abstract：BACKGROUND:Leaders play a crucial role in implementing and sustaining changes in clinical practice, yet there is limited evidence on the strategies to engage them in team problem solving and communication. OBJECTIVE:Examine the impact of an intervention focused on facilitating leadership during daily huddles on optimi...

journal_title：Journal of general internal medicine

authors： Lampman MA,Chandrasekaran A,Branda ME,Tumerman MD,Ward P,Staats B,Johnson T,Giblon R,Shah ND,Rushlow DR

更新日期：2021-01-26 00:00:00

abstract：BACKGROUND:Continuity clinics are a critical component of outpatient internal medicine training. Little is known about the population of patients cared for by residents and how these physicians perform. OBJECTIVES:To compare resident and faculty performance on standard population health measures. To identify potential...

journal_title：Journal of general internal medicine

authors： Amat M,Glassman R,Basu N,Doolin J,Flier L,Gonzalez MR,Gosselin J,Knapp S,Yun P,Graham KL

更新日期：2021-01-21 00:00:00

abstract：BACKGROUND:Despite significant investment in colorectal cancer (CRC) screening, 40% of US adults are not up-to-date. Commitment devices, which are psychologically tailored approaches to enforce health goals, may be an effective method to increase CRC screening. OBJECTIVE:Compare the effectiveness of a commitment devic...

journal_title：Journal of general internal medicine

authors： Hahn EE,Baecker A,Shen E,Haupt EC,Wakach W,Ahuja A,Imley TM,Gould MK,Kanter M

更新日期：2021-01-20 00:00:00

abstract：BACKGROUND:Post-hospital discharge follow-up appointments are intended to evaluate patients' recovery following a hospitalization, but it is unclear how appointment statuses are associated with readmissions. OBJECTIVE:To examine the association between post-discharge ambulatory follow-up status, (1) having a scheduled...

journal_title：Journal of general internal medicine

authors： Coppa K,Kim EJ,Oppenheim MI,Bock KR,Conigliaro J,Hirsch JS

更新日期：2021-01-19 00:00:00

abstract：BACKGROUND:While in some studies, the patient-centered medical home has been linked with increased receipt of preventive services among other populations, there is a paucity of literature testing the effectiveness of medical homes in serving the healthcare needs of autistic adults. OBJECTIVE:To compare the receipt of ...

journal_title：Journal of general internal medicine

authors： Hand BN,Gilmore D,Coury DL,Darragh AR,Moffatt-Bruce S,Hanks C,Garvin JH

更新日期：2021-01-19 00:00:00

abstract：BACKGROUND:Many national guidelines recommend the use of patient provider agreements (PPAs) when prescribing opioids for chronic pain. There are no standards for PPA content, readability, or administration processes. OBJECTIVE:Conduct a national survey of providers who use PPAs to describe the process of administering...

journal_title：Journal of general internal medicine

authors： Laks J,Alford DP,Patel K,Jones M,Armstrong E,Waite K,Henault L,Paasche-Orlow MK

更新日期：2021-01-08 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:Pain self-management is an effective, evidence-based treatment for chronic pain. Peer support, in which patients serve as coaches for other patients, has been effective in other chronic conditions and is a potentially promising approach to implementing pain self-management programs using fewer clinical resou...

journal_title：Journal of general internal medicine

authors： Matthias MS,Bair MJ,Ofner S,Heisler M,Kukla M,McGuire AB,Adams J,Kempf C,Pierce E,Menen T,McCalley S,Johnson NL,Daggy J

更新日期：2020-12-01 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

authors： Militello LG,Hurley RW,Cook RL,Danielson EC,Diiulio J,Downs SM,Anders S,Harle CA

更新日期：2020-12-01 00:00:00

abstract：:Hospitalists provide a significant amount of direct clinical care in both academic and community hospitals. Peer feedback is a potentially underutilized and low resource method for improving clinical performance, which lends itself well to the frequent patient care handoffs that occur in the practice of hospital medic...

journal_title：Journal of general internal medicine

authors： Rosenthal MA,Sharpe BA,Haber LA

更新日期：2020-12-01 00:00:00

abstract：:This perspective describes federal efforts in the United States (U.S.) to integrate care for an especially complex, vulnerable, and costly patient population: adults eligible for both Medicare and Medicaid insurance. The goal of the paper is to demystify for clinical policy leaders and practicing clinicians the origin...

