Article
Health Care Sciences & Services
Susan E. Stockdale, Marian L. Katz, Alicia A. Bergman, Donna M. Zulman, Angela Denietolis, Evelyn T. Chang
Summary: The study explores the potential value of strengthening PCMH teams to address complex patient needs and identifies the necessary supports and capabilities for better managing these patients. Detailed interviews and analysis of PCMH teams reveal they are already performing most IPC tasks, but may require additional training and resources.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2021)
Article
Medicine, General & Internal
Zhigang Xie, Sandhya Yadav, Samantha A. Larson, Arch G. Mainous, Young-Rock Hong
Summary: This study found no meaningful difference in quality of care, patient experience, health care utilization, or health care expenditures between respondents cared for by PCMH and non-PCMH.
Article
Geriatrics & Gerontology
Grace Sum, Soon Hoe Ho, Zoe Zon Be Lim, Junxing Chay, Mimaika Luluina Ginting, Mary Ann Tsao, Chek Hooi Wong
Summary: The study investigated the impact of implementing the PCMH model in primary care on quality of life and patient activation. Results show evidence of improved needs satisfaction and patient activation with the PCMH intervention.
Article
Health Care Sciences & Services
Caroline S. Carlin, Kevin Peterson, Leif I. Solberg
Summary: The study found that the first cohort of practices achieving PCMH certification did not show significant changes in optimal care, while the second cohort achieved significant improvements in quality of care around the time of certification. This suggests that pre-certification performance levels may impact the extent of changes needed post-certification.
HEALTH SERVICES RESEARCH
(2021)
Article
Public, Environmental & Occupational Health
Min Su, Zhongliang Zhou, Yafei Si, Xiaojing Fan
Summary: This study aims to investigate the association between patient-centered communication (PCC) and primary care quality. The results showed poor communication between primary care providers and patients, and the PCC model has not been achieved. However, interactions with a higher score of PCC were more likely to have a correct diagnosis and treatment, longer consultation time, more unnecessary drugs, and higher medical expenditure.
FRONTIERS IN PUBLIC HEALTH
(2022)
Article
Health Care Sciences & Services
Alexander S. Young, Evelyn T. Chang, Amy N. Cohen, Rebecca Oberman, Dennis T. Chang, Alison B. Hamilton, Laurie A. Lindamer, Jesse Sanford, Fiona Whelan
Summary: This study examines the implementation and effectiveness of a specialized primary care medical home for patients with serious mental illness. The results show that compared to usual care, this medical home significantly improves the quality of care, chronic illness care and care experience, symptoms, and quality of life.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2022)
Article
Medicine, General & Internal
Kelly Raquel Voigt, Lissa Wullaert, Diederik J. Hoppener, Jennifer M. J. Schreinemakers, Pascal G. Doornebosch, Maria Verseveld, Koen Peeters, Cornelis Verhoef, Olga Husson, Dirk Grunhagen
Summary: This article discusses the current situation and issues of postoperative surveillance for colorectal cancer patients in the Netherlands, and proposes a home-based surveillance strategy aiming to improve patients' quality of life and reduce healthcare costs.
Review
Multidisciplinary Sciences
Dagje Boeykens, Pauline Boeckxstaens, An De Sutter, Lies Lahousse, Peter Pype, Patricia De Vriendt, Dominique Van de Velde
Summary: This study aims to translate the concept of goal-oriented care into tangible knowledge so that healthcare providers can better understand and use it in clinical practice.
Article
Pediatrics
Garey Noritz, Lynn Davidson, Katherine Steingass
Summary: This report provides guidance for primary care physicians on detecting, treating, managing, and providing general medical care for cerebral palsy patients.
Review
Clinical Neurology
Cosette Cornelis, Sanne J. den Hartog, Carla M. Bastemeijer, Bob Roozenbeek, Paul J. Nederkoorn, Renske M. Van den Berg-vos
Summary: This study aimed to evaluate patient-reported experience measures (PREMs) in healthcare, focusing on the psychometric properties of tools validated for stroke patients. Findings indicated the existence of specific PREMs and generic PREMs for stroke care, with only one showing favorable psychometric performance, suggesting the need for further development in this area.
Article
Health Care Sciences & Services
Aleida Ringwald, Katja Goetz, Jost Steinhaeuser, Nina Fleischmann, Alexandra Schuessler, Kristina Flaegel
Summary: The study translated and culturally adapted the Medical Home Care Coordination Survey (MHCCS) into German, and found that the German versions of the survey for patients and healthcare team members are reliable instruments in measuring care coordination in German primary care practices. The practicality of the instruments is high due to the low number of items, making them effective tools for assessing care coordination in healthcare settings.
BMC HEALTH SERVICES RESEARCH
(2021)
Article
Psychology, Clinical
Anais Tuepker, Summer Newell, Anneliese Sorrentino, Meagan Cusack, Gala True, Melissa E. Dichter
Summary: Women experiencing intimate partner violence often face stigma and uncertainty when deciding to disclose their situation to primary care providers. The Patient Centered Medical Home (PCMH) model offers strengths in connecting women to services and support, but trust and genuine care are essential for them to feel comfortable disclosing violence and accessing extended services.
