2025
Implementation of Mobile Medical Units for Veterans Experiencing Homelessness: A Mixed-Methods Study.
Yoon J, Wong E, Weber J, Blonigen D, Tsai J. Implementation of Mobile Medical Units for Veterans Experiencing Homelessness: A Mixed-Methods Study. Public Health Reports 2025, 333549251365173. PMID: 40914871, PMCID: PMC12414985, DOI: 10.1177/00333549251365173.Peer-Reviewed Original ResearchHomeless Patient Aligned Care TeamMobile medical unitsCharacteristics of veteransMixed-methods studyCare useVeterans AffairsPatient Aligned Care TeamMedical unitsHealth care administrative dataLevels of health care useUS Department of Veterans AffairsDepartment of Veterans AffairsCare administrative dataAcute care useHealth care useMental health careHealth care servicesEmergency department visitsHomeless sheltersCare teamUS DepartmentPatient engagementTelehealth equipmentHomelessnessStaffing typesPediatric Nonfatal Firearm Injury Health Care Utilization.
Du J, Andrews A, Gastineau K, Lee L, Ranney M, Sacks C, Song Z, Fleegler E, Pulcini C. Pediatric Nonfatal Firearm Injury Health Care Utilization. 2025, 156 PMID: 40555422, DOI: 10.1542/peds.2024-070424.Peer-Reviewed Original ResearchConceptsFirearm injuriesHealth care outcomesHealth care useHealth care utilizationMental health diagnosesPediatric firearm injuriesHealth care spendingCare outcomesCare useInjury preventionCare utilizationPostinjury careInjured childrenHealth diagnosisCare spendingPrevention effortsHealth impactsIntervention effortsHealthLongitudinal researchChildrenPostinjuryCost-effectiveFirearmUnited StatesDo psychotic symptoms predict future psychotic disorders in adolescent psychiatry inpatients? A 17-year cohort study
Kieseppä V, Lång U, Healy C, O’Hare K, Díaz-Caneja C, Gülöksüz S, Rutten B, Cannon M, Halt A, Riipinen P, Kelleher I. Do psychotic symptoms predict future psychotic disorders in adolescent psychiatry inpatients? A 17-year cohort study. Psychological Medicine 2025, 55: e108. PMID: 40176435, PMCID: PMC12094655, DOI: 10.1017/s003329172500073x.Peer-Reviewed Original ResearchConceptsSchizophrenia spectrum disordersSubthreshold psychotic symptomsPsychotic symptomsAdolescent psychiatry inpatientsPsychiatry inpatientsSchedule for Affective DisordersNon-psychotic mental disordersRisk of schizophrenia spectrum disordersBaseline psychotic symptomsPsychiatric inpatient admissionsInpatient admissionsPsychiatric inpatient careIncreased riskNational health care registersHealth care usePsychotic disordersAffective disordersHealth care registersMental disordersCare registersCare useInpatient careDisordersFollow-upCox regressionPalliative Care Initiated in the Emergency Department
Grudzen C, Siman N, Cuthel A, Adeyemi O, Yamarik R, Goldfeld K, Abella B, Bellolio F, Bourenane S, Brody A, Cameron-Comasco L, Chodosh J, Cooper J, Deutsch A, Elie M, Elsayem A, Fernandez R, Fleischer-Black J, Gang M, Genes N, Goett R, Heaton H, Hill J, Horwitz L, Isaacs E, Jubanyik K, Lamba S, Lawrence K, Lin M, Loprinzi-Brauer C, Madsen T, Miller J, Modrek A, Otero R, Ouchi K, Richardson C, Richardson L, Ryan M, Schoenfeld E, Shaw M, Shreves A, Southerland L, Tan A, Uspal J, Venkat A, Walker L, Wittman I, Zimny E. Palliative Care Initiated in the Emergency Department. JAMA 2025, 333: 599-608. PMID: 39813042, PMCID: PMC11836764, DOI: 10.1001/jama.2024.23696.Peer-Reviewed Original ResearchConceptsInitiate palliative careLife-limiting illnessHealth care usePalliative carePostintervention periodPreintervention periodMulticomponent interventionCare useEmergency departmentOlder adultsHospital admissionRates of hospice useShort-term mortalitySecondary outcomesRate of hospital admissionsED clinical staffHome health useClinical decision supportNursing home patientsSimulation-based workshopGagne comorbidity scoreRate of admissionRisk of short-term mortalityHospice useIllness communication
2024
Ambulatory care utilization in the first 24 months’ postpartum by rurality and pregnancy‐related conditions: A prospective cohort study from Maine
