abstract：PURPOSE:Middle-aged men are at high risk of suicide. While about half of those who kill themselves visit a primary care clinician (PCC) shortly before death, in current practice, few spontaneously disclose their thoughts of suicide during the visits, and PCCs seldom inquire about such thoughts. In a randomized controll...

journal_title：Journal of general internal medicine

authors： Jerant A,Duberstein P,Kravitz RL,Stone DM,Cipri C,Franks P

更新日期：2020-07-01 00:00:00

abstract：BACKGROUND:Decisions to limit use of life-sustaining treatment occur frequently during hospitalizations, and portable medical orders (also known as Portable Orders for Life-Sustaining Treatment (POLST)) can ensure that patient preferences regarding resuscitation are followed after discharge. OBJECTIVE:To determine the...

journal_title：Journal of general internal medicine

authors： Rubins JB

更新日期：2020-07-01 00:00:00

abstract：BACKGROUND:To date, 38 states have enacted dense breast notification (DBN) laws mandating that mammogram reports include language informing women of risks related to dense breast tissue. OBJECTIVE:Nationally representative survey to assess the association between residing in a state with a DBN law and women's awarenes...

journal_title：Journal of general internal medicine

authors： Kyanko KA,Hoag J,Busch SH,Aminawung JA,Xu X,Richman IB,Gross CP

更新日期：2020-07-01 00:00:00

abstract：BACKGROUND:Social connectedness exerts strong influences on health, including major depression and suicide. A major component of social connectedness is having individual relationships with close supports, romantic partners, and other trusted members of one's social network. OBJECTIVE:The objective of this study was t...

journal_title：Journal of general internal medicine

authors： Teo AR,Marsh HE,Ono SS,Nicolaidis C,Saha S,Dobscha SK

更新日期：2020-07-01 00:00:00

abstract：BACKGROUND:Although hip fractures in older adults are associated with a high degree of mortality and disability, the use of advance care planning (ACP) in this population is unknown. OBJECTIVE:To determine the prevalence of ACP and need for surrogate decision-making prior to death in older adults with hip fracture and...

journal_title：Journal of general internal medicine

authors： Kata A,Cenzer I,Sudore RL,Covinsky KE,Tang VL

更新日期：2020-07-01 00:00:00

abstract：BACKGROUND:Despite evidence-based guidelines, high-quality diabetes care is not always achieved. Identifying factors associated with the quality of management in primary care may inform service improvements, facilitating the tailoring of quality improvement interventions to practice needs and resources. METHODS:We sea...

journal_title：Journal of general internal medicine

authors： Riordan F,McHugh SM,O'Donovan C,Mtshede MN,Kearney PM

更新日期：2020-06-01 00:00:00

abstract：BACKGROUND:Several policymakers have suggested that the Affordable Care Act (ACA) has fueled the opioid epidemic by subsidizing opioid pain medications. These claims have supported numerous efforts to repeal the ACA. OBJECTIVE:To determine the effect of the ACA's young adult dependent coverage insurance expansion on e...

journal_title：Journal of general internal medicine

authors： Coupet E Jr,Werner RM,Polsky D,Karp D,Delgado MK

更新日期：2020-06-01 00:00:00

abstract：BACKGROUND:Group-based lifestyle change programs based on the Diabetes Prevention Program (DPP) are associated with clinically significant weight loss and decreases in cardiometabolic risk factors. However, these benefits depend on successful real-world implementation. Studies have examined implementation in community ...

journal_title：Journal of general internal medicine

authors： Halley MC,Petersen J,Nasrallah C,Szwerinski N,Romanelli R,Azar KMJ

更新日期：2020-06-01 00:00:00

abstract：:Research into health literacy and shared decision-making has largely developed along parallel, but distinct lines over the past two decades. There is little evidence that the concepts and related practice have intersected except in the most functional way, for example, to simplify shared decision-making tools by impro...

journal_title：Journal of general internal medicine

authors： Muscat DM,Shepherd HL,Nutbeam D,Trevena L,McCaffery KJ

更新日期：2020-05-29 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：BACKGROUND:Despite the importance of professionalism, little is known about how burnout relates to professionalism among practicing physicians. OBJECTIVE:To evaluate the relationship between burnout and professional behaviors and cost-conscious attitudes. DESIGN AND PARTICIPANTS:Cross-sectional study in a national sa...

