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Words Do Matter: A Systematic Review On How Different Terminology For The Same Condition Influences Management Preferences, Brooke Nickel, Alexandra Barratt, Tessa Copp, Ray Moynihan, Kirsten McCaffery 2017 University of Sydney

Words Do Matter: A Systematic Review On How Different Terminology For The Same Condition Influences Management Preferences, Brooke Nickel, Alexandra Barratt, Tessa Copp, Ray Moynihan, Kirsten Mccaffery

Faculty of Health Sciences & Medicine Publications

OBJECTIVES:

Changing terminology for low-risk, screen-detected conditions has now been recommended by several expert groups in order to prevent overdiagnosis and reduce the associated harms of overtreatment. However, the effect of terminology on patients' preferences for management is not well understood. This review aims to synthesise existing studies on terminology and its impact on management decision making.

DESIGN:

Systematic review.

METHODS:

Studies were included that compared two or more terminologies to describe the same condition and measured the effect on treatment or management preferences and/or choices. Studies were identified via database searches from inception to April 2017, and from ...


State Differences In The Application Of Medical Frailty Under The Affordable Care Act: 2017 Update, Peter Mosbach, Sherry J. Campanelli 2017 University of Massachusetts Medical School

State Differences In The Application Of Medical Frailty Under The Affordable Care Act: 2017 Update, Peter Mosbach, Sherry J. Campanelli

Commonwealth Medicine Publications

This poster details the effects of Medicaid coverage expansion since the Affordable Care Act began the inclusion of childless adults below the poverty level. This change has created a divide in how different states handle Medicaid coverage and this study examines how states undergoing Medicaid expansion differ in their treatment of individuals who may need the extra benefits offered by traditional Medicaid.

Researchers studied 14 different states and found substantial differences in how each state assessed eligibility for Medicaid coverage. In states like Massachusetts, individuals who were applying for disability-based Medicaid could self-declare that they had special medical needs, while ...


Do We Want To Know About Patients’ Perceptions Of Care? Insights From Implementation Science, Kathleen Mazor 2017 University of Massachusetts Medical School

Do We Want To Know About Patients’ Perceptions Of Care? Insights From Implementation Science, Kathleen Mazor

Kathleen M. Mazor

The presentation will introduce the “We Want to Know” program, the goal of which is to make it easy for patients and family members who have concerns about care to express their concern and get a response. It will also describe how the program is being adopted and implemented across 10 hospitals in the Washington DC/Baltimore area, and will draw on key implementation science concepts to highlight the challenges in translating the program into practice. This presentation is part of the mini-symposium entitled "Building Bridges to "Cross the Quality Chasm": The Challenges of Engaging Clinicians in Patient-Centered Care."


Relation Between Narrow Networks And Providers Of Cancer Care, Laura Yasaitis, Justin E. Bekelman, Daniel Polsky 2017 University of Pennsylvania

Relation Between Narrow Networks And Providers Of Cancer Care, Laura Yasaitis, Justin E. Bekelman, Daniel Polsky

Research Briefs

No abstract provided.


A Cross-Sectional Analysis Of Pharmaceutical Industry-Funded Events For Health Professionals In Australia, Alice Fabbri, Quinn Grundy, Barbara Mintzes, Swestika Swandari, Ray Moynihan, Emily Walkom, Lisa A Bero 2017 University of Sydney

A Cross-Sectional Analysis Of Pharmaceutical Industry-Funded Events For Health Professionals In Australia, Alice Fabbri, Quinn Grundy, Barbara Mintzes, Swestika Swandari, Ray Moynihan, Emily Walkom, Lisa A Bero

Faculty of Health Sciences & Medicine Publications

OBJECTIVES:

To analyse patterns and characteristics of pharmaceutical industry sponsorship of events for Australian health professionals and to understand the implications of recent changes in transparency provisions that no longer require reporting of payments for food and beverages.

DESIGN:

Cross-sectional analysis.

PARTICIPANTS AND SETTING:

301 publicly available company transparency reports downloaded from the website of Medicines Australia, the pharmaceutical industry trade association, covering the period from October 2011 to September 2015.

RESULTS:

Forty-two companies sponsored 116 845 events for health professionals, on average 608 per week with 30 attendees per event. Events typically included a broad range of health professionals ...


