Abstract：
:Implementation science is focused on developing and evaluating methods to reduce gaps between research and practice. As healthcare organizations become increasingly accountable for equity, quality, and value, attention has been directed to identifying specific implementation strategies that can accelerate the adoption of evidence-based therapies into clinical practice. In this perspective, we offer three simple, practical strategies that can be used by frontline healthcare providers who are involved in on-the-ground implementation: people (stakeholder) engagement, process mapping, and problem solving. As a use case example, we describe the iterative application of these strategies to the implementation of a new home sleep apnea testing program for patients in the Veterans Health Administration (VA) healthcare system.
journal_name
J Gen Intern Medjournal_title
Journal of general internal medicineauthors
Lu AD,Kaul B,Reichert J,Kilbourne AM,Sarmiento KF,Whooley MAdoi
10.1007/s11606-020-06169-3subject
Has Abstractpub_date
2020-09-11 00:00:00eissn
0884-8734issn
1525-1497pii
10.1007/s11606-020-06169-3pub_type
社论abstract：OBJECTIVE:To determine whether internists in the United States and China have different ideas and behaviors regarding informing patients of terminal diagnoses and HIV/AIDS, the role of the family in end-of-life decision making, and assisted suicide. DESIGN:Structured questionnaire of clinical vignettes followed by mul...
journal_title：Journal of general internal medicine
pub_type： 杂志文章
doi：10.1046/j.1525-1497.1999.06318.x
更新日期：1999-08-01 00:00:00
abstract：BACKGROUND:Potentially preventable admissions are a target for healthcare cost containment. OBJECTIVE:To identify rates of, characterize associations with, and explore physician decision-making around potentially preventable admissions. DESIGN:A comparative cohort study was used to determine rates of potentially prev...
journal_title：Journal of general internal medicine
pub_type： 杂志文章
doi：10.1007/s11606-017-4285-6
更新日期：2018-05-01 00:00:00
abstract：BACKGROUND:Healthcare providers use a life expectancy of at least 5 to 10 years in shared clinical decision-making with older adults about cancer screening, major surgeries, and disease prevention interventions. At present, few prognostic indexes predict long-term mortality beyond 10 years or are suited for use in prim...
journal_title：Journal of general internal medicine
pub_type： 杂志文章
doi：10.1007/s11606-020-06132-2
更新日期：2020-08-20 00:00:00
abstract：:To evaluate the performance of serum iron studies as a diagnostic test for iron-deficiency anemia in a county hospital, the authors identified retrospectively all general medicine patients who had had bone-marrow aspirates for the work-up of non-macrocytic anemias from 1978 through 1983. Re-reading a sample of aspirat...
journal_title：Journal of general internal medicine
pub_type： 杂志文章
doi：10.1007/BF02596144
更新日期：1987-05-01 00:00:00
abstract：BACKGROUND:Patient-centered medical home (PCMH) models of primary care have the potential to expand access, improve population health, and lower costs. Federally qualified health centers (FQHCs) were early adopters of PCMH models. OBJECTIVE:We measured PCMH capabilities in a diverse nationwide sample of FQHCs and asse...
journal_title：Journal of general internal medicine
pub_type： 杂志文章
doi：10.1007/s11606-017-4078-y
更新日期：2017-09-01 00:00:00
abstract：BACKGROUND:For patients with peripheral arterial disease (PAD), depression is associated with worse patency and recurrent symptoms in the treated leg, but its association with death or cardiovascular events in other vascular beds is unknown. OBJECTIVE:To assess the association between depression and mortality or cardi...
journal_title：Journal of general internal medicine
pub_type： 杂志文章
doi：10.1007/s11606-008-0560-x
更新日期：2008-05-01 00:00:00
abstract：OBJECTIVE:Determine relationships between age, self-reported health, and satisfaction in a large cohort of hospitalized patients. DESIGN:Cross-sectional survey. SETTING:Thirty-one hospitals in a large Midwestern metropolitan area. PATIENTS/PARTICIPATION: Randomly selected medical and surgical patients (N = 64,900; me...
journal_title：Journal of general internal medicine
pub_type： 杂志文章,多中心研究
doi：10.1046/j.1525-1497.2003.20114.x
更新日期：2003-01-01 00:00:00
abstract：:Chronic eosinophilic pneumonia (CEP) is a rare interstitial lung disease characterized by subacute dyspnea, peripheral infiltrates on imaging, and pulmonary eosinophilia. We report a case of a 48-year-old man who presented to a "minute clinic" with cough and dyspnea. After improvement on a short course of steroids for...
