A5043170215- Palliative Care and End-of-Life Issues
- Vaccine Coverage and Hesitancy
- Health Systems, Economic Evaluations, Quality of Life
- Primary Care and Health Outcomes
- Mental Health and Psychiatry
- Pharmaceutical Economics and Policy
- Health Policy Implementation Science
- Dementia and Cognitive Impairment Research
- Mental Health Treatment and Access
- Cancer survivorship and care
- Economic and Financial Impacts of Cancer
- Schizophrenia research and treatment
- Chronic Disease Management Strategies
- Geriatric Care and Nursing Homes
- Obesity, Physical Activity, Diet
- Childhood Cancer Survivors' Quality of Life
- Mental Health and Patient Involvement
- Pharmaceutical Practices and Patient Outcomes
- Family Support in Illness
- Youth Substance Use and School Attendance
- Food Security and Health in Diverse Populations
- Child and Adolescent Psychosocial and Emotional Development
- Urban Agriculture and Sustainability
- Family Caregiving in Mental Illness
- Patient Satisfaction in Healthcare
North Dakota State University
2019-2025
Dakota State University
2021-2024
Rutgers, The State University of New Jersey
2016-2018
University of Michigan
2017-2018
Johnson University
2016-2017
Contextual Change (United States)
2012-2014
Yale University
2010
<h3>Importance</h3> Despite a decade of effort by national stakeholders to bring cancer survivorship the forefront primary care, there is little evidence suggest that care has begun integrate comprehensive services manage long-term survivors. <h3>Objective</h3> To explain why not services. <h3>Design, Setting, and Participants</h3> Comparative case study 12 advanced practices in United States recruited from March 2015 February 2017. Practices were selected registry 151 workforce innovators...
<h3>PURPOSE</h3> Despite a burgeoning population of cancer survivors and pending shortages oncology services, clear definitions systematic approaches for engaging primary care in survivorship are lacking. We sought to understand how clinicians perceive their role delivering survivors. <h3>METHODS</h3> conducted digitally recorded interviews with 38 14 practices that had national reputations as workforce innovators. Interviews took place during intense case study data collection explored...
Abstract Purpose Pharmacies have been a significant part of improving population health since before the COVID‐19 pandemic. However, little is known about working relationships between pharmacies and public entities. This exploratory study describes independent community pharmacists' perceptions during both pre‐existing newly created with health. Methods paper based on 42 qualitative interviews conducted as broader North Dakota pharmacy's role in Authors analyzed interview data deductively...
Mild behavioral impairment (MBI) is associated with accelerated cognitive decline and greater risk of dementia. However, the neural correlates MBI have not been completely elucidated.The study aimed to investigate correlation between cognitively normal participants amnestic mild (aMCI) using resting-state functional magnetic resonance imaging.The included 30 13 aMCI (20 men 23 women; mean age, 76.9 years). The was assessed checklist (MBI-C). Region interest (ROI)-to-ROI analysis performed...
Mild behavioral impairment (MBI) and loneliness are associated with cognitive decline an increased risk of dementia.
Observers of the past 10 to 15 years have witnessed simultaneous growth dramatic changes in practice primary care and emergence a new field dissemination implementation science (D&I). Most current research assumes practices are not meeting externally derived standards need external support meet these demands. After decade initiatives, many stakeholders now question return on their investments. Overall improvements quality metrics, utilization cost savings, patient experience been less...
There are currently 15.5 million cancer survivors in USA who increasingly relying on primary care providers for their care. Patient-Centered Medical Homes (PCMHs) have the potential to meet unique needs of survivors; but, few studies examined PCMH attributes as resources delivering survivorship This study assesses current coordination infrastructure advanced PCMHs, known be innovative, and explores capacity provide We conducted comparative case a purposive sample (n = 9) PCMHs examine...
Abstract Background Management of care transitions from primary into and out oncology is critical for optimal cancer patients survivors. There limited understanding existing care-oncology relationships within the context changing health environment. Methods Through a comparative case study 14 innovative practices throughout United States (U.S.), we examined between settings to identify attributes contributing strengthened in diverse settings. Field researchers observed 10–12 days, recording...
Multi-level perspectives across communities, medical systems and policy environments are needed, but few methods available for health services researchers with limited resources. We developed a mixed method approach, the focused Rapid Assessment Process (fRAP), that is designed to uncover multi-level modifiable barriers facilitators contributing public issues. illustrate study applying fRAP issue of cancer survivorship care. Through this investigation we identified two major areas impacting...
Multimorbidity management can be extremely challenging in patients with dementia. This study aimed to elucidate the approaches of primary care physicians Japan and United States (US) managing multimorbidity for dementia discuss challenges involved.
Abstract Background While dementia is a common problem in Japan and the US, primary care physicians' practices perspectives about diagnosing these different healthcare systems are unknown. Methods Qualitative research was conducted an ethnographic tradition using semi-structured interviews thematic analysis settings across Midwest State of Michigan, US. Participants were total 48 physicians, 24 each from US participated. Both groups contained mixture geographic areas (rural/urban), gender,...
Over the last decade, primary care clinics in United States have responded both to national policies encouraging support substance use disorders (SUD) service expansion and regulations aiming curb opioid epidemic.To characterize approaches SUD with reputations as workforce innovators.Comparative case studies were conducted different among 12 purposively iteratively recruited from a registry of innovators. Observational field notes qualitative interviews site visits coded analysed identify...
Abstract In November 2020, North Dakota reported a higher number of cases and deaths per capita from COVID‐19 than any other state in the United States. Several months later, it one country's highest rates vaccine hesitancy, leading to development implementation state‐funded physician‐led “Vaccine Champion” (“VaxChamp”) program. Glossing primary problem as “provider confidence,” VaxChamp program emphasized standardized, scalable intervention that targeted healthcare providers directly,...