Article
Psychiatry
Karl Vanderwood, Jian Joyner, Virna Little
Summary: This study evaluates the effectiveness of a telehealth collaborative care model for adolescents with depression and anxiety in healthcare settings. The results show that over 50% of patients achieved treatment success based on success at discharge, as well as 90- and 120-day improvement rates.
FRONTIERS IN PSYCHIATRY
(2023)
Article
Health Care Sciences & Services
Amy D. Lu, Elise Gunzburger, Thomas J. Glorioso, William B. Smith, Rachael R. Kenney, Mary A. Whooley, P. Michael Ho
Summary: This study aimed to evaluate the impact of implementing a longitudinal virtual primary care program on diabetes care. Results showed that patients with diabetes who participated in the virtual care program had better outcomes in terms of lower HbA1C levels and increased prescription of statins, ACE/ARBs, and completed microalbuminuria testing.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2021)
Article
Medicine, General & Internal
Pragya Rimal, Nandini Choudhury, Pawan Agrawal, Madhur Basnet, Bhavendra Bohara, David Citrin, Santosh Kumar Dhungana, Bikash Gauchan, Priyanka Gupta, Tula Krishna Gupta, Scott Halliday, Bharat Kadayat, Ramesh Mahar, Duncan Maru, Viet Nguyen, Sanjaya Poudel, Anant Raut, Janaki Rawal, Sabitri Sapkota, Dan Schwarz, Ryan Schwarz, Srijana Shrestha, Sikhar Swar, Aradhana Thapa, Poshan Thapa, Rebecca White, Bibhav Acharya
Summary: Despite high burden of depression in low-income countries, access to effective care is limited. The CoCM model shows clinical effectiveness in improving mental health outcomes. Real-world evidence is needed to inform its expansion in low-resource settings.
Review
Medicine, General & Internal
Melissa Corso, Astrid DeSouza, Ginny Brunton, Hainan Yu, Carolina Cancelliere, Silvano Mior, Anne Taylor-Vaisey, Kathy MacLeod-Beaver, Pierre Cote
Summary: This study aimed to explore the integration of Indigenous healing practices within collaborative care models in community-based primary healthcare in Canada. The findings indicated that collaborative and Indigenous-led strategies were more effective in integrating Indigenous healing practices, with common elements including community engagement, elder support, and Indigenous ceremonies or traditions.
Article
Health Policy & Services
Michelle A. Blackmore, Urvashi B. Patel, Dana Stein, Kelly E. Carleton, Sarah M. Ricketts, Asif M. Ansari, Henry Chung
Summary: This study assessed the engagement and clinical outcomes of the collaborative care model (CoCM) among low-income patients from racial-ethnic minority groups with depression and anxiety. The results showed that CoCM can help engage vulnerable patients in behavioral health care and improve clinical symptoms. However, there is significant opportunity for improvement in the model's impact by addressing engagement barriers.
PSYCHIATRIC SERVICES
(2022)
Article
Health Care Sciences & Services
Molly Howland, McKenna Tennant, Deborah J. Bowen, Amy M. Bauer, John C. Fortney, Jeffrey M. Pyne, Jay Shore, Joseph M. Cerimele
Summary: The study found that telepsychiatrists and telepsychologists in rural areas were satisfied with collaborative care and telehealth referral models, emphasizing teamwork. However, challenges existed in communication with primary care providers and logistical variability among sites.
JOURNAL OF RURAL HEALTH
(2021)
Article
Psychiatry
Kirsi Riihimaki, Harri Sintonen, Maria Vuorilehto, Erkki Isometsa
Summary: Depression affects health-related quality of life, and it is not known at what degree of remission depressive patients' HRQoL corresponds to the normal range.
FRONTIERS IN PSYCHIATRY
(2023)
Article
Nursing
Virginia Reising, Lauren Diegel-Vacek, Lisa M. S. W. Dadabo, Susan Corbridge
Summary: Integrated behavioral health is a model that improves outcomes for patients with behavioral health disorders in primary care through collaborative care teams. The CC model was implemented in a medically underserved community, with restructuring of patient visits, care teams, and financial operations. During the first year, 166 patients received care under CC, with 64 patients currently receiving active care.