journal_title：Journal of general internal medicine
pub_type： 杂志文章
doi：10.1007/s11606-012-2316-x
更新日期：2013-07-01 00:00:00
abstract：:We designed a questionnaire survey to study internal medicine residents' plans to use a chaperone during the pelvic, breast, rectal, and testicular examinations. We found chaperone use by male and female residents differed markedly, and neither group planned to use chaperones universally. When examining female patient...
journal_title：Journal of general internal medicine
pub_type： 杂志文章
doi：10.1046/j.1525-1497.2000.10006.x
更新日期：2000-08-01 00:00:00
abstract：:In rare cases, pancytopenia results from hormonal deficiencies that arise in the setting of panhypopituitarism. Here we describe the unusual case of a 60-year-old man who presented with progressive fatigue and polyuria, and whose laboratory workup revealed a deficiency of the five hormones associated with the action o...
journal_title：Journal of general internal medicine
pub_type： 杂志文章,评审
doi：10.1007/s11606-014-3161-x
更新日期：2015-05-01 00:00:00
abstract：BACKGROUND:The permanent supported housing model is known to improve housing outcomes, but there has been sparse research on the effects of supported housing on physical health. Various organizations including the National Academy of Sciences have called for research in this area. OBJECTIVE:This observational multi-si...
journal_title：Journal of general internal medicine
pub_type： 杂志文章,多中心研究
doi：10.1007/s11606-019-05070-y
更新日期：2019-09-01 00:00:00
abstract：:Three hundred ninety-one cases of chronic lymphocytic leukemia (CLL) from the Tumour Registry of Manitoba, spanning a 20-year period from January 1960 to December 1979, were reviewed. Survival curves were developed using the staging systems of Rai and Binet. A clear separation in survival was found utilizing the syste...
journal_title：Journal of general internal medicine
pub_type： 杂志文章
doi：10.1007/BF02596118
更新日期：1988-03-01 00:00:00
abstract：:In the HTML version of this paper, Ms. Goddu was incorrectly listed. The correct citation should be AP Goddu. Exposure to the stigmatizing language note was associated with more negative attitudes towards the patient (20.3 stigmatizing vs. 25.1 neutral, p < 0.001). Reading the stigmatizing language note was associated...
journal_title：Journal of general internal medicine
pub_type： 已发布勘误
doi：10.1007/s11606-018-4583-7
更新日期：2019-01-01 00:00:00
abstract：OBJECTIVES:To review systematically the evidence about what factors influence the decision to choose or not choose a career in academic medicine. DESIGN:A systematic review of relevant literature from 1990 to May 2005. DATA SOURCES:Searches of The Cochrane Library, Medline (using Ovid and PubMed) from 1990 to May 200...
journal_title：Journal of general internal medicine
pub_type： 杂志文章,评审
doi：10.1111/j.1525-1497.2006.00599.x
更新日期：2006-12-01 00:00:00
abstract：BACKGROUND:African Americans suffer more than non-Hispanic whites from type 2 diabetes, but diabetes self-management education (DSME) has been less effective at improving glycemic control for African Americans. Our objective was to determine whether a novel, culturally tailored DSME intervention would result in sustain...
journal_title：Journal of general internal medicine
pub_type： 杂志文章,多中心研究,随机对照试验
doi：10.1007/s11606-019-04894-y
更新日期：2019-07-01 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
pub_type： 杂志文章
doi：10.1111/j.1525-1497.2004.30381.x
更新日期：2004-10-01 00:00:00
abstract：BACKGROUND:Little is known about how providers communicate recommendations when scientific uncertainty exists. OBJECTIVES:To compare provider recommendations to those in the scientific literature, with a focus on whether uncertainty was communicated. DESIGN:Qualitative (inductive systematic content analysis) and quan...
journal_title：Journal of general internal medicine
pub_type： 杂志文章
doi：10.1007/s11606-016-3667-5
更新日期：2016-08-01 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
pub_type： 杂志文章
doi：10.1007/s11606-019-05164-7
更新日期：2019-10-01 00:00:00
abstract：OBJECTIVE:Adherence to combination antiretroviral therapy is critical for clinical and virologic success in HIV-infected patients. To combat poor adherence, clinicians must identify nonadherent patients so they can implement interventions. However, little is known about the accuracy of these assessments. We sought to d...
journal_title：Journal of general internal medicine
pub_type： 杂志文章
doi：10.1046/j.1525-1497.2002.09004.x
更新日期：2002-01-01 00:00:00
abstract：OBJECTIVE:We examined the clinical utility of supplementing type 2 diabetes mellitus (DM) risk counseling with DM genetic test results and counseling. RESEARCH DESIGN AND METHODS:In this randomized controlled trial, non-diabetic overweight/obese veteran outpatients aged 21 to 65 years received DM risk estimates for li...
