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Journal of General Internal Medicine

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https://www.readbyqxmd.com/read/29453528/longitudinal-analysis-of-racial-ethnic-trends-in-quality-outcomes-in-community-health-centers-2009-2014
#1
Megan B Cole, Brad Wright, Ira B Wilson, Omar Galárraga, Amal N Trivedi
BACKGROUND: To monitor progress towards eliminating health disparities, community health centers have reported on hypertension control, diabetes control, and birthweight by race and ethnicity since 2008. OBJECTIVE: To evaluate racial/ethnic time trends in quality outcomes in health centers and to assess both within- and between-center disparities in outcomes. DESIGN AND SAMPLE: Using 2009-2014 data from all US health centers (n = 1047 centers, serving 19...
February 16, 2018: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/29450688/capsule-commentary-on-robinson-et-al-a-randomized-trial-on-the-efficacy-of-mastery-learning-on-primary-care-providers-melanoma-opportunistic-screening-skills-and-practice
#2
Ambarish M Athavale
No abstract text is available yet for this article.
February 15, 2018: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/29450687/lethal-talk
#3
J Trig Brown
No abstract text is available yet for this article.
February 15, 2018: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/29450686/capsule-commentary-on-goddu-et-al-do-words-matter-stigmatizing-language-and-the-transmission-of-bias-in-the-medical-record
#4
Jason Schnittker
No abstract text is available yet for this article.
February 15, 2018: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/29450685/reducing-long-term-opioid-use-in-the-veterans-health-administration
#5
EDITORIAL
Taeko Minegishi, Austin Frakt
No abstract text is available yet for this article.
February 15, 2018: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/29450684/application-and-impact-of-run-in-studies
#6
Michael Fralick, Jerry Avorn, Jessica M Franklin, Abdurrahman Abdurrob, Aaron S Kesselheim
BACKGROUND: A run-in phase is often employed prior to randomization in a clinical trial to exclude non-adherent patients, placebo responders, active drug non-responders, or patients who do not tolerate the active drug. This may impact the generalizability of trial results. OBJECTIVE: To determine if clinical outcomes differed between randomized controlled trials with run-in phases compared with randomized controlled trials of the same medication without run-in phases...
February 15, 2018: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/29445975/factors-of-u-s-hospitals-associated-with-improved-profit-margins-an-observational-study
#7
Dan P Ly, David M Cutler
BACKGROUND: Hospitals face financial pressure from decreased margins from Medicare and Medicaid and lower reimbursement from consolidating insurers. OBJECTIVES: The objectives of this study are to determine whether hospitals that became more profitable increased revenues or decreased costs more and to examine characteristics associated with improved financial performance over time. DESIGN: The design of this study is retrospective analyses of U...
February 14, 2018: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/29435728/professionalism-framings-across-medical-schools
#8
Emma P DeLoughery
No abstract text is available yet for this article.
February 12, 2018: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/29435727/gendered-expectations-do-they-contribute-to-high-burnout-among-female-physicians
#9
Mark Linzer, Eileen Harwood
Patients have differing expectations of female versus male physicians. Female patients tend to seek more empathic listening and longer visits, especially with female physicians; however, female doctors are not provided more time for this. Female doctors have more female patients than male doctors, and more patients with psychosocial complexity. We propose that gender differences in patient panels and gendered expectations of female physicians may contribute to the high rate of burnout among female clinicians, as well as to the many female physicians working part-time to reduce stress in their work lives...
February 12, 2018: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/29427179/evaluating-the-quality-of-patient-decision-making-regarding-post-acute-care
#10
Robert E Burke, Jacqueline Jones, Emily Lawrence, Amy Ladebue, Roman Ayele, Chelsea Leonard, Brandi Lippmann, Daniel D Matlock, Rebecca Allyn, Ethan Cumbler
BACKGROUND: Despite a national focus on post-acute care brought about by recent payment reforms, relatively little is known about how hospitalized older adults and their caregivers decide whether to go to a skilled nursing facility (SNF) after hospitalization. OBJECTIVE: We sought to understand to what extent hospitalized older adults and their caregivers are empowered to make a high-quality decision about utilizing an SNF for post-acute care and what contextual or process elements led to satisfaction with the outcome of their decision once in SNF...
