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Journal of General Internal Medicine

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https://www.readbyqxmd.com/read/27353455/pennsylvania-s-medical-home-initiative-reductions-in-healthcare-utilization-and-cost-among-medicaid-patients-with-medical-and-psychiatric-comorbidities
#1
Karin V Rhodes, Simon Basseyn, Robert Gallop, Elizabeth Noll, Aileen Rothbard, Paul Crits-Christoph
BACKGROUND: The Chronic Care Initiative (CCI) was a large state-wide patient-centered medical home (PCMH) initiative in Pennsylvania in place from 2008-2011. OBJECTIVE: Determine whether the CCI impacted the utilization and costs for Medicaid patients with chronic medical conditions and comorbid psychiatric or substance use disorders. DESIGN: Analysis of Medicaid claims using difference-in-difference regression analyses to compare changes in utilization and costs for patients treated at CCI practices to propensity score-matched patients treated at comparison non-CCI practices...
June 25, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/27921257/impact-of-community-health-workers-on-use-of-healthcare-services-in-the-united-states-a-systematic-review
#2
Helen E Jack, Sophia D Arabadjis, Lucy Sun, Erin E Sullivan, Russell S Phillips
BACKGROUND: As the US transitions to value-based healthcare, physicians and payers are incentivized to change healthcare delivery to improve quality of care while controlling costs. By assisting with the management of common chronic conditions, community health workers (CHWs) may improve healthcare quality, but physicians and payers who are making choices about care delivery also need to understand their effects on healthcare spending. METHODS: We searched PubMed, Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, PsycINFO, Embase, and Web of Science from the inception of each database to 22 June 2015...
December 5, 2016: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/27921256/impact-of-bridging-income-generation-with-group-integrated-care-bigpic-on-hypertension-and-diabetes-in-rural-western-kenya
#3
Sonak D Pastakia, Simon M Manyara, Rajesh Vedanthan, Jemima H Kamano, Diana Menya, Benjamin Andama, Cleophas Chesoli, Jeremiah Laktabai
BACKGROUND: Rural settings in Sub-Saharan Africa (SSA) consistently report low participation in non-communicable disease (NCD) treatment programs and poor outcomes. OBJECTIVE: The objective of this study is to assess the impact of the implementation of a patient-centered rural NCD care delivery model called Bridging Income Generation through grouP Integrated Care (BIGPIC). DESIGN: The study prospectively tracked participation and health outcomes for participants in a screening event and compared linkage frequencies to a historical comparison group...
December 5, 2016: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/27921255/health-education-policies-to-maximize-the-effectiveness-of-human-resources-for-health-programs-in-low-income-countries
#4
EDITORIAL
Cameron Page, Vincent Sugira
No abstract text is available yet for this article.
December 5, 2016: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/27913910/a-randomized-trial-of-displaying-paid-price-information-on-imaging-study-and-procedure-ordering-rates
#5
Alyna T Chien, Lisa Soleymani Lehmann, Laura A Hatfield, Kate E Koplan, Carter R Petty, Anna D Sinaiko, Meredith B Rosenthal, Thomas D Sequist
BACKGROUND: Prior studies have demonstrated how price transparency lowers the test-ordering rates of trainees in hospitals, and physician-targeted price transparency efforts have been viewed as a promising cost-controlling strategy. OBJECTIVE: To examine the effect of displaying paid-price information on test-ordering rates for common imaging studies and procedures within an accountable care organization (ACO). DESIGN: Block randomized controlled trial for 1 year...
December 2, 2016: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/27896695/seeing-wisely
#6
EDITORIAL
Daniel J Wheeler, Kip Mihara, Joe Chiovaro
No abstract text is available yet for this article.
November 28, 2016: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/27896694/coronary-artery-embolism-from-large-aortic-valve-vegetation-due-to-staphylococcus-aureus-endocarditis
#7
Aman M Shah, Ricardo A Bello, Benjamin T Galen
No abstract text is available yet for this article.
November 28, 2016: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/27896693/capsule-commentary-on-cheung-et-al-leisure-time-physical-activity-and-cardiovascular-mortality-in-an-elderly-population-in-northern-manhattan-a-prospective-cohort-study
#8
William Cheung
No abstract text is available yet for this article.
November 28, 2016: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/27896692/teaching-structure-a-qualitative-evaluation-of-a-structural-competency-training-for-resident-physicians
#9
Joshua Neff, Kelly R Knight, Shannon Satterwhite, Nick Nelson, Jenifer Matthews, Seth M Holmes
BACKGROUND: The influence of societal inequities on health has long been established, but such content has been incorporated unevenly into medical education and clinical training. Structural competency calls for medical education to highlight the important influence of social, political, and economic factors on health outcomes. AIM: This article describes the development, implementation, and evaluation of a structural competency training for medical residents. SETTING: A California family medicine residency program serving a patient population predominantly (88 %) with income below 200 % of the federal poverty level...
November 28, 2016: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/27896691/a-pilot-study-of-the-chronology-of-present-illness-restructuring-the-hpi-to-improve-physician-cognition-and-communication
#10
Laura M Mazer, Tina Storage, Sylvia Bereknyei, Jeffrey Chi, Kelley Skeff
BACKGROUND: Patient history-taking is an essential clinical skill, with effects on diagnostic reasoning, patient-physician relationships, and more. We evaluated the impact of using a structured, timeline-based format, the Chronology of Present Illness (CPI), to guide the initial patient interaction. OBJECTIVE: To determine the feasibility and impact of the CPI on the patient interview, written notes, and communication with other providers. DESIGN: Internal medicine residents used the CPI during a 2-week night-float rotation...
