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Journal of General Internal Medicine

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https://www.readbyqxmd.com/read/30543023/-i-was-never-loved-enough
#1
Paul Rousseau
No abstract text is available yet for this article.
December 12, 2018: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/30543022/applying-machine-learning-algorithms-to-segment-high-cost-patient-populations
#2
Jiali Yan, Kristin A Linn, Brian W Powers, Jingsan Zhu, Sachin H Jain, Jennifer L Kowalski, Amol S Navathe
BACKGROUND: Efforts to improve the value of care for high-cost patients may benefit from care management strategies targeted at clinically distinct subgroups of patients. OBJECTIVE: To evaluate the performance of three different machine learning algorithms for identifying subgroups of high-cost patients. DESIGN: We applied three different clustering algorithms-connectivity-based clustering using agglomerative hierarchical clustering, centroid-based clustering with the k-medoids algorithm, and density-based clustering with the OPTICS algorithm-to a clinical and administrative dataset...
December 12, 2018: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/30543021/efficacy-and-safety-of-massage-for-osteoarthritis-of-the-knee-a-randomized-clinical-trial
#3
Adam Perlman, Susan Gould Fogerite, Oliver Glass, Elizabeth Bechard, Ather Ali, Valentine Y Njike, Carl Pieper, Natalia O Dmitrieva, Alison Luciano, Lisa Rosenberger, Teresa Keever, Carl Milak, Eric A Finkelstein, Gwendolyn Mahon, Giovanni Campanile, Ann Cotter, David L Katz
BACKGROUND: Current treatment options for knee osteoarthritis have limited effectiveness and potentially adverse side effects. Massage may offer a safe and effective complement to the management of knee osteoarthritis. OBJECTIVE: Examine effects of whole-body massage on knee osteoarthritis, compared to active control (light-touch) and usual care. DESIGN: Multisite RCT assessing the efficacy of massage compared to light-touch and usual care in adults with knee osteoarthritis, with assessments at baseline and weeks 8, 16, 24, 36, and 52...
December 12, 2018: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/30543020/timeliness-of-postmarket-studies-for-new-pharmaceuticals-approved-between-2009-and-2012-a-cross-sectional-analysis
#4
LETTER
Joshua D Wallach, Alexander C Egilman, Joseph S Ross, Steven Woloshin, Lisa M Schwartz
No abstract text is available yet for this article.
December 12, 2018: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/30543019/-comparing-va-and-non-va-care-quality
#5
LETTER
Charlie M Wray, Lenny Lopez, Salomeh Keyhani
No abstract text is available yet for this article.
December 12, 2018: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/30543018/choosing-telemetry-wisely-a-survey-of-awareness-and-physician-decision-making-regarding-aha-telemetry-practice-standards
#6
LETTER
Aaron M Brug, Kayla M Hudson, Rebecca Moore, Chayan Chakraborti
No abstract text is available yet for this article.
December 12, 2018: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/30535752/-do-you-know-what-i-know-how-communication-norms-and-recipient-design-shape-the-content-and-effectiveness-of-patient-handoffs
#7
Nicholas A Rattray, Mindy E Flanagan, Laura G Militello, Paul Barach, Zamal Franks, Patricia Ebright, Shakaib U Rehman, Howard S Gordon, Richard M Frankel
BACKGROUND: Poor communication during end-of-shift transfers of care (handoffs) is associated with safety risks and patient harm. Despite the common perception that handoffs are largely a one-way transfer of information, researchers have documented that they are complex interactions, guided by implicit social norms and mental frameworks. OBJECTIVES: We investigated communication strategies that resident physicians report deploying to tailor information during face-to-face handoffs that are often based on their implicit inferences about the perceived information needs and potential harm to patients...
