A5080416877- Health Systems, Economic Evaluations, Quality of Life
- Primary Care and Health Outcomes
- Healthcare Policy and Management
- Smoking Behavior and Cessation
- Mobile Health and mHealth Applications
- Health Literacy and Information Accessibility
- Health Policy Implementation Science
- Media Influence and Health
- HIV/AIDS Research and Interventions
- Social Media in Health Education
- Maternal Mental Health During Pregnancy and Postpartum
- Cardiac Health and Mental Health
- Health disparities and outcomes
- Infant Development and Preterm Care
- Medication Adherence and Compliance
- Patient-Provider Communication in Healthcare
- Blood Pressure and Hypertension Studies
- Pharmaceutical Practices and Patient Outcomes
- Healthcare cost, quality, practices
- Inflammatory mediators and NSAID effects
- Cardiovascular Health and Risk Factors
- Child and Adolescent Psychosocial and Emotional Development
- Patient Satisfaction in Healthcare
- Bone health and osteoporosis research
- Behavioral Health and Interventions
University of Massachusetts Chan Medical School
2016-2025
Quantitative BioSciences
2021-2024
Baylor University
2024
National Institute on Minority Health and Health Disparities
2021
National Institutes of Health
2021
Weatherford College
2021
Sabin Vaccine Institute
2021
Cambridge University Press
2019-2021
Kinokuniya
2019-2021
Wake Forest University
2019
Guidelines and recommendations developed and/or endorsed by the American College of Rheumatology (ACR) are intended to provide guidance for particular patterns practice not dictate care a patient. The ACR considers adherence these guidelines be voluntary, with ultimate determination regarding their application made physician in light each patient’s individual circumstances. promote beneficial or desirable outcomes but cannot guarantee any specific outcome. subject periodic revision as...
Abstract Objective The frequency of many adverse events (AEs) associated with low‐dose glucocorticoid use is unclear. We sought to determine the prevalence glucocorticoid‐associated AEs in a large US managed care population. Methods Using linked administrative and pharmacy claims, adults receiving ≥60 days glucocorticoids were identified. These individuals surveyed about symptoms 8 commonly attributed use. Results Of 6,517 eligible users identified, 2,446 (38%) returned mailed survey....
Performance feedback and benchmarking, common tools for health care improvement, are rarely studied in randomized trials. Achievable Benchmarks of Care (ABCs) standards excellence attained by top performers a peer group easily reproducibly calculated from existing performance data.To evaluate the effectiveness using achievable benchmarks to enhance typical physician improve care.Group-randomized controlled trial conducted December 1996, with follow-up through 1998.Seventy community...
Dramatic increases in the number of patients requiring linkage to treatment for human immunodeficiency virus (HIV) infection are anticipated response updated Centers Disease Control and Prevention HIV testing recommendations that advocate routine, opt-out testing.A retrospective analysis nested within a prospective clinical cohort study evaluated who established initial outpatient at University Alabama Birmingham 1917 HIV/AIDS Clinic from 1 January 2000 through 31 December 2005. Survival...
Abstract Objective To evaluate the risk of serious bacterial infections associated with tumor necrosis factor α (TNFα) antagonists among rheumatoid arthritis (RA) patients. Methods A retrospective cohort study US RA patients enrolled in a large health care organization identified who received either TNFα or methotrexate (MTX). Administrative data were used to identify hospitalizations possible infections; corresponding medical records abstracted and reviewed by infectious disease specialists...
Following HIV diagnosis, linkage to outpatient treatment, antiretroviral initiation, and longitudinal retention in care represent the foundation for successful treatment. While prior studies have evaluated these processes isolation, a systematic evaluation of successive steps same cohort patients has not yet been performed. To ensure optimal long-term outcomes, better understanding interplay is needed. Therefore, retrospective study initiating at University Alabama Birmingham 1917 HIV=AIDS...
<h3>Background</h3> Although small changes in creatinine level during hospitalization have been associated with risk of short-term mortality, associations posthospitalization end-stage renal disease (ESRD) and long-term mortality are unknown. We assessed the relationship between change serum levels up to 3.0 mg/dL death ESRD among elderly survivors for acute myocardial infarction. <h3>Methods</h3> Retrospective cohort study a nationally representative sample Medicare beneficiaries admitted...