Bias In The Eyes Of Resident Physicians, Abel H. Irena, Kern A. Reid, Richard Battiola, Anthony Cáceres 2017 Department of Internal Medicine, Aurora Health Care

Bias In The Eyes Of Resident Physicians, Abel H. Irena, Kern A. Reid, Richard Battiola, Anthony Cáceres

Aurora Internal Medicine Faculty

Background: The utilization of patient characteristics can allow health care providers to arrive at diagnosis or decide on treatment options; however, the subjective nature of patient characterization can negatively affect patient care. A 2003 Institute of Medicine report, called Unequal Treatment, recognized that bias or stereotyping may affect provider-patient communication or the care offered. Purpose: To investigate residents’ recognition of bias in an inpatient care setting. Methods: In order to explore the topic of bias among providers, we elected to indirectly assess its recognition among providers by asking their opinion in an anonymous manner about their fellow residents. This, we ...


Shared Decision Making In Australia In 2017, Lyndal Trevena, Heather L. Shepherd, Carissa Bonner, Jesse Jansen, Anne E. Cust, Julie Leask, Narelle Shadbolt, Chris del Mar, Kirsten McCaffery, Tammy C. Hoffmann 2017 University of Sydney

Shared Decision Making In Australia In 2017, Lyndal Trevena, Heather L. Shepherd, Carissa Bonner, Jesse Jansen, Anne E. Cust, Julie Leask, Narelle Shadbolt, Chris Del Mar, Kirsten Mccaffery, Tammy C. Hoffmann

Tammy Hoffmann

Shared Decision Making (SDM) is now firmly established within national clinical standards for accrediting hospitals, day procedure services, public dental services and medical education in Australia, with plans to align general practice, aged care and disability service. Implementation of these standards and training of health professionals is a key challenge for the Australian health sector at this time. Consumer involvement in health research, policy and clinical service governance has also increased, with a major focus on encouraging patients to ask questions during their clinical care. Tools to support shared decision making are increasingly used but there is a need for ...


Retention In Health: Improving Hiv Retention Within The Sf Community Health Network, Miguel A. Ibarra 2017 University of San Francisco

Retention In Health: Improving Hiv Retention Within The Sf Community Health Network, Miguel A. Ibarra

Master's Projects and Capstones

Previous work on HIV retention improvement has focused on improving access to care for communities who are either at-risk of falling out of care or who have difficulty engaging in medical care for the first time due to socio-cultural barriers. The San Francisco Department of Public Health (SFDPH), with the support of Project PRIDE, a CDC three-year demonstration project geared towards supporting health departments in implementing public health strategies to reduce new HIV infections within the men who have sex with men (MSM) and transgender communities, is seeking to improve HIV patient retention throughout the San Francisco Community Health Network ...


Assuring Quality Of Limited English Proficiency (Lep) Services, Sherry J. Campanelli, Laura Newhall 2017 University of Massachusetts Medical School

Assuring Quality Of Limited English Proficiency (Lep) Services, Sherry J. Campanelli, Laura Newhall

Commonwealth Medicine Publications

Blog post to AEA365, a blog sponsored by the American Evaluation Association (AEA) dedicated to highlighting Hot Tips, Cool Tricks, Rad Resources, and Lessons Learned for evaluators. The American Evaluation Association is an international professional association of evaluators devoted to the application and exploration of program evaluation, personnel evaluation, technology, and many other forms of evaluation. Evaluation involves assessing the strengths and weaknesses of programs, policies, personnel, products, and organizations to improve their effectiveness.


Prevalence And Predictors Of Herbal Medicine Use Among Adults In The United States, Mohamed Rashrash, Jon C. Schommer, Lawrence M. Brown 2017 Chapman University

Prevalence And Predictors Of Herbal Medicine Use Among Adults In The United States, Mohamed Rashrash, Jon C. Schommer, Lawrence M. Brown

Pharmacy Faculty Articles and Research

Objective: To describe the prevalence of herbal medicine use among US adults and to assess factors associated with and predictors of herbal use. Design: The data for herbal products use were collected from the 2015 National Consumer Survey on the Medication Experience and Pharmacists’ Roles. Chi-square test was used to analyz factors associated with herbal use, and predictors of herbal use were assessed with logistic regression analysis. Results: Factors associated with herbal supplement use include age older than 70, having a higher than high school education, using prescription medications or over-thecounter (OTC) medications, and using a mail-order pharmacy.” All Disease ...


