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
Illness Perception and the Impact of a Definitive Diagnosis on Women With Ischemia and No Obstructive Coronary Artery Disease: A Qualitative Study.
Tseng L, Göç N, Schwann A, Cherlin E, Kunnirickal S, Odanovic N, Curry L, Shah S, Spatz E. Illness Perception and the Impact of a Definitive Diagnosis on Women With Ischemia and No Obstructive Coronary Artery Disease: A Qualitative Study. Circulation Cardiovascular Quality And Outcomes 2023, 16: 521-529. PMID: 37476997, DOI: 10.1161/circoutcomes.122.009834.Peer-Reviewed Original ResearchMeSH KeywordsCoronary Artery DiseaseFemaleHumansIschemiaMiddle AgedMyocardial IschemiaPerceptionQuality of LifeConceptsObstructive coronary artery diseaseCoronary function testingCoronary artery diseaseInvasive coronary angiographyArtery diseaseCoronary angiographyFunction testingDefinitive diagnosisYale-New Haven HospitalNon-Hispanic blacksMore patient-centered careNew Haven HospitalPatient-centered careStructured telephone interviewQuality of lifeHealth care experiencesNon-Hispanic whitesGroup of womenCoronary functionIllness perceptionsMean ageINOCAUncertain causeMultidisciplinary teamPatient carePerspectives of Clinicians and Staff at Community-Based Opioid Use Disorder Treatment Settings on Linkages With Emergency Department–Initiated Buprenorphine Programs
Sue K, Chawarski M, Curry L, McNeil R, Coupet E, Schwartz R, Wilder C, Tsui J, Hawk K, D’Onofrio G, O’Connor P, Fiellin D, Edelman E. Perspectives of Clinicians and Staff at Community-Based Opioid Use Disorder Treatment Settings on Linkages With Emergency Department–Initiated Buprenorphine Programs. JAMA Network Open 2023, 6: e2312718. PMID: 37163263, PMCID: PMC10173026, DOI: 10.1001/jamanetworkopen.2023.12718.Peer-Reviewed Original ResearchConceptsCommunity-based cliniciansOpioid use disorderEmergency departmentOUD treatmentMedication treatmentSubstance use disorders trainingUrban academic emergency departmentEffectiveness-implementation studyAcademic emergency departmentDisorder treatment settingsPerspectives of cliniciansCommunity-based treatmentCommunity-based treatment programsStaff perspectivesImplementation science frameworkBuprenorphine programTreatment cliniciansPeer navigatorsReferral sitesPromoting ActionMAIN OUTCOMEED staffBuprenorphineFocus groupsUse disordersPerspectives on National Institutes of Health Funding Requirements for Racial and Ethnic Diversity Among Medical Scientist Training Program Leadership
Ayedun A, Agbelese V, Curry L, Gotian R, Castillo-Page L, White M, Antwi A, Buchanan M, Girma M, Kline D, Okeke C, Raghu A, Saleh H, Schwartz A, Boatright D. Perspectives on National Institutes of Health Funding Requirements for Racial and Ethnic Diversity Among Medical Scientist Training Program Leadership. JAMA Network Open 2023, 6: e2310795. PMID: 37126348, PMCID: PMC10152303, DOI: 10.1001/jamanetworkopen.2023.10795.Peer-Reviewed Original ResearchDeveloping 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 ResearchMeSH KeywordsAgedAntihypertensive AgentsBlood PressureElectronic Health RecordsFemaleHumansHypertensionMaleMiddle AgedConceptsPersistent 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
2021
Strengthening the Mentorship and Leadership Capacity of HIV/AIDS and Tuberculosis Researchers in South Africa.