December 10, 2018: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/30535751/departing-from-doctor-speak-a-perspective-on-code-switching-in-the-medical-setting
#8
Nathan I Wood
"Code-switching"-the mixing of languages, dialects, tones, or lexicons within a single conversation-is a prevalent linguistic phenomenon that has been described thoroughly in the social science literature. However, it is relatively unknown to the medical community despite its clear implications for clinicians as they navigate their role in the physician-patient relationship. As multilingualism and other forms of mixed speech become increasingly common in the urban and globally minded populations of America's modern cities, physicians must be cognizant of how they use their language skills-such as code-switching-to communicate with their patients in an ethical, supportive, and non-offensive manner...
December 10, 2018: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/30535750/perceptions-of-the-comparative-safety-of-different-forms-of-marijuana-use-among-the-adult-us-population
#9
LETTER
Sodahm R Yoo, Camille Dollinger, Marzieh Vali, Stacey Steigerwald, Beth E Cohen, Julie H Ishida, Salomeh Keyhani
No abstract text is available yet for this article.
December 10, 2018: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/30535749/medicaid-work-requirements-the-need-for-local-advocacy
#10
EDITORIAL
Nathan T Douthit
No abstract text is available yet for this article.
December 10, 2018: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/30535748/everyday-resilience-practical-tools-to-promote-resilience-among-medical-students
#11
LETTER
Galina Gheihman, Cynthia Cooper, Arabella Simpkin
No abstract text is available yet for this article.
December 10, 2018: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/30519839/changes-in-health-and-ability-to-work-among-medicaid-expansion-enrollees-a-mixed-methods-study
#12
Renuka Tipirneni, Jeffrey T Kullgren, John Z Ayanian, Edith C Kieffer, Ann-Marie Rosland, Tammy Chang, Adrianne N Haggins, Sarah J Clark, Sunghee Lee, Erica Solway, Matthias A Kirch, Christina Mrukowicz, Erin Beathard, Erin Sears, Susan D Goold
BACKGROUND: Michigan expanded Medicaid under the Affordable Care Act (Healthy Michigan Plan [HMP]) to improve the health of low-income residents and the state's economy. OBJECTIVE: To understand HMP's impact on enrollees' health, ability to work, and ability to seek employment DESIGN: Mixed methods study, including 67 qualitative interviews and 4090 computer-assisted telephone surveys (response rate 53.7%) PARTICIPANTS: Non-elderly adult HMP enrollees MAIN MEASURES: Changes in health status, ability to work, and ability to seek employment KEY RESULTS: Half (47...
December 5, 2018: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/30511291/mindfulness-training-enhances-self-regulation-and-facilitates-health-behavior-change-for-primary-care-patients-a-randomized-controlled-trial
#13
Richa Gawande, My Ngoc To, Elizabeth Pine, Todd Griswold, Timothy B Creedon, Alexandra Brunel, Angela Lozada, Eric B Loucks, Zev Schuman-Olivier
BACKGROUND: Self-management of health is important for improving health outcomes among primary care patients with chronic disease. Anxiety and depressive disorders are common and interfere with self-regulation, which is required for disease self-management. An insurance-reimbursable mindfulness intervention integrated within primary care may be effective for enhancing chronic disease self-management behaviors among primary care patients with anxiety, depression, trauma, and stress-related and adjustment disorders compared with the increasingly standard practice of referring patients to outside mindfulness resources...
December 3, 2018: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/30511290/subgroups-of-high-cost-medicare-advantage-patients-an-observational-study
#14
Brian W Powers, Jiali Yan, Jingsan Zhu, Kristin A Linn, Sachin H Jain, Jennifer L Kowalski, Amol S Navathe
BACKGROUND: There is a growing focus on improving the quality and value of health care delivery for high-cost patients. Compared to fee-for-service Medicare, less is known about the clinical composition of high-cost Medicare Advantage populations. OBJECTIVE: To describe a high-cost Medicare Advantage population and identify clinically and operationally significant subgroups of patients. DESIGN: We used a density-based clustering algorithm to group high-cost patients (top 10% of spending) according to 161 distinct demographic, clinical, and claims-based variables...
