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Randomized Trial of Chronic Pain Self-Management Program in the Community or Clinic for Low-Income Primary Care Patients

Background Patients with chronic pain often lack the skills and resources necessary to manage this disease. Objective To develop a chronic pain self-management program reflecting community stakeholders’ priorities and to compare functional outcomes from training in two settings. Design A parallel-group randomized trial. Participants Eligible subjects were 35–70 years of age, with...

Recruiting Rural Healthcare Providers Today: a Systematic Review of Training Program Success and Determinants of Geographic Choices

Background Rural areas have historically struggled with shortages of healthcare providers; however, advanced communication technologies have transformed rural healthcare, and practice in underserved areas has been recognized as a policy priority. This systematic review aims to assess reasons for current providers’ geographic choices and the success of training programs aimed at...

Navigating Language Barriers: A Systematic Review of Patient Navigators’ Impact on Cancer Screening for Limited English Proficient Patients

OBJECTIVES To systematically review the literature on the impact of patient navigators on cancer screening for limited English proficient (LEP) patients. DATA SOURCES Electronic databases (PubMed, PsycINFO via OVID, Web of Science, Cochrane, EMBASE, and Scopus) through 8 May 2015. ELIGIBILITY CRITERIA Articles in this review had: (1) a study population of LEP patients eligible...

Frontline Account: Physician Partners: An Antidote to the Electronic Health Record

acknowledge the David Geffen School of Medicine at UCLA, Department of Medicine, for supporting staff involvement in the UCLA Physician Partner program. We acknowledge Krisan May Soriano, BS, LVN, and Anna ... -Marie Hosking, BS, in their roles as Physician Partners. Compliance with Ethical Standards: Funding Sources: This study was supported in part by grant 5P30AG028748 from the UCLA Claude Pepper Older

Capsule Commentary on Peterson et al., "Financial Exploitation of Older Adults: A Population Based Prevalence Study"

Chris Strouse 0 Jennifer Gomulka 0 BS 0 0 Medical College of Wisconsin , Milwaukee, WI, USA Corresponding Author: Chris Strouse, MD; Medical College of Wisconsin, Milwaukee, WI 53226, USA (e-mail

Defining Appropriate Use of Proton-Pump Inhibitors Among Medical Inpatients

BACKGROUND Proton-pump inhibitors (PPIs) are commonly used among medical inpatients, both for prophylaxis against upper gastrointestinal bleeding (UGIB) and continuation of outpatient use. While PPIs reduce the risk of UGIB, they also appear to increase the risk of hospital-acquired pneumonia (HAP) and Clostridium difficile infection (CDI). Depending upon the underlying risks of...

Cost of Transformation among Primary Care Practices Participating in a Medical Home Pilot

Background Medical home initiatives encourage primary care practices to invest in new structural capabilities such as patient registries and information technology, but little is known about the costs of these investments. Objectives To estimate costs of transformation incurred by primary care practices participating in a medical home pilot. Design We interviewed practice leaders...

Use of Video Decision Aids to Promote Advance Care Planning in Hilo, Hawai‘i

Introduction Advance care planning (ACP) seeks to promote care delivery that is concordant with patients’ informed wishes. Scalability and cost may be barriers to widespread ACP, and video decision aids may help address such barriers. Aim Our primary hypothesis was that ACP documentation would increase in Hilo after ACP video implementation. Secondary hypotheses included...

Capsule Commentary on Ackerman et al., When to Repatriate? Clinicians’ Perspectives on the Transfer of Patient Management from Specialty to Primary Care

Jeffrey L Jackson 0 Ketan Nadkarni 0 BS 0 0 Medical College of Wisconsin , Milwaukee, WI, USA Corresponding Author: Jeffrey L Jackson, MD MPH; Medical College of Wisconsin, Milwaukee, WI, USA (e

Cost-Effectiveness of Primary HPV Testing, Cytology and Co-testing as Cervical Cancer Screening for Women Above Age 30 Years

following individuals contributed to acquisition of data: Jacqueline Fox, RN, BSN; Pamela Mason, RN, BSN, MBA; Fabrizio Galimberti, PhD; Yumeng Li, BS; Yue Zhao, BS; Joanna Zhou, BS; Mir Lim; Shoshana Weiner

Health Literacy and the Digital Divide Among Older Americans

Background Among the requirements for meaningful use of electronic medical records (EMRs) is that patients must be able to interact online with information from their records. However, many older Americans may be unprepared to do this, particularly those with low levels of health literacy. Objective The purpose of the study was to quantify the relationship between health literacy...

Health Conditions and Functional Status in Adults with Autism: A Cross-Sectional Evaluation

BS 0 Philip W. Davidson 0 0 Division of Neurodevelopmental and Behavioral Pediatrics, Department of Pediatrics, University of Rochester School of Medicine and Dentistry , Rochester, NY , USA 1 Center

Individual Versus Team-Based Financial Incentives to Increase Physical Activity: A Randomized, Controlled Trial

BACKGROUND More than half of adults in the United States do not attain the minimum recommended level of physical activity to achieve health benefits. The optimal design of financial incentives to promote physical activity is unknown. OBJECTIVE To compare the effectiveness of individual versus team-based financial incentives to increase physical activity. DESIGN Randomized...

Effect of Attending Practice Style on Generic Medication Prescribing by Residents in the Clinic Setting: An Observational Study

Background Despite increased emphasis on cost-consciousness in graduate medical training, there is little empirical evidence of the role of attending physician supervision on resident practice in this area. Objective To study whether the prescribing practices of attendings influence residents’ prescribing of brand-name statin medications in the ambulatory clinic setting. Design...