Triaging Inpatient Admissions: an Opportunity for Resident Education.

abstract：BACKGROUND:The risk of readmission varies among hospitals. This variation has led the Centers of Medicare and Medicaid services to reduce payments to hospitals with excess readmissions. The contribution of patient characteristics, hospital characteristics and provider type to the variation in risk of readmission among ...

journal_title：Journal of general internal medicine

authors： Singh S,Lin YL,Kuo YF,Nattinger AB,Goodwin JS

更新日期：2014-04-01 00:00:00

abstract：OBJECTIVE:To compare the efficacies and cost-effectiveness of four strategies for the management of suspected pedal osteomyelitis in the setting of vascular impairment: 1) therapeutic trial of short-term antibiotics for presumed cellulitis without osteomyelitis (short); 2) technetium bone scanning followed by either sh...

journal_title：Journal of general internal medicine

authors： Mushlin AI,Littenberg B

更新日期：1994-01-01 00:00:00

abstract：:Opioid dependence is largely an undertreated medical condition in the United States. The introduction of buprenorphine has created the potential to expand access to and use of opioid agonist treatment in generalist settings. Physicians, however, often have limited training and experience providing this type of care. S...

journal_title：Journal of general internal medicine

authors： Egan JE,Casadonte P,Gartenmann T,Martin J,McCance-Katz EF,Netherland J,Renner JA,Weiss L,Saxon AJ,Fiellin DA

更新日期：2010-09-01 00:00:00

abstract：OBJECTIVES:Among patients unlikely to attend a scheduled colonoscopy, we examined the impact of peer coach versus educational brochure support and compared these with concurrent patients who did not receive support. METHODS:From health system data, we identified 275 consecutive patients aged >50 who kept <75% of visit...

journal_title：Journal of general internal medicine

authors： Turner BJ,Weiner M,Berry SD,Lillie K,Fosnocht K,Hollenbeak CS

更新日期：2008-01-01 00:00:00

abstract：BACKGROUND:Our objective was to assess the performance of machine learning methods to predict post-operative delirium using a prospective clinical cohort. METHODS:We analyzed data from an observational cohort study of 560 older adults (≥ 70 years) without dementia undergoing major elective non-cardiac surgery. Post-op...

journal_title：Journal of general internal medicine

authors： Racine AM,Tommet D,D'Aquila ML,Fong TG,Gou Y,Tabloski PA,Metzger ED,Hshieh TT,Schmitt EM,Vasunilashorn SM,Kunze L,Vlassakov K,Abdeen A,Lange J,Earp B,Dickerson BC,Marcantonio ER,Steingrimsson J,Travison TG,Inouye SK

更新日期：2020-10-19 00:00:00

abstract：:One of the most significant changes in US hospitals over the past decade has been the emergence of hospitalists as key providers of inpatient care. The number of hospitalists in both community and teaching hospitals is growing rapidly, and as the field burgeons, many are questioning where hospitalists should reside wi...

journal_title：Journal of general internal medicine

authors： Flanders SA,Saint S,McMahon LF,Howell JD

更新日期：2008-08-01 00:00:00

abstract：:A lack of access to critical drugs in the USA, either due to exorbitant prices or shortages, has become a troubling norm that threatens the quality and safety of healthcare. In 2017, there were shortages of 146 commonly used drugs including electrolytes, chemotherapy, cardiovascular, and antibiotic agents. For example...

journal_title：Journal of general internal medicine

authors： Sivashanker K,Fanikos J,Kachalia A

更新日期：2018-11-01 00:00:00

abstract：BACKGROUND:Primary care providers (PCPs) have few tools for enhancing patient self-efficacy, a key mediator of myriad health-influencing behaviors. OBJECTIVE:To examine whether brief standardized patient instructor (SPI)-delivered training increases PCPs' use of self-efficacy-enhancing interviewing techniques (SEE IT)...

journal_title：Journal of general internal medicine

authors： Jerant A,Kravitz RL,Tancredi D,Paterniti DA,White L,Baker-Nauman L,Evans-Dean D,Villarreal C,Ried L,Hudnut A,Franks P

更新日期：2016-07-01 00:00:00

abstract：BACKGROUND:Heterogeneity of existing physician burnout studies impairs analyses of longitudinal trends, geographic distribution, and organizational factors impacting physician burnout. The Department of Veterans Affairs (VA) is one of the largest integrated healthcare systems in the USA, offering a unique opportunity t...

journal_title：Journal of general internal medicine

authors： Rinne ST,Mohr DC,Swamy L,Blok AC,Wong ES,Charns MP

更新日期：2020-05-01 00:00:00

abstract：INTRODUCTION:How can residency programs help trainees address conflicting emotions about their professional roles and cultivate a curiosity about their patients' lives beyond their diseases? We drew on the medical humanities to address these challenges by creating an intensive writing workshop for internal medicine res...

