2025
The COVID-19 Pandemic and Goals-of-Care Conversations in Veterans Health Administration Clinics
Linsky A, Canter B, Glickman M, Qian S, Ryan S, Still M, Fried T, Wiener R. The COVID-19 Pandemic and Goals-of-Care Conversations in Veterans Health Administration Clinics. JAMA Network Open 2025, 8: e2515980. PMID: 40522660, DOI: 10.1001/jamanetworkopen.2025.15980.Peer-Reviewed Original ResearchConceptsAdvance care planningGoals-of-care conversationsHealth care deliveryCare planningCare deliveryRetrospective cohort studyUS Veterans Health Administration facilitiesImprove advance care planningVeterans Health Administration clinicsVeterans Health Administration facilitiesGoals-of-careFacility-level characteristicsCOVID-19 pandemicHealth care systemYear 3First-everCohort study of patientsRetrospective cohort study of patientsFacility levelStaffing shortagesCare systemOutpatient appointmentsMain OutcomesAdministration facilitiesSecondary analysisVirtual Patient-PCP-Hospitalist Care Transition Meeting Before Hospital Discharge
Li J, Reuter M, Schmidt J, Moore N, Forget N, Carron J, Ernest J, Williams M. Virtual Patient-PCP-Hospitalist Care Transition Meeting Before Hospital Discharge. JAMA Network Open 2025, 8: e2515848. PMID: 40512492, PMCID: PMC12166488, DOI: 10.1001/jamanetworkopen.2025.15848.Peer-Reviewed Original ResearchConceptsPrimary care practitionersAcceptability of Intervention MeasureIntervention appropriateness measureQuality improvement studyImprovement studyPerceptions of care coordinationCenters for Medicare & Medicaid ServicesHospital dischargeHealth care systemIncrease patient confidenceOpen-ended questionsFamily caregiversCare coordinationRelational EmpathyDischarge planningPatient feedbackCare practitionersCare questionsCare systemPatients' perceptionsMedicaid ServicesPatient confidenceHospital settingHospitalistsMain OutcomesP-271. Contact Patterns of United States Health Care Workers at Quaternary Health Center: Stability of contacts during the post-pandemic era
Pischel L, Aguolu O, Ahmed N, Campbell M, Borg R, Duckwall C, Willebrand K, Paintsil E, Muenker M, Malik A, Kiti M, Jenness S, Lopman B, Belsky J, Martinello R, Yildirim I, Ko A, Omer S. P-271. Contact Patterns of United States Health Care Workers at Quaternary Health Center: Stability of contacts during the post-pandemic era. Open Forum Infectious Diseases 2025, 12: ofae631.475. PMCID: PMC11777566, DOI: 10.1093/ofid/ofae631.475.Peer-Reviewed Original ResearchHealth care workersHealth care worker participationCare workersUnited States health care systemStates health care systemAge rangeHealth care systemHealth care workers' contactsLinear regressionHealth centersCare systemChi-square testCOVID-19 pandemic responseContact diariesEpidemiological researchParticipants' jobsWorking-age populationWorking ageConfidence intervalsImaging technologistsParticipantsPandemic responseSocial workersWork environmentWorking daysP-1402. Will You Receive HIV and HCV Testing from a Mobile Pharmacy? Pre-implementation Needs Assessment and Pilot Findings from the United States First Legal Retail Mobile Pharmacy
