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Journal of General Internal Medicine

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https://www.readbyqxmd.com/read/28337690/using-active-choice-within-the-electronic-health-record-to-increase-influenza-vaccination-rates
#1
Mitesh S Patel, Kevin G Volpp, Dylan S Small, Craig Wynne, Jingsan Zhu, Lin Yang, Steven Honeywell, Susan C Day
BACKGROUND: Despite the benefits of influenza vaccination, each year more than half of adults in the United States do not receive it. OBJECTIVE: To evaluate the association between an active choice intervention in the electronic health record (EHR) and changes in influenza vaccination rates. DESIGN: Observational study. PATIENTS: Adults eligible for influenza vaccination with a clinic visit at one of three internal medicine practices at the University of Pennsylvania Health System between September 2010 and March 2013...
March 23, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28337689/managing-chronic-pain-in-primary-care-it-really-does-take-a-village
#2
Karen Seal, William Becker, Jennifer Tighe, Yongmei Li, Tessa Rife
Some healthcare systems are relieving primary care providers (PCPs) of "the burden" of managing chronic pain and opioid prescribing, instead offloading chronic pain management to pain specialists. Last year the Centers for Disease Control and Prevention recommended a biopsychosocial approach to pain management that discourages opioid use and promotes exercise therapy, cognitive behavioral therapy and non-opioid medications as first-line patient-centered, multi-modal treatments best delivered by an interdisciplinary team...
March 23, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28337688/when-the-script-doesn-t-fit-%C3%A2-an-exercise-in-clinical-reasoning
#3
Daniel J Wheeler, Thomas Cascino, Bradley A Sharpe, Denise M Connor
No abstract text is available yet for this article.
March 23, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28337687/assessing-the-culture-of-residency-using-the-c-change-resident-survey-validity-evidence-in-34-u-s-residency-programs
#4
Linda H Pololi, Arthur T Evans, Janet T Civian, Sandy Shea, Robert T Brennan
BACKGROUND: A practical instrument is needed to reliably measure the clinical learning environment and professionalism for residents. OBJECTIVE: To develop and present evidence of validity of an instrument to assess the culture of residency programs and the clinical learning environment. DESIGN: During 2014-2015, we surveyed residents using the C - Change Resident Survey to assess residents' perceptions of the culture in their programs. PARTICIPANTS: Residents in all years of training in 34 programs in internal medicine, pediatrics, and general surgery in 14 geographically diverse public and private academic health systems...
March 23, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28337686/telephone-delivered-behavioral-skills-intervention-for-african-american-adults-with-type-2-diabetes-a-randomized-controlled-trial
#5
Leonard E Egede, Joni S Williams, Delia C Voronca, Mulugeta Gebregziabher, Cheryl P Lynch
BACKGROUND: Diabetes disproportionately affects African Americans and is associated with poorer outcomes. Self-management is important for glycemic control; however, evidence in African Americans is limited. OBJECTIVE: To assess the efficacy of a combined telephone-delivered education and behavioral skills intervention (TBSI) in reducing hemoglobin A1c (HbA1c) levels in African Americans with type 2 diabetes, using a factorial design. DESIGN: This is a four-year randomized clinical trial, using a 2 x 2 factorial design...
March 23, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28337685/type-iii-hypersensitivity-reaction-to-subcutaneous-insulin-preparations-in-a-type-1-diabetic
#6
Benjamin R Murray, Jolene R Jewell, Kyle J Jackson, Olabunmi Agboola, Brianna R Alexander, Poonam Sharma
Management of type 1 diabetes in patients who have insulin hypersensitivity is a clinical challenge and places patients at risk for recurrent diabetic ketoacidosis (DKA). Hypersensitivity reactions can be due to the patient's response to the insulin molecule itself or one of the injection's non-insulin components. It is therefore crucial for clinicians to quickly recognize the type of hypersensitivity reaction that is occurring and identify potentially immunogenic additives for the purpose of directing therapy as various insulin preparations have differing ingredients...
March 23, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28337684/capsule-commentary-on-pham-kanter-et-al-public-awareness-of-and-contact-with-physicians-who-receive-industry-payments-a-national-survey
#7
Susannah L Rose
No abstract text is available yet for this article.