journal_title：Journal of general internal medicine

authors： Reisman AB,Hansen H,Rastegar A

更新日期：2006-10-01 00:00:00

abstract：BACKGROUND:Referral from primary care to the mental health specialty sector is important but poorly understood. OBJECTIVE:Identify physician characteristics influencing mental health referral. DESIGN:Randomized controlled trial using Standardized Patients (SPs). SETTING:Offices of primary care physicians in 3 cities...

journal_title：Journal of general internal medicine

authors： Kravitz RL,Franks P,Feldman M,Meredith LS,Hinton L,Franz C,Duberstein P,Epstein RM

更新日期：2006-06-01 00:00:00

abstract：BACKGROUND:Experts suggest an individualized approach to colon cancer screening to take into account variation in older adults' life expectancies and potential to benefit from screening. However, little is known about how physicians make decisions about colon cancer screening in adults age 75 and older. OBJECTIVE:To u...

journal_title：Journal of general internal medicine

authors： Lewis CL,Griffith J,Pignone MP,Golin C

更新日期：2009-07-01 00:00:00

abstract：OBJECTIVE:To assess the relationship between gender, background, and brief training and physicians' detection of and treatment for woman abuse. DESIGN:Quasi-experimental and correlational designs, plus control for background factors. SETTING:Two residency training programs: general internal medicine and family practi...

journal_title：Journal of general internal medicine

authors： Saunders DG,Kindy P Jr

更新日期：1993-11-01 00:00:00

abstract：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 desc...

journal_title：Journal of general internal medicine

authors： Gonzalo JD,Kuperman EF,Chuang CH,Lehman E,Glasser F,Abendroth T

更新日期：2015-12-01 00:00:00

abstract：OBJECTIVE:To determine whether the addition of Quick Medical Reference (QMR) to usual educational tools improves an intern's performance in managing clinical cases that test diagnostic and investigative skills. DESIGN:Randomized, controlled, single-blinded crossover study. SETTING:Tertiary care teaching hospital. SU...

journal_title：Journal of general internal medicine

authors： Bacchus CM,Quinton C,O'Rourke K,Detsky AS

更新日期：1994-11-01 00:00:00

abstract：OBJECTIVE:To describe how medical residents discuss do-not-resuscitate (DNR) orders with patients. DESIGN:Prospective observational study. SETTING:Inpatient medical wards of one university tertiary care center, one urban city public hospital, and one Veterans Affairs medical center. PARTICIPANTS:Thirty-one medical r...

journal_title：Journal of general internal medicine

authors： Tulsky JA,Chesney MA,Lo B

更新日期：1995-08-01 00:00:00

abstract：BACKGROUND:Network meta-analysis (NMA) is a popular tool to compare multiple treatments in medical research. It is frequently implemented via Bayesian methods. The prior choice of between-study heterogeneity is critical in Bayesian NMAs. This study evaluates the impact of different priors for heterogeneity on NMA resul...

journal_title：Journal of general internal medicine

authors： Rosenberger KJ,Xing A,Murad MH,Chu H,Lin L

更新日期：2021-01-05 00:00:00

abstract：BACKGROUND:Seasonal influenza vaccination is recommended for all adults; however, little is known about how primary care physicians can communicate effectively with patients about influenza vaccination. OBJECTIVE:To assess among general internal medicine (GIM) and family physicians (FP) regarding adult influenza vacci...

journal_title：Journal of general internal medicine

authors： Cataldi JR,O'Leary ST,Lindley MC,Hurley LP,Allison MA,Brtnikova M,Beaty BL,Crane LA,Kempe A

更新日期：2019-10-01 00:00:00

abstract：BACKGROUND:Patient-provider sexual risk behavior discussions occur infrequently but may be facilitated by high-quality sexual risk screening tools. OBJECTIVE:To develop the Sexual Risk Behavior Inventory (SRBI), a brief computer-administered patient-reported measure. DESIGN:Qualitative item development/quantitative i...

journal_title：Journal of general internal medicine

authors： Fredericksen RJ,Mayer KH,Gibbons LE,Edwards TC,Yang FM,Walcott M,Brown S,Dant L,Loo S,Gutierrez C,Paez E,Fitzsimmons E,Wu AW,Mugavero MJ,Mathews WC,Lober WB,Kitahata MM,Patrick DL,Crane PK,Crane HM

更新日期：2018-10-01 00:00:00

abstract：BACKGROUND:Medical weblogs ("blogs") have emerged as a new connection between health professionals and the public. OBJECTIVE:To examine the scope and content of medical blogs and approximate how often blog authors commented about patients, violated patient privacy, or displayed a lack of professionalism. DESIGN:We de...

