2024
Barriers to Optimal Clinician Guideline Adherence in Management of Markedly Elevated Blood Pressure
Lu Y, Arowojolu O, Qiu X, Liu Y, Curry L, Krumholz H. Barriers to Optimal Clinician Guideline Adherence in Management of Markedly Elevated Blood Pressure. JAMA Network Open 2024, 7: e2426135. PMID: 39106065, PMCID: PMC11304113, DOI: 10.1001/jamanetworkopen.2024.26135.Peer-Reviewed Original ResearchConceptsBarriers to guideline adherenceElectronic health recordsGuideline adherenceClinician adherenceEHR dataElevated blood pressureHypertension managementAnalysis of EHR dataYale New Haven Health SystemSevere hypertensionClinical practice guidelinesAdherence scenariosQualitative content analysisPublic health challengeThematic saturationHealth recordsHealth systemBlood pressureThematic analysisTargeted interventionsManagement of severe hypertensionQualitative studyHealth challengesPractice guidelinesPatient outcomes
2023
Developing an Actionable Taxonomy of Persistent Hypertension Using Electronic Health Records
Lu Y, Du C, Khidir H, Caraballo C, Mahajan S, Spatz E, Curry L, Krumholz H. Developing an Actionable Taxonomy of Persistent Hypertension Using Electronic Health Records. Circulation Cardiovascular Quality And Outcomes 2023, 16: e009453. PMID: 36727515, DOI: 10.1161/circoutcomes.122.009453.Peer-Reviewed Original ResearchConceptsPersistent hypertensionElectronic health recordsBlood pressureHealth recordsPharmacologic agentsPrescribed treatmentYale New Haven Health SystemTreatment planAdditional pharmacologic agentsAntihypertensive treatment intensificationConsecutive outpatient visitsElevated blood pressurePersistence of hypertensionElectronic health record dataHealth record dataEligible patientsTreatment intensificationChart reviewHispanic patientsOutpatient visitsMean agePharmacological treatmentConventional content analysisHypertensionClinician notes
2022
Factors Associated With Contracting Between Area Agencies on Aging and Health Care Entities
Brewster AL, Wilson TL, Kunkel SR, Curry LA, Rubeo C. Factors Associated With Contracting Between Area Agencies on Aging and Health Care Entities. Journal Of Applied Gerontology 2022, 41: 1878-1886. PMID: 35505592, DOI: 10.1177/07334648221096137.Peer-Reviewed Original Research
2021
Achieving Population Health Impacts Through Health Promotion Programs Offered by Community-based Organizations
Brewster AL, Wilson TL, Curry LA, Kunkel SR. Achieving Population Health Impacts Through Health Promotion Programs Offered by Community-based Organizations. Medical Care 2021, 59: 273-279. PMID: 33480659, DOI: 10.1097/mlr.0000000000001492.Peer-Reviewed Original ResearchConceptsHealth promotion programsNursing home useEvidence-based health promotion programsHealth care usePromotion programsCare useOlder adultsAmbulatory care-sensitive hospitalizationsHome useHospital readmission ratesBehavioral risk factorsCommunity-based organizationsReadmission ratesChronic conditionsRisk factorsStratified analysisClinical settingPopulation-level impactBreadth of programsPopulation healthDelivery sitesMedicare spendingPercentage point reductionSignificant reductionAdults
2016
State variation in HIV/AIDS health outcomes
Talbert-Slagle KM, Canavan ME, Rogan EM, Curry LA, Bradley EH. State variation in HIV/AIDS health outcomes. AIDS 2016, 30: 657-663. PMID: 26605512, PMCID: PMC4732004, DOI: 10.1097/qad.0000000000000978.Peer-Reviewed Original ResearchConceptsState-level spendingHIV/AIDS outcomesAIDS case ratesAIDS deathsAIDS outcomesCase ratesPublic health spendingHealth resource factorsSocial servicesPublic healthState GDPHealth spendingHigher spendingUnique datasetSpendingMedicaid spendingMultivariable regression modelsState policymakersHealthcare spendingU.S. statesHIV/AIDSLow HIVGDPResource factorsNew infections
2015
