Article
Computer Science, Information Systems
G. Gabay, H. Ornoy, H. Moskowitz
Summary: This study examines patient expectations of communication with healthcare providers in telemedicine and proposes tailored communication based on patient mindsets. The results indicate that patients with different mindsets have different expectations of provider-patient communication.
INTERNATIONAL JOURNAL OF MEDICAL INFORMATICS
(2022)
Article
Oncology
Oliver T. Nguyen, Arianna Mason, Neel Khanna, Dannelle Charles, Cristina Naso, Young-Rock Hong, Olivia Sprow, Amir Alishahi Tabriz, Kea Turner, Philippe Spiess, Krupal B. Patel
Summary: This study qualitatively assessed the patient and caregiver experience of telehealth visits for surgical cancer care, and found that telehealth delivery for surgical cancer care was generally viewed positively. Participants identified use cases on telehealth for surgical cancer care, including postoperative visits for uncomplicated surgical procedures and educational visits.
JOURNAL OF SURGICAL ONCOLOGY
(2023)
Article
Health Care Sciences & Services
Omar H. Ordaz, Raina L. Croff, LaTroy D. Robinson, Steven A. Shea, Nicole P. Bowles
Summary: Contrary to previous reports, Black American patients in this study generally accepted patient portals as tools for personalized care and reducing unfair disease burden in primary care. Increased communication, experience, and adoption of remote health care practices among Black Americans will lead to better health care opportunities.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2021)
Article
Health Care Sciences & Services
Heather Braund, Nancy Dalgarno, Sophy Chan-Nguyen, Genevieve Digby, Faizal Haji, Anne O'Riordan, Ramana Appireddy
Summary: This study aimed to understand patient advisors' perceptions related to virtual care and potential impacts on health care quality. Through interviews with 20 patient advisors, the study found that participants had positive experiences with virtual care, including greater efficiency, increased accessibility, and the perception that virtual care was less stressful and more patient-centered.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2023)
Article
Health Care Sciences & Services
Kelly Wu, Marlena Dang Nguyen, Genevieve Rouleau, Rhea Azavedo, Diya Srinivasan, Laura Desveaux
Summary: This study aims to understand how virtual care has changed the therapeutic relationship, describe the core components of compassionate care from the patient's perspective, and identify opportunities to enhance compassionate care. The results showed that virtual care has shifted communication patterns but its impact on the therapeutic relationship is unclear. The rapid implementation of virtual care limited access and quality of care for those who couldn't utilize it. Patients identified five key elements of compassion in a virtual context and leveraging technology can improve overall experiences.
JOURNAL OF TELEMEDICINE AND TELECARE
(2023)
Editorial Material
Health Care Sciences & Services
Carly Parry, Michelle Johnston-Fleece, Maurice C. Johnson, Aaron Shifreen, Steven B. Clauser
Summary: This Special Issue highlights the importance of patient-centered care transitions research funded by PCORI. It emphasizes the need for head-to-head comparisons of interventions, patient-centered outcomes, and stakeholder engagement throughout the research process. The papers in this issue articulate challenges and new directions for transitional care research, advocating for a more holistic understanding that integrates social needs and lifespan development.
Article
Nursing
Wilmieke Bahlman-van Ooijen, Elise van Belle, Arnold Bank, Janneke de Man-Van Ginkel, Getty Huisman-de Waal, Maud Heinen
Summary: This study explored and described hospital nurses' perceptions of leadership behaviors in facilitating patient participation in fundamental care. The findings revealed that nurses identified inviting patients to participate and supporting patients' preferences as important leadership behaviors, but they themselves needed to improve their own practice in patient participation.
JOURNAL OF ADVANCED NURSING
(2023)
Article
Medicine, General & Internal
Elyse C. Lasser, JaAlah-Ai Heughan, Alden Yuanhong Lai, Christina T. Yuan, Sydney M. Dy, Mark Bittle, Tyler Oberlander, Samantha Pitts, Jill Marsteller, Susan M. Hannum
Summary: The patient perspective on patient safety in patient-centered medical homes was explored through focus groups and interviews. Communication and trust were identified as key themes across various patient safety domains, with implications for making primary care more patient-centered and safer. An emphasis on these themes in safety initiatives could enhance the quality of ambulatory care.
