A5013105139- Palliative Care and End-of-Life Issues
- Health Systems, Economic Evaluations, Quality of Life
- Economic and Financial Impacts of Cancer
- Childhood Cancer Survivors' Quality of Life
- Patient-Provider Communication in Healthcare
- Ethics and Legal Issues in Pediatric Healthcare
- Smoking Behavior and Cessation
- Food Security and Health in Diverse Populations
- Homelessness and Social Issues
- Mobile Health and mHealth Applications
- Patient Dignity and Privacy
- Frailty in Older Adults
- Family and Patient Care in Intensive Care Units
- Social Media in Health Education
- Pharmaceutical Economics and Policy
- COVID-19 and healthcare impacts
- Criminal Justice and Corrections Analysis
- Ethics in Clinical Research
- Global Health Care Issues
- Healthcare Policy and Management
- Chronic Lymphocytic Leukemia Research
- Child and Adolescent Health
- Colorectal Cancer Surgical Treatments
- Education, Safety, and Science Studies
- Urban Agriculture and Sustainability
Kaiser Permanente Washington Health Research Institute
2022-2025
Yale University
2020-2023
Seoul St. Mary's Hospital
2023
Catholic University of Korea
2023
University of South Florida
2021
Yale Cancer Center
2021
Vanderbilt University
2021
Vanderbilt-Ingram Cancer Center
2021
Abstract Background There is currently no clinical trial data regarding the efficacy of everolimus exemestane (EE) following prior treatment with CDK4/6 inhibitors (CDK4/6i). This study assesses use and in patients metastatic HR+ HER2− breast cancer previously treated endocrine therapy (ET) or + CDK4/6i. Methods Retrospective analysis electronic health record-derived for from 2012 to 2018. The proportion receiving EE first-line, second-line, third-line, median duration next line (TTNT) by...
Background The traditional informed consent (IC) process rarely emphasizes research participants’ comprehension of medical information, leaving them vulnerable to unknown risks and consequences associated with procedures or studies. Objective This paper explores how we evaluated the feasibility a digital health tool called Virtual Multimedia Interactive Informed Consent (VIC) for advancing IC compared results paper-based methods IC. Methods Using web-based coaching, developed VIC that uses...
Importance Robust quality measures to benchmark end-of-life care for children with cancer do not currently exist; 28 candidate patient-centered were previously developed. Objective To prioritize among parents who lost a child cancer. Design, Setting, and Participants This survey study was conducted using an electronic, cross-sectional discrete choice experiment (DCE) maximum difference scaling from January June 2021 in the US. In each of 21 questions DCE, participants presented set 4 asked...
To describe and assess the utility accuracy of Kaiser Permanente's self-service social service resource locator (SSRL), a community directory that can be integrated with electronic health records, using modified asset mapping approach. We identified, described, visualized number types food insecurity resources within five miles large primary care clinic in Washington state. Analyses relied on (1) neighborhood patient-level data, (2) patient surveys interviews, (3) SSRL abstraction, (4)...
The aim of this study was to assess differences in utilization outcomes among patients with social needs as part a pilot health integration program 2 clinics an integrated system the Pacific Northwest. Patients who reported between October 2022 and January 2023 were randomized receive support from either local, clinic-based community resource specialists or centralized Connections Call Center. authors used administrative claims data for 534 participants compare following arms over 9 months...
Abstract Background As social need screening and intervention activities increase, the long-term objective of our work is to inform how implement health into healthcare settings. The purpose this study assess changes in needs over time between two support programs as part a integration effort primary care clinics within an integrated system Washington state. Methods We used stratified randomization assign 535 patients who self-reported on screener October 2022-January 2023 one programs:...
There are no existing quality measures (QMs) to optimize end-of-life care for children with cancer. Previously, we developed a set of 26 candidate QMs. Our primary objective in this study was achieve stakeholder consensus on priority measures.We conducted an iterative, cross-sectional electronic survey, using modified Delphi method build among clinician and family stakeholders. In each the two rounds surveys, stakeholders were asked rate QMs 9-point Likert scale, basis perceived importance....