February 9, 2018: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/29427178/the-effectiveness-of-self-management-interventions-for-individuals-with-low-health-literacy-and-or-low-income-a-descriptive-systematic-review
#11
Jamie Schaffler, Katerina Leung, Sarah Tremblay, Laura Merdsoy, Eric Belzile, Angella Lambrou, Sylvie D Lambert
BACKGROUND: With the burden of chronic illness increasing globally, self-management is a crucial strategy in reducing healthcare costs and increasing patient quality of life. Low income and low health literacy are both associated with poorer health outcomes and higher rates of chronic disease. Thus, self-management represents an important healthcare strategy for these populations. The purpose of this study is to review self-management interventions in populations with low income or low health literacy and synthesize the efficacy of these interventions...
February 9, 2018: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/29427177/trends-in-diabetes-treatment-and-monitoring-among-medicare-beneficiaries
#12
Bruce E Landon, Alan M Zaslavsky, Jeffrey Souza, John Z Ayanian
BACKGROUND: Diabetes is a costly and common condition, but little is known about recent trends in diabetes management among Medicare beneficiaries. OBJECTIVE: To evaluate the use of diabetes medications and testing supplies among Medicare beneficiaries. DESIGN/SETTING: Retrospective cohort analysis of Medicare claims from 2007 to 2014. PARTICIPANTS: Traditional Medicare beneficiaries with a diagnosis of diabetes in the current or any prior year...
February 9, 2018: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/29423628/keys-to-career-success-resources-and-barriers-identified-by-early-career-academic-hospitalists
#13
Ethan Cumbler, Patrick Rendón, Essey Yirdaw, Patrick Kneeland, Read Pierce, Christine D Jones, Carrie Herzke
No abstract text is available yet for this article.
February 8, 2018: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/29423627/general-internists-in-pursuit-of-diagnostic-excellence-in-primary-care-a-proudtobegim-thread-that-unites-us-all
#14
EDITORIAL
Janice L Kwan, Hardeep Singh
No abstract text is available yet for this article.
February 8, 2018: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/29423626/dangers-and-opportunities-of-direct-to-consumer-advertising
#15
EDITORIAL
Natasha Parekh, William H Shrank
No abstract text is available yet for this article.
February 8, 2018: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/29423625/capsule-commentary-on-ratcliffe-et-al-service-and-education-the-association-between-workload-patient-complexity-and-teaching-on-internal-medicine-inpatient-services
#16
Tyler J Albert
No abstract text is available yet for this article.
February 8, 2018: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/29423624/treatment-initiation-for-new-episodes-of-depression-in-primary-care-settings
#17
Beth Waitzfelder, Christine Stewart, Karen J Coleman, Rebecca Rossom, Brian K Ahmedani, Arne Beck, John E Zeber, Yihe G Daida, Connie Trinacty, Samuel Hubley, Gregory E Simon
BACKGROUND: Depression is prevalent and costly, but despite effective treatments, is often untreated. Recent efforts to improve depression care have focused on primary care settings. Disparities in treatment initiation for depression have been reported, with fewer minority and older individuals starting treatment. OBJECTIVE: To describe patient characteristics associated with depression treatment initiation and treatment choice (antidepressant medications or psychotherapy) among patients newly diagnosed with depression in primary care settings...
February 8, 2018: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/29423623/women-s-healthcare-utilization-following-routine-screening-for-past-year-intimate-partner-violence-in-the-veterans-health-administration
#18
Melissa E Dichter, Anneliese E Sorrentino, Terri N Haywood, Scarlett L Bellamy, Elina Medvedeva, Christopher B Roberts, Katherine M Iverson
BACKGROUND: Experience of intimate partner violence (IPV) can have adverse health impacts and has been associated with elevated rates of healthcare service utilization. Healthcare encounters present opportunities to identify IPV-related concerns and connect patients with services. The Veterans Health Administration (VHA) conducts IPV screening within an integrated healthcare system. OBJECTIVE: The objectives of this study were to compare service utilization in the 6 months following IPV screening between those screening positive and negative for past-year IPV (IPV+, IPV-) and to examine the timing and types of healthcare services accessed among women screening IPV+...
February 8, 2018: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/29423622/capsule-commentary-on-landon-et-al-trends-in-diabetes-treatment-and-monitoring-among-medicare-beneficiaries
#19
Seth A Berkowitz
No abstract text is available yet for this article.
February 8, 2018: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/29417461/individualizing-psa-monitoring-among-older-prostate-cancer-survivors
#20
Ying Shi, Kathy Z Fung, W John Boscardin, Sarah Ngo, Stephen J Freedland, Melisa L Wong, Louise C Walter
No abstract text is available yet for this article.
February 7, 2018: Journal of General Internal Medicine
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