journal_title：Journal of general internal medicine

authors： Elmaleh-Sachs A,Schneider EC

更新日期：2020-12-01 00:00:00

abstract：BACKGROUND:Whether patients' reports of gaps in care coordination reflect clinically significant problems is unclear. OBJECTIVE:To determine any association between patient-reported gaps in care coordination and patient-reported preventable adverse outcomes. DESIGN AND PARTICIPANTS:We administered a cross-sectional s...

journal_title：Journal of general internal medicine

authors： Kern LM,Reshetnyak E,Colantonio LD,Muntner PM,Rhodes JD,Casalino LP,Rajan M,Pesko M,Pinheiro LC,Safford MM

更新日期：2020-12-01 00:00:00

abstract：:General internal medicine (GIM) fellowships play an important role in the development of physician scientists and clinical educators, as well as leaders in academic medicine. Nevertheless, the challenges of developing another novel aspect to one's career, along with balancing coursework, research productivity, clinica...

journal_title：Journal of general internal medicine

authors： Essien UR,Tipirneni R,Leung LB,Sterling MR

更新日期：2020-12-01 00:00:00

abstract：BACKGROUND:To address concerns that the Hospital Readmissions Reduction Program (HRRP) unfairly penalized safety net hospitals treating patients with high social and functional risks, Medicare recently modified HRRP to compare hospitals with similar proportions of high-risk, dual-eligible patients ("peer group hospital...

journal_title：Journal of general internal medicine

authors： Hsuan C,Braun TM,Ponce NA,Hoffman GJ

更新日期：2020-12-01 00:00:00

abstract：BACKGROUND:There is inadequate evidence of long-term benefit from opioid medications for chronic pain and substantial evidence of potential harms. For patients, dose reduction may be beneficial when implemented voluntarily and supported by a multidisciplinary team but experts have advised against involuntary opioid red...

journal_title：Journal of general internal medicine

authors： Frank JW,Carey E,Nolan C,Hale A,Nugent S,Krebs EE

更新日期：2020-12-01 00:00:00

abstract：BACKGROUND:eConsult programs have been instituted to increase access to specialty expertise. Opt-in choice eConsult programs maintain primary care physician (PCP) autonomy to decide whether to utilize eConsults versus traditional specialty referrals, but little is known about how this intervention may impact PCP eConsu...

journal_title：Journal of general internal medicine

authors： Rikin S,Zhang C,Lipsey D,Deluca J,Epstein EJ,Berger M,Tomer Y,Arnsten JH

更新日期：2020-11-01 00:00:00

abstract：BACKGROUND:The coronavirus disease 2019 (COVID-19) emerged in December 2019 and posed numerous challenges to China's health system. Almost 4 million primary care practitioners (PCPs) participated in controlling the outbreak. However, PCPs' barriers to and experience of the epidemic control remain unknown and are essent...

journal_title：Journal of general internal medicine

authors： Xu Z,Ye Y,Wang Y,Qian Y,Pan J,Lu Y,Fang L

更新日期：2020-11-01 00:00:00

abstract：:The safety net, a collection of public hospitals, federally qualified health centers (FQHCs), and publicly funded community-based healthcare entities, provides essential care to middle-aged and older adults with geriatric conditions. The role of the safety net for these adults will intensify over the next two decades ...

journal_title：Journal of general internal medicine

authors： Chodos AH,Cassel CK,Ritchie CS

更新日期：2020-11-01 00:00:00

abstract：BACKGROUND:Understanding the impact of the COVID-19 pandemic on healthcare workers (HCW) is crucial. OBJECTIVE:Utilizing a health system COVID-19 research registry, we assessed HCW risk for COVID-19 infection, hospitalization, and intensive care unit (ICU) admission. DESIGN:Retrospective cohort study with overlap pro...

journal_title：Journal of general internal medicine

authors： Misra-Hebert AD,Jehi L,Ji X,Nowacki AS,Gordon S,Terpeluk P,Chung MK,Mehra R,Dell KM,Pennell N,Hamilton A,Milinovich A,Kattan MW,Young JB

更新日期：2020-11-01 00:00:00

abstract：BACKGROUND:Questions persist about how learning healthcare systems should integrate audit and feedback (A&F) into quality improvement (QI) projects to support clinical teams' use of performance data to improve care quality. OBJECTIVE:To identify how a virtual "Hub" dashboard that provided performance data for patients...