JOURNAL OF AGGRESSION MALTREATMENT & TRAUMA
(2023)
Article
Medicine, General & Internal
Christoph Becker, Martina Gamp, Philipp Schuetz, Katharina Beck, Alessia Vincent, Seraina Hochstrasser, Kerstin Metzger, Madlaina Widmer, Emanuel Thommen, Beat Mueller, Christoph A. Fux, Jorg D. Leuppi, Rainer Schaefert, Wolf Langewitz, Marten Trendelenburg, Tobias Breidthardt, Jens Eckstein, Michael Osthoff, Stefano Bassetti, Sabina Hunziker
Summary: Compared with outside the room case presentation, bedside case presentation was shorter and resulted in similar patient knowledge, but sensitive topics were more often avoided and patient confusion was higher. Physicians presenting at the bedside need to be skilled in the use of medical language to avoid confusion and misunderstandings.
ANNALS OF INTERNAL MEDICINE
(2021)
Review
Medicine, General & Internal
Tullika Garg, Courtney A. Polenick, Nancy Schoenborn, Jane Jih, Alexandra Hajduk, Melissa Y. Wei, Jaime Hughes
Summary: MCC patients require complex and poorly coordinated care, calling for innovative research methods and strategies. To address their unique needs, research should focus on increasing trial validity, studying MCC epidemiology, engaging clinicians, communities, and patients, and addressing health equity to eliminate disparities.
JOURNAL OF CLINICAL MEDICINE
(2021)
Article
Genetics & Heredity
Benjamin J. Kerman, Charles A. Brunette, Elizabeth J. Harris, Ashley A. Antwi, Amy A. Lemke, Jason L. Vassy
Summary: This study examines the influence of polygenic risk scores (PRSs) on primary care physician's medical decision-making and investigates whether patient race affects this influence. The results show that, despite identical clinical and genetic profiles, physicians are more likely to recommend treatment and screening for Black patients compared to White patients.
GENETICS IN MEDICINE
(2023)
Letter
Geriatrics & Gerontology
Lena K. Makaroun, Scott Beach, Tony Rosen, Ann-Marie Rosland
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2021)
Article
Oncology
Wagahta Semere, Andrew D. Althouse, Ann-Marie Rosland, Douglas White, Robert Arnold, Edward Chu, Thomas J. Smith, Yael Schenker
Summary: The burden of family caregivers of older adults with advanced cancer is associated with the physical and mental health of the patients, regardless of the amount of time spent caregiving. Future studies should explore interventions tailored to alleviate caregiver burden for this group.
JOURNAL OF GERIATRIC ONCOLOGY
(2021)
Article
Health Care Sciences & Services
Beth Fields, Aaron Lee, John D. Piette, Ranak Trivedi, Maria K. Mor, D. Scott Obrosky, Michele Heisler, Ann-Marie Rosland
Summary: This study found that adults with diabetes and low health literacy were more likely to have supporters with low health literacy, and these patients were more likely to receive help from supporters in specific self-management tasks. However, neither patient nor supporter health literacy levels were directly associated with patients' perception of supporter helpfulness.
FAMILIES SYSTEMS & HEALTH
(2021)
Article
Multidisciplinary Sciences
Ravi B. Parikh, Kristin A. Linn, Jiali Yan, Matthew L. Maciejewski, Ann-Marie Rosland, Kevin G. Volpp, Peter W. Groeneveld, Amol S. Navathe
Summary: Identifying individuals at risk for future hospitalization or death is a major priority of population health management strategies. This study used machine learning clustering methods and linked comorbidity-based, sociodemographic, and psychobehavioral data to identify subgroups of high-risk Veterans, showing distinct utilization and outcome patterns among different subgroups.
Article
Health Care Sciences & Services
Dan Blalock, Matthew L. Maciejewski, Donna M. Zulman, Valerie A. Smith, Janet Grubber, Ann-Marie Rosland, Hollis J. Weidenbacher, Liberty Greene, Leah L. Zullig, Heather E. Whitson, Susan N. Hastings, Anna Hung
Summary: Population segmentation using social determinants of health measures identified five high-risk patient subgroups, with the subgroup of multiple SDH vulnerabilities showing the highest odds of hospitalization. Self-reported SDH measures can be used to tailor interventions and reduce the risk of hospitalization and other adverse events.