journal_title：Journal of general internal medicine
pub_type： 杂志文章,随机对照试验
doi：10.1007/s11606-015-3315-5
更新日期：2015-11-01 00:00:00
abstract：BACKGROUND:Racial/ethnic minority patients are more likely to report experiences with discrimination in the healthcare setting, potentially leading to reduced access to appropriate care; however, few studies evaluate reports of discrimination with objectively measured quality of care indicators. OBJECTIVE:To evaluate ...
journal_title：Journal of general internal medicine
pub_type： 杂志文章,随机对照试验
doi：10.1007/s11606-011-1729-2
更新日期：2011-10-01 00:00:00
abstract：BACKGROUND:The shortage of primary care providers and the provisions of the Affordable Care Act (ACA) have spurred discussion about expanding the number, scope of practice (SOP), and independence of primary care nurse practitioners (NPs). Such discussions in the media and among professional organizations may insinuate ...
journal_title：Journal of general internal medicine
pub_type： 杂志文章
doi：10.1007/s11606-016-3896-7
更新日期：2017-03-01 00:00:00
abstract：BACKGROUND:The case presentation is a fundamental activity used in both patient care and trainee education, partly due to feedback from supervisor to trainee. Although feedback in medical education is well studied, prior studies have not focused on the perceptions of feedback by Internal Medicine supervisors and traine...
journal_title：Journal of general internal medicine
pub_type： 杂志文章
doi：10.1007/s11606-019-05134-z
更新日期：2019-10-01 00:00:00
abstract：BACKGROUND:The University of California, Los Angeles (UCLA)/Charles R. Drew University Medical Education Program was developed to train physicians for practice in underserved areas. The UCLA/Drew Medical Education Program students receive basic science instruction at UCLA and complete their required clinical rotations ...
journal_title：Journal of general internal medicine
pub_type： 杂志文章
doi：10.1007/s11606-007-0154-z
更新日期：2007-05-01 00:00:00
abstract：BACKGROUND:Beta-blockers have been shown to improve survival in patients with congestive heart failure (CHF). However, few studies have looked at the effects of these medications specifically in women. OBJECTIVE:To determine the effectiveness of beta-blockers in women with CHF. PATIENTS:We conducted a retrospective c...
journal_title：Journal of general internal medicine
pub_type： 杂志文章
doi：10.1007/s11606-007-0197-1
更新日期：2007-07-01 00:00:00
abstract：:While great strides have been made recently in improving end-of-life care in the United States, people with dementia often die with inadequate pain control, with feeding tubes in place, and without the benefits of hospice care. In this paper, we discuss the most important and persistent challenges to providing excelle...
journal_title：Journal of general internal medicine
pub_type： 杂志文章,评审
doi：10.1111/j.1525-1497.2004.30329.x
更新日期：2004-10-01 00:00:00
abstract：BACKGROUND:Whether having a stable and predictable lifestyle is associated with health care use and health status among HIV patients is unknown. OBJECTIVE:To develop and test the reliability and validity of a measure of life chaos for adults with HIV and examine its association with health care use and health status. ...
journal_title：Journal of general internal medicine
pub_type： 杂志文章
doi：10.1007/s11606-007-0265-6
更新日期：2007-09-01 00:00:00
abstract：BACKGROUND:Entry into general internal medicine (GIM) has declined. The effect of the inpatient general medicine rotation on medical student career choices is uncertain. OBJECTIVE:To assess the effect of student satisfaction with the inpatient general medicine rotation on pursuit of a career in GIM. DESIGN:Multicente...
journal_title：Journal of general internal medicine
pub_type： 杂志文章,多中心研究
doi：10.1111/j.1525-1497.2006.00429.x
更新日期：2006-05-01 00:00:00
abstract：BACKGROUND:Little is known about how primary care clinicians (PCCs) approach chronic pain management in the current climate of rapidly changing guidelines and the growing body of research about risks and benefits of opioid therapy. OBJECTIVE:To better understand PCCs' approaches to managing patients with chronic pain ...
journal_title：Journal of general internal medicine
pub_type： 杂志文章
doi：10.1007/s11606-020-06178-2
更新日期：2020-12-01 00:00:00
abstract：OBJECTIVE:To determine patient characteristics associated with patient and proxy perceptions of physicians' recommendations for life-prolonging care versus comfort care, and with acceptance of such recommendations. DESIGN:Cross-sectional. SETTING:Five teaching hospitals in Denver, Colo. PATIENTS:We studied 239 hospi...
journal_title：Journal of general internal medicine
pub_type： 杂志文章,多中心研究
doi：10.1111/j.1525-1497.2000.07004.x
更新日期：2000-04-01 00:00:00