JOURNAL OF THE AMERICAN PSYCHIATRIC NURSES ASSOCIATION
(2023)
Article
Medicine, General & Internal
Helen Newton, Susan H. Busch, Mary Brunette, Donovan T. Maust, James O'Malley, Ellen R. Meara
Summary: Most ACOs do not fully implement all collaborative care components, with the majority using care managers and consulting mental health clinicians, but fewer utilizing patient registries. ACOs responsible for mental health care quality measures are more likely to implement collaborative care, indicating the potential impact of payment contracts on encouraging this cost-effective model.
Article
Health Care Sciences & Services
Courtney Benjamin Wolk, Carol L. Alter, Rachel Kishton, Jeffrey Rado, Jacob A. Atlas, Matthew J. Press, Neil Jordan, Michael Grant, Cecilia Livesey, Lisa J. Rosenthal, Justin D. Smith
Summary: The study discusses the challenges of implementing the Collaborative Care Model within primary care and provides suggestions for implementation and future improvement of the codes, including changing the reimbursement cycle from a calendar month to 30 days and recommending payers adopt new codes for better time accounting.
Article
Health Care Sciences & Services
Ximena Moreno, Hugo Sanchez, Martin Huerta, Ximena Cea, Carlos Marquez, Cecilia Albala
Summary: Depressive symptoms are highly prevalent among older adults in Chile, and subjective assessments of quality of life are associated with positive screen for depression. Assessments of quality of life in primary care for older adults can improve the identification of depressive symptoms.
JOURNAL OF PERSONALIZED MEDICINE
(2022)
Article
Nursing
Elizabeth Halcomb, Ritin Fernandez, Christine Ashley, Susan McInnes, Catherine Stephen, Kaara Calma, Ruth Mursa, Anna Williams, Sharon James
Summary: The study validated a 'safe and effective staffing tool' among Australian primary health care nurses and found that many nurses perceived a reduction in care quality due to COVID-19, along with a lack of adequate supervision and support. Further research is needed to understand the extent of COVID-19's impact on these findings.
JOURNAL OF ADVANCED NURSING
(2022)
Article
Medicine, General & Internal
Christine Sandheimer, Cecilia Bjorkelund, Gunnel Hensing, Kirsten Mehlig, Tove Hedenrud
Summary: The study evaluated the implementation of a care manager organisation for common mental disorders in primary care centres in Region Vastra Gotaland, Sweden, and its association with antidepressant medication patterns. PCCs with a care manager organisation had a significantly lower proportion of inadequate medication users in 2016 compared to those without the organisation. Private PCCs had higher proportions of inadequate medication users, while PCCs that shifted to a care manager organisation showed a significant decrease in inadequate medication users over time.
Article
Health Care Sciences & Services
Karl Rubio, Taressa K. Fraze, Salma Bibi, Hector P. Rodriguez
Summary: This study examines whether primary care practices serving high proportions of Black or Latino Medicare fee-for-service beneficiaries are less likely to participate in the CPC+ program. The results show that practices with relatively high proportions of Black and Latino beneficiaries are less likely to participate in CPC+ compared to practices with lower proportions. State differences partially explain participation disparities for practices with high proportions of Black beneficiaries, but do not explain disparities for practices with high proportions of Latino beneficiaries.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2023)
Editorial Material
Medicine, General & Internal
L. Sher
Summary: Studies show that individuals with diabetes have increased rates of suicide ideation, attempts, and death compared to the general population. The elevated suicide risk is associated with comorbid psychiatric disorders, particularly depression, which has a bidirectional relationship with diabetes. Other factors such as anxiety and alcohol use disorders may also contribute to the increased suicide risk in diabetes. Primary care physicians play a crucial role in suicide prevention for individuals with diabetes.
QJM-AN INTERNATIONAL JOURNAL OF MEDICINE
(2022)
Article
Radiology, Nuclear Medicine & Medical Imaging
Robin R. Whitebird, Leif Solberg, Anna R. Bergdall, Naomi Lopez-Solano, Rebecca Smith-Bindman
Summary: This study investigated organizational leaders' perceptions of barriers to optimizing radiation dose in CT imaging. It identified six primary barriers including resistance to change, limited time and resources, complex organizational structure, lack of leadership support, variations in CT equipment, and variability in CT protocols. These barriers impede efforts by healthcare organizations to optimize radiation doses from CT imaging.