Bebus S, Palmsten K, Lipkind H, Ackerman‐Banks C, Ahrens K. Ambulatory care utilization in the first 24 months’ postpartum by rurality and pregnancy‐related conditions: A prospective cohort study from Maine. The Journal Of Rural Health 2024, 41: e12912. PMID: 39722432, PMCID: PMC12270079, DOI: 10.1111/jrh.12912.Peer-Reviewed Original ResearchConceptsPregnancy-related conditionsRate of visitsCare usePostpartum personsAmbulatory careMonths postpartumAcute health care useRate ratiosRurality of residenceHealth care useAmbulatory care visitsAmbulatory care utilizationAmbulatory care useAmbulatory care accessRural areasHypertensive disorders of pregnancyProspective cohort studyMonthly rateCare visitsPrenatal depressionCare accessCare utilizationDisorders of pregnancyMonthly rate of visitsPoisson regressionWearable 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, PMCID: PMC11964026, 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 managementPatientsHealthNonusersPalliative Pharmacotherapy for Cardiovascular Disease: A Scientific Statement From the American Heart Association
Di Palo K, Feder S, Baggenstos Y, Cornelio C, Forman D, Goyal P, Kwak M, McIlvennan C, Nursing O. Palliative Pharmacotherapy for Cardiovascular Disease: A Scientific Statement From the American Heart Association. Circulation Cardiovascular Quality And Outcomes 2024, 17: e000131. PMID: 38946532, DOI: 10.1161/hcq.0000000000000131.Peer-Reviewed Original ResearchQuality of lifeCardiovascular diseaseExcess health care useGoal-oriented careHealth care useShared decision-makingEnhance quality of lifePalliative pharmacotherapyMedical managementScientific statementEvidence-based medical therapyPulmonary arterial hypertensionSpectrum of cardiovascular diseasesAmerican Heart AssociationCoronary heart diseaseEnd-stage heart failurePalliative medicineCare usePalliative approachArterial hypertensionGuideline-directedMedical therapyDevice therapyHeart failureWorsening symptomsChanges in Outpatient Health Care Use After COVID-19 Infection Among Veterans
Hebert P, Kumbier K, Smith V, Hynes D, Govier D, Wong E, Kaufman B, Shepherd-Banigan M, Rowneki M, Bohnert A, Ioannou G, Boyko E, Iwashyna T, O’Hare A, Bowling C, Viglianti E, Maciejewski M, Admon A, Akgun K, Anderson L, Anderson S, Aslan M, Au D, Backus L, Bajema K, Baraff A, Batten L, Berkowitz T, Bernstein T, Berry Wyatt K, Bogdan J, Borgerding J, Bosworth H, Boucher N, Burwick N, Byrd K, Cabrales A, Cano J, Chai W, Chen J, Cheung K, Crothers K, Cummin G, Curtis J, Davis M, Del Monico E, Dennis P, Dobalian A, Doll J, Dominitz J, Eastment M, Fan V, Ferguson J, Floyd B, Fox A, Goetz M, Green P, Hastings S, Hauschildt K, Hawkins E, Helfand M, Hickok A, Horowitz D, Hough C, Hu E, Ikuta K, Jones B, Jones M, Kamphius L, Knight S, Korpak A, Korpela P, Langa K, Laundry R, Lavin S, Li Y, Lindquist J, McCready H, Meyer C, Michel M, Miles A, Milne J, Monahan M, Morelli D, Mutalik P, Naylor J, Niederhausen M, Newell S, Nugent S, Ong M, Osborne T, Peterson M, Peterson A, Prescott H, Pura J, Rajeevan N, Reddy A, Rouse M, Saha S, Saini S, Seelye S, Shah J, Shahoumian T, Shaukat A, Showalter W, Slatore C, Smith B, Smith N, Streja E, Suri P, Sussman J, Takata Y, Teo A, Thomas E, Thomas L, Tuepker A, Turner A, Veigulis Z, Vig E, Vranas K, Wang X, Wicks K, Winchell K, Womer J, Woods C, Wysham K, Yan L, Zulman D. Changes in Outpatient Health Care Use After COVID-19 Infection Among Veterans. JAMA Network Open 2024, 7: e2355387. PMID: 38334995, PMCID: PMC10858406, DOI: 10.1001/jamanetworkopen.2023.55387.Peer-Reviewed Original ResearchConceptsOutpatient health care useHealth care useCare useOutpatient useOutpatient visitsPrimary care visitsCounts of outpatient visitsPrimary care patientsOutpatient care utilizationCategories of careVeterans Affairs Corporate Data WarehouseCorporate Data WarehouseIncreased outpatient visitsNegative binomial regression modelsBinomial regression modelsCare visitsCare utilizationPopulation surveillance studyRetrospective cohort studyCare patientsUninfected veteransCOVID-19 infectionMain OutcomesPeri-infection periodCohort study
