A5050618420- Mobile Health and mHealth Applications
- Health Literacy and Information Accessibility
- Electronic Health Records Systems
- Clinical Reasoning and Diagnostic Skills
- Patient Safety and Medication Errors
- Healthcare Systems and Technology
- Pharmaceutical Practices and Patient Outcomes
- Medical Malpractice and Liability Issues
- Primary Care and Health Outcomes
- Social Media in Health Education
- Patient-Provider Communication in Healthcare
- Chronic Disease Management Strategies
- Diabetes Management and Education
- Patient Satisfaction in Healthcare
- Telemedicine and Telehealth Implementation
- Healthcare Policy and Management
- Medication Adherence and Compliance
- Digital Mental Health Interventions
- Emergency and Acute Care Studies
- Healthcare cost, quality, practices
- Health Policy Implementation Science
- Diabetes Management and Research
- Innovations in Medical Education
- Blood Pressure and Hypertension Studies
- Artificial Intelligence in Healthcare and Education
San Francisco General Hospital
2016-2025
University of California, San Francisco
2016-2025
Research for Action
2024
University of California, Berkeley
2002-2023
Evaluation et recherche en services et politiques en santé pour les populations vulnérables
2013-2023
Cardiff University
2023
Berkeley Public Health Division
2023
University of San Francisco
2023
General Department of Preventive Medicine
2019-2022
Potrero Medical (United States)
2022
OBJECTIVE—Although prior research demonstrated that improving diabetes self-efficacy can improve self-management behavior, little is known about the applicability of this across race/ethnicity and health literacy levels. We examined relationship between behavior in an urban, diverse, low-income population with a high prevalence limited literacy. RESEARCH DESIGN AND METHODS—We administered oral questionnaire Spanish English to patients type 2 at two primary care clinics public hospital....
The authors investigated use of the internet-based patient portal, kp.org, among a well-characterized population adults with diabetes in Northern California. Among 14 102 diverse patients, 5671 (40%) requested password for portal. Of these, 4311 (76%) activated their accounts, and 3922 (69%), logged on to portal one or more times; 2990 (53%) participants viewed laboratory results, 2132 (38%) medication refills, 2093 (37%) sent email messages, 835 (15%) made medical appointments. After...
Internet-based patient portals are intended to improve access and quality, will play an increasingly important role in health care, especially for diabetes other chronic diseases. Diabetes patients with limited literacy have worse outcomes, may be a barrier effectively utilizing internet-based services. We investigated use of portal among well characterized population adults diabetes. estimated using three validated self-report items. explored the independent association between portal,...
Background: Patient portals have the potential to support self-management for chronic diseases and improve health outcomes. With rapid rise in adoption of patient spurred by meaningful use incentives among safety net systems (a system or hospital providing a significant level care low-income, uninsured, vulnerable populations), it is important understand readiness willingness patients caregivers settings access their personal records online. Objective: To explore caregiver perspectives on...
Limited health literacy (HL) contributes to poor outcomes and disparities, direct measurement is often time-intensive. Self-reported HL questions have not been validated among Spanish-speaking diverse English-speaking populations.To evaluate three self-reported questions: 1 "How confident are you filling out medical forms?"; 2 do problems learning about your condition because of difficulty understanding written information?"; 3 someone help read hospital materials?" Answers were based on a...
With the rapid rise in adoption of patient portals, many patients are gaining access to their personal health information online for first time. The objective this study was examine specific usability barriers portal engagement among a diverse group and caregivers.We conducted interviews using performance testing think-aloud methods with 23 2 caregivers as they attempted use features newly launched portal.In navigating portal, participants experienced basic computer (eg, difficulty mouse),...
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Between March and October 2000, 157 suspected cases of leptospirosis hospitalized with complications Weil's syndrome a mortality 8% were identified in Salvador, Brazil. We conducted population-based case-control study to identify risk factors for acquisition neighborhoods high endemicity during the rainy season-associated urban epidemic. Sixty-six (65%) 101 laboratory-confirmed 125 age sex-matched healthy neighborhood controls interviewed. Residence proximity an open sewer (matched odds...
Little is known about the frequency of significant hypoglycemic events in actual practice. Limited health literacy (HL) common among patients with type 2 diabetes, may impede diabetes self-management, and thus HL could increase risk hypoglycemia.
<h3>Background</h3> Failing to inform a patient of an abnormal outpatient test result can be serious error, but little is known about the frequency such errors or processes for managing results that may reduce errors. <h3>Methods</h3> We conducted retrospective medical record review 5434 randomly selected patients aged 50 69 years in 19 community-based and 4 academic center primary care practices. Primary practice physicians were surveyed their results, individual notified apparent failures...
Online physician reviews are a massive and potentially rich source of information capturing patient sentiment regarding healthcare.We analyze corpus comprising nearly 60 000 such with state-of-the-art probabilistic model text.We describe generative that captures latent across aspects care (eg, interpersonal manner).We target specific by leveraging small set manually annotated reviews.We perform regression analysis to assess whether output improves correlation state-level measures report both...
Background: Online patient portals are being widely implemented, but their impact on health behaviors not well-studied. Objective: To determine whether statin adherence improved after initiating use of the portal refill function. Research Design: Observational cohort study within an integrated care delivery system. Subjects: Diabetic patients statins who had registered for online access by 2010. A total 8705 subjects initiated function window, including "exclusive" and "occasional" users...
<h3>PURPOSE</h3> Because avoidance of nonsteroidal anti-inflammatory drugs (NSAIDs) is recommended for most individuals with chronic kidney disease (CKD), we sought to characterize patterns NSAID use among persons CKD in the United States. <h3>METHODS</h3> A total 12,065 adult (aged 20 years or older) participants cross-sectional National Health and Nutrition Examination Survey (1999–2004) responded a questionnaire regarding their over-the-counter prescription NSAIDs. NSAIDs (excluding...
To estimate the incidence of adverse drug events (ADEs) associated with health care visits among U.S. adults across all ambulatory settings.
Patient-provider relationships influence diabetes care; less is known about their impact on online patient portal use. Diabetes patients rated provider communication and trust. In this study, we linked responses to electronic medical record data being a registered user using secure messaging (SM). We specified regression models evaluate main effects use, subgroup analyses by race/ethnicity age. 52% of subjects were users; among those, 36% used SM. Those reporting greater trust more likely be...
Each year, more than 65 million people in the United States (29% to 39% of population) provide care for a chronically ill, disabled, or elderly family member friend.1 Such caregivers, who help with both basic life functions and managing medical care, are critical helping maintain their health remain communities.2 Many ill older also have loved ones who, distinct from serve as “care partners.” These partners do not day-to-day surrogate decision makers but navigate care—facilitating...