Featured Publications
Association of Patient Priorities–Aligned Decision-Making With Patient Outcomes and Ambulatory Health Care Burden Among Older Adults With Multiple Chronic Conditions
Tinetti ME, Naik AD, Dindo L, Costello DM, Esterson J, Geda M, Rosen J, Hernandez-Bigos K, Smith CD, Ouellet GM, Kang G, Lee Y, Blaum C. Association of Patient Priorities–Aligned Decision-Making With Patient Outcomes and Ambulatory Health Care Burden Among Older Adults With Multiple Chronic Conditions. JAMA Internal Medicine 2019, 179: 1688-1697. PMID: 31589281, PMCID: PMC6784811, DOI: 10.1001/jamainternmed.2019.4235.Peer-Reviewed Original ResearchMultiple chronic conditionsPrimary care practitionersUsual careHealth priorityPatient prioritiesChronic conditionsSelf-management tasksOlder adultsHealth careDiagnostic testsPatients' health prioritiesChronic illness careElectronic health record documentationNonrandomized clinical trialHealth care burdenMore chronic conditionsPrimary care practicesMental health scoresHealth record documentationCollaboRATE scoresUC participantsUC patientsIllness carePPC patientsUC groupEffect of a Restorative Model of Posthospital Home Care on Hospital Readmissions
Tinetti ME, Charpentier P, Gottschalk M, Baker DI. Effect of a Restorative Model of Posthospital Home Care on Hospital Readmissions. Journal Of The American Geriatrics Society 2012, 60: 1521-1526. PMID: 22860756, PMCID: PMC4083654, DOI: 10.1111/j.1532-5415.2012.04060.x.Peer-Reviewed Original ResearchConceptsHome care episodeHome careUsual careHospital readmissionCare groupCare episodesCare modelLarge home care agencyUsual home careUsual care groupEmergency department visitsGood functional recoveryChronic care managementHome care practicesGroups of recipientsDepartment visitsAvoidable readmissionsFunctional recoveryRestorative careAcute hospitalsHome care agenciesBehavioral change theoriesMedicare recipientsReadmissionCare managementEvaluation of Restorative Care vs Usual Care for Older Adults Receiving an Acute Episode of Home Care
Tinetti ME, Baker D, Gallo WT, Nanda A, Charpentier P, O'Leary J. Evaluation of Restorative Care vs Usual Care for Older Adults Receiving an Acute Episode of Home Care. JAMA 2002, 287: 2098-2105. PMID: 11966384, DOI: 10.1001/jama.287.16.2098.Peer-Reviewed Original ResearchConceptsHome care episodeUsual care patientsCare patientsCare episodesRestorative careCare officesUsual careHome careFunctional statusFunctional declineUsual home careHealth care utilizationSelf-care functionSevere cognitive impairmentReceipt of MedicareHome care servicesAcute episodeBaseline characteristicsOlder patientsCare unitCare utilizationEmergency departmentTotal careHome care agenciesPatients
2024
Patient Priorities–Aligned Care for Older Adults With Multiple Conditions
Tinetti M, Hashmi A, Ng H, Doyle M, Goto T, Esterson J, Naik A, Dindo L, Li F. Patient Priorities–Aligned Care for Older Adults With Multiple Conditions. JAMA Network Open 2024, 7: e2352666. PMID: 38261319, PMCID: PMC10807252, DOI: 10.1001/jamanetworkopen.2023.52666.Peer-Reviewed Original ResearchConceptsPatient Priorities CarePatient-Reported Outcomes Measurement Information SystemPerceived treatment burdenUsual careUC participantsOutcomes Measurement Information SystemPatients' health prioritiesTreatment burden scoresHealth outcome goalsHealth care preferencesMeasurement Information SystemTreatment burdenDecision quality measuresPrescribing decision-makingFollow-upNonrandomized controlled trialsPatient-reported outcomesAlign careCare preferencesPriority careMultisite practiceHealth professionalsHealth priorityChronic conditionsSocial roles
2019
IMPLEMENTATION OF PATIENT PRIORITIES CARE WITHIN A VA GERIATRICS CLINIC
Freytag J, Dindo L, Catic A, Naik A, Tinetti M. IMPLEMENTATION OF PATIENT PRIORITIES CARE WITHIN A VA GERIATRICS CLINIC. Innovation In Aging 2019, 3: s774-s774. PMCID: PMC6846413, DOI: 10.1093/geroni/igz038.2844.Peer-Reviewed Original ResearchPatient Priorities CareMultiple chronic conditionsGeriatric clinicPatient prioritiesUsual careOlder adultsSingle disease guidelinesRetrospective cohort studySelf-care recommendationsMore recommendationsUC patientsCohort studyPrimary clinicianChronic conditionsMedical recordsMultimorbid adultsSame clinicianCare workflowClinicCliniciansPatientsWay cliniciansCareMedicationsPriority care
2014
A Cluster-Randomized Controlled Trial of a Multicomponent Intervention Protocol for Pneumonia Prevention Among Nursing Home Elders
Juthani-Mehta M, Van Ness PH, McGloin J, Argraves S, Chen S, Charpentier P, Miller L, Williams K, Wall D, Baker D, Tinetti M, Peduzzi P, Quagliarello VJ. A Cluster-Randomized Controlled Trial of a Multicomponent Intervention Protocol for Pneumonia Prevention Among Nursing Home Elders. Clinical Infectious Diseases 2014, 60: 849-857. PMID: 25520333, PMCID: PMC4415071, DOI: 10.1093/cid/ciu935.Peer-Reviewed Original ResearchConceptsNursing home residentsUsual careHome residentsIntervention protocolFirst pneumoniaControl armClinical trialsNursing homesMultivariable Cox regression modelsElderly nursing home residentsCluster-randomized clinical trialImportant public health problemChlorhexidine oral rinseModifiable risk factorsRespiratory tract infectionsCox regression modelNursing home eldersPublic health problemHazard ratioPneumonia preventionSecondary outcomesTract infectionsControlled TrialsPrimary outcomeOral rinse
1999
Home-based multicomponent rehabilitation program for older persons after hip fracture: A randomized trial
Tinetti M, Baker D, Gottschalk M, Williams C, Pollack D, Garrett P, Gill T, Marottoli R, Acampora D. Home-based multicomponent rehabilitation program for older persons after hip fracture: A randomized trial. Archives Of Physical Medicine And Rehabilitation 1999, 80: 916-922. PMID: 10453768, DOI: 10.1016/s0003-9993(99)90083-7.Peer-Reviewed Original ResearchConceptsMulticomponent rehabilitation programUsual careHip fractureRehabilitation programExtremity strengthOlder personsBetter gait performanceSelf-care ADLDaily living (ADL) disabilityDuration of rehabilitationOptimal functional recoveryProportion of participantsRehabilitation strategiesLower extremity strengthUpper extremity strengthYears of ageHome-based rehabilitationSocial activity levelsHome care servicesPrefracture levelSurgical repairFunctional recoveryImproved outcomesGait performanceHome care agencies