journal_title：Journal of general internal medicine

authors： Rattray NA,Damush TM,Miech EJ,Homoya B,Myers LJ,Penney LS,Ferguson J,Giacherio B,Kumar M,Bravata DM

更新日期：2020-11-01 00:00:00

abstract：OBJECTIVE:Examine patterns of alcohol use disorder (AUD) medication use and identify factors associated with prescription fill among commercially insured individuals with an index AUD visit. DESIGN:Using 2008-2018 claims data from a large national insurer, estimate days to first AUD medication using cause-specific haz...

journal_title：Journal of general internal medicine

authors： Huskamp HA,Reif S,Greenfield SF,Normand ST,Busch AB

更新日期：2020-11-01 00:00:00

abstract：:Several population health big data projects have been initiated in the USA recently. These include the County Health Rankings & Roadmaps (CHR) initiated in 2010, the 500 Cities Project initiated in 2016, and the City Health Dashboard project initiated in 2017. Such projects provide data on a range of factors that dete...

journal_title：Journal of general internal medicine

authors： Bu DD,Liu SH,Liu B,Li Y

更新日期：2020-11-01 00:00:00

abstract：BACKGROUND:Most guidelines recommend against PSA-based screening for prostate cancer in men ≥ 70 years of age. Adherence to these guidelines is variable. OBJECTIVE:To determine whether the use of a "Best Practice Advisory" (BPA) intervention within the electronic medical record (EMR) system can alter the rate of PSA s...

journal_title：Journal of general internal medicine

authors： Presti J Jr,Alexeeff S,Horton B,Prausnitz S,Avins AL

更新日期：2020-11-01 00:00:00

abstract：BACKGROUND:The 2016 presidential election and the controversial policy agenda of its victor have raised concerns about how the election may have impacted mental health. OBJECTIVE:Assess how mental health changed from before to after the November 2016 election and how trends differed in states that voted for Donald Tru...

journal_title：Journal of general internal medicine

authors： Yan BW,Hsia RY,Yeung V,Sloan FA

更新日期：2020-10-31 00:00:00

abstract：BACKGROUND:Palliative care interventions in the ED capture high-risk patients at a time of crisis and can dramatically improve patient-centered outcomes. OBJECTIVE:To understand the facilitators that contributed to the success of the Primary Palliative Care for Emergency Medicine (PRIM-ER) quality improvement pilot in...

journal_title：Journal of general internal medicine

authors： Chung FR,Turecamo S,Cuthel AM,Grudzen CR,PRIM-ER Investigators.

更新日期：2020-10-27 00:00:00

abstract：:This article highlights the timely situation that resident physicians, faculty, and staff are facing after the recent highly publicized murders of Black Americans and its impact on our healthcare communities. We discuss our experiences of how the hospital can serve as a meeting place for anti-racism, as well as how an...

journal_title：Journal of general internal medicine

authors： Okaka Y,AbdelHameid D,Olson RM,Kwarteng-Siaw M,Spanos N,Stone VE

更新日期：2020-10-20 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：BACKGROUND:High-cost patients account for a disproportionate share of healthcare spending. The proportion and distribution of potentially preventable spending among subgroups of high-cost patients are largely unknown. OBJECTIVE:To examine the distribution of potentially preventable spending among high-cost Medicare pa...

journal_title：Journal of general internal medicine

authors： Khullar D,Zhang Y,Kaushal R

更新日期：2020-10-01 00:00:00

abstract：BACKGROUND:Data on patients with coronavirus disease 2019 (COVID-19) who return to hospital after discharge are scarce. Characterization of these patients may inform post-hospitalization care. OBJECTIVE:To describe clinical characteristics of patients with COVID-19 who returned to the emergency department (ED) or requ...

journal_title：Journal of general internal medicine

authors： Somani SS,Richter F,Fuster V,De Freitas JK,Naik N,Sigel K,Mount Sinai COVID Informatics Center.,Bottinger EP,Levin MA,Fayad Z,Just AC,Charney AW,Zhao S,Glicksberg BS,Lala A,Nadkarni GN

更新日期：2020-10-01 00:00:00

abstract：:Although the benefit of population-level public facial masking to protect others during the COVID-19 pandemic has received a great deal of attention, we discuss for one of the first times the hypothesis that universal masking reduces the "inoculum" or dose of the virus for the mask-wearer, leading to more mild and asy...

