abstract：BACKGROUND:Changes to national guidelines for breast and cervical cancer screening have created confusion and controversy for women and their primary care providers. OBJECTIVE:To characterize women's primary health care provider attitudes towards screening and changes in practice in response to recent revisions in gui...

journal_title：Journal of general internal medicine

authors： Haas JS,Sprague BL,Klabunde CN,Tosteson AN,Chen JS,Bitton A,Beaber EF,Onega T,Kim JJ,MacLean CD,Harris K,Yamartino P,Howe K,Pearson L,Feldman S,Brawarsky P,Schapira MM,PROSPR (Population-based Research Optimizing Screen

更新日期：2016-01-01 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:Business literature has demonstrated the importance of networking and connections in career advancement. This is a little-studied area in academic medicine. OBJECTIVE:To examine predictors of intra-organizational connections, as measured by network reach (the number of first- and second-degree coauthors), a...

journal_title：Journal of general internal medicine

authors： Warner ET,Carapinha R,Weber GM,Hill EV,Reede JY

更新日期：2016-01-01 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：IMPORTANCE:Patients are increasingly being given access to their test results, but little is known about how preferences vary with the test under consideration or the results of the test (normal or abnormal). OBJECTIVE:This study was conducted to examine preferences for test result communication. DESIGN, SETTING, AND...

journal_title：Journal of general internal medicine

authors： Shultz SK,Wu R,Matelski JJ,Lu X,Cram P

更新日期：2015-11-01 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

authors： Voils CI,Coffman CJ,Grubber JM,Edelman D,Sadeghpour A,Maciejewski ML,Bolton J,Cho A,Ginsburg GS,Yancy WS Jr

更新日期：2015-11-01 00:00:00

abstract：BACKGROUND:For adults who stutter, communication difficulties can impact many spheres of life. Previous studies have not examined how stuttering might impact patient's experiences with the medical system. OBJECTIVE:Our objective was to understand the range and depth of experiences with the medical system among adults ...

journal_title：Journal of general internal medicine

authors： Perez HR,Doig-Acuña C,Starrels JL

更新日期：2015-11-01 00:00:00

abstract：BACKGROUND:Global health measures represent an attractive option for researchers and clinicians seeking a brief snapshot of a patient's overall perspective on his or her health. Because scores on different global health measures are not comparable, comparative effectiveness research (CER) is challenging. OBJECTIVE:To ...

journal_title：Journal of general internal medicine

authors： Schalet BD,Rothrock NE,Hays RD,Kazis LE,Cook KF,Rutsohn JP,Cella D

更新日期：2015-10-01 00:00:00

abstract：BACKGROUND:Patients with limited English proficiency (LEP) may be at risk for medical errors and worse health outcomes. Language concordance between patient and provider has been shown to improve health outcomes for Spanish-speaking patients. Nearly 40 % of Hispanics, a growing population in the United States, are cate...

journal_title：Journal of general internal medicine

authors： Morales R,Rodriguez L,Singh A,Stratta E,Mendoza L,Valerio MA,Vela M

更新日期：2015-10-01 00:00:00

abstract：:This Perspective discusses 12 key facts derived from 50 years of health services research and argues that this knowledge base can stimulate innovative thinking about how to make health care systems safer, more efficient, more cost effective, and more patient centered, even as they respond to the needs of diverse commu...

journal_title：Journal of general internal medicine

authors： Brook RH,Vaiana ME

更新日期：2015-10-01 00:00:00

abstract：:The lack of effective and consistent research mentorship and research mentor training in both undergraduate medical education (UME) and graduate medical education (GME) is a critical constraint on the development of innovative and high quality medical education research. Clinical research mentors are often not familia...

journal_title：Journal of general internal medicine

authors： Blanchard RD,Visintainer PF,La Rochelle J

更新日期：2015-09-01 00:00:00

abstract：BACKGROUND:Since the 2011 Accreditation Council of Graduate Medical Education (ACGME) work hour rules for residents were implemented, 24-30 h call for interns has been replaced by shift work, including night-float. The impact of these changes on undergraduate medical education experiences in internal medicine has not b...