2023
Association of Neighborhood-Level Marginalization With Health Care Use and Clinical Outcomes Following Hospital Discharge in Patients Who Underwent Coronary Catheterization for Acute Myocardial Infarction in a Single-Payer Health Care System
Akioyamen L, Abdel-Qadir H, Han L, Sud M, Mistry N, Alter D, Atzema C, Austin P, Bhatia R, Booth G, Dhalla I, Ha A, Jackevicius C, Kapral M, Krumholz H, Lee D, McNaughton C, Roifman I, Schull M, Sivaswamy A, Tu K, Udell J, Wijeysundera H, Ko D. Association of Neighborhood-Level Marginalization With Health Care Use and Clinical Outcomes Following Hospital Discharge in Patients Who Underwent Coronary Catheterization for Acute Myocardial Infarction in a Single-Payer Health Care System. Circulation Cardiovascular Quality And Outcomes 2023, 16: e010063. PMID: 38050754, DOI: 10.1161/circoutcomes.123.010063.Peer-Reviewed Original ResearchConceptsAcute myocardial infarctionMyocardial infarctionHealth care systemHospital dischargeClinical outcomesSocioeconomic statusFirst acute myocardial infarctionProportional hazards regression modelsCare systemSecondary prevention medicationsWorse clinical outcomesHealth service usePopulation-based studyPrimary care physiciansHealth care useHazards regression modelsGreater long-term riskPrescription medication useSingle-payer health care systemUniversal health care systemLong-term riskLow socioeconomic statusCause mortalityDays postdischargePrevention medicationsCharacteristics of health care interventions in affordable senior housing: A scoping review
Toles M, Li Z, Bankole A, Conklin J, Vu T, Womack J. Characteristics of health care interventions in affordable senior housing: A scoping review. Geriatric Nursing 2023, 53: 122-129. PMID: 37536003, PMCID: PMC12010451, DOI: 10.1016/j.gerinurse.2023.07.009.Peer-Reviewed Original ResearchConceptsHealth care interventionsCare interventionsSenior housingOlder adultsOutcomes of health care interventionsUnmet health care needsHealth care usePrimary outcomeHealth care needsScoping review methodStudies of interventionsCare needsCare useSymptom managementPhysical functionNarrative synthesisClinical staffPromote HealthScoping ReviewChronic illnessEffective interventionsSystematic searchTeam of investigatorsInterventionHealthRisk Adjustment And Promoting Health Equity In Population-Based Payment: Concepts And Evidence
McWilliams J, Weinreb G, Ding L, Ndumele C, Wallace J. Risk Adjustment And Promoting Health Equity In Population-Based Payment: Concepts And Evidence. Health Affairs 2023, 42: 105-114. PMID: 36623215, PMCID: PMC9901844, DOI: 10.1377/hlthaff.2022.00916.Peer-Reviewed Original ResearchConceptsRisk adjustmentHealth equityCurrent risk adjustmentHealth care useSocial risk factorsPromoting Health EquityFunctional statusCare useRisk factorsMedicare populationEthnic disparitiesHispanic beneficiariesSocial determinantsWhite beneficiariesPopulation-based paymentsPopulation-based payment modelAnnual spendingPayment modelsHigher proportionPopulationAdjustmentPredictive accuracy
2022
Association of Initial SARS-CoV-2 Test Positivity With Patient-Reported Well-being 3 Months After a Symptomatic Illness
Wisk L, Gottlieb M, Spatz E, Yu H, Wang R, Slovis B, Saydah S, Plumb I, O’Laughlin K, Montoy J, McDonald S, Lin Z, Lin J, Koo K, Idris A, Huebinger R, Hill M, Gentile N, Chang A, Anderson J, Hota B, Venkatesh A, Weinstein R, Elmore J, Nichol G, Santangelo M, Ulrich A, Li S, Kinsman J, Krumholz H, Dorney J, Stephens K, Black K, Morse D, Morse S, Fernandes A, Sharma A, Stober T, Geyer R, Lyon V, Adams K, Willis M, Ruiz L, Park J, Malone K, Shughart H, Schaeffer K, Shughart L, Arab A, Grau D, Patel A, Watts P, Kelly M, Hunt A, Hannikainen P, Chalfin M, Cheng D, Miao J, Shutty C, Chavez S, Kane A, Marella P, Gallegos G, Martin K, L'Hommedieu M, Chandler C, Diaz Roldan K, Villegas N, Moreno R, Eguchi M, Rodriguez R, Kemball R, Chan V, Chavez C, Wong A, Hall A, Briggs-Hagen M. Association of Initial