Organizational culture in cardiovascular care in Chinese hospitals: a descriptive cross-sectional study
Yin ES, Downing NS, Li X, Singer SJ, Curry LA, Li J, Krumholz HM, Jiang L. Organizational culture in cardiovascular care in Chinese hospitals: a descriptive cross-sectional study. BMC Health Services Research 2015, 15: 569. PMID: 26689591, PMCID: PMC4685633, DOI: 10.1186/s12913-015-1211-7.Peer-Reviewed Original ResearchAdultAgedAttitude of Health PersonnelCardiac Care FacilitiesCardiovascular DiseasesChinaCross-Sectional StudiesEfficiencyFemaleHospitalsHumansLeadershipMaleMiddle AgedModels, OrganizationalOrganizational CultureQuality Assurance, Health CareQuality ImprovementQuality of Health CareRetrospective StudiesSurveys and Questionnaires
2014
Hospital Strategy Uptake and Reductions in Unplanned Readmission Rates for Patients with Heart Failure: A Prospective Study
Bradley EH, Sipsma H, Horwitz LI, Ndumele CD, Brewster AL, Curry LA, Krumholz HM. Hospital Strategy Uptake and Reductions in Unplanned Readmission Rates for Patients with Heart Failure: A Prospective Study. Journal Of General Internal Medicine 2014, 30: 605-611. PMID: 25523470, PMCID: PMC4395590, DOI: 10.1007/s11606-014-3105-5.Peer-Reviewed Original ResearchConceptsRisk-standardized readmission ratesUnplanned readmission rateUptake of strategiesReadmission ratesHeart failureProspective studyGreater reductionAvoidable Rehospitalizations (STAAR) initiativeSame time pointsFinal analytic sampleParticipantsThe studyMain MeasuresWeHospitalPatientsWeb-based surveyAnalytic sampleTime pointsBaselineHospital strategiesSignificant reductionOne-quarterMonthsMore strategiesNational sampleAssociation
2011
Quality of Care in the US Territories
Nunez-Smith M, Bradley EH, Herrin J, Santana C, Curry LA, Normand SL, Krumholz HM. Quality of Care in the US Territories. JAMA Internal Medicine 2011, 171: 1528-1540. PMID: 21709184, PMCID: PMC3251926, DOI: 10.1001/archinternmed.2011.284.Peer-Reviewed Original ResearchConceptsAcute myocardial infarctionRisk-standardized readmission ratesRisk-standardized mortality ratesHeart failureMortality rateReadmission ratesProcess measuresHospital characteristicsHighest risk-standardized mortality ratesPrincipal discharge diagnosisQuality of careHealth care qualityDischarge diagnosisService patientsMyocardial infarctionTerritorial HospitalNonfederal hospitalsUS territoriesMedicare feePneumoniaHospitalCare qualityPatientsPerformance of hospitalsUS statesAccess and quality of rural healthcare: Ethiopian Millennium Rural Initiative
Bradley E, Thompson JW, Byam P, Webster TR, Zerihun A, Alpern R, Herrin J, Abebe Y, Curry L. Access and quality of rural healthcare: Ethiopian Millennium Rural Initiative. International Journal For Quality In Health Care 2011, 23: 222-230. PMID: 21467077, DOI: 10.1093/intqhc/mzr013.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedCommunity Health CentersDelivery of Health CareDelivery, ObstetricEthiopiaFemaleHealth Services AccessibilityHealth Services Needs and DemandHIV InfectionsHumansLongitudinal StudiesMaleMiddle AgedPostnatal CarePrenatal CareQuality of Health CareRural PopulationYoung AdultConceptsPrimary healthcare unitsAntenatal care coverageHealth centersAntenatal careCare coverageHealth post levelOutpatient visit ratesHealthcare unitsHealthcare servicesHealth postsRural careUnmet needVisit ratesHIVFocus group participantsRural initiativesOutpatient volumeSystems-based approachGroup participantsRural settingsCareSignificant increaseRural healthcare servicesRural healthcareFocus group data
2010
Pilot testing of a decision support tool for patients with abdominal aortic aneurysms