Background The complex relationship between incarceration and cancer survival has not been thoroughly evaluated. We assessed whether diagnosis during or the immediate post-release period is associated with higher rates of mortality compared those never incarcerated. Methods conducted a population-based study using statewide linkage tumor registry correctional system movement data for Connecticut adult residents diagnosed invasive from 2005 through 2016. independent variable was place...
Abstract Background : We previously developed stakeholder‐informed quality measures to assess end‐of‐life care for children with cancer. sought implement a subset of these in the multi‐center pediatric palliative (PPC) database. Procedures utilized Shared Data and Research database evaluate proportion childhood cancer decedents from 2017–2021 who, last 30 days life, avoided chemotherapy, mechanical ventilation, intensive unit admissions, > 1 hospital admission; were enrolled hospice...
Background Most smokers are ambivalent about quitting—they want to quit someday, but not now. Interventions needed that can engage smokers, build their motivation for quitting, and support future attempts. Mobile health (mHealth) apps offer a cost-effective platform such interventions, research is inform optimal design assess acceptability, feasibility, potential effectiveness. Objective This study aims the impact of novel mHealth app who smoking someday quitting in near term. Methods We...
PURPOSE: Acute care imposes a significant burden on patients and cancer costs. We examined whether an advanced practice provider-driven, cancer-specific urgent center embedded within large tertiary academic decreased acute use among oncology active therapy. MATERIALS AND METHODS: conducted quasi-experimental study anchored around the Oncology Extended Care Clinic (OECC) opening date. evaluated two parallel 4-month periods: post-OECC period that followed 5-month run-in phase, identical...
Abstract Cancer treatment can trigger or exacerbate health-related socioeconomic risks (HRSR; food/housing insecurity, transportation/utilities difficulties, and interpersonal violence). The American Society National Institute recommend HRSR screening referral, but little research has examined the perceptions of patients with cancer on appropriateness in healthcare settings. We whether status, desire for assistance HRSRs, sociodemographic health care–related factors were associated perceived...
Introduction Incarceration is associated with decreased cancer screening rates and a higher risk for hospitalisation death from after release prison. However, there paucity of data on the relationship between incarceration outcomes quality care. In Cancer-Related Outcomes Study, we aim to develop nuanced understanding how affects incidence, mortality treatment, moderates socioeconomic status, structural racism disparities. Methods analysis We will use sequential explanatory mixed-methods...
Children, adolescents, and young adults with hematologic malignancies tend to receive high-intensity end-of-life care (HI-EOLC), but sociodemographic hospital-based predictors of HI-EOLC remain unclear.The authors conducted a population-based, retrospective cohort study the Premier Healthcare Database. They identified individuals who were 0 39 years old at death died between 2010 2017. was defined as experiencing 2 or more following: cardiopulmonary resuscitation, intravenous chemotherapy,...
<p>Prevalence of HRSRs among a sample patients with cancer (<i>N</i> = 154).</p>
<p>Patterns of overlapping HRSRs among a sample patients with cancer (<i>N</i> = 154). The percentage represents the proportion that particular HRSR.</p>
<p>Prevalence of HRSRs among a sample patients with cancer (<i>N</i> = 154).</p>
<p>Sociodemographic and health care factors in relation to desire for assistance with HRSRs among a sample of patients cancer</p>
<p>Prevalence of desire for assistance with HRSRs among a sample patients cancer. <b>A</b>, Among those the particular HRSR. <b>B,</b> entire (<i>N</i> = 153; one participant had missing data assistance).</p>
<p>Sociodemographic and health care factors in relation to desire for assistance with HRSRs among a sample of patients cancer</p>
<p>Sociodemographic and health care factors in relation to having ≥1 HRSRs among a sample of patients with cancer</p>
<p>Patterns of overlapping HRSRs among a sample patients with cancer (<i>N</i> = 154). The percentage represents the proportion that particular HRSR.</p>
<p>Sociodemographic and health care factors in relation to having ≥1 HRSRs among a sample of patients with cancer</p>