journal_title：Journal of general internal medicine

authors： Lagu T,Kaufman EJ,Asch DA,Armstrong K

更新日期：2008-10-01 00:00:00

abstract：:Community health centers (CHCs) provide primary care for underserved children and adults. The Patient Protection and Affordable Care Act (ACA) aimed to strengthen the CHC network by increasing federal funds and expanding Medicaid eligibility. The ACA also aimed to boost preventive and mental health services and to red...

journal_title：Journal of general internal medicine

authors： Tilhou AS,Huguet N,DeVoe J,Angier H

更新日期：2020-04-01 00:00:00

abstract：OBJECTIVE:To examine the relationship between resident physicians' perceptions of their preventive cardiology practices and a chart audit assessment of their documented services. DESIGN:A criterion standard comparison of two methods used to assess resident physicians' practices: self-report and chart audit. SETTING:P...

journal_title：Journal of general internal medicine

authors： Leaf DA,Neighbor WE,Schaad D,Scott CS

更新日期：1995-04-01 00:00:00

abstract：OBJECTIVE:To examine changes in the quality of primary care experienced and reported by Medicare beneficiaries from 1998 to 2000. DESIGN:Longitudinal observational study. SETTING:Thirteen states with large, mature Medicare HMO markets. PARTICIPANTS:Probability sample of noninstitutionalized Medicare beneficiaries ag...

journal_title：Journal of general internal medicine

authors： Montgomery JE,Irish JT,Wilson IB,Chang H,Li AC,Rogers WH,Safran DG

更新日期：2004-10-01 00:00:00

abstract：BACKGROUND:Few studies have examined the impact of inpatient interpreter use for limited English proficient (LEP) patients on length of stay (LOS), 30-day post discharge emergency department (ED) visits and 30-day hospital readmission rates for LEP patients. METHODS:A retrospective cohort analysis was conducted of all...

journal_title：Journal of general internal medicine

authors： López L,Rodriguez F,Huerta D,Soukup J,Hicks L

更新日期：2015-06-01 00:00:00

abstract：BACKGROUND:Heart disease is the leading cause of death for women in the United States, accounting for 24.5 % of all deaths among women. Earlier research has demonstrated racial/ethnic differences in prevalence of cardiovascular (CVD) risk factors. OBJECTIVE:To empirically examine the prevalence of CVD risk factors amo...

journal_title：Journal of general internal medicine

authors： Rose DE,Farmer MM,Yano EM,Washington DL

更新日期：2013-07-01 00:00:00

abstract：:This paper deals with the varied sites and teachers that can and should be used in educating residents and medical students in ambulatory care. A basic premise is that sites other than academic medical centers and teachers other than physician faculty members should be among those used. The paper describes how institu...

journal_title：Journal of general internal medicine

authors： Halperin AK,Kaufman A

更新日期：1990-01-01 00:00:00

abstract：BACKGROUND:Depression is common among older patients yet is often inadequately treated. Patient beliefs about antidepressants are known to affect treatment initiation and adherence, but are often not expressed in clinical settings. OBJECTIVE:To explore attitudes toward antidepressants in a sample of depressed, communi...

journal_title：Journal of general internal medicine

authors： Givens JL,Datto CJ,Ruckdeschel K,Knott K,Zubritsky C,Oslin DW,Nyshadham S,Vanguri P,Barg FK

更新日期：2006-02-01 00:00:00

abstract：BACKGROUND:National guidelines make recommendations regarding the initial opioid prescriptions, but most of the supporting evidence is from the initial episode of care, not the first prescription. OBJECTIVE:To examine associations between features of the first opioid prescription and high-risk opioid use in the 18 mon...

journal_title：Journal of general internal medicine

authors： Zhang Y,Johnson P,Jeng PJ,Reid MC,Witkin LR,Schackman BR,Ancker JS,Bao Y

更新日期：2018-12-01 00:00:00

abstract：BACKGROUND:Patients and healthcare stakeholders are increasingly becoming engaged in the planning and conduct of biomedical research. However, limited research characterizes this process or its impact. OBJECTIVE:We aimed to characterize patient and stakeholder engagement in the 50 Pilot Projects funded by the Patient-...

journal_title：Journal of general internal medicine

authors： Forsythe LP,Ellis LE,Edmundson L,Sabharwal R,Rein A,Konopka K,Frank L

更新日期：2016-01-01 00:00:00

abstract：BACKGROUND:We sought to examine the relationship between literacy and heart failure-related quality of life (HFQOL), and to explore whether literacy-related differences in knowledge, self-efficacy and/or self-care behavior explained the relationship. METHODS:We recruited patients with symptomatic heart failure (HF) fr...

journal_title：Journal of general internal medicine

authors： Macabasco-O'Connell A,DeWalt DA,Broucksou KA,Hawk V,Baker DW,Schillinger D,Ruo B,Bibbins-Domingo K,Holmes GM,Erman B,Weinberger M,Pignone M

更新日期：2011-09-01 00:00:00