Berman L, Curry L, Goldberg C, Gusberg R, Fraenkel L. Pilot testing of a decision support tool for patients with abdominal aortic aneurysms. Journal Of Vascular Surgery 2010, 53: 285-292.e1. PMID: 21067886, PMCID: PMC3058927, DOI: 10.1016/j.jvs.2010.08.075.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overAlgorithmsAortic Aneurysm, AbdominalAttitude of Health PersonnelBlood Vessel Prosthesis ImplantationChoice BehaviorConflict, PsychologicalConnecticutDecision Support Systems, ClinicalEndovascular ProceduresEvidence-Based MedicineFeasibility StudiesFemaleHealth Knowledge, Attitudes, PracticeHumansMaleMiddle AgedPatient Education as TopicPatient ParticipationPatient SatisfactionPatient SelectionPhysician-Patient RelationsPilot ProjectsRisk AssessmentRisk FactorsTime FactorsConceptsAbdominal aortic aneurysmPercent of patientsTreatment optionsAortic aneurysmTreatment decisionsVascular surgery clinicDecisional conflict scoresDifficult treatment decisionsMean knowledge scoreCurrent outcome dataSurgical candidatesMedian timeSurgery clinicOpen surgeryHospital clinicPatient preferencesPatients' opinionsEndovascular surgeryOutcome dataPatientsDecisional conflictKnowledge scoreInformed consentSurgerySurgeonsProfessional Experiences of International Medical Graduates Practicing Primary Care in the United States
Chen PG, Nunez-Smith M, Bernheim SM, Berg D, Gozu A, Curry LA. Professional Experiences of International Medical Graduates Practicing Primary Care in the United States. Journal Of General Internal Medicine 2010, 25: 947-953. PMID: 20502974, PMCID: PMC2917670, DOI: 10.1007/s11606-010-1401-2.Peer-Reviewed Original Research
2009
Individual Decision Making in the Non-Purchase of Long-Term Care Insurance
Curry LA, Robison J, Shugrue N, Keenan P, Kapp MB. Individual Decision Making in the Non-Purchase of Long-Term Care Insurance. The Gerontologist 2009, 49: 560-569. PMID: 19491360, DOI: 10.1093/geront/gnp041.Peer-Reviewed Original ResearchConceptsLong-term care insuranceCare insuranceLong-term care expendituresPotential purchasersPrivate insurance companiesDesign of policiesMedicaid long-term care expendituresInsurance decisionsEconomic incentivesIndividual purchasesPolicy mechanismsCare expendituresInsurance companiesIndividual decisionsInsuranceIncentivesConsumer pointPurchasersPolicyDecisionsPrior researchPreferencesDecision makingPremiumExpenditure
2008
Healthcare Workplace Conversations on Race and the Perspectives of Physicians of African Descent
Nunez-Smith M, Curry LA, Berg D, Krumholz HM, Bradley EH. Healthcare Workplace Conversations on Race and the Perspectives of Physicians of African Descent. Journal Of General Internal Medicine 2008, 23: 1471-1476. PMID: 18618190, PMCID: PMC2518023, DOI: 10.1007/s11606-008-0709-7.Peer-Reviewed Original ResearchConceptsRace-related issuesAfrican descentRange of perspectivesRace-related concernsConstant comparative methodRace relationsQualitative interviewsExternal support systemsHonest dialogueProfessional identityWorkplace silenceFormal medical trainingWork experienceHealthcare experiencesWorkplace conversationsComparative methodSupportive environmentResultsFive themesRaceNew England statesPerspectiveHealthcare discriminationConversationConstructive wayHealthcare workforceInformed consent for abdominal aortic aneurysm repair: The patient's perspective
Berman L, Curry L, Gusberg R, Dardik A, Fraenkel L. Informed consent for abdominal aortic aneurysm repair: The patient's perspective. Journal Of Vascular Surgery 2008, 48: 296-302.e1. PMID: 18572357, PMCID: PMC2630422, DOI: 10.1016/j.jvs.2008.03.037.Peer-Reviewed Original ResearchAdultAgedAngioplastyAortic Aneurysm, AbdominalCohort StudiesCommunicationDecision MakingElective Surgical ProceduresFemaleFollow-Up StudiesHumansInformed ConsentLaparotomyMaleMiddle AgedPatient SatisfactionPhysician-Patient RelationsRisk AssessmentSeverity of Illness IndexSurveys and QuestionnairesTreatment RefusalVascular Surgical Procedures
2007
Impact of race on the professional lives of physicians of African descent.