Desai MM, Göç N, Chirwa T, Manderson L, Charalambous S, Curry LA, Linnander E. Strengthening the Mentorship and Leadership Capacity of HIV/AIDS and Tuberculosis Researchers in South Africa. American Journal Of Tropical Medicine And Hygiene 2021, 105: 1317-1325. PMID: 34398822, PMCID: PMC8592193, DOI: 10.4269/ajtmh.21-0072.Peer-Reviewed Original Research
2020
Barriers and Facilitators to Clinician Readiness to Provide Emergency Department–Initiated Buprenorphine
Hawk KF, D’Onofrio G, Chawarski MC, O’Connor P, Cowan E, Lyons MS, Richardson L, Rothman RE, Whiteside LK, Owens PH, Martel SH, Coupet E, Pantalon M, Curry L, Fiellin DA, Edelman EJ. Barriers and Facilitators to Clinician Readiness to Provide Emergency Department–Initiated Buprenorphine. JAMA Network Open 2020, 3: e204561. PMID: 32391893, PMCID: PMC7215257, DOI: 10.1001/jamanetworkopen.2020.4561.Peer-Reviewed Original ResearchConceptsOpioid use disorderEmergency departmentAdvanced practice cliniciansED cliniciansClinicians' readinessOngoing treatmentTreatment of OUDEmergency Department-Initiated BuprenorphineUntreated opioid use disorderDrug Addiction Treatment ActDecrease opioid useVisual analog scaleHealth Services frameworkAcademic emergency departmentMixed-methods formative evaluationQuality of careSubset of participantsBuprenorphine initiationClinician typeOpioid useED patientsAnalog scaleOngoing careDepartmental protocolPractice clinicians
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 QuestionnairesSymptom Recognition and Healthcare Experiences of Young Women With Acute Myocardial Infarction
Lichtman JH, Leifheit-Limson EC, Watanabe E, Allen NB, Garavalia B, Garavalia LS, Spertus JA, Krumholz HM, Curry LA. Symptom Recognition and Healthcare Experiences of Young Women With Acute Myocardial Infarction. Circulation Cardiovascular Quality And Outcomes 2015, 8: s31-s38. PMID: 25714826, PMCID: PMC4801001, DOI: 10.1161/circoutcomes.114.001612.Peer-Reviewed Original ResearchMeSH KeywordsAdultAge FactorsConflict, PsychologicalFemaleHealth Knowledge, Attitudes, PracticeHealth Status DisparitiesHealthcare DisparitiesHospitalizationHumansInterviews as TopicMiddle AgedMyocardial InfarctionPatient Acceptance of Health CarePreventive Health ServicesQualitative ResearchRecognition, PsychologyRisk AssessmentRisk FactorsSex FactorsTime FactorsTime-to-TreatmentConceptsAcute myocardial infarctionCare-seeking behaviorAcute careMyocardial infarctionProdromal symptomsHeart diseaseSymptom recognitionAcute myocardial infarction symptomsAcute myocardial infarction mortalityHealthcare systemMyocardial infarction symptomsPreventive health careCare-seeking experiencesMyocardial infarction mortalityAcute medical therapyPreventive health behaviorsCardiovascular riskMedical therapyPrompt recognitionPreventive carePrimary careInfarction symptomsAged menMortality riskHealth behaviors
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 makingPremiumExpenditurePromoting Child Development and Behavioral Health: Family Child Care Providers' Perspectives
Rosenthal MS, Crowley AA, Curry L. Promoting Child Development and Behavioral Health: Family Child Care Providers' Perspectives. Journal Of Pediatric Health Care 2009, 23: 289-297. PMID: 19720263, DOI: 10.1016/j.pedhc.2008.08.001.Peer-Reviewed Original ResearchConceptsFamily child care providersChild care providersSelf-perceived roleChild careCare providers' perspectivesChild developmentCare providersHigh-quality child careNonparental child careQualitative data analysisProvider perspectivesConstant comparative methodDepth interviewsBehavioral healthProvider-based interventionsYoung children's developmentCare providers' abilityQualitative studySuch interventionsLife experiencesOwn skill developmentDisadvantaged childrenComparative methodCommon themesSkill development
2008
Family Child Care Providers' Experience in Health Promotion
Rosenthal MS, Crowley AA, Curry L. Family Child Care Providers' Experience in Health Promotion. Family & Community Health 2008, 31: 326-334. PMID: 18794639, DOI: 10.1097/01.fch.0000336095.23819.f6.Peer-Reviewed Original ResearchHealthcare 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