2024
Accuracy of Electronic Health Record Phenotypes to Detect Recognition of Hypertension in Pediatric Primary Care
Nugent J, Cueto V, Tong C, Sharifi M. Accuracy of Electronic Health Record Phenotypes to Detect Recognition of Hypertension in Pediatric Primary Care. Academic Pediatrics 2024, 25: 102629. PMID: 39732164, PMCID: PMC11893226, DOI: 10.1016/j.acap.2024.102629.Peer-Reviewed Original ResearchConceptsPediatric primary careIncident hypertensionHypertensive BPHypertension recognitionPrimary careRecognition of hypertensionCross-sectional study of children aged 3Diagnosis codesElectronic health record phenotypingClinician recognitionClinician decision supportGuideline-recommended careElectronic health recordsInternational Classification of DiseasesChart reviewDocumentation of hypertensionClassification of DiseasesCross-sectional studyChildren aged 3Problem list entriesWellness visitsHealth recordsEHR phenotypesInternational ClassificationICD-10Decrease in provider stigma is associated with improved quality health indicators among individuals receiving methadone in primary care centers in Ukraine
Machavariani E, Bromberg D, Dumchev K, Esserman D, Earnshaw V, Pykalo I, Filippovich M, Ivasiy R, Ahmad B, Long J, Haddad M, Madden L, Oliveros D, Dvoriak S, Altice F. Decrease in provider stigma is associated with improved quality health indicators among individuals receiving methadone in primary care centers in Ukraine. International Journal Of Drug Policy 2024, 136: 104682. PMID: 39705875, PMCID: PMC11821433, DOI: 10.1016/j.drugpo.2024.104682.Peer-Reviewed Original ResearchConceptsPrimary care centersQuality health indicatorsProvider stigmaEvidence-based practiceGuideline-concordantPatient outcomesHealth indicatorsReduce provider stigmaCare centerInfluence healthcare utilizationSpecialty health servicesPatient-level outcomesTele-educationImprove patient outcomesProvider fearsImplementation trialHealthcare utilizationPreventive careHealth servicesPoor healthLinear mixed-effects modelsImprove attitudesStigmaIncrease accessMixed-effects modelsStrategies to Deimplement Opioid Prescribing in Primary Care
Quanbeck A, Robinson J, Jacobson N, Li X, Hennessy-Garza R, Landeck J, Cohen A, Madden L, Pulvermacher A, Brown R. Strategies to Deimplement Opioid Prescribing in Primary Care. JAMA Network Open 2024, 7: e2438325. PMID: 39388183, PMCID: PMC11581553, DOI: 10.1001/jamanetworkopen.2024.38325.Peer-Reviewed Original ResearchMeSH KeywordsAdultAnalgesics, OpioidChronic PainFemaleGuideline AdherenceHumansMaleMiddle AgedPractice Patterns, Physicians'Primary Health CareUnited StatesConceptsCluster randomized clinical trialDeimplementation strategiesMorphine milligram equivalent doseMorphine milligram equivalentsPractice facilitationOpioid prescribingIncreased screeningTreatment agreementsUS health care systemCenters for Disease Control and Prevention guidelinesRandomized clinical trialsUrine drug screensPrimary care clinicsPrimary care settingPrimary outcomeMental health screeningPain-related interferenceHealth care systemHigh-intensity groupEnjoyment of lifeChronic pain managementPrimary careCare clinicsCare settingsHealth screeningClinician Staffing and Quality of Care in US Health Centers
Sun Q, Forman H, Stern L, Oldfield B. Clinician Staffing and Quality of Care in US Health Centers. JAMA Network Open 2024, 7: e2440140. PMID: 39436649, PMCID: PMC11581487, DOI: 10.1001/jamanetworkopen.2024.40140.Peer-Reviewed Original ResearchMeSH KeywordsCross-Sectional StudiesFemaleHumansMalePersonnel Staffing and SchedulingPrimary Health CareQuality of Health CareUnited StatesWorkforceConceptsAdvanced practice registered nursesUniform Data SystemQuality of careUS health centersHealth centersCancer screeningCross-sectional studyStaffing modelsBody mass indexAssociated with higher performanceHIV testingAssociated with quality of carePrimary care safety netHealth Resources and Services Administration's Uniform Data SystemQuality-of-care metricsPreventive health assessmentsPractice registered nursesBreast cancer screeningClinical quality metricsCommunity-specific needsCervical cancer screeningPositive associationNonlinear positive associationAssociated with qualityFull-time equivalentImplementation and evaluation of an electronic consult program at a large academic health system