journal_title：Journal of general internal medicine

authors： Dyrbye LN,West CP,Hunderfund AL,Sinsky CA,Trockel M,Tutty M,Carlasare L,Satele D,Shanafelt T

更新日期：2020-05-01 00:00:00

abstract：BACKGROUND:Individualized selection of antiretroviral (ARV) therapy is complex, considering drug resistance, comorbidities, drug-drug interactions, and other factors. HIV-ASSIST (www.hivassist.com) is a free, online tool that provides ARV decision support. HIV-ASSIST synthesizes patient and virus-specific attributes to...

journal_title：Journal of general internal medicine

authors： Ramirez JA,Maddali MV,Budak JZ,Li JZ,Lampiris H,Shah M

更新日期：2020-05-01 00:00:00

abstract：:The call for value-based medicine has augmented the role of primary care physicians, potentially exacerbating the already-acknowledged shortage of primary care physicians in the current delivery landscape. Lifetime earnings for primary care physicians are millions lower than those for other specialties, and the burden...

journal_title：Journal of general internal medicine

authors： Driessen J,Zaloom C,Shrank WH

更新日期：2020-05-01 00:00:00

abstract：BACKGROUND:As healthcare reimbursement shifts from being volume to value-focused, new delivery models aim to coordinate care and improve quality. The patient-centered medical home (PCMH) model is one such model that aims to deliver coordinated, accessible healthcare to improve outcomes and decrease costs. It is unclear...

journal_title：Journal of general internal medicine

authors： Veet CA,Radomski TR,D'Avella C,Hernandez I,Wessel C,Swart ECS,Shrank WH,Parekh N

更新日期：2020-04-01 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：BACKGROUND:High-quality communication about end-of-life care results in greater patient and family satisfaction. End-of-life discussions should occur early during the patient's disease trajectory and yet is often addressed only when patients become severely ill. As a result, end-of-life discussions are commonly initiat...

journal_title：Journal of general internal medicine

authors： El-Rouby D,McNaughton N,Piquette D

更新日期：2020-04-01 00:00:00

abstract：BACKGROUND:The greater the severity of illness of a patient, the more likely the patient will have a poor hospital outcome. However, hospital-wide severity of illness scores that are simple, widely available, and not diagnosis-specific are still needed. Laboratory tests could potentially be used as an alternative to es...

journal_title：Journal of general internal medicine

authors： Blanco N,Leekha S,Magder L,Jackson SS,Tamma PD,Lemkin D,Harris AD

更新日期：2020-03-01 00:00:00

abstract：BACKGROUND:Cardiovascular disease (CVD) is the leading cause of morbidity and mortality in the Caribbean region. OBJECTIVE:This study explored the concept of a health network, relationships focused on health-related matters, and examined associations with CVD risk factors in the Eastern Caribbean. DESIGN:The Eastern ...

journal_title：Journal of general internal medicine

authors： Oladele CR,Thompson TA,Wang K,Galusha D,Tran E,Martinez-Brockman JL,Adams OP,Maharaj RG,Nazario CM,Nunez M,Nunez-Smith M

更新日期：2020-03-01 00:00:00

abstract：BACKGROUND:Recent studies that compared patient spending in hospital-owned physician practices versus physician-owned groups did not compare quality of care. Past studies had incomplete measures of physician-hospital integration, or lacked patient-level data. OBJECTIVE:To measure the association between physician-hosp...

journal_title：Journal of general internal medicine

authors： Ho V,Metcalfe L,Vu L,Short M,Morrow R

更新日期：2020-03-01 00:00:00

abstract：:This editorial, "Internal Medicine Point of Care Ultrasound: Indicators It's Here to Stay" (DOI: 10.1007/s11606-019-05268-0), was intended to accompany "Education Indicators for Internal Medicine Point-of-Care Ultrasound: a Consensus Report from the Canadian Internal Medicine Ultrasound (CIMUS) Group". ...

journal_title：Journal of general internal medicine

authors： Ambasta A,Balan M,Mayette M,Goffi A,Mulvagh S,Buchanan B,Montague S,Ruzycki S,Ma IWY,Canadian Internal Medicine Ultrasound (CIMUS) Group.,Ambasta A,Balan M,Blouw M,Buchanan B,Card SE,Chan B,Desy J,Demchuk G,Gebhardt C

