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Journal of General Internal Medicine

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https://www.readbyqxmd.com/read/28432564/unintended-pregnancy-and-contraceptive-use-among-women-veterans-the-ecuun-study
#1
Sonya Borrero, Lisa S Callegari, Xinhua Zhao, Maria K Mor, Florentina E Sileanu, Galen Switzer, Susan Zickmund, Donna L Washington, Laurie C Zephyrin, E Bimla Schwarz
BACKGROUND: Little is known about contraceptive care for the growing population of women veterans who receive care in the Veterans Administration (VA) healthcare system. OBJECTIVE: To determine rates of contraceptive use, unmet need for prescription contraception, and unintended pregnancy among reproductive-aged women veterans. DESIGN AND PARTICIPANTS: We conducted a cross-sectional, telephone-based survey with a national sample of 2302 women veterans aged 18-44 years who had received primary care in the VA within the prior 12 months...
April 21, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28424981/capsule-commentary-on-pololi-et-al-assessing-the-culture-of-residency-using-the-c-change-resident-survey-validity-evidence-in-34%C3%A2-us-residency-programs
#2
Amar R Kohli
No abstract text is available yet for this article.
April 19, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28424980/capsule-commentary-on-patel-el-al-using-active-choice-within-the-electronic-health-record-to-increase-influenza-vaccination-rates
#3
Jason M Beckta
No abstract text is available yet for this article.
April 19, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28409434/the-sgim-teach-program-a-curriculum-for-teachers-of-clinical-medicine
#4
Christopher L Knight, Donna M Windish, Steven A Haist, Reena Karani, Shobhina Chheda, Michael Rosenblum, Preetha Basaviah, Abby L Spencer, Eva M Aagaard
BACKGROUND: Demand for faculty with teaching expertise is increasing as medical education is becoming well established as a career pathway. Junior faculty may be expected to take on teaching responsibilities with minimal training in teaching skills. AIM: To address the faculty development needs of junior clinician-educators with teaching responsibilities and those changing their career focus to include teaching. SETTING: Sessions at two Society of General Internal Medicine (SGIM) annual meetings combined with local coaching and online learning during the intervening year...
April 13, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28405793/capsule-commentary-on-saloner-et-al-price-transparency-in-primary-care-can-patients-learn-about-costs-when-scheduling-an-appointment
#5
Cameron M Kaplan
No abstract text is available yet for this article.
April 12, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28405792/capsule-commentary-on-egloff-et-al-publication-rates-of-abstracts-presented-at-the-society-of-general-internal-medicine-annual-meeting
#6
Jeffrey L Jackson
No abstract text is available yet for this article.
April 12, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28405791/the-ethics-of-technology-for-population-health
#7
Malathi Srinivasan
No abstract text is available yet for this article.
April 12, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28374214/medicaid-s-impact-on-chronic-disease-biomarkers-a-cohort-study-of-community-health-center-patients
#8
Brigit Hatch, Miguel Marino, Marie Killerby, Heather Angier, Megan Hoopes, Steffani R Bailey, John Heintzman, Jean P O'Malley, Jennifer E DeVoe
BACKGROUND: Understanding the impact of health insurance is critical, particularly in the era of Affordable Care Act Medicaid expansion. The electronic health record (EHR) provides new opportunities to quantify health outcomes. OBJECTIVE: To assess changes in biomarkers of chronic disease among community health center (CHC) patients who gained Medicaid coverage with the Oregon Medicaid expansion (2008-2011). DESIGN: Prospective cohort. Patients were followed for 24 months, and rate of mean biomarker change was calculated...
April 3, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28353130/coloboma-of-the-optic-disc-and-retina
#9
Paul B Aronowitz, Jody K Judge
No abstract text is available yet for this article.
March 28, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28349411/what-s-the-opposite-of-burnout
#10
Ronald M Epstein
No abstract text is available yet for this article.
March 27, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28349410/disseminated-sporotrichosis-with-osteolytic-bone-involvement
#11
Paul B Aronowitz, Meghan Gilroy, Katerina N Christiansen
No abstract text is available yet for this article.
March 27, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28349409/engaging-stakeholders-to-inform-clinical-practice-guidelines-that-address-multiple-chronic-conditions
#12
Wendy L Bennett, Craig W Robbins, Elizabeth A Bayliss, Renee Wilson, Heather Tabano, Richard A Mularski, Wiley V Chan, Milo Puhan, Tsung Yu, Bruce Leff, Tianjing Li, Kay Dickersin, Carol Glover, Katie Maslow, Karen Armacost, Suzanne Mintz, Cynthia M Boyd
BACKGROUND: Having more than one chronic condition is common and is associated with greater health care utilization, higher medication burden and complexity of treatment. However, clinical practice guidelines (CPGs) do not routinely address the balance between harms and benefits of treatments for people with multiple chronic conditions (MCCs). OBJECTIVE: To partner with the Kaiser Permanente Integrated Cardiovascular Health (ICVH) program to engage multiple stakeholders in a mixed-methods approach in order to: 1) identify two high-priority clinical questions related to MCCs, and 2) understand patients' and family caregivers' perceptions of meaningful outcomes to inform benefit/harm assessments for these two high-priority questions...
March 27, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28341895/capsule-commentary-on-egede-et-al-telephone-delivered-behavioral-skills-intervention-for-african-american-adults-with-type-2-diabetes-a-randomized-controlled-trial
#13
Augustine Chavez
No abstract text is available yet for this article.
March 24, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28341894/using-a-self-reported-global-health-measure-to-identify-patients-at-high-risk-for-future-healthcare-utilization
#14
Karen J Blumenthal, Yuchiao Chang, Timothy G Ferris, Jenna C Spirt, Christine Vogeli, Neil Wagle, Joshua P Metlay
BACKGROUND: Research studies have shown that patient-reported outcome measures (PROMs) that assess global health are helpful for predicting health care utilization, but less evidence exists that collection of PROMs in routine care can identify patients with high health care needs. OBJECTIVE: To investigate the association between the PROMIS Global Health (PGH) scores and subsequent health care utilization among patients in a large accountable care organization (ACO)...
March 24, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28337690/using-active-choice-within-the-electronic-health-record-to-increase-influenza-vaccination-rates
#15
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
#16
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
#17
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
#18
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
#19
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
#20
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
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