November 28, 2016: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/27882515/collaborative-care-for-anxiety-what-s-inside-the-black-box-and-how-can-it-be-improved
#11
EDITORIAL
Peter Roy-Byrne
No abstract text is available yet for this article.
November 23, 2016: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/27882514/a-gay-couple-meets-their-mormon-doctor
#12
Patrick Hemming
No abstract text is available yet for this article.
November 23, 2016: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/27864785/isolation-precautions-for-hospitalized-patients-the-challenges-of-identifying-unintended-individual-consequences-and-measuring-the-prevention-of-community-harm
#13
EDITORIAL
Jason E Bowling, Barbara S Taylor
No abstract text is available yet for this article.
November 18, 2016: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/27864784/capsule-commentary-on-schiavoni-et-al-how-primary-care-physicians-integrate-price-information-into-clinical-decision-making
#14
Maria G Frank
No abstract text is available yet for this article.
November 18, 2016: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/27853916/comparing-strategies-for-lipid-lowering-in-argentina-an-analysis-from-the-cvd-policy-model-argentina
#15
Jonatan Konfino, Alicia Fernandez, Joanne Penko, Antoinette Mason, Eugenio Martinez, Pamela Coxson, David Heller, Andrew Moran, Kirsten Bibbins-Domingo, Eliseo J Pérez-Stable, Raul Mejía
INTRODUCTION: In Argentina, the national guidelines for lipid control emphasize the use of relatively inexpensive low- or moderate-potency statins by patients at high risk (>20 %) of a cardiovascular event. The objective of this study was to compare the impact and costs of the current national CVD prevention guidelines with regard to morbidity and mortality in Argentina with the impact and costs of three strategies that incorporate high-potency statins. METHODS: We used the CVD Policy Model-Argentina to model the proposed interventions...
November 16, 2016: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/27848189/the-impact-of-disability-and-social-determinants-of-health-on-condition-specific-readmissions-beyond-medicare-risk-adjustments-a-cohort-study
#16
Jennifer Meddings, Heidi Reichert, Shawna N Smith, Theodore J Iwashyna, Kenneth M Langa, Timothy P Hofer, Laurence F McMahon
BACKGROUND: Readmission rates after pneumonia, heart failure, and acute myocardial infarction hospitalizations are risk-adjusted for age, gender, and medical comorbidities and used to penalize hospitals. OBJECTIVE: To assess the impact of disability and social determinants of health on condition-specific readmissions beyond current risk adjustment. DESIGN, SETTING, AND PARTICIPANTS: Retrospective cohort study of Medicare patients using 1) linked Health and Retirement Study-Medicare claims data (HRS-CMS) and 2) Healthcare Cost and Utilization Project State Inpatient Databases (Florida, Washington) linked with ZIP Code-level measures from the Census American Community Survey (ACS-HCUP)...
November 15, 2016: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/27848188/improving-medication-adherence-keep-your-eyes-on-the-prize
#17
EDITORIAL
Zachary A Marcum, Walid F Gellad
No abstract text is available yet for this article.
November 15, 2016: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/27848187/racial-and-ethnic-disparities-in-diabetes-screening-between-asian-americans-and-other-adults-brfss-2012-2014
#18
Elizabeth L Tung, Arshiya A Baig, Elbert S Huang, Neda Laiteerapong, Kao-Ping Chua
BACKGROUND: Although Asian Americans are at high risk for type 2 diabetes, it is not known whether they are appropriately screened for this disease. OBJECTIVE: To assess racial and ethnic disparities in diabetes screening between Asian Americans and other adults. DESIGN: Analysis of pooled cross-sectional data from 45 U.S. states and territories using the 2012-2014 Behavioral Risk Factor Surveillance System. We calculated the weighted proportions of adults in each racial and ethnic group who received recommended diabetes screening...
November 15, 2016: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/27844261/evaluating-the-accountable-health-communities-demonstration-project
#19
Laura Gottlieb, Jeffrey D Colvin, Eric Fleegler, Danielle Hessler, Arvin Garg, Nancy Adler
Despite substantial evidence documenting the social patterning of disease, relatively little information is available on how the health care system can best intervene on social determinants to impact individual and population health. Announced in January 2016, the Centers for Medicare and Medicaid Innovation's (CMMI) Accountable Health Communities (AHC) initiative provides an important opportunity to improve the evidence base around integrated social and medical care delivery. To maximize learning from this large-scale demonstration, comprehensive evaluation efforts should focus on effectiveness and implementation research by supporting local, regional, and national studies across a range of outcomes...
November 14, 2016: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/27844260/breast-density-notification-legislation-and-breast-cancer-stage-at-diagnosis-early-evidence-from-the-seer-registry
#20
Ilana Richman, Steven M Asch, Eran Bendavid, Jay Bhattacharya, Douglas K Owens
BACKGROUND: Twenty-eight states have passed breast density notification laws, which require physicians to inform women of a finding of dense breasts on mammography. OBJECTIVE: To evaluate changes in breast cancer stage at diagnosis after enactment of breast density notification legislation. DESIGN: Using a difference-in-differences analysis, we examined changes in stage at diagnosis among women with breast cancer in Connecticut, the first state to enact legislation, compared to changes among women in control states...
November 14, 2016: Journal of General Internal Medicine
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