ACADEMIC RADIOLOGY
(2021)
Article
Substance Abuse
Bobbi Jo H. Yarborough, Scott P. Stumbo, Brian Ahmedani, Rebecca Rossom, Karen Coleman, Jennifer M. Boggs, Gregory E. Simon
Summary: In patients with SUD, those who reported "nearly every day" on the Patient Health Questionnaire item 9 were found to have a higher risk of subsequent suicidal behavior. However, clinicians should be aware that individuals reporting "not at all" are not immune to suicide risk.
JOURNAL OF ADDICTION MEDICINE
(2021)
Article
Biotechnology & Applied Microbiology
Jennifer Tsui, Ashley Vincent, Bianca Anuforo, Rula Btoush, Benjamin F. Crabtree
Summary: While physicians are knowledgeable about HPV vaccination and willing to recommend it to parents, the strategies used vary and multiple approaches are needed to overcome parental hesitancy.
HUMAN VACCINES & IMMUNOTHERAPEUTICS
(2021)
Article
Health Care Sciences & Services
Judith Tsui, Mary A. Akosile, Gwen T. Lapham, Denise M. Boudreau, Eric A. Johnson, Jennifer F. Bobb, Ingrid A. Binswanger, Bobbi Jo H. Yarborough, Joseph E. Glass, Rebecca C. Rossom, Mark T. Murphy, Chinazo O. Cunningham, Julia H. Arnsten, Manu Thakral, Andrew J. Saxon, Joseph O. Merrill, Jeffrey H. Samet, Gavin B. Bart, Cynthia Campbell, Amy M. Loree, Angela Silva, Angela L. Stotts, Brian Ahmedani, Jordan M. Braciszewski, Rulin C. Hechter, Thomas F. Northrup, Viviana E. Horigian, Katharine A. Bradley
Summary: This study investigated the prevalence of diagnosed OUD and treatment among primary care patients with HCV or HIV, finding that patients with HCV and HIV were more likely to have OUD compared to those without, and HIV patients were less likely to receive medication treatment for OUD.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2021)
Editorial Material
Orthopedics
Robin R. Whitebird, Leif Solberg
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME
(2021)
Article
Orthopedics
Ella A. Chrenka, Leif I. Solberg, Stephen E. Asche, Steven P. Dehmer, Jeanette Y. Ziegenfuss, Robin R. Whitebird, Christine K. Norton, Megan Reams, Paul G. Johnson, Glyn Elwyn
Summary: This study aimed to explore the relationship between the level of shared decision-making (SDM) before total joint arthroplasty and patient-reported outcomes measures (PROMs) and patient experience measures at 1 year postoperatively. The study found a moderate positive association between preoperative SDM scores and functional measures at 12 months, as well as higher patient experience scores and likelihood of recommending the surgeon for patients with higher SDM scores.
CLINICAL ORTHOPAEDICS AND RELATED RESEARCH
(2022)
Article
Orthopedics
Leif Solberg, Ella Chrenka, Steve E. Asche, Paul G. Johnson, Jeanette Y. Ziegenfuss, Patrick K. Horst, Brian P. Cunningham, Megan Reams, Marc F. Swiontkowski
Summary: This study aims to explore how to adjust patient-reported outcome measure (PROM) scores for individual and group quality improvement. Regression analyses were conducted to identify the relative contribution of patient and surgeon risk factors to the change in Oxford Knee Score (OKS) over 12 months. Adjusted outcomes were used to calculate observed and expected scores for each surgeon.
JOURNAL OF THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS
(2022)
Article
Psychiatry
Deepak Prabhakar, Edward L. Peterson, Yong Hu, Simran Chawa, Rebecca C. Rossom, Frances L. Lynch, Christine Y. Lu, Beth E. Waitzfelder, Ashli A. Owen-Smith, L. Keoki Williams, Arne Beck, Gregory E. Simon, Brian K. Ahmedani
Summary: This study examines suicide attempts requiring medical attention as a risk factor for suicide death in the US general population. The results show that prior suicide attempts associated with medical visits significantly increase the risk of suicide death, especially for women and children aged 10-14 years.