Arora A, Fekieta R, Spatz E, Roy B, Marco K, Sharifi M, Pashankar D, Khokhar B. Implementation and evaluation of an electronic consult program at a large academic health system. PLOS ONE 2024, 19: e0310122. PMID: 39264980, PMCID: PMC11392322, DOI: 10.1371/journal.pone.0310122.Peer-Reviewed Original ResearchMeSH KeywordsAcademic Medical CentersAdultHumansPrimary Health CareProgram EvaluationReferral and ConsultationRemote ConsultationSurveys and QuestionnairesConceptsAcademic health systemHealth systemEConsult programBenefits of eConsultEffective implementation strategiesPrimary careElectronic consultationSpecialist cliniciansSpecialty cliniciansEngaging leadershipHigh satisfactionImplementation strategiesCapture satisfactionIncrease accessConsultation programProcess outcomesEConsultsQuality assurance mechanismsSurgical specialtiesSpecialtyQuantitative dataMulti-method approachCliniciansSatisfactionProgramImpact of COVID-19 on recorded blood pressure screening and hypertension management in England: an analysis of monthly changes in the quality and outcomes framework indicators in OpenSAFELY
Wiedemann M, Speed V, Cunningham C, Higgins R, Curtis H, Andrews C, Fisher L, Hopcroft L, Rentsch C, Mahalingasivam V, Tomlinson L, Morton C, Samuel M, Green A, Wood C, Brown A, Massey J, Walters C, Smith R, Inglesby P, Evans D, Maude S, Dillingham I, Walker A, Morley J, Mehrkar A, Bacon S, Bates C, Cockburn J, Parry J, Hester F, McManus R, Goldacre B, MacKenna B. Impact of COVID-19 on recorded blood pressure screening and hypertension management in England: an analysis of monthly changes in the quality and outcomes framework indicators in OpenSAFELY. Open Heart 2024, 11: e002732. PMID: 39214534, PMCID: PMC11664366, DOI: 10.1136/openhrt-2024-002732.Peer-Reviewed Original ResearchConceptsBlood pressure screeningPressure screeningPercentage of patientsHypertension prevalenceHypertension managementPopulation-based cohort studyRecord of hypertensionCardiovascular disease managementClinical subgroupsQOF indicatorsScreening ratesPrimary careGeneral practiceHome statusNHS patientsOlder peopleBlood pressure measurementsCare schemesCohort studyDisease managementImpact of COVID-19COVID-19Framework indicatorsNational qualityNHSExternal Validation of an Electronic Phenotyping Algorithm Detecting Attention to High Body Mass Index in Pediatric Primary Care
Barron A, Fenick A, Maciejewski K, Turer C, Sharifi M. External Validation of an Electronic Phenotyping Algorithm Detecting Attention to High Body Mass Index in Pediatric Primary Care. Applied Clinical Informatics 2024, 15: 700-708. PMID: 39197473, PMCID: PMC11387092, DOI: 10.1055/s-0044-1787975.Peer-Reviewed Original ResearchMeSH KeywordsAlgorithmsBody Mass IndexChildComorbidityElectronic Health RecordsFemaleHumansMalePhenotypePrimary Health CareConceptsElectronic health recordsBody mass indexPediatric primary careElevated body mass indexWeight-related comorbiditiesPrimary carePediatric primary care practicesElectronic health record dataBody mass index categoriesMass indexImprove obesity managementPrimary care practicesWell-child visitsHigher body mass indexChart reviewLikelihood of classificationElectronic phenotyping algorithmsFree-text componentsClinician typeCare practicesHealth recordsClinician behaviorLaboratory ordersProgress notesObesity managementCost‐effectiveness of a primary care‐based Healthy Weight Clinic compared with usual care
Sharifi M, Fiechtner L, Barrett J, O'Connor G, Perkins M, Reiner J, Luo M, Taveras E, Gortmaker S. Cost‐effectiveness of a primary care‐based Healthy Weight Clinic compared with usual care. Obesity 2024, 32: 1734-1744. PMID: 39192764, PMCID: PMC11361715, DOI: 10.1002/oby.24111.Peer-Reviewed Original ResearchConceptsHealthy weight clinicHealth care sectorObesity prevalenceIntervention costsCare sectorReducing obesity disparitiesNational implementationHealth care costsObesity disparitiesUsual careBMI changeCare costsFQHCsCost-effectiveSocietal perspectiveWhite populationHealthHealthyObesityQALYEstimated costInterventionClinicChildrenGreater reductionsDisposition and Follow-up for Low-Risk Febrile Infants: A Secondary Analysis of a Multicenter Study.