SARS-CoV-2 Test Positivity With Patient-Reported Well-being 3 Months After a Symptomatic Illness. JAMA Network Open 2022, 5: e2244486. PMID: 36454572, PMCID: PMC9716377, DOI: 10.1001/jamanetworkopen.2022.44486.Peer-Reviewed Original ResearchConceptsCOVID-19 positive groupCOVID-19-negative groupSARS-CoV-2 infectionCOVID-19 testCOVID-19 resultsSymptomatic illnessSymptomatic SARS-CoV-2 infectionNegative COVID-19 resultsSARS-CoV-2 statusSARS-CoV-2 test positivityPositive COVID-19 testSARS-CoV-2 testNegative COVID-19 testLongitudinal registry studyOutcomes Measurement Information SystemPatient-reported outcomesHealth care usePositive COVID-19 resultMultivariable regression analysisMeasurement Information SystemCOVID-19 testingNegative test resultsCohort studyRegistry studyPROMIS scoresEarly Weight Loss Percentile Curves and Feeding Practices in Opioid-Exposed Infants.
Cheng FY, Shabanova V, Berkwitt AK, Grossman MR. Early Weight Loss Percentile Curves and Feeding Practices in Opioid-Exposed Infants. Hospital Pediatrics 2022, 12: 857-866. PMID: 36073203, DOI: 10.1542/hpeds.2021-006137.Peer-Reviewed Original ResearchConceptsNeonatal opioid withdrawal syndromeFeeding practicesWeight loss patternsBirth weightMedian percent weight lossWeight lossMean gestational ageOpioid withdrawal syndromeMean birth weightPercentile curvesRisk of morbidityHours of lifeHealth care useConfidence intervalsOptimal feeding methodNonpharmacologic treatmentsPharmacologic treatmentWithdrawal syndromeGestational agePercent weight lossSingle centerCare useInclusion criteriaInfantsDelivery typeAssociation Between Postdischarge Medical Oncology Follow-Up Appointments and Downstream Health Care Use: A Single-Institution Experience
Xiang J, Chow R, Reynoso A, Carafeno T, Deshpande H, Strait M, Prsic E. Association Between Postdischarge Medical Oncology Follow-Up Appointments and Downstream Health Care Use: A Single-Institution Experience. JCO Oncology Practice 2022, 18: e1466-e1474. PMID: 35696632, DOI: 10.1200/op.21.00868.Peer-Reviewed Original ResearchConceptsHealth care useED visitsCare useOncology appointmentsAppointment timingPropensity score-matched analysisMultivariable logistic regression modelYale-New Haven HospitalRetrospective cohort studySingle institution experienceEmergency department visitsTertiary academic centerNew Haven HospitalLower ratesLogistic regression modelsOncology admissionsOncology followCause readmissionMost admissionsCohort studyDepartment visitsMedical oncologySubgroup analysisReadmissionAcademic centersVariability in pediatric appendectomy: The association between disposable supply cost and procedure duration
Salvi P, Cowles R, Oh P, Solomon D. Variability in pediatric appendectomy: The association between disposable supply cost and procedure duration. Surgery 2022, 172: 729-733. PMID: 35581029, DOI: 10.1016/j.surg.2022.04.006.Peer-Reviewed Original ResearchConceptsLaparoscopic appendectomyPediatric laparoscopic appendectomyProcedure durationPediatric appendicitisDisposable suppliesHealth care usePatient outcomesTertiary-care academic hospitalAssociated with shorter proceduresCare usePearson correlation coefficientStudent's t-testDisposable surgical suppliesMedicaid reimbursementAcademic hospitalAverage supply costHospital revenueMedical recordsSurgeons' useDisposable supply costsPediatric appendectomyInterquartile rangeAppendectomyT-testSurgical suppliesA prospective cohort study examining exposure to incarceration and cardiovascular disease (Justice-Involved Individuals Cardiovascular Disease Epidemiology – JUSTICE study): a protocol paper