Tarfa A, Frank C, Brooks R, Schultheis A, Di Paola A, Shenoi S, Springer S. P-1402. Will You Receive HIV and HCV Testing from a Mobile Pharmacy? Pre-implementation Needs Assessment and Pilot Findings from the United States First Legal Retail Mobile Pharmacy. Open Forum Infectious Diseases 2025, 12: ofae631.1577. PMCID: PMC11779293, DOI: 10.1093/ofid/ofae631.1577.Peer-Reviewed Original ResearchCommunity health workersMobile pharmaciesOpioid use disorderAlcohol use disorderHIV testingPre-implementationSubstance use disordersNeeds assessmentNavigating health care systemsCare delivery modelsHCV testingHealth care systemProviding health servicesRisk of HIVUse disorderMD-MPHAccessing careHealth workersService useCharacterize barriersHealth screeningHealth servicesPharmacy servicesHealth careCare systemCharacterizing Emergency Department Care for Patients With Histories of Incarceration
Huang T, Socrates V, Ovchinnikova P, Faustino I, Kumar A, Safranek C, Chi L, Wang E, Puglisi L, Wong A, Wang K, Taylor R. Characterizing Emergency Department Care for Patients With Histories of Incarceration. Journal Of The American College Of Emergency Physicians Open 2025, 6: 100022. PMID: 40012663, PMCID: PMC11852703, DOI: 10.1016/j.acepjo.2024.100022.Peer-Reviewed Original ResearchCare processesHistory of incarcerationRestraint useEmergency departmentHealth care team membersMeasuring care processesCompare socio-demographic characteristicsCare team membersHealth care disparitiesEmergency department careHealth care systemSocio-demographic characteristicsUnique patient encountersMultivariate logistic regressionCare disparitiesHealth behaviorsED settingCare systemPatient encountersSubstance use historyMedical adviceLogistic regressionDemographic characteristicsTeam membersCare
2024
COMPARING HEALTH SYSTEM–BASED AND COMMUNITY-BASED DEMENTIA CARE: THE DEMENTIA CARE (D-CARE) STUDY
Reuben D, Summapund J, Stevens A, Gill T, Peduzzi P, Galloway R, Carnie M. COMPARING HEALTH SYSTEM–BASED AND COMMUNITY-BASED DEMENTIA CARE: THE DEMENTIA CARE (D-CARE) STUDY. Innovation In Aging 2024, 8: 451-451. PMCID: PMC11688750, DOI: 10.1093/geroni/igae098.1466.Peer-Reviewed Original ResearchContinuous engagement of patientsD-CARECommunity-based participatory researchDementia care approachClinical trial sitesEngagement of patientsComparative effectiveness researchPragmatic randomized trialHealth care systemCommunity-based organizationsTreatment of dementiaDementia careUsual careNurse practitionersPhysician assistantsCare approachComprehensive careCare systemCommunity-basedParticipatory researchClinical careResearch staffPragmatic designCareClinical positionsVariables Affecting 90-Day Overall Reimbursement After Anterior Cruciate Ligament Reconstruction: Analysis of Nearly 250,000 Patients in the United States
Halperin S, Prenner S, Dhodapkar M, Santos E, Medvecky M, Grauer J. Variables Affecting 90-Day Overall Reimbursement After Anterior Cruciate Ligament Reconstruction: Analysis of Nearly 250,000 Patients in the United States. Orthopaedic Journal Of Sports Medicine 2024, 12: 23259671241300500. PMID: 39697605, PMCID: PMC11653448, DOI: 10.1177/23259671241300500.Peer-Reviewed Original ResearchAnterior cruciate ligament reconstructionElixhauser Comorbidity IndexCruciate ligament reconstructionAdverse eventsPatient ageLigament reconstructionHealth care systemAssociated with older agePostoperative adverse eventsMultivariate logistic regressionInsurance typeFactors associated with variabilityOverall reimbursementCare systemPatient cohortSurgery statusOutpatient basisFemale sexMultivariate linear regressionComorbidity indexComorbidity burdenEmergency department visitsPatientsInpatient proceduresOrthopaedic proceduresDifficult to Treat Depression: Focus on Approach, Algorithms, and Access.
