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Journal of General Internal Medicine

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https://www.readbyqxmd.com/read/30120637/access-to-treatment-for-alcohol-use-disorder-at-us-health-centers-a-national-study
#1
Benjamin Bearnot, Nancy A Rigotti, Travis P Baggett
No abstract text is available yet for this article.
August 17, 2018: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/30120636/examining-the-interrelations-among-objective-and-subjective-health-literacy-and-numeracy-and-their-associations-with-health-knowledge
#2
Erika A Waters, Caitlin Biddle, Kimberly A Kaphingst, Elizabeth Schofield, Marc T Kiviniemi, Heather Orom, Yuelin Li, Jennifer L Hay
BACKGROUND: Health literacy and numeracy influence many health-related behaviors and outcomes. Health literacy and numeracy have been assessed objectively and subjectively, but interrelationships among the measures and the consistency of their association with health knowledge have not been examined. OBJECTIVE: To increase understanding of the structure and interrelations among objective and subjective health literacy and numeracy and how these constructs relate to knowledge of risk factors of two major diseases...
August 17, 2018: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/30112737/patterns-of-use-and-correlates-of-patient-satisfaction-with-a-large-nationwide-direct-to-consumer-telemedicine-service
#3
Kathryn A Martinez, Mark Rood, Nikhyl Jhangiani, Lei Kou, Susannah Rose, Adrienne Boissy, Michael B Rothberg
BACKGROUND: Despite its rapid expansion, little is known about use of direct to consumer (DTC) telemedicine. OBJECTIVE: To characterize telemedicine patients and physicians and correlates of patient satisfaction DESIGN: Cross-sectional study PARTICIPANTS: Patients and physicians of a large nationwide DTC telemedicine service MAIN MEASURES: Patient characteristics included demographics and whether or not they reported insurance information. Physician characteristics included specialty, board certification, and domestic versus international medical training...
August 15, 2018: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/30112736/interprofessional-collaborative-practice-in-the-medical-intensive-care-unit-a-survey-of-caregivers-perspectives
#4
Debbie W Chen, Angela M Gerolamo, Elissa Harmon, Anna Bistline, Shoshana Sicks, Lauren Collins
BACKGROUND: Research on caregivers, defined as designated family members or support persons, in the medical intensive care unit (MICU) has primarily focused on their emotional needs and experiences, thus leaving a gap in knowledge related to their perceptions of team dynamics. OBJECTIVE: To examine caregivers' perceptions of team interactions and competencies for interprofessional collaborative practice (IPCP) and overall satisfaction with the MICU team. METHODS: The Support Person Jefferson Teamwork Observation Guide (JTOG)™ was administered to a convenience sample of caregivers in the MICU at a large urban academic medical center between May 2016 and December 2016...
August 15, 2018: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/30109587/performance-of-internists-and-medicine-specialists-in-medicare-quality-metrics-variation-by-specialty-and-other-physician-characteristics
#5
Andrew B Rosenkrantz, Gregory N Nicola, Richard Duszak
No abstract text is available yet for this article.
August 14, 2018: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/30109586/interventions-to-increase-depression-treatment-initiation-in-primary-care-patients-a-systematic-review
#6
Nathalie Moise, Louise Falzon, Megan Obi, Siqin Ye, Sapana Patel, Christopher Gonzalez, Kelsey Bryant, Ian M Kronish
INTRODUCTION: Nearly 50% of depressed primary care patients referred to mental health services do not initiate mental health treatment. The most promising interventions for increasing depression treatment initiation in primary care settings remain unclear. METHODS: We performed a systematic search of publicly available databases from inception through August 2017 to identify interventions designed to increase depression treatment initiation. Two authors independently selected, extracted data, and rated risk of bias from included studies...
August 14, 2018: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/30109585/aiming-to-improve-readmissions-through-integrated-hospital-transitions-airtight-a-pragmatic-randomized-controlled-trial
#7
Andrew McWilliams, Jason Roberge, William E Anderson, Charity G Moore, Whitney Rossman, Stephanie Murphy, Stephannie McCall, Ryan Brown, Shannon Carpenter, Scott Rissmiller, Scott Furney
BACKGROUND: Despite years of intense focus, inpatient and observation readmission rates remain high and largely unchanged. Hospitals have little, robust evidence to guide the selection of interventions effective at reducing 30-day readmissions in real-world settings. OBJECTIVE: To evaluate if implementation of recent recommendations for hospital transition programs is effective at reducing 30-day readmissions in a population discharged to home and at high-risk for readmission...
