abstract：BACKGROUND:Primary care providers (PCPs) vary in skills to effectively treat depression. Key features of evidence-based collaborative care models (CCMs) include the availability of depression care managers (DCMs) and mental health specialists (MHSs) in primary care. Little is known, however, about the relationships bet...

journal_title：Journal of general internal medicine

authors： Chang ET,Magnabosco JL,Chaney E,Lanto A,Simon B,Yano EM,Rubenstein LV

更新日期：2014-07-01 00:00:00

abstract：BACKGROUND:With the reorganization of primary care into Patient Aligned Care Teams (PACT) teams, the Veteran Affairs Health System (VA) aims to ensure all patients receive care based on patient-centered medical home (PCMH) principles. However, some patients receive the preponderance of care from specialty rather than p...

journal_title：Journal of general internal medicine

authors： Fix GM,Asch SM,Saifu HN,Fletcher MD,Gifford AL,Bokhour BG

更新日期：2014-07-01 00:00:00

abstract：BACKGROUND:The high prevalence of comorbid physical and mental illnesses among veterans is well known. Therefore, ensuring effective communication between primary care (PC) and mental health (MH) clinicians in the Veterans Affairs (VA) health care system is essential. The VA's Patient Aligned Care Teams (PACT) initiati...

journal_title：Journal of general internal medicine

authors： Chang ET,Wells KB,Young AS,Stockdale S,Johnson MD,Fickel JJ,Jou K,Rubenstein LV

更新日期：2014-07-01 00:00:00

abstract：:General Internal Medicine research evolves in response to the needs of the patients to whom we provide care. Currently, many studies exclude older adults who deeply affect the clinical care of this population. With the number of older adults increasing, creating research protocols that include older adults with multip...

journal_title：Journal of general internal medicine

authors： Lindquist LA,Covinsky K,Langa KM,Petty BG,Williams BC,Kutner JS

更新日期：2014-06-01 00:00:00

abstract：BACKGROUND:Patients with mental health conditions (MHCs) experience poor anticoagulation control when using warfarin, but we have limited knowledge of the association between specific mental illness and warfarin treatment outcomes. OBJECTIVE:To examine the relationship between the severity of MHCs and outcomes of anti...

journal_title：Journal of general internal medicine

authors： Paradise HT,Berlowitz DR,Ozonoff A,Miller DR,Hylek EM,Ash AS,Jasuja GK,Zhao S,Reisman JI,Rose AJ

更新日期：2014-06-01 00:00:00

abstract：BACKGROUND:Studies have shown a mismatch between published cancer screening and genetic counseling referral recommendations and physician-reported screening and referral practices. Inaccurate cancer risk assessment is one potential cause of this mismatch. OBJECTIVE:To assess U.S. physicians' ability to accurately dete...

journal_title：Journal of general internal medicine

authors： Baldwin LM,Trivers KF,Andrilla CH,Matthews B,Miller JW,Lishner DM,Goff BA

更新日期：2014-05-01 00:00:00

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：PURPOSE:To compare the effects of three methods of values clarification (VCM): balance sheet; rating and ranking; and a discrete choice experiment (DCE) on decision-making about colorectal cancer (CRC) screening among adults in the US and Australia. METHODS:Using online panels managed by a survey research organization...

journal_title：Journal of general internal medicine

authors： Brenner A,Howard K,Lewis C,Sheridan S,Crutchfield T,Hawley S,Reuland D,Kistler C,Pignone M

更新日期：2014-03-01 00:00:00

abstract：:Moral distress is the experience of cognitive-emotional dissonance that arises when one feels compelled to act contrary to one's moral requirements. Moral distress is common, but under-recognized in medical education and training, and this relative inattention may undermine educators' efforts to promote empathy, ethic...

journal_title：Journal of general internal medicine

authors： Berger JT

更新日期：2014-02-01 00:00:00

abstract：BACKGROUND:Lack of regular physical activity is highly prevalent in U.S. adults and significantly increases mortality risk. OBJECTIVE:To examine the clinical impact of a newly implemented program ("Exercise as a Vital Sign" [EVS]) designed to systematically ascertain patient-reported exercise levels at the beginning o...

journal_title：Journal of general internal medicine

authors： Grant RW,Schmittdiel JA,Neugebauer RS,Uratsu CS,Sternfeld B

更新日期：2014-02-01 00:00:00

abstract：BACKGROUND:Not all primary care clinics are prepared to implement care coordination services for chronic conditions, such as diabetes. Understanding true capacity to coordinate care is an important first-step toward establishing effective and efficient care coordination. Yet, we could identify no diabetes-specific inst...