更新日期：2020-02-01 00:00:00

abstract：BACKGROUND:Sudden death is a public health problem with major impact on society. Coronary artery disease (CAD) is believed to underlie 60-80% of these deaths. While deaths from CAD have decreased in the recent decades, sudden death rates remain unacceptably high. OBJECTIVE:We aimed to assess the prevalence of CAD and ...

journal_title：Journal of general internal medicine

authors： Joodi G,Maradey JA,Bogle B,Mirzaei M,Sadaf MI,Pursell I,Henderson C,Mounsey JP,Simpson RJ Jr

更新日期：2020-02-01 00:00:00

abstract：BACKGROUND:The relationship between worklife factors, clinician outcomes, and time pressure during office visits is unclear. OBJECTIVE:To quantify associations between time pressure, workplace characteristics ,and clinician outcomes. DESIGN:Prospective analysis of data from the Healthy Work Place randomized trial. P...

journal_title：Journal of general internal medicine

authors： Prasad K,Poplau S,Brown R,Yale S,Grossman E,Varkey AB,Williams E,Neprash H,Linzer M,Healthy Work Place (HWP) Investigators.

更新日期：2020-02-01 00:00:00

abstract：BACKGROUND:Marijuana is currently legal for recreational use in 10 states and Washington DC while a total of 34 states have implemented varying degrees of medical marijuana. The commercialization of marijuana has been accompanied by a proliferation of false claims regarding the therapeutic potential of marijuana, which...

journal_title：Journal of general internal medicine

authors： Ishida JH,Zhang AJ,Steigerwald S,Cohen BE,Vali M,Keyhani S

更新日期：2020-01-01 00:00:00

abstract：BACKGROUND:The patient-centered medical home (PCMH) has clinical benefits for chronic disease care, but the association with patient-reported outcomes such as health-related quality of life (HRQoL) is unexplored in patients with multimorbidity (two or more chronic diseases). OBJECTIVE:To examine if greater clinic-leve...

journal_title：Journal of general internal medicine

authors： Schuttner L,Reddy A,Rosland AM,Nelson K,Wong ES

更新日期：2020-01-01 00:00:00

abstract：BACKGROUND:Studies on forgoing treatment often ignore treatments that are continued until death. OBJECTIVE:To investigate how often specific treatments are withdrawn or withheld before death and to describe the associated patient, physician, and care characteristics. DESIGN:National mortality follow-back study in Swi...

journal_title：Journal of general internal medicine

authors： Penders YWH,Bopp M,Zellweger U,Bosshard G,Swiss Medical End-of-Life Decisions Study Group.

更新日期：2020-01-01 00:00:00

abstract：BACKGROUND:Urine drug testing (UDT) is an essential tool to monitor opioid misuse among patients on chronic opioid therapy. Inaccurate interpretation of UDT can have deleterious consequences. Providers' ability to accurately interpret and document UDT, particularly definitive liquid chromatography-tandem mass spectrome...

journal_title：Journal of general internal medicine

authors： Chua I,Petrides AK,Schiff GD,Ransohoff JR,Kantartjis M,Streid J,Demetriou CA,Melanson SEF

更新日期：2020-01-01 00:00:00

abstract：:Electronic Nicotine Delivery Systems (ENDS), commonly referred to as "e-cigs," were first introduced in the United States in 2007. Since then, their use has grown substantially, with the largest market among adolescents and young adults. ENDS are often perceived by the public as safe alternatives to traditional cigare...

journal_title：Journal of general internal medicine

authors： Macedonia TV,Krefft SD,Rose CS

更新日期：2020-01-01 00:00:00

abstract：BACKGROUND:Extension for Community Healthcare Outcomes (ECHO) and related models of medical tele-education are rapidly expanding; however, their effectiveness remains unclear. This systematic review examines the effectiveness of ECHO and ECHO-like medical tele-education models of healthcare delivery in terms of improve...

journal_title：Journal of general internal medicine

authors： McBain RK,Sousa JL,Rose AJ,Baxi SM,Faherty LJ,Taplin C,Chappel A,Fischer SH

更新日期：2019-12-01 00:00:00

abstract：BACKGROUND:Social risk factors (SRFs) such as minority race-and-ethnicity or low income are associated with quality-of-care, health, and healthcare outcomes. Organizations might prioritize improving care for easier-to-treat groups over those with SRFs, but measuring, reporting, and further incentivizing quality-of-care...

