A5102858718- Primary Care and Health Outcomes
- Innovations in Medical Education
- Musculoskeletal pain and rehabilitation
- Healthcare Policy and Management
- Clinical practice guidelines implementation
- Cultural Competency in Health Care
- Healthcare cost, quality, practices
- Health Systems, Economic Evaluations, Quality of Life
- Empathy and Medical Education
- Patient-Provider Communication in Healthcare
- Health Policy Implementation Science
- Health and Medical Research Impacts
- Jewish and Middle Eastern Studies
- Migration, Health and Trauma
- Diversity and Career in Medicine
- Interprofessional Education and Collaboration
- Health Sciences Research and Education
- Child and Adolescent Health
- Obesity and Health Practices
- Health, psychology, and well-being
- Mental Health and Psychiatry
- Diabetes Management and Education
- Electronic Health Records Systems
- Food Security and Health in Diverse Populations
- Chronic Disease Management Strategies
Brown University
2014-2024
Day Family Medicine
2024
Providence College
2005-2019
University of Illinois Chicago
2016
American Medical Association
2016
Memorial Hospital of Rhode Island
2005-2011
Miriam Hospital
2010-2011
Harvard University
1987-2008
Abacus Health Solutions
2008
Brigham and Women's Hospital
2008
The authors performed a review of 30 Accelerating Change in Medical Education full grant submissions and an analysis the health systems science (HSS)-related curricula at 11 recipient schools to develop potential comprehensive HSS curricular framework with domains subcategories.In phase 1, identify domains, were analyzed coded using constant comparative analysis. In 2, detailed all existing planned syllabi curriculum documents grantee was performed, content core into subcategories. lead...
In Brief Study Design. Survey report. Objective. To reassess an existing list of research priorities in primary care low back pain (LBP) and to develop a new agenda. Summary Background Data. Primary LBP researchers developed agenda 1997 at international conference. 2009, survey was conducted re-evaluate the Methods. Two-phase, Internet-based participants one fora. The first phase collected information on importance, feasibility, progress for priorities; during this phase, respondents were...
Summary Paired narratives of patients with chronic pain and their physicians offer insight on the effect opioid therapy doctor–patient relationship. Use (COT) for noncancer has dramatically increased in United States. Patients seek compassionate care relief while struggle to manage patients’ effectively without doing harm. This study explores receiving those better understand effects COT A mixed method was conducted that included in-depth interviews qualitative analysis 21 paired following...
The authors of this innovative selection essays provide new insights into a prevalent and challenging subject: chronic pain. Pain causes endless suffering, alters lives, frustrates health care providers, costs untold billions dollars. Although pain is ubiquitous to the human experience, it remains enigmatic in terms its diagnosis, pathophysiology, natural history, treatment. Pain, particularly forms, challenges biomedical model, since obscures traditional border between mind body, objective...
<b>PURPOSE</b> Although there is significant interest in implementation of electronic health records (EHRs), limited data have been published the United States about how physicians, staff, and patients adapt to this process. The purpose research was examine effects EHR implementation, especially regarding physician-patient communication behaviors patients' responses. <b>METHODS</b> We undertook a 22-month, triangulation design, mixed methods study gradual residency-based family medicine...
Background. Current treatments for chronic low back pain (LBP) appear to be inadequate and there are growing calls new approaches. This study explores the paired interviews of shared experiences among LBP patients their physicians with ultimate goal improving doctor–patient communication clinical outcomes. Methods. In-depth a purposeful sample doctors were conducted, transcribed analysed using multistep iterative process. Interview pairs examined important themes major areas convergence...
We compared physicians' self-reported attitudes and behaviours regarding electronic health record (EHR) use before after installation of computers in patient examination rooms transition to full implementation an EHR a family medicine training practice identify anticipated observed effects these changes would have on practices clinical encounters. conducted two individual qualitative interviews with physicians. The first interview was second 8 months later computer the rooms. Data were...
From 1978 on, Spain rapidly expanded and strengthened its primary health care system, offering a lesson in how to improve outcomes cost-effective manner. The nation moved tax-based system of universal access for the entire population and, at local level, instituted teams coordinating prevention, promotion, treatment, community care. Gains included increases life expectancy reductions infant mortality, with superior those United States. In 2007 spent $2,671 per person, or 8.5 percent gross...
<b>PURPOSE</b> The purpose of this study was to evaluate differences in the management cardiovascular disease (CVD) risk factors based upon sex patient and physician their interaction primary care practice. <b>METHODS</b> We evaluated CVD factor 4,195 patients cared for by 39 male 16 female physicians 30 practices southeastern New England. <b>RESULTS</b> Many sex-based on crude analysis are lost once adjusted confounding found at level patient, physician, In multilevel analyses, styles...
We aim to answer the question: How can we develop an evidence base that will assist tailoring health interventions individual patients? Using social theory and interview data from people living with chronic illness, developed a new approach analysis. Individuals were considered as emergent complex systems, adjusting adapting within their environment sometimes transforming. The notion of illness trajectory brought our attention in interviews about “emergent present,” current period time when...
This study examines health and care attitudes, practices utilization patterns among the Bedouin Arab minority in south of Israel. Particular attention is given to effects new National Insurance Law that provides universal coverage for first time, identification critical issues further research.Focus groups, adapted culture, were primary method data collection. Twelve groups (158 participants) from throughout Negev met 3-7 sessions each, using specially trained local moderators observers....
Integrated care is the coordination of general and behavioral health a highly promising practical approach to improving healthcare delivery patient outcomes. While there growing interest investment in integrated implementation internationally, are no formal guidelines for applicable diverse systems. Furthermore, complex interplay factors at multiple levels influence that necessary successful Guided by Exploration, Preparation, Implementation, Sustainment (EPIS) framework (Aarons et al.,...
<h3>PURPOSE</h3> We wanted to determine whether an intervention based on patient activation and a physician decision support tool was more effective than usual care for improving adherence National Cholesterol Education Program guidelines. <h3>METHODS</h3> A 1-year cluster randomized controlled trial performed using 30 primary practices (4,105 patients) in southeastern New England. The main outcome the percentage of patients screened hyperlipidemia treated their low-density lipoprotein (LDL)...
The authors describe a program for second-year students in Tel Aviv University's six-year medical school. program's aim is to teach the importance of context and interactions patient care by exposing them real patient–family–doctor interaction using narrative-based methods encourage reflective learning. Each student meets five times year with volunteer family, one whose members suffers from chronic disease. endorses "patients as teachers" approach, families are considered be teachers not...
An outbreak of necrotizing spider bites in citrus groves the Aravah valley southern Israel is reported. Bites were clinically diagnosed to be due brown recluse Loxosceles rufescens (Dufour, 1820) (Loxoscelidae), one most common spiders identified groves. The distribution L. this area appears restricted locality, suggesting that it was a point introduction. This report suggests previously unreported risk for workers and describes an ecologic intervention consisting tree pruning clearing...
In 1988 the Department of Family Medicine at Ben Gurion University Negev in Israel developed a course that helps residents to acquire attitudes and skills required for practicing patient-centered medicine. approach, physician relates patients according their needs rather than doctor's own agenda, moving from professional control patient empowerment. Though there are many elements this method, certain basic orientations essential must be taught, modeled, reinforced trainees. To accomplish...