journal_title：Journal of general internal medicine

authors： Weeks DL,Polello JM,Hansen DT,Keeney BJ,Conrad DA

更新日期：2014-01-01 00:00:00

abstract：BACKGROUND:The three-item Brief Health Literacy Screen (BHLS) has been validated in research settings, but not in routine practice, administered by clinical personnel. OBJECTIVE:As part of the Health Literacy Screening (HEALS) study, we evaluated psychometric properties of the BHLS to validate its administration by cl...

journal_title：Journal of general internal medicine

authors： Wallston KA,Cawthon C,McNaughton CD,Rothman RL,Osborn CY,Kripalani S

更新日期：2014-01-01 00:00:00

abstract：BACKGROUND:There is growing interest in developing systems to overcome barriers for acquiring and interpreting family health histories in primary care. OBJECTIVE:To examine the capacity of three different electronic portals to collect family history from patients and deposit valid data in an electronic health record (...

journal_title：Journal of general internal medicine

authors： Murray MF,Giovanni MA,Klinger E,George E,Marinacci L,Getty G,Brawarsky P,Rocha B,Orav EJ,Bates DW,Haas JS

更新日期：2013-12-01 00:00:00

abstract：BACKGROUND:In our ever-increasingly multicultural, multilingual society, medical interpreters serve an important role in the provision of care. Though it is known that using untrained interpreters leads to decreased quality of care for limited English proficiency patients, because of a short supply of professionals and...

journal_title：Journal of general internal medicine

authors： Hasbún Avalos O,Pennington K,Osterberg L

更新日期：2013-12-01 00:00:00

abstract：BACKGROUND:The Diabetes Prevention Program (DPP) intensive lifestyle intervention resulted in significant weight loss, reducing the development of diabetes, but needs to be adapted to primary care provider (PCP) practices. OBJECTIVES:To compare a DPP-translation using individual (IC) vs. conference (CC) calls delivere...

journal_title：Journal of general internal medicine

authors： Weinstock RS,Trief PM,Cibula D,Morin PC,Delahanty LM

更新日期：2013-12-01 00:00:00

abstract：BACKGROUND:Racial and ethnic disparities in opioid prescribing in the emergency department (ED) are well described, yet the influence of socioeconomic status (SES) remains unclear. OBJECTIVES:(1) To examine the effect of neighborhood SES on the prescribing of opioids for moderate to severe pain; and (2) to determine i...

journal_title：Journal of general internal medicine

authors： Joynt M,Train MK,Robbins BW,Halterman JS,Caiola E,Fortuna RJ

更新日期：2013-12-01 00:00:00

abstract：:Hospital discharges against medical advice (AMA) are common, costly, stigmatizing to patients, and are associated with excess morbidity and mortality. Achieving better quality care for patients discharged AMA has been limited both by the sparse research illuminating how best to care for this challenging patient popula...

journal_title：Journal of general internal medicine

authors： Alfandre D

更新日期：2013-12-01 00:00:00

abstract：BACKGROUND:Patient navigator (PN) programs can improve breast cancer screening in low income, ethnic/racial minorities. Refugee women have low breast cancer screening rates, but it has not been shown that PN is similarly effective. OBJECTIVE:Evaluate whether a PN program for refugee women decreases disparities in brea...

journal_title：Journal of general internal medicine

authors： Percac-Lima S,Ashburner JM,Bond B,Oo SA,Atlas SJ

更新日期：2013-11-01 00:00:00

abstract：BACKGROUND:Delivery of comprehensive care for persons with human immunodeficiency virus (HIV) infection in rural and low prevalence settings presents many challenges. We developed and evaluated a telehealth collaborative care (TCC) program for persons with HIV in a rural area. OBJECTIVE:To determine the feasibility of...

journal_title：Journal of general internal medicine

authors： Ohl M,Dillon D,Moeckli J,Ono S,Waterbury N,Sissel J,Yin J,Neil B,Wakefield B,Kaboli P

更新日期：2013-09-01 00:00:00

abstract：BACKGROUND:As the Veterans Health Administration (VHA) reorganizes providers into the patient-centered medical home, questions remain whether this model of care can demonstrate improved patient outcomes and cost savings. OBJECTIVE:We measured adoption of medical home features by VHA primary care clinics prior to wides...

