2014
A Partnered Approach to Opioid Management, Guideline Concordant Care and the Stepped Care Model of Pain Management
Dorflinger L, Moore B, Goulet J, Becker W, Heapy AA, Sellinger JJ, Kerns RD. A Partnered Approach to Opioid Management, Guideline Concordant Care and the Stepped Care Model of Pain Management. Journal Of General Internal Medicine 2014, 29: 870-876. PMID: 25355083, PMCID: PMC4239281, DOI: 10.1007/s11606-014-3019-2.Peer-Reviewed Original ResearchConceptsLong-term opioid therapyOpioid risk mitigation strategiesOpioid therapyGuideline-concordant careVeterans Health AdministrationPain managementStepped care modelOpioid managementChronic painPain carePrimary carePractice guidelinesCare modelHigh-dose opioidsKey ResultsThe proportionProportion of patientsNon-opioid analgesicsClinical practice guidelinesCommon presenting problemManagement of veteransPerformance improvement outcomesClinical research teamInteractive educational strategiesFour-year study periodConcordant careGuideline-Concordant Management of Opioid Therapy Among Human Immunodeficiency Virus (HIV)-Infected and Uninfected Veterans
Gaither JR, Goulet JL, Becker WC, Crystal S, Edelman EJ, Gordon K, Kerns RD, Rimland D, Skanderson M, Weisberg DF, Justice AC, Fiellin DA. Guideline-Concordant Management of Opioid Therapy Among Human Immunodeficiency Virus (HIV)-Infected and Uninfected Veterans. Journal Of Pain 2014, 15: 1130-1140. PMID: 25152300, PMCID: PMC4253900, DOI: 10.1016/j.jpain.2014.08.004.Peer-Reviewed Original ResearchConceptsCurrent substance use disorderGuideline-concordant careOpioid therapyUrine drug testsHuman immunodeficiency virusSubstance use disordersUninfected patientsImmunodeficiency virusUse disordersPatient/provider characteristicsPrimary care provider visitsVeterans Affairs/DepartmentGuideline-concordant managementDrug testsCare concordantGuideline concordanceUninfected veteransProvider visitsPatient characteristicsPatient groupPrimary careClinical guidelinesPain medicineProvider characteristicsPatients
2013
Prevalence and correlates of suicidal ideation among Operation Enduring Freedom and Operation Iraqi Freedom veterans
Corson K, Denneson LM, Bair MJ, Helmer DA, Goulet JL, Dobscha SK. Prevalence and correlates of suicidal ideation among Operation Enduring Freedom and Operation Iraqi Freedom veterans. Journal Of Affective Disorders 2013, 149: 291-298. PMID: 23531358, DOI: 10.1016/j.jad.2013.01.043.Peer-Reviewed Original ResearchConceptsOEF/OIF veteransPositive depression screenOperation Iraqi Freedom veteransSuicidal ideationIraqi Freedom veteransOIF veteransDepression screenPrimary careOperation Enduring FreedomNon-Hispanic white veteransPHQ-2 scoreAdjusted odds ratioPatient Health QuestionnaireMental health clinicsManual chart reviewHigher PHQ-2 scoresEnduring FreedomOdds of SIPost-traumatic stress disorderNon-white veteransSuicidal ideation assessmentValidity of toolsRisk assessment toolChart reviewPatient population
2010
Time to Depression Treatment in Primary Care Among HIV-infected and Uninfected Veterans
Hooshyar D, Goulet J, Chwastiak L, Crystal S, Gibert C, Mattocks K, Rimland D, Rodriguez-Barradas M, Justice AC, for the VACS Project Team. Time to Depression Treatment in Primary Care Among HIV-infected and Uninfected Veterans. Journal Of General Internal Medicine 2010, 25: 656-662. PMID: 20405335, PMCID: PMC2881956, DOI: 10.1007/s11606-010-1323-z.Peer-Reviewed Original ResearchConceptsPHQ-9 assessmentMental health visitsDepressed HIVUninfected patientsHIV serostatusDepression treatmentPrimary careDepression severityHealth visitsInclusion criteriaPatient Health Questionnaire scoresUntreated depressive symptomsPrimary care treatmentKaplan-Meier curvesPHQ-9 scoresGeneral medicine clinicProportional hazards methodsStudy inclusion criteriaMajority of depressionsAntidepressant receiptBackgroundMultiple factorsUninfected veteransPatient characteristicsProspective cohortTotal cohort
2008
Depression Symptoms and Treatment Among HIV Infected and Uninfected Veterans
Sueoka K, Goulet JL, Fiellin DA, Rimland D, Butt AA, Gibert C, Rodriguez-Barradas MC, Bryant K, Crystal S, Justice AC. Depression Symptoms and Treatment Among HIV Infected and Uninfected Veterans. AIDS And Behavior 2008, 14: 272-279. PMID: 18648927, PMCID: PMC3125603, DOI: 10.1007/s10461-008-9428-7.Peer-Reviewed Original ResearchConceptsVeterans Aging Cohort StudySelective serotonin reuptake inhibitorsDepressive symptomsMental health providersDepression treatmentHealth providersPatient Health Questionnaire scoresActive depressive symptomsAging Cohort StudySerotonin reuptake inhibitorsCommon comorbid conditionsNon-Hispanic whitesHIV providersUninfected subjectsUninfected veteransCohort studyProspective cohortReuptake inhibitorsComorbid conditionsHIV statusPrimary careMental health counselingMultivariable modelQuestionnaire scoresDepression symptoms
2005
Relationship between provider type and the attainment of treatment goals in primary care.
Federman DG, Krishnamurthy R, Kancir S, Goulet J, Justice A. Relationship between provider type and the attainment of treatment goals in primary care. The American Journal Of Managed Care 2005, 11: 561-6. PMID: 16159046.Peer-Reviewed Original ResearchConceptsCoronary artery diseaseProvider typeArtery diseaseBlood pressureDiabetes mellitusTreatment goalsRecent low-density lipoprotein cholesterol levelsLow-density lipoprotein cholesterol levelsAdditional patient characteristicsBlood pressure goalsGoal blood pressureLipoprotein cholesterol levelsClinical Modification codesTreatment of dyslipidemiaTreatment of hypertensionElectronic medical recordsHealth care systemInternal medicine residentsPatient agePatient characteristicsHemoglobin levelsNinth RevisionPrimary careCholesterol levelsMedical recordsDifferences between Infectious Diseases—Certified Physicians and General Medicine—Certified Physicians in the Level of Comfort with Providing Primary Care to Patients
Fultz SL, Goulet JL, Weissman S, Rimland D, Leaf D, Gibert C, Rodriguez-Barradas MC, Justice AC. Differences between Infectious Diseases—Certified Physicians and General Medicine—Certified Physicians in the Level of Comfort with Providing Primary Care to Patients. Clinical Infectious Diseases 2005, 41: 738-743. PMID: 16080098, DOI: 10.1086/432621.Peer-Reviewed Original ResearchConceptsID clinicComorbid conditionsActive antiretroviral therapyInfectious disease clinicCommon comorbid conditionsHuman immunodeficiency virusGeneral medical clinicLevel of comfortAntiretroviral therapyComorbid diseasesDisease clinicSuch patientsSelf-reported comfortImmunodeficiency virusPrimary careHIV medicinePrescribing medicationsSubstantial prevalencePatientsPhysician levelClinicMedical clinicsGeneralist physiciansHypertensionHyperlipidemia