Karp J, Brinton R, Fournier J, Harding L, Jha M, Lenze E, Mathew S, Meltzer-Brody S, Mohr D, Riva-Posse P, Wiechers I, Williams N. Difficult to Treat Depression: Focus on Approach, Algorithms, and Access. The Journal Of Clinical Psychiatry 2024, 85 PMID: 39630090, DOI: 10.4088/jcp.psprmdd2408ah.Peer-Reviewed Original ResearchConceptsTreating depressionSpectrum of clinical severityTreatment of depressionEvolving treatment landscapeDepartment of PsychiatryBurden of depressionOral pharmacotherapyTreatment landscapeAdult patientsClinical severityCommunity health agenciesDepressionIncreased prevalenceHealth care systemPatientsDepression carePsychiatric workforcePsychiatryPatient advocatesCare systemTherapeutic engineeringHealth agenciesTelemedicine platformDo IRemissionReflections in Studying Impact of Functional Seizure Services on Health Care Utilization Outcomes
Altalib H. Reflections in Studying Impact of Functional Seizure Services on Health Care Utilization Outcomes. Neurology Clinical Practice 2024, 15: e200402. PMID: 39600561, PMCID: PMC11588420, DOI: 10.1212/cpj.0000000000200402.Peer-Reviewed Original ResearchFunctional neurological disorderHealth care utilization outcomesHealth care professionalsHealth care systemCare professionalsUtilization outcomesCare systemMental healthIatrogenic harmEpilepsy monitoring unit admissionsFunctional seizuresHigh-volume usersHealthUnit admissionCoordinated effortPeopleProfessionalsNeurological disordersHarmAdmissionNeurologyIndividual and System-level Factors Contributing to Guideline Nonadherent Surgical Antibiotic Prophylaxis at a Tertiary Healthcare System: A Qualitative Analysis
Bardia A, Melnick E, McCall T, Zhao X, Lin H, Fisher C, Burg M, Schonberger R. Individual and System-level Factors Contributing to Guideline Nonadherent Surgical Antibiotic Prophylaxis at a Tertiary Healthcare System: A Qualitative Analysis. Anesthesiology 2024, 142: 489-499. PMID: 39556527, PMCID: PMC11813683, DOI: 10.1097/aln.0000000000005302.Peer-Reviewed Original ResearchClinical decision supportCertified Registered Nurse AnesthetistsGuideline adherenceInfectious Diseases Society of AmericaQualitative studyTertiary health care systemClinical decision support toolSemi-structured interview formatSystem-level factorsHealth care systemRegistered Nurse AnesthetistsConstant comparison methodInfectious Diseases SocietyDecision supportAntibiotic guidelinesCare systemProvider needsNurse anesthetistsPerioperative pharmacistLimited familiarityPerceived benefitsNon-adherenceInterview formatLevel factorsResident traineesMeasuring the Well-Being of the Whole Person in Clinical Care, Health Research, and Population Health Evaluation
Vogt D, Kligler B, Darchuk K, Elbogen E, List J, McMullen T, Murphy J, Bokhour B. Measuring the Well-Being of the Whole Person in Clinical Care, Health Research, and Population Health Evaluation. Medical Care 2024, 62: s4-s12. PMID: 39514485, PMCID: PMC11548809, DOI: 10.1097/mlr.0000000000002084.Peer-Reviewed Original ResearchConceptsHealth care outcomesHealth care settingsWell-being measuresHealth researchClinical careCare outcomesCare settingsHealth care functionsCare functionsU.S. Veterans Health AdministrationHealth evaluationVeterans Health AdministrationHealth care system functionHealth care organizationsHealth care systemImprove patient healthWell-beingDiverse patient groupsModerators of healthCare organizationsLeadership investmentCare systemHealth domainsCross-cutting themesHealth AdministrationEstimates of intra-cluster correlation coefficients from 2018 USA Medicare data to inform the design of cluster randomized trials in Alzheimer’s and related dementias