Article
Health Care Sciences & Services
Margaret F. Zupa, Aaron Lee, John D. Piette, Ranak Trivedi, Ada Youk, Michele Heisler, Ann-Marie Rosland
Summary: The study evaluated the impact of a patient-supporter diabetes management intervention on family supporters' engagement in patients' diabetes care, showing that intervention-assigned patients had increased supporter involvement in certain diabetes management aspects and used more positive support techniques. However, there were no significant differences in caregiver distress and caregiving experience.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2022)
Article
Health Care Sciences & Services
Lucinda B. Leung, Lisa Rubenstein, Erin Jaske, Leslie Taylor, Edward P. Post, Karin M. Nelson, Ann-Marie Rosland
Summary: Primary care clinics where integrated mental health care reached a greater proportion of patients achieved modest albeit statistically significant gains in key chronic care quality metrics, providing optimism about the expected effects of large-scale PC-MHI implementation on physical health.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2022)
Article
Health Care Sciences & Services
Franya Hutchins, Joshua Thorpe, Matthew L. Maciejewski, Xinhua Zhao, Karin Daniels, Hongwei Zhang, Donna M. Zulman, Stephan Fihn, Sandeep Vijan, Ann-Marie Rosland
Summary: This study categorized high-risk patients based on chronic conditions and found distinct utilization patterns among different groups, which could inform tailored interventions for healthcare systems.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2022)
Article
Health Care Sciences & Services
Linnaea Schuttner, Stacey Hockett Sherlock, Carol E. Simons, Nicole L. Johnson, Elizabeth Wirtz, James D. Ralston, Ann-Marie Rosland, Karin Nelson, George Sayre
Summary: This study aimed to explore the perspectives of primary care physicians in the US Veterans Health Administration on delivering patient-centered care for high-risk or complex patients with multimorbidity. The findings revealed that personalized physician-patient communication, interdisciplinary teamwork, and integrated care were important facilitators, while intra- and interpersonal conflicts, limited encounter time, and policy impediments served as barriers to patient-centered care.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2022)
Article
Health Care Sciences & Services
Wagahta Semere, Lena K. Makaroun, Scott Beach, Dean Schillinger, Ann-Marie Rosland
Summary: During the COVID-19 pandemic, family caregivers have provided increased assistance with healthcare activities to patients with chronic illness and disability, particularly in obtaining medical supplies and attending medical appointments. Women and caregivers assisting with short-term physical conditions were more likely to provide more help.
FAMILIES SYSTEMS & HEALTH
(2022)
Article
Public, Environmental & Occupational Health
Margaret F. Zupa, Stephanie Perez, Gloria Palmisano, Edith C. Kieffer, Gretchen A. Piatt, Felix M. Valbuena, Denise J. Deverts, Jonathan G. Yabes, Michele Heisler, Ann-Marie Rosland
Summary: The COVID-19 pandemic has affected the self-management of adults with type 2 diabetes, especially vulnerable populations. A study conducted at a Federally Qualified Health Center investigated the impact of the pandemic on diabetes self-management. Results showed that a majority of Latino participants preferred to speak Spanish and faced challenges such as reduced physical activity, difficulty accessing healthy food, increased difficulty accessing medical care, and feelings of social isolation and stress.
JOURNAL OF IMMIGRANT AND MINORITY HEALTH
(2022)
Article
Health Care Sciences & Services
Susan E. Stockdale, Danielle E. Rose, Michael McClean, Ann-Marie Rosland, Evelyn T. Chang, Donna M. Zulman, Gregory Stewart, Karin M. Nelson
Summary: Based on a national primary care survey conducted in the Veterans Health Administration, this study examined the preferences and ratings of tools and care approaches for patients with complex needs, and how these preferences varied among different professional roles, staffing, and training. Nurses rated most tools as very important compared to primary care providers. Having a fully staffed team was also significantly associated with a high importance rating for all tools. Nurses and fully staffed teams reported a higher likelihood of using most care approaches, while individuals who perceived a need for training had a lower likelihood of using them.
JOURNAL OF AMBULATORY CARE MANAGEMENT
(2022)
Article
Primary Health Care
Linnaea Schuttner, Stacey Hockett Sherlock, Carol Simons, James D. Ralston, Ann-Marie Rosland, Karin Nelson, Jennifer R. Lee, George Sayre
Summary: This study aimed to describe the factors affecting physician decision-making when care planning for complex patients with multimorbidity in the integrated healthcare system of the U.S. Department of Veterans Affairs, the Veterans Health Administration (VHA). The results showed that physicians tailor decisions to individual patients, take into account their internal style and habit, work towards an overarching goal for care, consider the impacts from patient access and resources, decide within the boundaries provided by organizational structures, collaborate with their care team on care plans, and have their own emotions and relationship with patients impacting their decisions.
Review
Health Care Sciences & Services
Jonathan Arnold, Joshua Thorpe, Janke Mains-Mason, Ann-Marie Rosland
Summary: Empiric segmentation is a method that uses large healthcare system datasets to identify high-risk patient populations. The segmentation results are closely linked to the model inputs, patient population inclusion criteria, and healthcare system context, emphasizing the need for careful design and interpretation of the segmentation models to inform clinical care and program design.
AMERICAN JOURNAL OF MANAGED CARE
(2022)
Article
Health Care Sciences & Services
Beth Fields, Lena Makaroun, Keri L. Rodriguez, Claire Robinson, Jane Forman, Ann-Marie Rosland
Summary: This study examines the roles and reasons of caregivers in supporting Veterans with Type 2 diabetes in managing chronic conditions. The study identifies three central roles of caregivers: direct care support, memory support/care organizer, and advocate. The reasons for assuming these roles include changes in patient health, natural evolution of family roles, and caregivers' healthcare experience or training.