CURRENT MEDICAL RESEARCH AND OPINION
(2021)
Article
Education & Educational Research
Hannah L. Anderson, Joshua Kurtz, Daniel C. West, Dorene F. Balmer
Summary: This study aimed to understand the perceptions of pediatric postgraduate trainees and supervisors on using telehealth for instruction in ambulatory settings. The results indicated that trainees and supervisors adapted to telehealth and utilized it to enhance observation, autonomy, and develop novel skills.
BMC MEDICAL EDUCATION
(2022)
Article
Multidisciplinary Sciences
Rhiannon Edge, Josh Meyers, Gabriella Tiernan, Zhicheng Li, Alexandra Schiavuzzi, Priscilla Chan, Amy Vassallo, April Morrow, Carolyn Mazariego, Claire E. Wakefield, Karen Canfell, Natalie Taylor
Summary: The COVID-19 pandemic has had a significant impact on cancer care worldwide, resulting in disruptions and reorganization. Surveys conducted in Australia showed that almost half of cancer patients and survivors experienced care disruptions, while healthcare workers faced delays in delivering cancer care. Although the majority of patients and carers were satisfied with telehealth, gaps in psychological support were identified.
Article
Psychology, Multidisciplinary
Laurie A. Vismara, Lucy Nyugen, Carolyn E. B. McCormick
Summary: Parent-mediated approaches for young children with or with a higher likelihood of autism have shown to be effective, but there is a gap between research and practice and community effectiveness still needs to be established. In this study, 10 parent-child dyads received a workshop and follow-up sessions of ESDM parent coaching, and the intervention was implemented in two phases. Results showed improvement in parents' fidelity of intervention implementation and children's social communication. The study concludes that community delivery of evidence-based parent-mediated interventions for toddlers with autism is feasible and promising.
FRONTIERS IN PSYCHOLOGY
(2023)
Article
Health Care Sciences & Services
Paula Koppel, Jennie C. De Gagne, Sharron Docherty, Sophia Smith, Neil S. Prose, Terri Jabaley
Summary: This study investigated the nature of nurse-patient rapport in ambulatory cancer care videoconferencing telehealth visits. The study found that person-centered and relationship-based care is valued regardless of how care is delivered. Barriers to relationship building in videoconferencing visits included interruptions, internet connection issues, and privacy concerns.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2022)
Article
Respiratory System
Jacqueline M. Kruser, Demetrius Solomon, Joy X. Moy, Jane L. Holl, Elizabeth M. Viglianti, Michael E. Detsky, Douglas A. Wiegmann
Summary: Interprofessional collaboration within ICU teams is key to aligning care with patient goals, and this collaboration is influenced by organizational and cultural factors. By using transactive memory systems, ICU team members coordinate their actions to provide goal-aligned care, but this coordination can be disrupted or promoted by various factors.
ANNALS OF THE AMERICAN THORACIC SOCIETY
(2023)
Article
Oncology
Eri Aung, Leeanne Pasanen, Roslyn LeGautier, Sue-Anne Mclachlan, Anna Collins, Jennifer Philip
Summary: This qualitative study explores physician and patient perspectives of telehealth in cancer care. The results show that telehealth offers opportunities for continuity of care and convenience during the pandemic. However, it cannot fully replace certain core elements of in-person care, such as physical examination, collaboration between patient and physician, and confidence in decisions made. While telehealth may continue post-pandemic, logistical challenges need to be addressed.
EUROPEAN JOURNAL OF CANCER CARE
(2022)
Article
Health Care Sciences & Services
Maureen Maurer, Rikki Mangrum, Tandrea Hilliard-Boone, Andrew Amolegbe, Kristin L. Carman, Laura Forsythe, Rachel Mosbacher, Julie Kennedy Lesch, Krista Woodward
Summary: The engagement of patients and other stakeholders in comparative effectiveness research studies has a significant influence and impact on the planning and conduct of the research, leading to changes in study design, improvements in study quality, and enhanced relevance to the needs and preferences of patients and clinicians.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2022)
Article
Health Care Sciences & Services
Howard S. Gordon, Lisa K. Sharp, Antoinette Schoenthaler
BMC HEALTH SERVICES RESEARCH
(2020)
Article
Public, Environmental & Occupational Health
William E. Trick, Fred Rachman, Keiki Hinami, Jennifer C. Hill, Craig Conover, Lisa Diep, Howard S. Gordon, Abel Kho, David O. Meltzer, Raj C. Shah, Ed Stellon, Padma Thangaraj, Peter S. Toepfer
Summary: Through a cross-sectional survey, it was found that a significant portion of homeless individuals diagnosed in healthcare systems were not registered in homeless management information systems. Most homeless recipients received services without stable housing, highlighting the importance of understanding the associated health conditions and service utilization among this population.