Ouyang Y, Li F, Li X, Bynum J, Mor V, Taljaard M. Estimates of intra-cluster correlation coefficients from 2018 USA Medicare data to inform the design of cluster randomized trials in Alzheimer’s and related dementias. Trials 2024, 25: 732. PMID: 39478608, PMCID: PMC11523597, DOI: 10.1186/s13063-024-08404-2.Peer-Reviewed Original ResearchConceptsIntra-cluster correlation coefficientIntra-cluster correlation coefficient estimationSample size calculationED visitsMedicare dataMedicare fee-for-service beneficiariesEmergency departmentFee-for-service beneficiariesSize calculationDiagnosis of ADRDNational Medicare dataCluster randomized trialHospital referral regionsHospital service areasHealth care systemBackgroundCluster randomized trialsPopulation-level dataRandomized trialsDesign of cluster randomized trialsEvaluate interventionsReferral regionsCare systemICC estimatesADRDCorrelation coefficientTen Years of Bipolar Telehealth: Program Evaluation of a Team-Based Telemental Health Clinic
Stein N, Stolzmann K, Abel E, Burgess C, Franz A, Connolly S, Meshberg N, Bailey H, Osser D, Smith E, Bauer M, Godleski L, Miller C. Ten Years of Bipolar Telehealth: Program Evaluation of a Team-Based Telemental Health Clinic. Telemedicine Journal And E-Health 2024, 31: 269-278. PMID: 39421937, DOI: 10.1089/tmj.2024.0411.Peer-Reviewed Original ResearchTelemental healthVeterans AffairsMental health-related quality of lifeMental health-related qualityQuality-of-care indicesQuality mental health careU.S. Department of Veterans AffairsHealth-related quality of lifeTelemental health clinicsDepartment of Veterans AffairsMental health careMedical CenterMental health consultationPositive suicidal screeningHealth care systemVA Medical CenterQuality of lifeBipolar spectrum disordersPostprogram assessmentsHealth clinicsHealth consultationCare systemHealth careSuicide screeningDepressive symptomsLate-Onset Postpartum Hypertension After Normotensive Pregnancy
Sinnott C, Lundsberg L, Culhane J, Partridge C, Denoble A. Late-Onset Postpartum Hypertension After Normotensive Pregnancy. Obstetrics And Gynecology 2024, 145: 95-98. PMID: 39361961, DOI: 10.1097/aog.0000000000005751.Peer-Reviewed Original ResearchMonths postpartumAcademic health care systemHealth care systemElectronic medical recordsPostpartum carePrimary careRetrospective cohort studyBlood pressureCare systemEvidence of hypertensionWeeks postpartumPostpartum periodCohort studyPostpartum hypertensionPostpartumAmerican CollegeImmediately postpartumMedical recordsAssociation criteriaCareNormotensive pregnanciesBP abnormalitiesNormotensive cohortLate-onsetPregnancyAn updated comparative analysis of needs and role of patient navigation among early phase cancer clinical trial participants and non-participants at a single cancer center.
Doroshow D, Sheng T, Aryeh B, Conner R, Loehle J, Lucas N, Padilla M, Pappalardo R, Fromm K, Smith C. An updated comparative analysis of needs and role of patient navigation among early phase cancer clinical trial participants and non-participants at a single cancer center. Journal Of Clinical Oncology 2024, 20: 237-237. DOI: 10.1200/op.2024.20.10_suppl.237.Peer-Reviewed Original ResearchSDoH barriersEarly phase clinical trialsCancer clinical trial participationSocial drivers of healthDrivers of healthHealth care systemClinical trial participationClinical trialsPatient navigationFinancial toxicitySDoHSymptom burdenCare systemImprove participationNeeds assessmentDiagnosis to treatmentDescriptive characteristicsPhase clinical trialsTrial participantsLevel of acceptanceLonger visitsVulnerable populationsNon-participantsTreatment adherenceScreening visitCommercial milk formula marketing entry points: setting the course of infant and young child feeding trajectories
Vilar-Compte M, Hernández-Cordero S, Pérez-Escamilla R, Tomori C. Commercial milk formula marketing entry points: setting the course of infant and young child feeding trajectories. BMC Public Health 2024, 24: 2653. PMID: 39342250, PMCID: PMC11438275, DOI: 10.1186/s12889-024-19997-3.Peer-Reviewed Original ResearchConceptsSocioecological modelHealth professionalsCommercial milk formulaHealth care providersHealth care systemYoung child feedingCare providersCommercial determinantsCare systemChild feedingSocioeconomic statusHealth institutionsBreastfeeding decisionsQualitative studyLack trainingIYCFInfant feedingLife course phaseHealthSocietal levelBreastfeedingProfessionalsCounseling systemCourse phaseSocial normsImplementation and Impact of Intimate Partner Violence Screening Expansion in the Veterans Health Administration: Protocol for a Mixed Methods Evaluation