journal_title：Journal of general internal medicine

authors： Goren EN,Leizman DS,La Rochelle J,Kogan JR

更新日期：2015-09-01 00:00:00

abstract：:Comprehensiveness of primary care (the extent to which the clinician, as part of the primary care team, recognizes and meets the majority of each patient's physical and mental health care needs) is an important element of primary care, but seems to be declining in the U.S. This is concerning, because more comprehensiv...

journal_title：Journal of general internal medicine

authors： O'Malley AS,Rich EC

更新日期：2015-08-01 00:00:00

abstract：BACKGROUND:Only half of hypertensive adults achieve blood pressure (BP) control in the United States, and it is unclear how BP control rates may be improved most effectively and efficiently at the population level. OBJECTIVE:We sought to compare the potential effects of system-wide isolated improvements in medication ...

journal_title：Journal of general internal medicine

authors： Fontil V,Bibbins-Domingo K,Kazi DS,Sidney S,Coxson PG,Khanna R,Victor RG,Pletcher MJ

更新日期：2015-08-01 00:00:00

abstract：BACKGROUND:Differences among hospitals in the use of inpatient consultation may contribute to variation in outcomes and costs for hospitalized patients, but basic epidemiologic data on consultations nationally are lacking. OBJECTIVE:The purpose of the study was to identify physician, hospital, and geographic factors t...

journal_title：Journal of general internal medicine

authors： Stevens JP,Nyweide D,Maresh S,Zaslavsky A,Shrank W,Howell MD,Landon BE

更新日期：2015-07-01 00:00:00

abstract：:We present a 66-year-old woman with 2 months of visual hallucinations, unintentional weight loss, and short-term memory decline, whose clinical presentation and EEG supported a diagnosis of limbic encephalitis. Subsequent evaluation for a paraneoplastic etiology revealed a renal mass, which was resected and identified...

journal_title：Journal of general internal medicine

authors： Harrison JW,Cherukuri R,Buchan D

更新日期：2015-07-01 00:00:00

abstract：BACKGROUND:Approximately one in six adults in the United States (U.S.) binge drinks. The U.S. Preventive Services Task Force recommends that primary care physicians screen patients for such hazardous alcohol use, and when warranted, deliver a brief intervention. OBJECTIVE:We aimed to determine primary care residents' ...

journal_title：Journal of general internal medicine

authors： Le KB,Johnson JA,Seale JP,Woodall H,Clark DC,Parish DC,Miller DP

更新日期：2015-06-01 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:While studies have been published in the last 30 years that examine the effect of charge display during physician decision-making, no analysis or synthesis of these studies has been conducted. OBJECTIVE:We aimed to determine the type and quality of charge display studies that have been published; to synthes...

journal_title：Journal of general internal medicine

authors： Goetz C,Rotman SR,Hartoularos G,Bishop TF

更新日期：2015-06-01 00:00:00

abstract：BACKGROUND:Despite recent reductions in national unplanned readmission rates, we have relatively little understanding of which hospital strategies are most associated with changes in risk-standardized readmission rates (RSRR). OBJECTIVE:We examined associations between the change in hospital 30-day RSRR for patients w...

journal_title：Journal of general internal medicine

authors： Bradley EH,Sipsma H,Horwitz LI,Ndumele CD,Brewster AL,Curry LA,Krumholz HM

更新日期：2015-05-01 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

authors： Lang D,Mead JS,Sykes DB

更新日期：2015-05-01 00:00:00

abstract：:Research on interventions within the standard of care has enormous potential, yet it also raises several ethical and regulatory challenges. Perhaps the most important is determining what consent process is needed for these "pragmatic" clinical trials. Some argue that pragmatic clinical trials need to obtain in-depth r...

journal_title：Journal of general internal medicine

authors： Wendler D

更新日期：2015-05-01 00:00:00

abstract：BACKGROUND:Direct-to-consumer advertising (DTCA) remains a controversial issue, with concerns that it leads to unnecessary and inappropriate prescribing. Whether DTCA shifts prescribing from first-line (guideline-recommended) therapy to second-line drugs has not been studied. OBJECTIVE:The purpose of this study was to...