Kannikeswaran N, Spencer P, Tedford N, Truschel L, Chu J, Dingeldein L, Waseem M, Chow J, Lababidi A, Theiler C, Bhalodkar S, Yan X, Lou X, Fernandez R, Aronson P, Lion K, Gutman C. Disposition and Follow-up for Low-Risk Febrile Infants: A Secondary Analysis of a Multicenter Study. Hospital Pediatrics 2024, 14: e379-e384. PMID: 39113626, PMCID: PMC11358591, DOI: 10.1542/hpeds.2024-007850.Peer-Reviewed Original ResearchConceptsFebrile infantsFollow-upPrimary care providersElectronic health record documentationElectronic health recordsDischarged infantsEmergency departmentED dispositionLow riskAmerican Academy of Pediatrics guidelinesInvasive bacterial infectionsSecondary analysisCross-sectional studyMulticenter studyPost-discharge follow-upPediatric guidelinesWeekday visitsBacterial infectionsInfantsQuality of careAmerican AcademyMulticenterCare planningCare providersPatient-centeredLearning implementation of a guideline based decision support system to improve hypertension treatment in primary care in China: pragmatic cluster randomised controlled trial
Song J, Wang X, Wang B, Ge Y, Bi L, Jing F, Jin H, Li T, Gu B, Wang L, Hao J, Zhao Y, Liu J, Zhang H, Li X, Li J, Ma W, Wang J, Normand S, Herrin J, Armitage J, Krumholz H, Zheng X. Learning implementation of a guideline based decision support system to improve hypertension treatment in primary care in China: pragmatic cluster randomised controlled trial. The BMJ 2024, 386: e079143. PMID: 39043397, PMCID: PMC11265211, DOI: 10.1136/bmj-2023-079143.Peer-Reviewed Original ResearchConceptsClinical decision support systemsPrimary care practicesElectronic health recordsIntervention groupSystolic blood pressurePrimary careCare practicesBlood pressure <Health recordsPragmatic cluster randomised controlled trialCluster randomised controlled trialImproving hypertension treatmentPrimary care settingBlood pressure control ratesBlood pressureProportion of visitsProportion of participantsRandomised controlled trialsSystolic blood pressure <Control groupInjurious fallsRelated visitsCare settingsDiastolic blood pressure <Follow-upMeasuring Access to Mental Health Services Among Primary Care Patients
Hargraves J, Cosenza C, Cleary P. Measuring Access to Mental Health Services Among Primary Care Patients. Medical Care 2024, 62: 559-566. PMID: 38842445, PMCID: PMC11226347, DOI: 10.1097/mlr.0000000000002029.Peer-Reviewed Original ResearchConceptsConsumer Assessment of Healthcare Providers and SystemsMental health servicesPrivately insured respondentsMental health medicinesHealth servicesHealth medicineHealth careAssessment of Healthcare Providers and SystemsHealthcare Providers and SystemsRisk of mental health disordersMental health prescriptionsPatient experience surveysPrimary care servicesPrimary care patientsMental health carePrimary care settingBehavioral health careMental health medicationsMental health disordersInternal consistency reliabilityStratified probability sampleMeasure accessAdequate internal consistency reliabilityCare settingsCare servicesUser-Centered Framework for Implementation of Technology (UFIT): Development of an Integrated Framework for Designing Clinical Decision Support Tools Packaged With Tailored Implementation Strategies
Ray J, Finn E, Tyrrell H, Aloe C, Perrin E, Wood C, Miner D, Grout R, Michel J, Damschroder L, Sharifi M. User-Centered Framework for Implementation of Technology (UFIT): Development of an Integrated Framework for Designing Clinical Decision Support Tools Packaged With Tailored Implementation Strategies. Journal Of Medical Internet Research 2024, 26: e51952. PMID: 38771622, PMCID: PMC11150893, DOI: 10.2196/51952.Peer-Reviewed Original ResearchMeSH KeywordsChildDecision Support Systems, ClinicalElectronic Health RecordsHumansPrimary Health CareUser-Centered DesignConceptsClinical decision supportPrimary care cliniciansUser-centered designImplementation strategiesUser-centered frameworkCare cliniciansImplementation scienceElectronic health record-based clinical decision supportImpact of clinical decision supportImplement clinical decision supportEvidence-based CDSPediatric primary care cliniciansTailored implementation strategiesElectronic health recordsAdoption of evidenceWell-child visitsDecision supportDiverse group of stakeholdersObesity practicePrimary carePediatric overweightHealth recordsHealth systemSemistructured interviewsOverweight treatmentDepression - Treatment Options and Managing Depression in Primary Care.
