A5072578816- Geriatric Care and Nursing Homes
- Influenza Virus Research Studies
- Respiratory viral infections research
- Palliative Care and End-of-Life Issues
- Aging and Gerontology Research
- vaccines and immunoinformatics approaches
- Interprofessional Education and Collaboration
- Innovations in Medical Education
- Primary Care and Health Outcomes
- Frailty in Older Adults
- Patient Dignity and Privacy
- Healthcare Systems and Technology
- SARS-CoV-2 and COVID-19 Research
- Healthcare Decision-Making and Restraints
- Empathy and Medical Education
- Mobile Health and mHealth Applications
- Electronic Health Records Systems
- Telemedicine and Telehealth Implementation
- Employment and Welfare Studies
- Health disparities and outcomes
- Global Health Care Issues
- Emergency and Acute Care Studies
- Ethics in medical practice
- Patient Satisfaction in Healthcare
- Pharmaceutical Practices and Patient Outcomes
Geriatric Research Education and Clinical Center
2016-2025
University of Utah
2016-2025
VA Salt Lake City Healthcare System
2019-2025
Sanofi (France)
2023-2024
Sanofi (United States)
2017-2023
British Geriatrics Society
2012-2015
London School of Hygiene & Tropical Medicine
2014
Brown University
2008-2013
Butler Hospital
2008
Providence College
1995-2007
Coronavirus disease 2019 (COVID-19) continues to impact older adults disproportionately with respect serious consequences ranging from severe illness and hospitalization increased mortality risk. Concurrently, concerns about potential shortages of healthcare professionals health supplies address these issues have focused attention on how resources are ultimately allocated used. Some strategies, for example, misguidedly use age as an arbitrary criterion that disfavors in resource allocation...
Importance The patient portal has a growing role in health care. Many systems have implemented shared access functionality which patients may register care partner with unique identity credentials to their portal. Uptake of been limited. Objective To examine the outcomes multisite demonstration involving organizational strategies associated registration and use access. Design, Setting, Participants This quality improvement study was conducted diverse sites within 3 US: (1) geriatric...
Coronavirus disease 2019 (COVID-19) continues to impact older adults disproportionately, from severe illness and hospitalization increased mortality risk. Concurrently, concerns about potential shortages of healthcare professionals health supplies address these needs have focused attention on how resources are ultimately allocated used. Some strategies misguidedly use age as an arbitrary criterion, inappropriately disfavoring adults. This statement represents the official policy position...
The American Geriatrics Society (AGS) has consistently advocated for a healthcare system that meets the needs of older adults, including addressing impacts ageism in healthcare. intersection structural racism and compounds disadvantage experienced by historically marginalized communities. Structural have long been ingrained all aspects US society, This exacerbates disparities social determinants health, poor access to outcomes. These deeply rooted societal injustices brought forefront...
In this position statement, we define unbefriended older adults as patients who: (1) lack decisional capacity to provide informed consent the medical treatment at hand; (2) have not executed an advance directive that addresses hand and do so; (3) family, friends or a legally authorized surrogate assist in decision‐making process. Given vulnerable nature of population, clinicians, health care teams, ethics committees other stakeholders working with must be diligent when formulating decisions...
Abstract The Veterans Health Administration (VHA) has long recognized the need for age‐friendly care. VHA leadership anticipated impact of aging World War II veterans on VA healthcare systems and in 1975 developed Geriatric Research, Education, Clinical Centers (GRECCs) to meet this need. GRECCs catalyzed a series innovations geriatric models care that span continuum care, most which endure. These innovative also contributed evidence base supporting present‐day Age‐Friendly Systems movement,...
The Quintuple Aim of health care adds equity to the existing Quadruple improving individual experience for patients, populations, reducing per capita cost care, and professionals. Health has previously been subsumed within other 4 aims. Elevating status a distinct aim is necessary address persistent inequities that disproportionately affect underrepresented minoritized groups. Academic centers (AHCs) bear unique responsibility advance due societal importance their missions: patient...
Background The patient portal is a widely available secure digital platform offered by care delivery organizations that enables patients to communicate electronically with clinicians and manage their care. Many allow authorize family members or friends—“care partners”—to share access accounts, thus enabling partners receive own identity credentials. Shared facilitates trilateral information exchange among patients, clinicians, partners; however, uptake awareness of this functionality are...
Objective To demonstrate the value of mixed methods in study practice transformation and illustrate procedures for connecting merging findings to enhance meaning derived. Data Source/Study Setting An integrated network university‐owned, primary care practices at U niversity tah (Community Clinics or CC s). has adopted Care by Design, its version Patient Centered Medical Home. Study Design Convergent case design. Collection/Extraction Methods Analysis archival documents, internal operational...