August 14, 2018: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/30105481/using-smartphone-crowdsourcing-to-redefine-normal-and-febrile-temperatures-in-adults-results-from-the-feverprints-study
#8
Jonathan S Hausmann, Ron Berna, Nitin Gujral, Soleh Ayubi, Jared Hawkins, John S Brownstein, Fatma Dedeoglu
No abstract text is available yet for this article.
August 13, 2018: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/30097978/screening-positive-for-cognitive-impairment-impact-on-healthcare-utilization-and-provider-action-in-primary-and-specialty-care-practices
#9
Michael Rosenbloom, Terry R Barclay, Soo Borson, Ann M Werner, Lauren O Erickson, Jean M Crow, Kamakshi Lakshminarayan, Logan H Stuck, Leah R Hanson
BACKGROUND: Alzheimer's disease, the most common cause of dementia, goes unrecognized in half of patients presenting to healthcare providers and is associated with increased acute care utilization. Routine cognitive screening of older adults in healthcare settings could improve rates of dementia diagnosis and patterns of healthcare utilization. OBJECTIVE: To evaluate the impact of screening positive for cognitive impairment on provider action in primary and specialty care practices and patient healthcare utilization...
August 10, 2018: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/30097977/engaging-high-need-patients-in-intensive-outpatient-programs-a-qualitative-synthesis-of-engagement-strategies
#10
Donna M Zulman, Colin W O'Brien, Cindie Slightam, Jessica Y Breland, David Krauth, Andrea L Nevedal
BACKGROUND: Intensive outpatient programs address the complex medical, social, and behavioral needs of individuals who account for disproportionate healthcare costs. Despite their promise, the impact of these programs is often diminished due to patient engagement challenges (i.e., low rates of patient participation and partnership in care). OBJECTIVE: The objective of this study was to identify intensive outpatient program features and strategies that increase high-need patient engagement in these programs...
August 10, 2018: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/30097976/how-do-gender-differences-in-quality-of-care-vary-across-medicare-advantage-plans
#11
Chloe E Bird, Marc N Elliott, John L Adams, Eric C Schneider, David J Klein, Jacob W Dembosky, Sarah Gaillot, Allen M Fremont, Amelia M Haviland
BACKGROUND: Healthcare Effectiveness Data and Information Set (HEDIS) quality measures have long been used to compare care across health plans and to study racial/ethnic and socioeconomic disparities among Medicare Advantage (MA) beneficiaries. However, possible gender differences in seniors' quality of care have received less attention. OBJECTIVE: To test for the presence and nature of any gender differences in quality of care across MA Plans, overall and by domain; to identify those most at risk of poor care...
August 10, 2018: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/30094763/is-there-a-role-for-internal-medicine-residency-preparation-courses-in-the-fourth-year-curriculum-a-single-center-experience
#12
Lauren A Heidemann, Eric Walford, Jacob Mack, Mark Kolbe, Helen K Morgan
No abstract text is available yet for this article.
August 9, 2018: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/30091123/racial-discrimination-in-health-care-and-utilization-of-health-care-a-cross-sectional-study-of-california-adults
#13
Héctor E Alcalá, Daniel M Cook
BACKGROUND: Racial and ethnic discrimination in health care have been associated with suboptimal use of health care. However, limited research has examined how facets of health care utilization influence, and are influenced by, discrimination. OBJECTIVE: This study aimed to determine if type of insurance coverage and location of usual source of care used were associated with perceptions of racial or ethnic discrimination in health care. Additionally, this study examined if perceived racial or ethnic discrimination influenced delaying or forgoing prescriptions or medical care...
August 8, 2018: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/30091122/important-steps-towards-a-clinically-actionable-predictive-model-of-opioid-overdose-among-patients-on-long-term-opioid-therapy
#14
EDITORIAL
William C Becker
No abstract text is available yet for this article.
