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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 for ...

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

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 increased ...

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

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 ...

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

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

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, ...

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

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 ...

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 and ...

Disentangling the Linkage of Primary Care Features to Patient Outcomes: A Review of Current Literature, Data Sources, and Measurement Needs

Primary care plays a central role in the provision of health care, and is an organizing feature for health care delivery systems in most Western industrialized democracies. For a variety of reasons, however, the practice of primary care has been in decline in the U.S. This paper reviews key primary care concepts and their definitions, notes the increasingly complex interplay ...

Impact of an Overnight Internal Medicine Academic Hospitalist Program on Patient Outcomes

Background Many academic hospitals have implemented overnight hospitalists to supervise house staff and improve outcomes, but few studies have described the impact of this role. Objective To investigate the effect of an overnight academic hospitalist program on patient-level outcomes. Secondary objectives were to describe the program’s revenue generation and work tasks. Design ...

Community-Acquired Pneumonia and Proton Pump Inhibitors

To the Editors:—We read with interest the article by Jena and colleagues regarding the possibility of residual confounding in the association of proton pump inhibitors (PPIs) and community-acquired pneumonia (CAP).1 Specifically, we appreciated the argument for “falsification analysis,” which Jena has discussed elsewhere.2The notion that a hypothesized causal relationship between ...