journal_title：Journal of general internal medicine

authors： Skeldon SC,Kozhimannil KB,Majumdar SR,Law MR

更新日期：2015-04-01 00:00:00

abstract：:Twenty-five to sixty percent of physicians report burnout across all specialties. Changes in the healthcare environment have created marked and growing external pressures. In addition, physicians are predisposed to burnout due to internal traits such as compulsiveness, guilt, and self-denial, and a medical culture tha...

journal_title：Journal of general internal medicine

authors： Gazelle G,Liebschutz JM,Riess H

更新日期：2015-04-01 00:00:00

abstract：BACKGROUND:Many primary care physicians (PCPs) are ill-equipped to provide screening and counseling for inherited breast cancer. OBJECTIVE:To evaluate the outcomes of an interactive web-based genetics curriculum versus text curriculum for primary care physicians. DESIGN:Randomized two-group design. PARTICIPANTS:121 ...

journal_title：Journal of general internal medicine

authors： Bell RA,McDermott H,Fancher TL,Green MJ,Day FC,Wilkes MS

更新日期：2015-03-01 00:00:00

abstract：BACKGROUND:The growing number of primary care physicians (PCPs) reducing their clinical work hours has raised concerns about meeting the future demand for services and fulfilling the continuity and access mandates for patient-centered care. However, the patient's experience of care with part-time physicians is relative...

journal_title：Journal of general internal medicine

authors： Panattoni L,Stone A,Chung S,Tai-Seale M

更新日期：2015-03-01 00:00:00

abstract：BACKGROUND:Few patient-centered interventions exist to improve year-end residency clinic handoffs. AIM:Our purpose was to assess the impact of a patient-centered transition packet and comic on clinic handoff outcomes. SETTING:The study was conducted at an academic medicine residency clinic. PARTICIPANTS:Participants...

journal_title：Journal of general internal medicine

authors： Pincavage AT,Lee WW,Venable LR,Prochaska M,Staisiunas DD,Beiting KJ,Czerweic MK,Oyler J,Vinci LM,Arora VM

更新日期：2015-02-01 00:00:00

abstract：INTRODUCTION:Applying Fair Information Practice principles to electronic health records (EHRs) requires allowing patient control over who views their data. METHODS:We designed a program that captures patients' preferences for provider access to an urban health system's EHR. Patients could allow or restrict providers' ...

journal_title：Journal of general internal medicine

authors： Tierney WM,Alpert SA,Byrket A,Caine K,Leventhal JC,Meslin EM,Schwartz PH

更新日期：2015-01-01 00:00:00

abstract：BACKGROUND:Perception of body size is a key factor driving health behavior. Mothers directly influence children's nutritional and exercise behaviors. Mothers of ethnic minority groups and lower socioeconomic status are less likely to correctly identify young children as overweight or obese. Little evaluation has been d...

journal_title：Journal of general internal medicine

authors： Paul TK,Sciacca RR,Bier M,Rodriguez J,Song S,Giardina EG

更新日期：2015-01-01 00:00:00

abstract：BACKGROUND:The health and healthcare of sexual minorities have recently been identified as priorities for health research and policy. OBJECTIVE:To compare the health and healthcare experiences of sexual minorities with heterosexual people of the same gender, adjusting for age, race/ethnicity, and socioeconomic status....

journal_title：Journal of general internal medicine

authors： Elliott MN,Kanouse DE,Burkhart Q,Abel GA,Lyratzopoulos G,Beckett MK,Schuster MA,Roland M

更新日期：2015-01-01 00:00:00

abstract：OBJECTIVES:Shared medical appointments (SMAs) are an increasingly used system-redesign strategy for improving access to and quality of chronic illness care. We conducted a systematic review of the existing literature on SMA interventions for patients with diabetes in order to understand their impact on outcomes. DATA ...

journal_title：Journal of general internal medicine

authors： Edelman D,Gierisch JM,McDuffie JR,Oddone E,Williams JW Jr

更新日期：2015-01-01 00:00:00

abstract：BACKGROUND:The Department of Veterans Affairs (VA) mandates disclosure of large-scale adverse events to patients, even if risk of harm is not clearly present. Concerns about past disclosures warranted further examination of the impact of this policy. OBJECTIVE:Through a collaborative partnership between VA leaders, po...