Health Plan Member Outreach And Engagement: Best Practices, Jeff A. Auger 2017 University of Massachusetts Medical School

Health Plan Member Outreach And Engagement: Best Practices, Jeff A. Auger

Commonwealth Medicine Publications

Health plans can no longer ignore what happens after their members walk out of the doctor’s office. Too often members fail to follow through on the advice given by their primary physicians, leaving prescriptions unfilled or putting off badly needed diet and lifestyle changes. This can lead to costlier health problems and medical procedures down the line.

As a result, health plans are ramping up efforts to connect with their members, with the growth of member outreach and engagement filling a significant gap in today’s health care system. Read this white paper to learn best practices that boost ...


A Descriptive Study Of The Elderly In California Substance Abuse Treatment Programs, David Berenschot 2017 California State University - San Bernardino

A Descriptive Study Of The Elderly In California Substance Abuse Treatment Programs, David Berenschot

Electronic Theses, Projects, and Dissertations

As gerontologists may know, there are a great deal of studies and a variety of academic literature on the misuse of alcohol and prescription medication amongst the elderly population. While there is a plethora of information on alcohol and prescription misuse, there is little reported data about the prevalence of other substance misuse experienced by this population. This study aims to help to fill that gap in the data by using quantitative methods to describe the scope of substance abuse of individuals 55-years or older. This study utilizes data from the Treatment Data Set Admission (TEDS-A). The TEDS-A is a ...


Empowering Women Health Care Providers In Rural Tibet, Jampa Xiangbalacuo 2017 SIT Graduate Institute

Empowering Women Health Care Providers In Rural Tibet, Jampa Xiangbalacuo

Capstone Collection

This paper begins with an understanding the issue of healthcare in Tibet, in particularly, women’s access to quality of healthcare and leadership has been denied due to their political, economic and social rights. Therefore, Tibetan women are dying from all preventable causes. This paper presents specifically an overview of the Pende Clinic, in rural Tibet, and its contextual information as a preliminary data that are gathered through interviews and observations in Tibet. It follows with a purpose to incorporate the process of women’s empowerment in the healthcare system. A number of studies of empowerment are analyzed in-depth and ...


Home Is Where Migrant Health Starts: Migrant Farm Worker Housing Survey In Monterey And Santa Cruz Counties, California, Daniela J. Vargas 2017 University of San Francisco

Home Is Where Migrant Health Starts: Migrant Farm Worker Housing Survey In Monterey And Santa Cruz Counties, California, Daniela J. Vargas

Master's Projects and Capstones

In the United States, farm workers are faced with many issues in regards to housing such as overcrowding, lack of available affordable housing and the quality of housing. Low wages and low socioeconomic standing affects farm workers’ ability to obtain quality housing in Monterey and Santa Cruz counties. The purpose of this project was to obtain qualitative and quantitative data regarding the barriers and housing insecurities that affect migrant farm workers in California. This would be done through a farm worker housing survey, known as the Survey for Housing Improvement in Pajaro and Salinas (SHIPS), which will be conducted on ...


Paying It Forward: Training Doulas As A Form Of Reintegration And Support For Communities Of Color, Sandra E. Luna-Martinez 2017 The University of San Francisco

Paying It Forward: Training Doulas As A Form Of Reintegration And Support For Communities Of Color, Sandra E. Luna-Martinez

Master's Projects and Capstones

As part of the birth justice movement in Alameda County, Roots of Labor Birth Collective (RLBC) is committed to support, empower and care for birthing members of the community. RLBC works to empower people of color with education and tools to have healthy babies and positive birth experiences regardless of their: gender, size, sexuality, orientation, culture or family structure. Healthy families begin with healthy communities and with that in mind, RLBC decided to tackle two major public health issues at once: recidivism and poor birth outcomes in communities of color. Doula training is not just an intervention to improve birth ...