This article has been corrected. The original version (PDF) is appended to this as a supplement. Background: Storytelling emerging powerful tool for health promotion in vulnerable populations. However, these interventions remain largely untested rigorous studies. Objective: To test an interactive storytelling intervention involving DVDs. Design: Randomized, controlled trial which comparison patients received attention control DVD. Separate random assignments were performed with or...
ContextIssues of cost and quality are gaining importance in the delivery medical care, whether care is better teaching vs nonteaching hospitals an essential question this current national debate.ObjectiveTo examine association hospital status with mortality for fee-for-service Medicare patients acute myocardial infarction (AMI).Design, Setting, PatientsAnalysis Cooperative Cardiovascular Project data 114,411 from 4361 (22,354 439 major hospitals, 22,493 455 minor 69,564 3467 hospitals) who...
The conceptualization of patient complexity is just beginning in clinical medicine.This study aims (1) to propose a conceptual approach complex patients; (2) demonstrate how this promotes achieving congruence between and provider, critical step the development maximally effective treatment plans; (3) examine availability evidence guide trade-off decisions assess healthcare quality for patients.The Vector Model Complexity portrays interactions biological, socioeconomic, cultural,...
Millions of consumers have accessed health information online. However, little is known about their status.To explore use Internet among those who were sicker (fair/poor general status) compared with reported being healthier.A national, random-digit telephone survey by the Pew & American Life Project identified 521 users go online for care information. Our primary independent variable was status rated as excellent, good, fair, or poor. Patterns use, and types searched assessed.Among users,...
There are few reports describing the combined influence of race and sex a patient on use reperfusion therapy for acute myocardial infarction.
Personal health records (PHRs) can increase patient access to care information. However, use of PHRs may be unequal by race/ethnicity.The authors conducted a 2-year cohort study (2005-2007) assessing differences in rates registration with KP.org, component the Kaiser Permanente electronic record (EHR).At baseline, 1,777 25-59 year old Georgia enrollees, who had not registered responded mixed mode (written or Internet) survey. Baseline, EHR, and KP.org data were linked. Time race from 10/1/05...
BackgroundHealth behaviors are known risk factors for colorectal cancer and more common in low socioeconomic status (SES) populations. We evaluated the extent to which behavioral body mass index (BMI) explain SES disparities incidence, overall by tumor location.
We sought to determine if reported racial discrimination was associated with medication nonadherence among African Americans hypertension and distrust of physicians a contributing factor.
Racial/ethnic health care disparities are well described in people living with HIV/AIDS, although the processes underlying observed not elucidated.
<h3>Background</h3> This study evaluated the efficacy of a mindfulness training programme (mindfulness-based stress reduction (MBSR)) in improving asthma-related quality life and lung function patients with asthma. <h3>Methods</h3> A randomised controlled trial compared an 8-week MBSR group-based (n=42) educational control (n=41) adults mild, moderate or severe persistent asthma recruited at university hospital outpatient primary care pulmonary clinic. Primary outcomes were (Asthma Quality...
To assess gender differences among residents regarding their plans to have children during residency and determine the most influential reasons for these differences.Using Health Belief Model as a framework, authors created an instrument survey 424 from 11 programs at three academic medical institutions about intentions residency. The developed scale perceived career threats of having residency, evaluated its psychometric properties, calculated effect mediators.The response rate was 77%...
Managed care payment formulas commonly allocate more money for medically complex populations, but ignore most social determinants of health (SDH).To add SDH variables to a diagnosis-based formula that allocates funds managed plans and accountable organizations.Using data from MassHealth, the Massachusetts Medicaid Children's Health Insurance Program, we estimated regression models predicting spending using SDH-expanded model, compared accuracy their cost predictions overall vulnerable...
Objective: To explore perinatal health care professionals' perspectives on barriers and facilitators to addressing depression. Background: Perinatal depression is common associated with deleterious effects mother, foetus, child family. Although the regular contact between mothers professionals may make obstetric setting ideal for depression, persist, remains under-diagnosed under-treated. Methods: Four 90-minute focus groups were conducted professionals, including resident attending...
The updated common rule, for human subjects research, requires that consents "begin with a 'concise and focused' presentation of the key information will most likely help someone make decision about whether to participate in study" (Menikoff, Kaneshiro, Pritchard. New England Journal Medicine. 2017; 376(7): 613-615.). We utilized community-engaged technology development approach inform feature options within REDCap software platform centered around collection storage electronic consent...