Anderson E, Crawford C, Fava M, Ingelfinger J, Sanacora G, Scott-Vernaglia S, Teel J. Depression - Treatment Options and Managing Depression in Primary Care. New England Journal Of Medicine 2024, 390: e44. PMID: 38749042, DOI: 10.1056/nejmp2310180.Peer-Reviewed Original ResearchEvaluation of lived experience Peer Support intervention for mental health service consumers in Primary Care (PS-PC): study protocol for a stepped-wedge cluster randomised controlled trial
Lawn S, Shelby-James T, Manger S, Byrne L, Fuss B, Isaac V, Kaambwa B, Ullah S, Rattray M, Gye B, Kaine C, Phegan C, Harris G, Worley P. Evaluation of lived experience Peer Support intervention for mental health service consumers in Primary Care (PS-PC): study protocol for a stepped-wedge cluster randomised controlled trial. Trials 2024, 25: 319. PMID: 38745299, PMCID: PMC11094922, DOI: 10.1186/s13063-024-08165-y.Peer-Reviewed Original ResearchConceptsStepped-wedge cluster randomised controlled trialCluster randomised controlled trialRandomised controlled trialsPeer support interventionPeer workersMental health conditionsPrimary careSecondary healthcare providersSupport interventionsHealth outcomesHealthcare providersHealth conditionsMental health service consumersManaging mental health conditionsMental health care sectorSecondary healthcare sectorsHealth service consumersControlled trialsMental health careMental health servicesPractice staff membersMental health outcomesJourney of recoveryFamily membersHealth care sectorMultidisciplinary proactive e-consults to improve guideline-directed medical therapies for patients with diabetes and chronic kidney disease: an implementation study
Rikin S, Bauman L, Arnaoudova I, DiPalo K, Suda N, Gupta S, Deng Y, Golestaneh L. Multidisciplinary proactive e-consults to improve guideline-directed medical therapies for patients with diabetes and chronic kidney disease: an implementation study. BMJ Open Diabetes Research & Care 2024, 12: e004155. PMID: 38719510, PMCID: PMC11085711, DOI: 10.1136/bmjdrc-2024-004155.Peer-Reviewed Original ResearchMeSH KeywordsAgedDiabetes Mellitus, Type 2FemaleFollow-Up StudiesGuideline AdherenceHumansMaleMiddle AgedPatient Care TeamPilot ProjectsPractice Guidelines as TopicPractice Patterns, Physicians'Primary Health CarePrognosisReferral and ConsultationRenal Insufficiency, ChronicSodium-Glucose Transporter 2 InhibitorsConceptsGuideline-directed medical therapyE-consultationImprove guideline-directed medical therapySystem-level barriersPatient-specific barriersHealth system strategiesElectronic health recordsAcademic health systemRenin-angiotensin-aldosterone system inhibitorsChronic kidney diseasePrescribed guideline-directed medical therapySodium-glucose cotransporter-2 inhibitorsE-consult recommendationElectronic consultationIn-depth interviewsPreliminary effectivenessHealth recordsHealth systemImplementation studyOvercome barriersType 2 diabetesMonths postbaselineMultidisciplinary teamPrescription dataAdministrative supportDepression - Understanding, Identifying, and Diagnosing.
Anderson E, Crawford C, Fava M, Ingelfinger J, Nikayin S, Sanacora G, Scott-Vernaglia S, Teel J. Depression - Understanding, Identifying, and Diagnosing. New England Journal Of Medicine 2024, 390: e41. PMID: 38692291, DOI: 10.1056/nejmp2310179.Peer-Reviewed Original ResearchEmergency department risk model: timely identification of patients for outpatient care coordination.