journal_title：Journal of general internal medicine

authors： Elwy AR,Bokhour BG,Maguire EM,Wagner TH,Asch SM,Gifford AL,Gallagher TH,Durfee JM,Martinello RA,Schiffner S,Jesse RL

更新日期：2014-12-01 00:00:00

abstract：BACKGROUND:Knowledge about factors associated with provider ordering of appropriate testing is limited. OBJECTIVE:To determine physician factors associated with ordering recommended laboratory monitoring tests for high-risk medications. METHODS:Retrospective cohort study of patients prescribed a high-risk medication ...

journal_title：Journal of general internal medicine

authors： Fischer SH,Tjia J,Reed G,Peterson D,Gurwitz JH,Field TS

更新日期：2014-12-01 00:00:00

abstract：BACKGROUND:Little is known regarding the prevalence or risk factors for non-comprehension and non-compliance with discharge instructions among older adults. OBJECTIVE:To quantify the prevalence of non-comprehension and non-compliance with discharge instructions and to identify associated patient characteristics. RESE...

journal_title：Journal of general internal medicine

authors： Albrecht JS,Gruber-Baldini AL,Hirshon JM,Brown CH,Goldberg R,Rosenberg JH,Comer AC,Furuno JP

更新日期：2014-11-01 00:00:00

abstract：BACKGROUND:Little is known about whether more experience with an electronic health record (EHR) makes it easier for providers to meaningfully use EHRs. OBJECTIVE:To assess whether the length of time that small practice providers have been using the EHR is associated with greater ease in performing meaningful use-relat...

journal_title：Journal of general internal medicine

authors： Ryan MS,Shih SC,Winther CH,Wang JJ

更新日期：2014-10-01 00:00:00

abstract：BACKGROUND:The Medicare Accountable Care Organization (ACO) programs encourage integration of providers into large groups and reward provider groups for improving quality, but not explicitly for reducing health care disparities. Larger group size and better overall quality may or may not be associated with smaller disp...

journal_title：Journal of general internal medicine

authors： Anderson RE,Ayanian JZ,Zaslavsky AM,McWilliams JM

更新日期：2014-09-01 00:00:00

abstract：BACKGROUND:Individuals involved with the criminal justice system have increased health needs and poor access to primary care. OBJECTIVE:To examine hospital and emergency department (ED) utilization and related costs by individuals with recent criminal justice involvement. DESIGN:Cross-sectional survey. PARTICIPANTS:...

journal_title：Journal of general internal medicine

authors： Frank JW,Linder JA,Becker WC,Fiellin DA,Wang EA

更新日期：2014-09-01 00:00:00

abstract：BACKGROUND:Hemophilia A is a rare, sex-linked genetic disorder treated with intravenous administration of factor VIII (FVIII) to prevent bleeding; however, approaches vary across and within countries. Value-of-information (VOI) methods identify situations in which the cost-benefit evidence is sufficient to adopt one tr...

journal_title：Journal of general internal medicine

authors： Abrahamyan L,Willan AR,Beyene J,Mclimont M,Blanchette V,Feldman BM,Canadian Hemophilia Primary Prophylaxis (CHPS) Study Group.

更新日期：2014-08-01 00:00:00

abstract：BACKGROUND:Disorders of sex development (DSD) are a heterogeneous group of rare genetic disorders of sex determination or differentiation. Evidence-based guidelines concerning gender assignment and surgical and hormonal treatment are limited for many DSD entities, and health care is highly fragmented across various sub...

journal_title：Journal of general internal medicine

authors： Thyen U,Lux A,Jürgensen M,Hiort O,Köhler B

更新日期：2014-08-01 00:00:00

abstract：IMPORTANCE:Sexual minority women with and at-risk for human immunodeficiency virus (HIV) may face increased risks of violence. OBJECTIVE:To understand the relationship between sexual minority status and violence; and how high-risk sex and substance use mediate that relationship among women with and at-risk for HIV. D...

journal_title：Journal of general internal medicine

authors： Pyra M,Weber K,Wilson TE,Cohen J,Murchison L,Goparaju L,Cohen MH

更新日期：2014-08-01 00:00:00