December 3, 2018: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/30511289/a-systematic-review-and-meta-analysis-of-the-association-between-vitamin-k-antagonist-use-and-fracture
#15
Wendy Fiordellisi, Katherine White, Marin Schweizer
BACKGROUND: Vitamin K antagonist (VKA) anticoagulant use is suspected to increase the risk of bone fracture through inhibition of vitamin K-dependent cofactors of bone formation, an effect not seen with non-vitamin K antagonist oral anticoagulants (NOACs). The purpose of our systematic review and meta-analysis is to investigate the association between VKA use and fracture. METHODS: We searched PubMed, EMBASE, and Cochrane Library for studies analyzing fracture in adults using VKAs versus controls...
December 3, 2018: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/30511287/capsule-commentary-on-hayashi-et-al-predictors-associated-with-survival-among-elderly-inpatients-who-receive-cardiopulmonary-resuscitation-in-japan-an-observational-cohort-study
#16
https://www.readbyqxmd.com/read/30511286/risk-assessment-of-acute-all-cause-30-day-readmission-in-patients-aged-65-a-nationwide-register-based-cohort-study
#17
Mona K Pedersen, Gunnar L Nielsen, Lisbeth Uhrenfeldt, Søren Lundbye-Christensen
BACKGROUND: Hospital readmission is considered an adverse health outcome in older people, adding additional pressure on clinical resources within health care services. Despite numerous studies on risk factors for readmissions, studies find different strengths of respective determinants and there is a need to explore and identify patterns of risk factors in larger cohorts. OBJECTIVE: Exploring and identifying patterns of risk factors for acute, all-cause 30-day readmission in a Danish cohort of patients aged 65+...
December 3, 2018: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/30511285/patient-provider-communication-disparities-by-limited-english-proficiency-lep-trends-from-the-us-medical-expenditure-panel-survey-2006-2015
#18
Terceira A Berdahl, James B Kirby
BACKGROUND: Individuals with limited English proficiency (LEP) have worse healthcare access and report lower quality of care compared to individuals who are proficient in English. Policy efforts to improve patient-provider communication for LEP individuals have been going on for decades but linguistic disparities persist. OBJECTIVE: To describe trends in patient-provider communication by limited English proficiency (LEP) from 2006 to 2015. DESIGN: We estimated interrupted time series models for three measures of patient-provider communication, testing for differences in both means (intercepts) and trends (slopes) before and after 2010 and differences in differences by English proficiency...
December 3, 2018: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/30511284/patient-experiences-with-chronic-care-management-services-and-fees-a-qualitative-study
#19
Claire Wilson, Ann S O'Malley, Carla Bozzolo, Nancy McCall, Sai Ma
BACKGROUND: As of 2015, the Centers for Medicare & Medicaid Services (CMS) pays for chronic care management (CCM) services for Medicare beneficiaries with two or more chronic conditions. CMS requires eligible providers to first obtain patients' verbal (and, prior to 2017, written) consent, to ensure that patients who participate in CCM services understand their rights and agree to any applicable cost sharing. CCM providers must also enhance patients' access to continuous and coordinated care, including ongoing care management...
December 3, 2018: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/30484102/uncertainty-as-a-key-influence-in-the-decision-to-admit-patients-with-transient-ischemic-attack
#20
Barbara J Homoya, Teresa M Damush, Jason J Sico, Edward J Miech, Gregory W Arling, Laura J Myers, Jared B Ferguson, Michael S Phipps, Eric M Cheng, Dawn M Bravata
BACKGROUND: Patients with transient ischemic attacks (TIA) are at high risk of subsequent vascular events. Hospitalization improves quality of care, yet admission rates for TIA patients vary considerably. OBJECTIVES: We sought to identify factors associated with the decision to admit patents with TIA. DESIGN: We conducted a secondary analysis of a prior study's data including semi-structured interviews, administrative data, and chart review...
November 27, 2018: Journal of General Internal Medicine
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