CRISIS-THE JOURNAL OF CRISIS INTERVENTION AND SUICIDE PREVENTION
(2021)
Article
Orthopedics
Robin R. Whitebird, Leif Solberg, Jeanette Y. Ziegenfuss, Christine K. Norton, Ella A. Chrenka, Marc Swiontkowski, Megan Reams, Elizabeth S. Grossman
Summary: This study investigated the use of PROMs in clinical care and found that logistical and perceptual barriers contribute to the underuse of PROM scores. Surgeons prefer discussing individual outcomes identified as important by patients rather than PROM scores for others. To facilitate PROM use, it is suggested to directly push PROM scores to physicians and use easily understandable graphical displays.
CLINICAL ORTHOPAEDICS AND RELATED RESEARCH
(2022)
Article
Radiology, Nuclear Medicine & Medical Imaging
Robin R. Whitebird, Leif Solberg, Philip W. Chu, Rebecca Smith-Bindman
Summary: This study identified seven organizational strategies used by healthcare systems to optimize CT dose, including engaging radiologists and technologists, establishing a CT dose committee, managing organizational change, providing leadership and support, monitoring and benchmarking, modifying CT protocols, and making changes in equipment and work rules. These strategies address the challenges faced by health systems in optimizing CT dose and offer a framework for enhancing safety and use of medical imaging.
JOURNAL OF THE AMERICAN COLLEGE OF RADIOLOGY
(2022)
Article
Health Care Sciences & Services
Jeanette Y. Ziegenfuss, Elizabeth S. Grossman, Leif Solberg, Ella A. Chrenka, Ann Werner, Stephen E. Asche, Christine K. Norton, Andy Nelson, Megan Reams, Robin R. Whitebird
Summary: This study examines the use of patient-reported outcome measures (PROMs) in clinical practice and finds that despite relatively high response rates from patients, PROMs are rarely integrated into clinical care. Efforts are needed to identify barriers and test methods to enhance the use of PROMs in clinical care.
AMERICAN JOURNAL OF MEDICAL QUALITY
(2022)
Article
Primary Health Care
Denalee M. O'Malley, Cilgy M. Abraham, Heather S. Lee, Ellen B. Rubinstein, Jenna Howard, Shawna Hudson, Autumn M. Kieber-Emmons, Benjamin F. Crabtree
Summary: Primary care clinics in the United States have responded to national policies and regulations by expanding substance use disorder (SUD) services. This study analyzed how primary care clinics with innovative workforces have approached the increasing demand for SUD treatment. The findings showed that some clinics were resistant to expansion, some were considering expansion but had reservations, and some had fully implemented SUD services.
Article
Health Care Sciences & Services
Robin R. Whitebird, Leif Solberg, Jeanette Y. Ziegenfuss, Stephen E. Asche, Christine K. Norton, Marc F. Swiontkowski, Steven P. Dehmer, Elizabeth S. Grossman
Summary: Patients identified personalized outcomes they desired from their care, such as walking without pain, pain relief, and returning to an active lifestyle. They preferred personalized outcomes over PROM scores for tracking progress in their care and felt it important for their surgeon to know their personal outcomes. Patients wanted to participate in shared decision-making about their post-surgical care and identified personal factors important to their aftercare, such as living alone and caring for pets.
JOURNAL OF PATIENT-REPORTED OUTCOMES
(2021)
Article
Psychology, Clinical
Joan M. Cook, John E. Zeber, Vanessa Simiola, Rebecca Rossom, Jeffrey F. Scherrer, Ashli A. Owen-Smith, Brian K. Ahmedani, Kiumars Zolfaghari, Laurel A. Copeland
Summary: The study compared the clinical characteristics and health care utilization of PTSD patients diagnosed in primary care versus specialty mental health care. Patients diagnosed by specialty mental health care providers had higher rates and longer duration of psychotherapy, while prescription fill levels for psychotropics were generally higher for patients in specialty mental health care. Strategies are needed to better align patient needs with access and treatment modality in primary care settings.
JOURNAL OF CLINICAL PSYCHOLOGY IN MEDICAL SETTINGS
(2021)