journal_title：Journal of general internal medicine

authors： Gandhi M,Beyrer C,Goosby E

更新日期：2020-10-01 00:00:00

abstract：BACKGROUND:Limitations in instrumental activities of daily living (IADL) hinder a person's ability to live independently in the community and self-manage their conditions, but its impact on hospital readmission has not been firmly established. OBJECTIVE:To test the importance of IADL dependency as a predictor of 30-da...

journal_title：Journal of general internal medicine

authors： Schiltz NK,Dolansky MA,Warner DF,Stange KC,Gravenstein S,Koroukian SM

更新日期：2020-10-01 00:00:00

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...

journal_title：Journal of general internal medicine

authors： Lu AD,Kaul B,Reichert J,Kilbourne AM,Sarmiento KF,Whooley MA

更新日期：2020-09-11 00:00:00

abstract：BACKGROUND:Integrating evidence-based innovations (EBIs) into sustained use is challenging; most implementations in health systems fail. Increasing frontline teams' quality improvement (QI) capability may increase the implementation readiness and success of EBI implementation. OBJECTIVES:Develop a QI training program ...

journal_title：Journal of general internal medicine

authors： Damschroder LJ,Yankey NR,Robinson CH,Freitag MB,Burns JA,Raffa SD,Lowery JC

更新日期：2020-09-08 00:00:00

abstract：:Hospitalists are well poised to serve in key leadership roles and in frontline care in particular when facing a pandemic such as the SARS-CoV-2 (COVID-19) infection. Much of the disaster planning in hospitals around the country addresses overcrowded emergency departments and decompressing these locations; however, in ...

journal_title：Journal of general internal medicine

authors： Bowden K,Burnham EL,Keniston A,Levin D,Limes J,Persoff J,Thurman L,Burden M

更新日期：2020-09-01 00:00:00

abstract：BACKGROUND:National guidelines indicate that healthcare providers should routinely screen women of reproductive age for experience of intimate partner violence. We know little about intimate partner violence (IPV) screening and disclosure experience among women older than reproductive age. OBJECTIVE:To examine the per...

journal_title：Journal of general internal medicine

authors： Dichter ME,Makaroun L,Tuepker A,True G,Montgomery AE,Iverson K

更新日期：2020-09-01 00:00:00

abstract：BACKGROUND:Implementation of evidence-based practices often requires tailoring implementation strategies to local contextual factors, including available resources, expertise, and cultural norms. Using an exemplar case, we describe how health systems engineering methods can be used to understand system-level variation ...

journal_title：Journal of general internal medicine

authors： Barnes GD,Acosta J,Kurlander JE,Sales AE

更新日期：2020-08-31 00:00:00

abstract：BACKGROUND:Fewer than half of the US population has an advance healthcare directive. Hospitalizations offer a key opportunity for clinicians to engage patients in advance care planning (ACP) conversations. Guidelines suggest screening for the presence of "serious illness" but do not further specify how to prioritize th...

journal_title：Journal of general internal medicine

authors： Mohan D,Sacks OA,O'Malley J,Rudolph M,Bynum J,Murphy M,Barnato AE

更新日期：2020-08-20 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

authors： Chiang GSH,Nyunt MSZ,Gao Q,Wee SL,Yap KB,Tan BY,Ng TP

更新日期：2020-08-20 00:00:00

abstract：BACKGROUND:There are currently roughly 10,000 Germans on the organ waiting list, and that number is over 113,000 in the USA. There is a clear need to increase support for organ donation in general and to increase the number of registered donors in particular. OBJECTIVE:The current study examines the relationship betwe...

journal_title：Journal of general internal medicine

authors： Mazur LB,Gormsen E

更新日期：2020-08-01 00:00:00

abstract：BACKGROUND:The association between pharmaceutical industry promotion and physician opioid prescribing is poorly understood. Whether the influence of industry gifts on prescribing varies by specialty is unknown. OBJECTIVE:To examine the relationship between opioid-related gifts to physicians and opioid prescribing in t...

journal_title：Journal of general internal medicine

authors： Hollander MAG,Donohue JM,Stein BD,Krans EE,Jarlenski MP

更新日期：2020-08-01 00:00:00