journal_title：Journal of general internal medicine

authors： Yoon J,Rose DE,Canelo I,Upadhyay AS,Schectman G,Stark R,Rubenstein LV,Yano EM

更新日期：2013-09-01 00:00:00

abstract：BACKGROUND:The quality of the continuity clinic experience for internal medicine (IM) residents may influence their choice to enter general internal medicine (GIM), yet few data exist to support this hypothesis. OBJECTIVE:To assess the relationship between IM residents' satisfaction with continuity clinic and interest...

journal_title：Journal of general internal medicine

authors： Peccoralo LA,Tackett S,Ward L,Federman A,Helenius I,Christmas C,Thomas DC

更新日期：2013-08-01 00:00:00

abstract：BACKGROUND:The patient-centered medical home (PCMH) model aims to provide patient-centered care, lower costs, and improve health outcomes. Medical students have not been meaningfully integrated in this model. AIM:To test the feasibility of a longitudinal clerkship based on PCMH principles and anchored by PCMH educatio...

journal_title：Journal of general internal medicine

authors： Henschen BL,Garcia P,Jacobson B,Ryan ER,Woods DM,Wayne DB,Evans DB

更新日期：2013-08-01 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：INTRODUCTION:With the increasing number of women Veterans enrolling in the Veterans Health Administration (VA), there is growing demand for reproductive health services. Little is known regarding the on-site availability of reproductive health services at VA and how this varies by site location and type. OBJECTIVE:To ...

journal_title：Journal of general internal medicine

authors： Katon J,Reiber G,Rose D,Bean-Mayberry B,Zephyrin L,Washington DL,Yano EM

更新日期：2013-07-01 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

authors： Kolb AG,Ives ST,Davies SF

更新日期：2013-07-01 00:00:00

abstract：BACKGROUND:Rapid antigen detection tests (RADT) are commonly used to guide appropriate antibiotic treatment of group A beta-hemolytic streptococcal (GABHS) pharyngitis. In adults, there is controversy about the need for routine backup testing of negative RADT. OBJECTIVE:Estimate the costs and benefits in adults of rou...

journal_title：Journal of general internal medicine

authors： Nakhoul GN,Hickner J

更新日期：2013-06-01 00:00:00

abstract：BACKGROUND:Multi-faceted depression care programs based within the healthcare system have been found to be effective, but may not fully address the needs of African American Intimate Partner Violence (IPV) survivors, many of whom are not seeking depression care in healthcare settings. OBJECTIVES:To develop and evaluat...

journal_title：Journal of general internal medicine

authors： Nicolaidis C,Wahab S,Trimble J,Mejia A,Mitchell SR,Raymaker D,Thomas MJ,Timmons V,Waters AS

更新日期：2013-04-01 00:00:00

abstract：BACKGROUND:Increasing the use of electronic medical records (EMR) has been suggested as an important strategy for improving healthcare safety. OBJECTIVE:To sequentially measure, evaluate, and respond to safety culture and practice safety concerns following EMR implementation. DESIGN:Safety culture was assessed using ...

journal_title：Journal of general internal medicine

authors： McGuire MJ,Noronha G,Samal L,Yeh HC,Crocetti S,Kravet S

更新日期：2013-02-01 00:00:00

abstract：:Physicians and patients increasingly use social media technologies, such as Facebook, Twitter, and weblogs (blogs), both professionally and personally. Amidst recent reports of physician misbehavior online, as well as concerns about social media's potential negative effect on trust in the medical profession, several n...

journal_title：Journal of general internal medicine

authors： Decamp M

更新日期：2013-02-01 00:00:00

abstract：:Older adults often have multiple chronic conditions that may decrease additional life expectancy. Research evaluating the benefits and harms of screening must include consideration of competing morbidities and patient heterogeneity (beyond age), potentially increased harms of screening, and patient preferences. Other ...

journal_title：Journal of general internal medicine

authors： Eckstrom E,Feeny DH,Walter LC,Perdue LA,Whitlock EP

更新日期：2013-02-01 00:00:00

abstract：BACKGROUND:Screening patterns among primary care physicians (PCPs) may be influenced by patient age and comorbidity. Colorectal cancer (CRC) screening has little benefit among patients with limited life expectancy. OBJECTIVE:To characterize the extent to which PCPs modify their recommendations for CRC screening based ...