Shared Decision Making In Australia In 2017, Lyndal Trevena, Heather L. Shepherd, Carissa Bonner, Jesse Jansen, Anne E. Cust, Julie Leask, Narelle Shadbolt, Chris del Mar, Kirsten McCaffery, Tammy C. Hoffmann 2017 University of Sydney

Shared Decision Making In Australia In 2017, Lyndal Trevena, Heather L. Shepherd, Carissa Bonner, Jesse Jansen, Anne E. Cust, Julie Leask, Narelle Shadbolt, Chris Del Mar, Kirsten Mccaffery, Tammy C. Hoffmann

Faculty of Health Sciences & Medicine Publications

Shared Decision Making (SDM) is now firmly established within national clinical standards for accrediting hospitals, day procedure services, public dental services and medical education in Australia, with plans to align general practice, aged care and disability service. Implementation of these standards and training of health professionals is a key challenge for the Australian health sector at this time. Consumer involvement in health research, policy and clinical service governance has also increased, with a major focus on encouraging patients to ask questions during their clinical care. Tools to support shared decision making are increasingly used but there is a need for ...


Direct-To-Patient Pro Collection To Support Quality Improvement In Tjr, Hua Zheng, Celeste A. Lemay, Wenyun Yang, Patricia D. Franklin 2017 University of Massachusetts Medical School

Direct-To-Patient Pro Collection To Support Quality Improvement In Tjr, Hua Zheng, Celeste A. Lemay, Wenyun Yang, Patricia D. Franklin

UMass Center for Clinical and Translational Science Research Retreat

Introduction: Patient-reported outcomes (PROs) are widely used in orthopedic clinical research to evaluate quality of care. However, it is difficult to capture complete post-operative PRO data through surgeon office visits. The UK and Sweden collect post-TJR PRO measures directly from patients in their homes. We compared two US post-operative PRO collection processes- PROs in clinic at scheduled office visits and direct-to-patient collection, to evaluate timing and completeness of both approaches.

Methods: At a large TJR center that has collected PROs at office visits routinely for years, post-TJR patients complete a PRO survey on a computer at follow-up clinic visits. In ...


Patient-Perceived Breakdowns In Care: Informing Clinician Responses, Kimberly A. Fisher 2017 University of Massachusetts Medical School

Patient-Perceived Breakdowns In Care: Informing Clinician Responses, Kimberly A. Fisher

UMass Center for Clinical and Translational Science Research Retreat

The presentation will introduce the audience to the topic of patient-perceived breakdowns in care, with a focus on breakdowns in the critical care setting. It will highlight how patient-perceived breakdowns in care can impede the delivery of patient-centered care, including shared decision-making. It will conclude by exploring the central role of frontline clinicians in responding to patient reports of breakdowns in care, including potential facilitators and barriers to addressing patient concerns about breakdowns in care. This presentation is part of the mini-symposium entitled "Building Bridges to "Cross the Quality Chasm": The Challenges of Engaging Clinicians in Patient-Centered Care."


Do We Want To Know About Patients’ Perceptions Of Care? Insights From Implementation Science, Kathleen Mazor 2017 University of Massachusetts Medical School

Do We Want To Know About Patients’ Perceptions Of Care? Insights From Implementation Science, Kathleen Mazor

UMass Center for Clinical and Translational Science Research Retreat

The presentation will introduce the “We Want to Know” program, the goal of which is to make it easy for patients and family members who have concerns about care to express their concern and get a response. It will also describe how the program is being adopted and implemented across 10 hospitals in the Washington DC/Baltimore area, and will draw on key implementation science concepts to highlight the challenges in translating the program into practice. This presentation is part of the mini-symposium entitled "Building Bridges to "Cross the Quality Chasm": The Challenges of Engaging Clinicians in Patient-Centered Care."


Shared Decision Making In Neurocritical Care: Barriers And Facilitators, Susanne Muehlschlegel 2017 University of Massachusetts Medical School

Shared Decision Making In Neurocritical Care: Barriers And Facilitators, Susanne Muehlschlegel

UMass Center for Clinical and Translational Science Research Retreat

The presentation will introduce the audience to shared decision-making in general, as well as specifically in critical care, including the barriers and facilitators of shared-decision making in stakeholders. The presentation will also highlight the ongoing research activities at UMMS to develop and implement the first neuro-critical care based decision support tool for surrogate decision makers. This presentation is part of the mini-symposium entitled "Building Bridges to "Cross the Quality Chasm": The Challenges of Engaging Clinicians in Patient-Centered Care."


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