Published in Journal of general internal medicine
Patient-reported outcome measures (PROs) can help clinicians adjust treatments and deliver patient-centered care, but organizational adoption of PROs remains low. This study examines the extent of PRO adoption among health systems and physician practices nationally and examines the organizational capabilities associated with more extensive PRO adop...
Published in Journal of general internal medicine
Medicare introduced billing codes in 2016 to encourage clinicians to engage in advance care planning (ACP) and promote goal-concordantend-of-life care, but uptake has been modest. While prior research examined individual-level factors in ACP billing, organization-level factors associated with physician practices billing for ACP remain unknown. Exam...
Published in Journal of general internal medicine
Pharmacotherapies remain a central focus of successful tobacco control, but uptake remains very low. To estimate the cost effectiveness of a primary care nicotine replacement therapy (NRT) sampling intervention. A Markov cohort simulation model was constructed to conduct cost-effectiveness analyses. Clinical trial results were used to initialize th...
Published in Journal of general internal medicine
Between August 2016 and July 2018, three states classified gabapentin as a Schedule V drug and nine states implemented prescription drug monitoring program (PDMP) regulation for gabapentin. It is highly unusual for states to take drug regulation into their own hands. The impact of these changes on gabapentin prescribing is unclear. To determine the...
Published in Journal of general internal medicine
Multimorbidity (≥ 2 chronic diseases) is associated with greater disability and higher treatment burden, as well as difficulty coordinating self-management tasks for adults with complex multimorbidity patterns. Comparatively little work has focused on assessing multimorbidity patterns among patients seeking care in community health centers (CHCs). ...
Published in Journal of general internal medicine
Depression is often untreated or undertreated, particularly among underrepresented groups, such as racial and ethnic minorities, and individuals of lower socioeconomic status. Electronic health information exchange (HIE) is a recommended practice to improve care coordination and encourage patient engagement in services, but it remains underutilized...
Published in Journal of general internal medicine
Benzodiazepines and antipsychotics are routinely prescribed for symptom management in hospice. There is minimal evidence to guide prescribing in this population, and little is known about how prescribing varies across hospice agencies. Examine patient- and hospice agency-level characteristics associated with incident prescribing of benzodiazepines ...
Published in Journal of general internal medicine
Published in Journal of general internal medicine
Homeless street sweeps are frequent operations in many cities in the USA in which government agencies move unhoused people living in public outdoor areas. Little research exists on the health impact of street sweeps operations. This study was created at the request of community advocacy groups to investigate and document the health impacts of stree...
Published in Journal of general internal medicine
The management and outcomes of patients diagnosed with acute pulmonary embolism in primary care have not been characterized. To describe 30-day outcomes stratified by initial site-of-care decisions DESIGN: Multicenter retrospective cohort study PARTICIPANTS: Adults diagnosed with acute pulmonary embolism in primary care in a large, diverse communit...