Article
Health Care Sciences & Services
Denise M. Hynes, Samuel Edwards, Alex Hickok, Meike Niederhausen, Frances M. Weaver, Elizabeth Tarlov, Howard Gordon, Reside L. Jacob, Brian Bartle, Allison O'Neill, Rebecca Young, Avery Laliberte
Summary: The study found that a majority of Veterans utilized VA primary care services at VA facilities, but the proportion of visits to VA-CCN providers increased annually. Factors such as being female, living in rural areas, having a long driving distance, having health insurance, or having psychiatric/depression conditions were associated with a higher likelihood of receiving primary care from VA-CCN providers. Conversely, older age, Black race, requirement to pay VA copayments, or higher Nosos score were associated with a lower likelihood of receiving primary care from VA-CCN providers.
Article
Nursing
Ravi K. Gopal, Pooja Solanki, Barbara Bokhour, Natalie Skorohod, Deisy Hernandez-Lujan, Howard Gordon
Summary: The study found that in clinical video telehealth, the complexity of appointment scheduling, local barriers to care, and remotely managing acutely ill patients are the main factors affecting communication. Both nurses and patients believe that CVT requires modifications to workflow, behaviors, and use of senses.
JNP-JOURNAL FOR NURSE PRACTITIONERS
(2021)
Article
Health Care Sciences & Services
Kevin T. Stroupe, Rachael Martinez, Timothy P. Hogan, Elisa J. Gordon, Beverly Gonzalez, Elizabeth Tarlov, Abigail Silva, Zhiping Huo, Ibuola Kale, Dolores Ippolito, Chad Osteen, Neil Jordan, Dustin D. French, Howard Gordon, Michael J. Fischer, Bridget M. Smith
Summary: The study found that 32.1% of VA enrollees chose to acquire non-VA health insurance, with reasons including coverage for emergencies and family members. The main obstacle for not having non-VA insurance was affordability. Higher income was associated with non-VA insurance coverage.
MEDICAL CARE RESEARCH AND REVIEW
(2022)
Article
Health Care Sciences & Services
Kathryn L. DeLaughter, Gemmae M. Fix, Sarah E. McDannold, Charlene Pope, Barbara G. Bokhour, Stephanie L. Shimada, Rodney Calloway, Howard S. Gordon, Judith A. Long, Danielle A. Miano, Sarah L. Cutrona
Summary: The study developed a 6-month text-messaging protocol through a multistep process, converting video stories from Veterans into text to support hypertension self-management. Each protocol corresponds to a single Veteran storyteller, providing culturally sensitive content, and also developed educational and interactive assessment text messages.
JMIR RESEARCH PROTOCOLS
(2021)
Article
Infectious Diseases
Jessica Gardner, Gabriel Brown, Jadisha Vargas-Correa, Frances Weaver, Israel Rubinstein, Howard S. Gordon
Summary: This study found that nearly 40% of participants disagreed with receiving a COVID-19 vaccine, with younger, female, and those with fewer comorbid conditions more likely to disagree. Willingness to accept vaccination was associated with reliance on a doctor or family member's recommendation and belief in vaccine effectiveness. The in-depth interviews revealed barriers to vaccination, including lack of trust in government and vaccine manufacturers, concerns about vaccine development speed, fear of side effects, and fear of racism associated with the vaccine.