Howell BA, Puglisi LB, Aminawung J, Domingo KB, Elumn J, Gallagher C, Horton N, Kazi DS, Krumholz HM, Lin HJ, Roy B, Wang EA. A prospective cohort study examining exposure to incarceration and cardiovascular disease (Justice-Involved Individuals Cardiovascular Disease Epidemiology – JUSTICE study): a protocol paper. BMC Public Health 2022, 22: 331. PMID: 35172807, PMCID: PMC8848673, DOI: 10.1186/s12889-022-12688-x.Peer-Reviewed Original ResearchConceptsCardiovascular risk factorsProspective cohort studyRisk factorsCardiovascular diseaseCardiovascular riskCohort studyCVD riskPsychosocial factorsCVD risk factor controlRisk factor controlClinical risk factorsTraditional risk factorsHealth care useIncarceration exposureIndex releaseCVD morbidityCVD incidenceJail/prisonCare useDiscussionOur studyLeading causeClinical measuresPsychosocial stressEpidemiology studiesProtocol paper
2021
Mental Health Care Use Among U.S. Military Veterans: Results From the 2019–2020 National Health and Resilience in Veterans Study
Kline AC, Panza KE, Nichter B, Tsai J, Harpaz-Rotem I, Norman SB, Pietrzak RH. Mental Health Care Use Among U.S. Military Veterans: Results From the 2019–2020 National Health and Resilience in Veterans Study. Psychiatric Services 2021, 73: 628-635. PMID: 34775790, DOI: 10.1176/appi.ps.202100112.Peer-Reviewed Original ResearchConceptsMental health careMental health care utilizationHealth care utilizationSubstance use disordersCare utilizationU.S. military veteransMental dysfunctionNational HealthUse disordersHealth careVeterans StudyMental health care usePrimary health care providersHealth care useMilitary veteransHealth care providersUse of careHierarchical logistic regressionCare usePosttraumatic stress disorder (PTSD) symptom severitySleep disordersCare providersDisorder symptom severityU.S. veteransNeed factorsRefining Patient-Centered Measures of End-of-Life Care Quality for Children With Cancer
Ananth P, Mun S, Reffat N, Kang SJ, Pitafi S, Ma X, Gross CP, Wolfe J. Refining Patient-Centered Measures of End-of-Life Care Quality for Children With Cancer. JCO Oncology Practice 2021, 18: e372-e382. PMID: 34613797, PMCID: PMC8932486, DOI: 10.1200/op.21.00447.Peer-Reviewed Original ResearchConceptsMedian importance scoresPalliative care consultationHealth care usePatient-reported outcomesCross-sectional electronic surveyLife care qualityPatient-centered measuresHealth care teamHealth care professionalsHealth care resourcesCandidate quality measuresCancer stakeholdersSymptom screeningCare consultationsCare useCare teamLife careCare professionalsPatient needsCare resourcesFamily stakeholdersCare qualityMedian scoreQuality measuresElectronic surveyP52. Health care use after incident visits for low back conditions in the Veterans Health Administration
Lisi A, Bastian L, Ly V, Goulet J. P52. Health care use after incident visits for low back conditions in the Veterans Health Administration. The Spine Journal 2021, 21: s165. DOI: 10.1016/j.spinee.2021.05.260.Peer-Reviewed Original ResearchVeterans Health AdministrationLow back conditionsPrimary care clinicsInitial visitCorporate Data WarehouseIncident visitsCare clinicsBack conditionsSubsequent visitsCommon locationHealth AdministrationVA Corporate Data WarehouseSerial cross-sectional analysisSTUDY DESIGN/SETTINGRates of careCharlson Comorbidity IndexNew visitsService use characteristicsMental health comorbiditiesHealth care usePrescription medication useVA administrative dataICD-10 codesMajor depressive disorderDESIGN/SETTINGChanges In Health Services Use After Receipt Of Medications For Opioid Use Disorder In A Statewide Correctional System
Howell BA, Martin RA, Lebeau R, Truong AQ, Wang EA, Rich JD, Clarke JG. Changes In Health Services Use After Receipt Of Medications For Opioid Use Disorder In A Statewide Correctional System. Health Affairs 2021, 40: 1304-1311. PMID: 34339247, PMCID: PMC9036835, DOI: 10.1377/hlthaff.2020.02156.Peer-Reviewed Original ResearchConceptsOpioid use disorderReceipt of medicationHealth care useHealth service useCare useService useUse disordersTotal health care costsEmergency department visitsCorrectional settingsOpioid overdose mortalityEvidence-based treatmentsHealth care costsHealth care servicesRhode Island DepartmentUnified jailDepartment visitsPharmacy claimsInpatient admissionsMedicationsOutpatient servicesOverdose mortalityCare costsCare servicesAddiction treatment
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