Zolnoori M, Williams M, Angstman K, Wi C, Leasure W, Patel S, Ngufor C. Emergency department risk model: timely identification of patients for outpatient care coordination. The American Journal Of Managed Care 2024, 30: e147-e156. PMID: 38748915, DOI: 10.37765/ajmc.2024.89542.Peer-Reviewed Original ResearchConceptsPrimary care systemED visitsFrequent ED visitsMajor depressive disorderED utilizationCare systemIncreased risk of emergency departmentArea under the curveEmergency departmentRisk of emergency departmentPatient Health Questionnaire-9Higher Patient Health Questionnaire-9Frequent ED utilizationED visit riskPrimary care patientsOutpatient care coordinationCollaborative care managementElectronic health recordsLow educational levelCare coordinationPrimary careHealth recordsED usageCare patientsRetrospective cohort studyPrevalence and Determinants of Diagnosed Dementia: A Registry Linkage Study Linking Diagnosis of Dementia in the Population-Based HUNT Study to Registry Diagnosis of Dementia in Primary Care and Hospitals in Norway
Gjøra L, Strand B, Bergh S, Bosnes I, Johannessen A, Livingston G, Skjellegrind H, Selbæk G. Prevalence and Determinants of Diagnosed Dementia: A Registry Linkage Study Linking Diagnosis of Dementia in the Population-Based HUNT Study to Registry Diagnosis of Dementia in Primary Care and Hospitals in Norway. Journal Of Alzheimer's Disease 2024, 99: 363-375. PMID: 38701153, PMCID: PMC11091616, DOI: 10.3233/jad-240037.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overCross-Sectional StudiesDementiaFemaleHospitalsHumansMaleNorwayPrevalencePrimary Health CareRegistriesConceptsDiagnosis of dementiaRegistry linkage studyRegistry diagnosisStudy diagnosisDiagnosing dementiaPopulation-based HUNT StudyCross-sectional population-based studyFactors associated with dementiaLinkage studiesActivities of daily livingLate stages of dementiaNursing home residentsSubtypes of dementiaDiagnosis of vascular dementiaStages of dementiaPopulation-based studyUndiagnosed dementiaPrimary careHome residentsHUNT StudyPrimary-careHealth registriesDaily livingHome-dwellingLewy body dementiaCulture change and lessons learned from ten years in the VA centers of excellence in primary care education
Weppner W, Singh M, Wipf J, Shunk R, Woodard L, Brienza R. Culture change and lessons learned from ten years in the VA centers of excellence in primary care education. BMC Medical Education 2024, 24: 457. PMID: 38671440, PMCID: PMC11047004, DOI: 10.1186/s12909-024-05390-6.Peer-Reviewed Original ResearchConceptsPrimary care educationCare educationVeterans AffairsQuality of chronic disease managementInterprofessional clinical learning environmentTeam-based primary careVA primary care clinicsVA Centers of ExcellenceEducational strategiesPatient care metricsPrimary care clinicsChronic disease managementPatient outcomesPrimary care careersTeam training interventionsQuality improvement approachReduce emergency departmentClinical learning environmentHealth care valueInterprofessional learning environmentMultisite demonstration projectPatient-level outcomesTeam-based approachAmbulatory care trainingOperational improvement activitiesIntegrating methadone into primary care settings in Ukraine: effects on provider stigma and knowledge
Bromberg D, Machavariani E, Madden L, Dumchev K, LaMonaca K, Earnshaw V, Pykalo I, Filippovych M, Haddad M, Dvoriak S, Altice F. Integrating methadone into primary care settings in Ukraine: effects on provider stigma and knowledge. Journal Of The International AIDS Society 2024, 27: e26202. PMID: 38379179, PMCID: PMC10879646, DOI: 10.1002/jia2.26202.Peer-Reviewed Original ResearchMeSH KeywordsAnalgesics, OpioidHIV InfectionsHumansMethadonePrimary Health CareSubstance Abuse, IntravenousUkraineConceptsPrimary care clinicsStigma reduction interventionsOpioid agonist therapyClinicians' attitudesStigma constructsHIV preventionReduction interventionsEvidence-based HIV preventionCluster randomized controlled trialEvidence-based carePrimary care settingIntegrated care sitesDirect providersRandomized controlled trialsProvider stigmaCare clinicsCare sitesHIV careCare settingsHealth outcomesClinical staffSubstance use disordersLinear mixed-effects modelsTreatment continuumImprove attitudes
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