BMC INFECTIOUS DISEASES
(2022)
Article
Psychiatry
Jason I. Chen, Alex Hickok, Allison C. O'Neill, Meike Niederhausen, Avery Z. Laliberte, Diana J. Govier, Samuel T. Edwards, Howard S. Gordon, Christopher G. Slatore, Francis M. Weaver, Rebecca Young, Denise M. Hynes
Summary: The study aimed to evaluate the development of new mental health diagnoses up to 6 months following COVID-19 hospitalization in a large national sample. Among the patients hospitalized for COVID-19, 8% developed new mental health diagnoses, with the most common being depressive, anxiety, and adjustment disorders. Younger and rural patients were more likely to develop new diagnoses, while women and those with more comorbidities were less likely.
PSYCHIATRY RESEARCH
(2022)
Article
Medicine, General & Internal
LeChauncy Woodard, Amber B. Amspoker, Natalie E. Hundt, Howard S. Gordon, Brian Hertz, Edward Odom, Anne Utech, Javad Razjouyan, Suja S. Rajan, Nipa Kamdar, Jasmin Lindo, Lea Kiefer, Praveen Mehta, Aanand D. Naik
Summary: This study evaluated the implementation and effectiveness of an evidence-based intervention, EPICC, for improving diabetes-associated distress and HbA(1c) levels. The results showed significant improvements in HbA(1c) levels and DDS scores in the EPICC group postintervention, but the improvements in HbA(1c) levels were not sustained during maintenance. Modest improvements in diabetes-associated distress were sustained after maintenance.
Article
Health Care Sciences & Services
Diana J. Govier, Alex Hickok, Samuel T. Edwards, Frances M. Weaver, Howard Gordon, Meike Niederhausen, Denise M. Hynes
Summary: After the early implementation of CCNs under the VA MISSION Act, community primary care wait times increased significantly, regardless of the implementation of CCNs or the status of rural/urban or PC HPSA appointments. This suggests that the demand for community care may have overwhelmed VA resources, resulting in limited impact of CCNs.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2023)
Article
Public, Environmental & Occupational Health
Frances M. Weaver, Meike Niederhausen, Alex Hickok, Allison C. O'Neill, Howard S. Gordon, Samuel T. Edwards, Diana J. Govier, Jason I. Chen, Rebecca Young, Mary Whooley, Denise M. Hynes
Summary: This study examined the readmission rates of veterans within 90 days of discharge following COVID-19 hospitalization. It found that approximately 1 in 6 veterans were readmitted within 90 days of discharge. The likelihood of readmission increased with longer hospital stays and was also higher for patients who required mechanical ventilation, had multiple comorbidities, smoked, or lived in urban areas.
PREVENTING CHRONIC DISEASE
(2022)
Article
Health Care Sciences & Services
Scott J. Pilla, Kayla A. Meza, Mary Catherine Beach, Judith A. Long, Howard S. Gordon, Jeffrey T. Bates, Donna L. Washington, Barbara G. Bokhour, Anais Tuepker, Somnath Saha, Nisa M. Maruthur
Summary: This study evaluated the practices of primary care providers in assessing and preventing hypoglycemia. The findings showed that discussions about hypoglycemia were limited during patient visits, and adjustments to hypoglycemia-causing medications were not routinely made after reported hypoglycemia. This highlights the need for routine hypoglycemia assessment and diabetes self-management education to achieve guideline-concordant hypoglycemia prevention.
LANCET REGIONAL HEALTH-AMERICAS
(2023)
Meeting Abstract
Clinical Neurology
Ashesha Mechineni, Jessica Gardner, Howard Gordon, Bharati Prasad
Article
Respiratory System
Malvika Kaul, Preeti Gupta, Salil Kalra, Jessica Gardner, Howard S. Gordon, Israel Rubinstein
Summary: This study investigates the use and duration of domiciliary supplemental oxygen (DSO) therapy among survivors of COVID-19 hospitalizations with persistent hypoxemia. The findings show that the majority of elderly patients, predominantly obese Black males, who were discharged on DSO did not undergo a formal 6-min walk test and DSO therapy was discontinued within 8 weeks for most patients. Additionally, a large proportion of obese Black patients developed post-acute sequelae of COVID-19 infection after being treated with DSO for at least 8 weeks.
Correction
Nursing
Ravi K. Gopal, Pooja Solanki, Barbara G. Bokhour, Natalia Skorohod, Deisy Anahi Hernandez Lujan, WonJun Choi, Howard S. Gordon
JNP-JOURNAL FOR NURSE PRACTITIONERS
(2021)