March 23, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28337683/using-electronic-record-data-to-encourage-better-care-where-we-are-and-where-we-could-be
#8
EDITORIAL
Shira Fischer
No abstract text is available yet for this article.
March 23, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28321550/ethical-implications-of-the-electronic-health-record-in-the-service-of-the-patient
#9
Lois Snyder Sulmasy, Ana María López, Carrie A Horwitch
Electronic health records (EHRs) provide benefits for patients, physicians, and clinical teams, but also raise ethical questions. Navigating how to provide care in the digital age requires an assessment of the impact of the EHR on patient care and the patient-physician relationship. EHRs should facilitate patient care and, as an essential component of that care, support the patient-physician relationship. Billing, regulatory, research, documentation, and administrative functions determined by the operational requirements of health care systems, payers, and others have resulted in EHRs that are better able to satisfy such external functions than to ensure that patient care needs are met...
March 20, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28321549/a-preoperative-medical-history-and-physical-should-not-be-a-requirement-for-all-cataract-patients
#10
Oliver D Schein, Peter J Pronovost
Cataract surgery poses minimal systemic medical risk, yet a preoperative general medical history and physical is required by the Centers for Medicare and Medicaid Services and other regulatory bodies within 1 month of cataract surgery. Based on prior research and practice guidelines, there is professional consensus that preoperative laboratory testing confers no benefit when routinely performed on cataract surgical patients. Such testing remains commonplace. Although not yet tested in a large-scale trial, there is also no evidence that the required history and physical yields a benefit for most cataract surgical patients above and beyond the screening performed by anesthesia staff on the day of surgery...
March 20, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28315154/appealing-to-altruism-may-not-work-but-don-t-give-up-hope
#11
Christopher Moriates, David Ring
No abstract text is available yet for this article.
March 17, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28299605/capsule-commentary-on-kim-et-al-disparities-in-hypertension-associated-with-limited-english-proficiency
#12
Natalie S Bezler
No abstract text is available yet for this article.
March 15, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28299604/fever-splenomegaly-and-pancytopenia-histoplasma-associated-hemophagocytic-lymphohistiocytosis
#13
Arjun Gupta, Mrinal Agrawal, Jesse Jaso
No abstract text is available yet for this article.
March 15, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28299603/consider-embracing-the-reviews-from-physician-rating-websites
#14
EDITORIAL
Howard S Gordon
No abstract text is available yet for this article.
March 15, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28299602/urinothorax-a-rare-case-of-pleural-effusion
#15
Kathryn Wunderle, Suil Kim, Joseph Chiovaro
No abstract text is available yet for this article.
March 15, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28289964/painful-plantar-lesions-an-unusual-presentation-for-rheumatoid-nodules
#16
Pablo Del Barrio-Díaz, Sergio González, Cristián Vera-Kellet
No abstract text is available yet for this article.
March 13, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28289963/use-of-patient-decision-aids-increased-younger-women-s-reluctance-to-begin-screening-mammography-a-systematic-review-and-meta-analysis
#17
Ilya Ivlev, Erin N Hickman, Marian S McDonagh, Karen B Eden
BACKGROUND: As breast cancer screening guidelines have changed recently, additional investigation is needed to understand changes in women's behavior after using breast cancer screening patient decision aids (BCS-PtDAs) and the potential effect on mammography utilization. This systematic review and meta-analysis sought to evaluate the effect of BCS-PtDAs on changes in women's intentions to undergo screening mammography and whether women deciding to begin or discontinue screening mammography displayed similar changes in screening intentions after using a BCS-PtDA...
March 13, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28289962/physician-perspectives-on-readmission
#18
Shoshana J Herzig, Andrew D Auerbach
No abstract text is available yet for this article.
March 13, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28284016/capsule-commentary-on-krause-et-al-impact-of-pregnancy-and-gender-on-internal-medicine-resident-evaluations-a-retrospective-cohort-study
#19
Deborah J DeWaay
No abstract text is available yet for this article.
March 10, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28284015/securing-for-academic-generalists-the-opportunities-and-the-recognition-that-they-deserve
#20
Martin F Shapiro
No abstract text is available yet for this article.
March 10, 2017: Journal of General Internal Medicine
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