August 8, 2018: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/30091121/randomized-trial-of-personalized-breast-density-and-breast-cancer-risk-notification
#15
Jennifer S Haas, Catherine S Giess, Kimberly A Harris, Julia Ansolabehere, Celia P Kaplan
BACKGROUND: Despite widespread implementation of mammographic breast density (MBD) notification laws, the impact of these laws on knowledge of MBD and knowledge of breast cancer risk is limited by the lack of tools to promote informed decision-making in practice. OBJECTIVE: To develop and evaluate whether brief, personalized informational videos following a normal mammogram in addition to a legislatively required letter about MBD result can improve knowledge of MBD and breast cancer risk compared to standard care (i...
August 8, 2018: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/30091120/addressing-the-lack-of-competition-in-generic-drugs-to-improve-healthcare-quality-and-safety
#16
Karthik Sivashanker, John Fanikos, Allen Kachalia
A lack of access to critical drugs in the USA, either due to exorbitant prices or shortages, has become a troubling norm that threatens the quality and safety of healthcare. In 2017, there were shortages of 146 commonly used drugs including electrolytes, chemotherapy, cardiovascular, and antibiotic agents. For example, there currently exists a shortage in intravenous fluids and injectable opioids (both in chronic short supply for years) that has been respectively ascribed to disruptions in pharmaceutical manufacturing by Hurricane Maria and manufacturing delays...
August 8, 2018: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/30084018/implementing-team-based-primary-care-models-a-mixed-methods-comparative-case-study-in-a-large-integrated-health-care-system
#17
Anita D Misra-Hebert, Adam Perzynski, Michael B Rothberg, Jaqueline Fox, Mary Beth Mercer, Xiaobo Liu, Bo Hu, David C Aron, Kurt C Stange
BACKGROUND: Successful implementation of new care models within a health system is likely dependent on contextual factors at the individual sites of care. OBJECTIVE: To identify practice setting components contributing to uptake of new team-based care models. DESIGN: Convergent mixed-methods design. PARTICIPANTS: Employees and patients of primary care practices implementing two team-based models in a large, integrated health system...
August 6, 2018: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/30076574/experiences-of-community-violence-among-adults-with-chronic-conditions-qualitative-findings-from-chicago
#18
Elizabeth L Tung, Tyrone A Johnson, Yolanda O'Neal, Althera M Steenes, Graciela Caraballo, Monica E Peek
BACKGROUND: Community violence is an important social determinant of health in many high-poverty, urban communities. OBJECTIVE: The purpose of this study was to explore and characterize self-described experiences of community violence among adults with chronic health conditions. DESIGN: Qualitative study design was implemented in 2017 using in-depth, semi-structured focus groups and interviews; data were collected from two clinical sites located in geographic epicenters of high violent crime in Chicago...
August 3, 2018: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/30076573/electronic-physician-notifications-to-improve-guideline-based-anticoagulation-in-atrial-fibrillation-a-randomized-controlled-trial
#19
Jeffrey M Ashburner, Steven J Atlas, Shaan Khurshid, Lu-Chen Weng, Olivia L Hulme, Yuchiao Chang, Daniel E Singer, Patrick T Ellinor, Steven A Lubitz
BACKGROUND: Oral anticoagulants reduce the risk of stroke in patients with atrial fibrillation. However, many patients with atrial fibrillation at elevated stroke risk are not treated with oral anticoagulants. OBJECTIVE: To test whether electronic notifications sent to primary care physicians increase the proportion of ambulatory patients prescribed oral anticoagulants. DESIGN: Randomized controlled trial conducted from February to May 2017 within 18 practices in an academic primary care network...
August 3, 2018: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/30076572/outpatient-complex-case-management-health-system-tailored-risk-stratification-taxonomy-to-identify-high-cost-high-need-patients
#20
Eboni G Price-Haywood, Hans Petersen, Jeffrey Burton, Jewel Harden-Barrios, Mary Adubato, Melissa Roberts, Nathan Markward
BACKGROUND: U.S. health systems, incentivized by financial penalties, are designing programs such as case management to reduce service utilization among high-cost, high-need populations. The major challenge is identifying patients for whom targeted programs are most effective for achieving desired outcomes. OBJECTIVE: To evaluate a health system's outpatient complex case management (OPCM) for Medicare beneficiaries for patients overall and for high-risk patients using system-tailored taxonomy, and examine whether OPCM lowers service utilization and healthcare costs...
August 3, 2018: Journal of General Internal Medicine
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