journal_title：Journal of general internal medicine

authors： Agniel D,Martino SC,Burkhart Q,Hambarsoomian K,Orr N,Beckett MK,James C,Scholle SH,Wilson-Frederick S,Ng J,Elliott MN

更新日期：2019-11-11 00:00:00

abstract：BACKGROUND:Approximately 20% of patients with atherosclerotic cardiovascular disease (ASCVD) suffer from depression. OBJECTIVE:To compare healthcare expenditures and utilization, healthcare-related quality of life, and patient-centered outcomes among ASCVD patients, based on their risk for depression (among those with...

journal_title：Journal of general internal medicine

authors： Okunrintemi V,Valero-Elizondo J,Michos ED,Salami JA,Ogunmoroti O,Osondu C,Tibuakuu M,Benson EM,Pawlik TM,Blaha MJ,Nasir K

更新日期：2019-11-01 00:00:00

abstract：BACKGROUND:The transition from pediatric to adult care is a critical period for young adults with childhood-onset conditions. General internists are tasked with participating in the care of this vulnerable population. Existing guidelines regarding transition do not fully address structural or organizational characteris...

journal_title：Journal of general internal medicine

authors： Hart LC,Mouw MS,Teal R,Jonas DE

更新日期：2019-10-01 00:00:00

abstract：BACKGROUND:Due to risk for treatment-related late effects and concerns about cancer recurrence, long-term cancer survivors have unique medical needs. Survivors' preferences for care may influence adherence and care utilization. OBJECTIVE:To describe survivors' preferences for care and factors associated with preferred...

journal_title：Journal of general internal medicine

authors： Smith TG,Strollo S,Hu X,Earle CC,Leach CR,Nekhlyudov L

更新日期：2019-10-01 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

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:Computerized physician order entry and clinical decision support systems are electronic prescribing strategies that are increasingly used to improve patient safety. Previous reviews show limited effect on patient outcomes. Our objective was to assess the impact of electronic prescribing strategies on medicat...

journal_title：Journal of general internal medicine

authors： Roumeliotis N,Sniderman J,Adams-Webber T,Addo N,Anand V,Rochon P,Taddio A,Parshuram C

更新日期：2019-10-01 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

authors： Rassos J,Melvin LJ,Panisko D,Kulasegaram K,Kuper A

更新日期：2019-10-01 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

authors： Tsai J,Gelberg L,Rosenheck RA

更新日期：2019-09-01 00:00:00

abstract：BACKGROUND:Fluid resuscitation is a widely used intervention that is mandated in the management of sepsis. While its use can be life-saving, its overuse is associated with harm. Despite this, the best means of assessing a need for fluid resuscitation in an acute medical setting is unclear. OBJECTIVE:To assess studies ...

journal_title：Journal of general internal medicine

authors： Seccombe A,McCluskey L,Moorey H,Lasserson D,Sapey E

更新日期：2019-09-01 00:00:00

abstract：:Despite improved knowledge about the benefits and harms of treatments for chronic back pain in the past several decades, there is a large and consequential mismatch between treatments found safe and effective and those routinely covered by health insurance. As a result, care for back pain has, if anything, deteriorate...

journal_title：Journal of general internal medicine

authors： Cherkin DC,Deyo RA,Goldberg H

更新日期：2019-09-01 00:00:00

abstract：BACKGROUND:Development of electronic health record (EHR) prediction models to improve palliative care delivery is on the rise, yet the clinical impact of such models has not been evaluated. OBJECTIVE:To assess the clinical impact of triggering palliative care using an EHR prediction model. DESIGN:Pilot prospective be...

journal_title：Journal of general internal medicine

authors： Courtright KR,Chivers C,Becker M,Regli SH,Pepper LC,Draugelis ME,O'Connor NR

更新日期：2019-09-01 00:00:00

abstract：BACKGROUND:Pay-for-performance (P4P) has been used expansively to improve quality of care delivered by physicians. However, to what extent P4P works through the provision of information versus financial incentives is poorly understood. OBJECTIVE:To determine whether an increase in information feedback without changes ...

journal_title：Journal of general internal medicine

authors： Bond AM,Volpp KG,Emanuel EJ,Caldarella K,Hodlofski A,Sacks L,Patel P,Sokol K,Vittore S,Calgano D,Nelson C,Weng K,Troxel A,Navathe A

更新日期：2019-09-01 00:00:00