Nunez-Smith M, Curry LA, Bigby J, Berg D, Krumholz HM, Bradley EH. Impact of race on the professional lives of physicians of African descent. Annals Of Internal Medicine 2007, 146: 45-51. PMID: 17200221, DOI: 10.7326/0003-4819-146-1-200701020-00008.Peer-Reviewed Original Research
2004
At the crossroads: Making the transition to hospice
SCHULMAN-GREEN D, McCORKLE R, CURRY L, CHERLIN E, JOHNSON-HURZELER R, BRADLEY E. At the crossroads: Making the transition to hospice. Palliative & Supportive Care 2004, 2: 351-360. PMID: 16594397, DOI: 10.1017/s1478951504040477.Peer-Reviewed Original ResearchConceptsPrimary family caregiversHospice enrollmentTerminal cancerCare trajectoriesFamily caregiversLate hospice enrollmentPatient care trajectoriesContinuum of careTime of deathHealth care systemPatient's family dynamicsIll patientsMedian lengthHospice careCaregiver needsCaregiver acceptancePatientsCaregiver perspectivesCaregivers' perceptionsHospiceDesign of interventionsCare systemCaregiversImpending deathDeathThe Role of Intended Use on Actual Use of Home Care: Is Race a Factor?
Webster TR, Curry LA, McGraw S, Buckser A, Bradley EH. The Role of Intended Use on Actual Use of Home Care: Is Race a Factor? Home Health Care Services Quarterly 2004, 23: 57-68. PMID: 15451716, DOI: 10.1300/j027v23n03_04.Peer-Reviewed Original ResearchIntended use of informal long‐term care: the role of race and ethnicity
Bradley EH, Curry LA, McGraw SA, Webster TR, Kasl SV, Andersen R. Intended use of informal long‐term care: the role of race and ethnicity. Ethnicity And Health 2004, 9: 37-54. PMID: 15203464, DOI: 10.1080/13557850410001673987.Peer-Reviewed Original ResearchConceptsLong-term careRace/ethnicityInformal long-term carePsychosocial factorsRace/ethnicity-related differencesLong-term care useFrail older populationHealth service useEthnicity-related differencesLong-term care needsCross-sectional surveyCare useService useCare needsLogistic regressionOlder populationPsychosocial differencesWhite eldersHealthcare decision makingOlder adultsCareFamily caregivingAndersen modelFamily membersAfrican American respondents
2003
Depression in Later-Life Puerto Rican Primary Care Patients: The Role of Illness, Stress, Social Integration, and Religiosity
Robison J, Curry L, Gruman C, Covington T, Gaztambide S, Blank K. Depression in Later-Life Puerto Rican Primary Care Patients: The Role of Illness, Stress, Social Integration, and Religiosity. International Psychogeriatrics 2003, 15: 239-251. PMID: 14756160, DOI: 10.1017/s1041610203009505.Peer-Reviewed Original ResearchMeSH KeywordsActivities of Daily LivingAgedAged, 80 and overCaregiversChronic DiseaseComorbidityCross-Sectional StudiesDepressive Disorder, MajorDysthymic DisorderFemaleHispanic or LatinoHumansMaleMiddle AgedNew EnglandPrimary Health CarePuerto RicoReligion and PsychologyRisk FactorsSocial SupportStress, PsychologicalConceptsPrimary care patientsDSM-IV criteriaCare patientsOlder Puerto RicansComposite International Diagnostic InterviewPrimary care clinicsPrimary care settingRisk of depressionPoor subjective healthRates of depressionFifth of participantsPuerto RicansRole of illnessSocial risk factorsStudy of depressionHigh rateSocial stressorsCare clinicsIllness severityRisk factorsDepressive disorderMajor depressionCare settingsImproved preventionPatientsThe Science of Including Older Ethnic and Racial Group Participants in Health-Related Research
Curry L, Jackson J. The Science of Including Older Ethnic and Racial Group Participants in Health-Related Research. The Gerontologist 2003, 43: 15-17. PMID: 12604741, DOI: 10.1093/geront/43.1.15.Peer-Reviewed Original Research