Portnoy G, Relyea M, Dichter M, Iverson K, Presseau C, Brandt C, Skanderson M, Bruce L, Martino S. Implementation and Impact of Intimate Partner Violence Screening Expansion in the Veterans Health Administration: Protocol for a Mixed Methods Evaluation. JMIR Research Protocols 2024, 13: e59918. PMID: 39194059, PMCID: PMC11391160, DOI: 10.2196/59918.Peer-Reviewed Original ResearchConceptsVeterans Health AdministrationImpact of screeningINTERNATIONAL REGISTERED REPORT IDENTIFIERHealth care systemIntimate partner violenceIPV screeningQualitative interviewsCare systemHealth AdministrationConsolidated Framework for Implementation ResearchVeterans Health Administration facilitiesElectronic health record dataIntimate partner violence screeningMixed methods evaluationHealth record dataNational health care systemLongitudinal observational designPotential implementation barriersSignificant public health problemMen's health careClinical practice implicationsPatient populationMethod evaluationRE-AIMPublic health problemTwelve-Month Sustainment of IPV Screening and Response Programs in Primary Care: Contextual Factors Impacting Implementation Success
Iverson K, Brady J, Adjognon O, Stolzmann K, Dichter M, Bruce L, Portnoy G, Iqbal S, Gerber M, Haskell S, Miller C. Twelve-Month Sustainment of IPV Screening and Response Programs in Primary Care: Contextual Factors Impacting Implementation Success. Women's Health Issues 2024, 34: 617-627. PMID: 39174417, DOI: 10.1016/j.whi.2024.07.001.Peer-Reviewed Original ResearchIntimate partner violence screeningImplementation facilitatorsVeterans Health AdministrationPrimary careIPV screeningIntimate partner violenceIntimate partner violence screening ratesFactors affecting screeningMixed-methods evaluationHealth care systemImpact implementation successScreening ratesReferral optionsStaffing shortagesHost of barriersCare systemHealth AdministrationPositive screenScreening programBoost uptakeQualitative findingsImplementation strategiesInconsistent messagesInformant interviewsImplementation successReduction in Unindicated Cervical Cancer Screening in Adolescents in a Large Health Care System.
Geng B, Oliveira C, Hosier H, Sheth S, Vash-Margita A. Reduction in Unindicated Cervical Cancer Screening in Adolescents in a Large Health Care System. Journal Of Lower Genital Tract Disease 2024 PMID: 39037856, DOI: 10.1097/lgt.0000000000000831.Peer-Reviewed Original ResearchBest Practice AdvisoryCervical cancer screeningElectronic medical recordsHealth care systemCancer screeningPap testCare systemLarger health care systemPre/post intervention studyEvidence-based guidelinesProvider notificationPostinterventionPractice advisoryIntervention studiesPreinterventionFisher's exact testHuman papillomavirus test resultsLogistic regressionRetrospective chart reviewReproductive healthMedical recordsHuman papillomavirus testingPatient characteristicsChart reviewKruskal-Wallis testWearable Devices, Health Care Use, and Psychological Well-Being in Patients With Atrial Fibrillation.
Rosman L, Lampert R, Zhuo S, Li Q, Varma N, Burg M, Gaffey A, Armbruster T, Gehi A. Wearable Devices, Health Care Use, and Psychological Well-Being in Patients With Atrial Fibrillation. Journal Of The American Heart Association 2024, 13: e033750. PMID: 39011944, DOI: 10.1161/jaha.123.033750.Peer-Reviewed Original ResearchHealth care useCare useHealth care resourcesSymptom monitoringAtrial fibrillationPsychological well-beingCare resourcesWearable usersPatients' health care useWell-beingElectronic health record dataTreatment concernsHealth record dataHealth care systemStudy of patientsAssociated with higher ratesPropensity-matched studyCare systemPatient behaviorRandomized studyRecord dataHealth managementPatientsHealthNonusers
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