Poorly executed transitions in care from hospital to home are associated with increased vulnerability adverse medication events and readmissions, also excess healthcare costs. Efforts improve coordination on discharge have been shown reduce readmission rates but often rely interventions that not fully integrated within the primary setting. The Patient Centered Medical Home (PCMH) model, whose core principles include posthospital setting, is an approach addresses a more fashion. We examined...
Families play a critical role in end-of-life (EOL) care for nursing home (NH) residents with dementia. Despite the important of family, little is known about availability and characteristics families persons dementia who die NHs.
Much has been written over the past 40 years about workforce challenges in aging-related disciplines. Geriatric medicine more recently at forefront of debate, and field characterized as waning.1, 2 But is it? Such bleak perspectives regarding geriatrics typically cite number practicing geriatricians, which remains stubbornly around 7000 board-certified yielding roughly 0.96 geriatricians for every 10,000 older adults. Reasons commonly cited inadequate include low prestige, compensation...
The Age-Friendly Health System movement has been a unifying factor in caring for older adults at the University of Utah Health. Despite progress, challenges to efficient healthcare collaboration exist, particularly between geriatric primary care and oral health. This manuscript presents four those (lack communication medical dental providers, distance services, patient discomfort with inclusion health care, provider requesting information encounters) solutions derived Leaders developed five...
Abstract Background Many patient portals allow patients to authorize a care partner use the portal on their behalf, with evidence suggesting range of benefits patients, partners, and clinicians. Shared or proxy access aligns patient- family-centered supports partners’ legitimacy identification by clinicians in interactions. As shared uptake remains low, Coalition for Care Partners ( https://coalitionforcarepartners.org ) three healthcare delivery organizations co-designed an initiative...
Improving interpersonal continuity of care—the personal relationship forged between a patient and their primary care provider (PCP) over time—is often considered goal care. Continuity is frequently assessed in terms longitudinal continuity, or the proportion encounters with one practitioner, overlooking aspects patient-provider that are key to Further, few studies explore patients’ perspectives regarding which experiences enhance detract from relationship. This study, using focus group...
Objectives: Unbefriended older adults are those who lack the capacity to make medical decisions and do not have a completed advance directive that can guide treatment or surrogate decision maker. Adult orphans retain decision-making but at risk of becoming unbefriended due health care In follow-up 2016 American Geriatrics Society (AGS) position statement on adults, we examined clinicians' experiences in caring for adult orphans.Methods: Clinicians recruited through AGS (N = 122) an online...
Care management (CM) is a promising team-based, patient-centered approach “designed to assist patients and their support systems in managing medical conditions more effectively.” As little known about its implementation, this article describes CM implementation associated lessons from 12 Agency for Healthcare Research Quality–sponsored projects. Two rounds of data collection resulted project-specific narratives that were analyzed using an iterative analogous framework analysis. Informants...
Human H3N2 influenza viruses are subject to rapid antigenic evolution which translates into frequent updates of the composition seasonal vaccines. Despite these updates, effectiveness vaccines against H3N2-associated disease is suboptimal. Seasonal primarily induce hemagglutinin-specific antibody responses. However, antibodies directed neuraminidase (NA) also contribute protection. Here, we analysed diversity a panel N2 NAs derived from human that circulated between 2009 and 2017. The...
Physician-assisted suicide (PAS) is a controversial practice, currently legal in nine states and the District of Columbia. No prior study explores views American Geriatrics Society (AGS) membership on PAS.We surveyed 1488 randomly selected AGS members via email.A total 369 completed survey (24.8% response rate).We conducted bivariate correlation analyses beliefs related to support for PAS. We also qualitative analysis open-ended responses.There was no consensus regarding acceptability PAS,...
Human H3N2 influenza viruses are subject to rapid antigenic evolution which translates into frequent updates of the composition seasonal vaccines. Despite these updates, effectiveness vaccines against H3N2-associated disease is suboptimal. Seasonal primarily induce hemagglutinin-specific antibody responses. However, antibodies directed neuraminidase (NA) also contribute protection. Here, we analysed diversity a panel N2 NAs derived from human that circulated between 2009 and 2017. The...
Reflective writing techniques such as journaling help provide insights into the process by which medical students are mentored and develop practicing physicians. The authors sought to analyze students' journals regarding their experiences within a new geriatrics curriculum at U.S. school. Thirty preclinical clinical student journalers participated in this project. employed qualitative analytic using an interdisciplinary team process. Three major themes emerged: (a) exposure mentors...