journal_title：Journal of general internal medicine

authors： Haggstrom DA,Klabunde CN,Smith JL,Yuan G

更新日期：2013-01-01 00:00:00

abstract：BACKGROUND:In an effort to prevent medical errors, it has been recommended that all healthcare organizations implement a standardized approach to communicating patient information during transitions of care between providers. Most research on these transitions has been conducted in the inpatient setting, with relativel...

journal_title：Journal of general internal medicine

authors： Garment AR,Lee WW,Harris C,Phillips-Caesar E

更新日期：2013-01-01 00:00:00

abstract：BACKGROUND:As electronic health records (EHRs) become widely adopted, alerts and reminders can improve medication safety, but excessive alerts may irritate or overwhelm clinicians, thereby reducing their effectiveness. We developed a novel "stealth" alert in an EHR to improve anticoagulation monitoring for patients pre...

journal_title：Journal of general internal medicine

authors： Koplan KE,Brush AD,Packer MS,Zhang F,Senese MD,Simon SR

更新日期：2012-12-01 00:00:00

abstract：BACKGROUND:Medication guides are required documents to be distributed to patients in order to convey serious risks associated with certain prescribed medicines. Little is known about the effectiveness of this information to adequately inform patients on safe use. OBJECTIVE:To examine the readability, suitability, and ...

journal_title：Journal of general internal medicine

authors： Wolf MS,King J,Wilson EA,Curtis LM,Bailey SC,Duhig J,Russell A,Bergeron A,Daly A,Parker RM,Davis TC,Shrank WH,Lambert B

更新日期：2012-12-01 00:00:00

abstract：BACKGROUND:Adverse drug events after hospital discharge are common and often serious. These events may result from provider errors or patient misunderstanding. OBJECTIVE:To determine the prevalence of medication reconciliation errors and patient misunderstanding of discharge medications. DESIGN:Prospective cohort stu...

journal_title：Journal of general internal medicine

authors： Ziaeian B,Araujo KL,Van Ness PH,Horwitz LI

更新日期：2012-11-01 00:00:00

abstract：BACKGROUND:It is unclear how lack of health insurance or otherwise being underinsured contributes to observed racial disparities in health outcomes related to cardiovascular disease. OBJECTIVE:To determine the relative risk of death associated with insurance and race after hospital admission for an acute cardiovascula...

journal_title：Journal of general internal medicine

authors： Ng DK,Brotman DJ,Lau B,Young JH

更新日期：2012-10-01 00:00:00

abstract：BACKGROUND:Many patient education materials (PEMs) available on the internet are written at high school or college reading levels, rendering them inaccessible to the average US resident, who reads at or below an 8(th) grade level. Currently, electronic health record (EHR) providers partner with companies that produce P...

journal_title：Journal of general internal medicine

authors： Stossel LM,Segar N,Gliatto P,Fallar R,Karani R

更新日期：2012-09-01 00:00:00

abstract：BACKGROUND:There are no life-tables quantifying the average life-spans of post-hospitalized heart failure populations across various strata of risk. OBJECTIVE:To quantify the life-expectancies (i.e., average life-spans) of heart failure patients at the time of hospital discharge according to age, gender, predictive 30...

journal_title：Journal of general internal medicine

authors： Alter DA,Ko DT,Tu JV,Stukel TA,Lee DS,Laupacis A,Chong A,Austin PC

更新日期：2012-09-01 00:00:00

abstract：BACKGROUND:Maintenance of certification examination performance is associated with quality of care. We aimed to examine relationships between electronic medical knowledge resource use, practice characteristics and examination scores among physicians recertifying in internal medicine. METHODS:We conducted a cross-secti...

journal_title：Journal of general internal medicine

authors： Reed DA,West CP,Holmboe ES,Halvorsen AJ,Lipner RS,Jacobs C,McDonald FS

更新日期：2012-08-01 00:00:00

abstract：BACKGROUND:Guidelines recommend administration of antibiotics with activity against methicillin-resistant Staphylococcus aureus (MRSA) and Pseudomonas aeruginosa for treatment of healthcare-associated pneumonia (HCAP). It is unclear if this therapy improves outcomes for patients with HCAP. OBJECTIVE:To determine if ad...

journal_title：Journal of general internal medicine

authors： Madaras-Kelly KJ,Remington RE,Sloan KL,Fan VS

更新日期：2012-07-01 00:00:00