A5002380847- Palliative Care and End-of-Life Issues
- Childhood Cancer Survivors' Quality of Life
- Patient Dignity and Privacy
- Patient-Provider Communication in Healthcare
- COVID-19 and healthcare impacts
- Diversity and Career in Medicine
- Family and Patient Care in Intensive Care Units
- Innovations in Medical Education
- Telemedicine and Telehealth Implementation
- Interpreting and Communication in Healthcare
- Interprofessional Education and Collaboration
- Medical Education and Admissions
- Health Systems, Economic Evaluations, Quality of Life
- Cancer survivorship and care
- Healthcare cost, quality, practices
- Dysphagia Assessment and Management
- Meta-analysis and systematic reviews
- Amyotrophic Lateral Sclerosis Research
- Pain Management and Opioid Use
- Healthcare Decision-Making and Restraints
- Economic and Financial Impacts of Cancer
- Family Support in Illness
- Geriatric Care and Nursing Homes
- Interstitial Lung Diseases and Idiopathic Pulmonary Fibrosis
- Subtitles and Audiovisual Media
University of California, San Francisco
2017-2023
San Diego Hospice and The Institute for Palliative Medicine
2021
Background: Members of racial or ethnic minority groups utilize palliative care (PC) services less than non-Hispanic White patients and multiple factors contribute to this disparity. The impact racial, ethnic, language (REL) concordance between clinicians has been demonstrated in general medical populations, but not PC populations. We characterized the composition languages spoken California examine clinical impacts REL concordance. Methods: Using Palliative Care Quality Network data, 15...
Background: The morbidity and mortality of interstitial lung disease (ILD) is high, despite novel therapeutics. Recognizing unmet needs for symptom management, advance care planning (ACP), support people with ILD their families, we developed a palliative care-ILD collaborative pilot program to improve access care. Methods: In the quantitative arm this mixed-methods study, evaluated which patients were cared through co-management impact on rates ACP opioid prescribing. qualitative arm,...
Palliative care (PC) is recommended for people with amyotrophic lateral sclerosis (ALS), but there scant literature about how to best provide this care. We describe the structure and impact of a pilot program that integrates longitudinal, interdisciplinary PC into patients ALS.Observational cohort study ALS referred outpatient seen at least 3 visits October 2017-July 2020.Fifty-five met inclusion criteria. Three-quarters (74.5%) were Caucasian, 78.2% spoke English. Patients advance planning...
Due to the COVID-19 pandemic, most graduate medical education (GME) training programs conducted virtual interviews for prospective trainees during 2020–2021 application cycle. Many internal medicine (IM) subspecialty fellowship hosted first time with little published data guide best practices.To evaluate how IM applicants perceived interview day experience.We designed a 38-item questionnaire that was sent via email in eight at single tertiary academic center (University of California, San...
Telemedicine has the potential to improve access cancer care, particularly for patients with functional limitations, high symptom burdens, or financial geographic constraints. However, there is also a risk that telemedicine can widen healthcare disparities among facing systemic disadvantages like those technological barriers, poor digital literacy, older age, non-English language preferences. To optimize usage, we must implement practical strategies video onboarding programs, user-friendly...
Primary care providers in safety-net settings often do not have time to discuss advance planning (ACP). Group visits (GV) may be an efficient means provide ACP education.To assess the feasibility and impact of a video-based website facilitate GVs engage diverse adults ACP.Feasibility pilot among patients who were ≥55 years age from two primary clinics Northern California setting. Participants attended 90-minute viewed five steps movie version PREPARE ( www.prepareforyourcare.org ) concerning...
Background: Despite substantial palliative care (PC) needs in people with serious illnesses other than cancer, outpatient PC is less available to these populations. Objectives: Describe the experience, impact, and lessons learned from implementing an service (OPCS) for noncancer illnesses. Design: Observational cohort study. Setting/Subjects: Patients seen by OPCS at a United States academic medical center October 2, 2017–March 31, 2021. Measurements: Patient demographics clinical...
A critical frontier for palliative medicine is to develop systems routinely and equitably address the care (PC) needs of seriously ill populations.An automated screen identified Medicare primary patients who had serious illness based on diagnosis codes utilization patterns. stepped-wedge design was used evaluate a six-month intervention through which healthcare navigator assessed these their partners PC in domains 1) physical symptoms, 2) emotional distress, 3) practical concerns, 4) advance...
Background: Family caregivers are essential to the care of patients with serious illness and supporting alongside is a core tenet palliative care. While there increasing recognition need support family caregivers, limited resources assess their needs in systematic way outpatient practice. Objectives: The aim this study develop an approach conducting assessments routine practice using quality improvement framework. Setting: Seven, interdisciplinary, teams California collaborated study....
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