex-oriented, real-world data analysis to investigate whether SGLT2i can enhance GI outcomes when used alongside standard therapies such as chemotherapy radiotherapy. Methods study applied a...
Objectives In early 2022, based on limited case-report evidence, the US Food and Drug Administration warned about possible oral health problems associated with transmucosal (sublingual, buccal) buprenorphine formulations commonly used to treat opioid use disorder (OUD). The purpose of this study was assess risk adverse outcomes among adults prescribed for OUD. Methods This retrospective cohort utilizing TriNetX claims data consisted diagnosed OUD in 2002–2019, who either filled ≥3...
Importance Chronic low back pain (CLBP) can necessitate opioid therapy. Effective approaches to reduce CLBP’s symptoms and opioid-related harms are needed. Cognitive behavioral (CBT) mindfulness-based (MBT) therapies may be useful but have not been well-studied for opioid-treated CLBP. Objective To compare the effectiveness of MBT vs CBT in CLBP, hypothesizing MBT’s superiority. Design, Setting, Participants In this 12-month community partner–informed, partially masked, multisite, randomized...
Rates of burnout among physicians have been high in recent years. The Electronic Health Record (EHR) is implicated as a major cause burnout.To determine the association between physician and timing EHR use an academic internal medicine primary care practice.We conducted observational cohort study using cross-sectional retrospective data. Participants included outpatient general practice. Burnout was measured with single-item question via self-reported survey. time automated data routinely...
<h3>Purpose:</h3> Develop and validate simple risk scores based on initial clinical data no or minimal laboratory testing to predict mortality in hospitalized adults with COVID-19. <h3>Methods:</h3> We gathered variables consecutive inpatients COVID-19 who had either died been discharged alive at 6 US health centers. Logistic regression was used develop a predictive model using values (COVID-NoLab) one adding tests available many outpatient settings (COVID-SimpleLab). The models were...
Objective Patients treated with long-term opioid therapy (LTOT) are known to have compromised immune systems and respiratory function, both of which make them particularly susceptible the SARS-CoV-2 virus. The objective this study was assess risk developing severe clinical outcomes among COVID-19 non-cancer patients on LTOT, compared those without LTOT. Design data sources A retrospective cohort design using electronic health records in TriNetX research database. Participants setting 418 216...
Suggests that a significant trend affecting American society today is the dramatic rise in number of persons aged over 65. Consequently, retailers are interested knowing how this segment can be best served marketplace. Outlines study which utilized person perception theory to examine retail sales personnel’s perceptions relate elderly consumers’ satisfaction. Results indicate consumers viewed older personnel more positively than they younger personnel. Also reveals marketplace preferences...
<h3>PURPOSE</h3> The COVID-19 pandemic abruptly interrupted breast cancer screening, an essential preventive service in primary care. We aimed to evaluate the pandemic's impact on overall and follow-up screening using real-world health records data. <h3>METHODS</h3> retrospectively analyzed a cohort of women eligible for through study period from January 1, 2017 February 28, 2022 TriNetX Research Network examined temporal trend monthly volume throughout compared rate adherence within 24...
An understanding of primary care provider (PCP) workload is an important consideration in establishing optimal PCP panel size. However, no widely acceptable measure exists that incorporates the effort involved with both non-face-to-face patient activities and face-to-face encounters. Accounting for this gap critical given increase has accompanied electronic health records (EHRs) (eg, messaging). Our goal was to provide a comprehensive assessment perceived workload, accounting aspects...
Systematic implementation of guidelines for opioid therapy management in chronic non-cancer pain can reduce opioid-related harms. However, guideline-recommended practices routine care is subpar. The goal this quality improvement (QI) project to assess whether a clinic-tailored QI intervention improves the health system-wide, guideline-driven policy on prescribing primary care. This manuscript describes protocol project. A system with 28 clinics caring approximately 294,000 patients developed...
Prescription amphetamines are the most common pharmacological treatment for attention deficit hyperactivity disorder (ADHD) and use among older age groups is increasing. The purpose of this study to assess risk adverse cardiovascular events individuals than 65 years.We conducted a retrospective matched cohort using TriNetX database with propensity score matching (PSM) odds event ADHD exposed amphetamine compared who were not medication. During index period January 1, 2018, through December...
Background Identifying and engaging excessive alcohol users in primary care may be an effective way to improve patient health outcomes, reduce alcohol-related acute events, lower costs. Little is known about what structures of team communication are associated with outcomes. Methods Using a sociometric survey clinic communication, this study evaluated the relation between networks utilization Between May 2013 December 2013, total 155 healthcare employees at 6 clinics participated on...