This study evaluates individual- and community-level needs of housing (one of the SDOH domains) across the patient population of an academic medical center and explores how the level of housing needs impacts health care utilization.
The United States falls behind other industrialized nations on most health indicators1 and remains plagued by stark health disparities. Efforts to...
Prior studies have reported that greater numbers of primary care physicians (PCPs) per population are associated with reduced population mortality, but the effect of increasing PCP density in areas of low density is poorly understood. ...
This study highlights how the growing trend of vertical integration, combined with differences in Medicare payment between hospitals and nonhospital providers, leads to higher Medicare spending.
This article explores the shared principle of "comprehensiveness" and assesses the impact comprehensiveness has on medical expenditures and emergency department utilization.
Team-based care has emerged as a promising strategy for primary care practices to provide high-quality care. We examine changes in patient experience of care and recommended cancer screening rates associated with a primary care...
Geographic variation in overscreening for colorectal, cervical, and breast cancer among older adults
National guidelines balance risks and benefits of population-level cancer screening among adults with average risk. Older adults are not recommended to receive routine screening, but many are overscreened. This study assesses the...
Recent aspirin trials have not shown similar benefits for primary prevention as older studies. This study compares benefits and harms of aspirin for primary prevention before and after widespread use of statins and colorectal cancer...
Deprescribing of antihypertensive medications is recommended for some older patients with polypharmacy and multimorbidity when the benefits of continued treatment may not outweigh the harms. This study aimed to establish whether...
Primary care patients with influenza-like illness treated with oseltamivir recovered one day sooner on average than those managed by usual care alone. Older, sicker patients with comorbidities and longer previous symptom duration...
Conventional clinic blood pressure (BP) measurements are routinely used for hypertension management and physician performance measures. We aimed to check home BP measurements after elevated conventional clinic BP measurements for which...
What is the association between primary care physician density and population-level mortality?
Flexible sigmoidoscopy (FS) is the only cancer screening test to lower the risk of death compared to usual care in randomized controlled trials (RCTs). We hypothesize that this unique death reduction is more attributable to prevention...
This paper examines the association between medical home enrollment and receipt of recommended care for Medicaid beneficiaries with multiple chronic conditions (MCC).
Addressing the social determinants of health has been difficult for health systems to operationalize. This article assesses a standardized intervention, Individualized Management for Patient-Centered Targets (IMPaCT), delivered by...
This study indicates that the Pediatric Hurt-Insult-Threaten-Scream-Sex (PedHITSS) screening tool performs as well as the Conflict Tactics Scale: Parent-Child Version (CTSPC) screening measure (CTSPC) in identifying and differentiating...
This study examines associations between clinics’ extent of patient-centered medical home (PCMH) implementation and improvements in chronic illness care quality. Veterans Health Administration primary care clinics with the most PCMH...
Continuity of care is a defining characteristic of primary care associated with lower costs and improved health equity and care quality. However, we lack provider-level measures of primary care continuity amenable to value-based payment...
Lay health workers have been used to addressing patients' social determinants of health through resource referral and goal setting in targeted populations. However, we know of no studies that evaluate this type of role for a general...
Heart failure (HF) often coexists in atrial fibrillation (AF) but is frequently unrecognized due to overlapping symptomatology. Furthermore, AF can cause elevated natriuretic peptide levels, impairing its diagnostic value for HF...
Primary and community care are key settings for the effective management of long term conditions. We aimed to evaluate the pattern of health outcomes in chronic disease management interventions for adults with physical health problems...
Guidelines, policies, and warnings have been applied to reduce the use of medications for behavioral and psychological symptoms of dementia (BPSD). Because of rare dangerous side effects, antipsychotics have been singled out in these...
Capitated payments in the form of fixed monthly payments to cover all of the costs associated with delivering primary care could encourage primary care practices to transform the way they deliver care.
Routine self-monitoring of blood glucose levels does not significantly improve hemoglobin A1c levels or health related quality of life for most patients with non–insulin-treated type 2 diabetes; patients and clinicians should...
This study identifies which individual- and context-related factors influence the translation into clinical practice interventions based on physical exercise (PE) as an adjunct to antidepressants (AD) for the treatment of late-life...
Childhood obesity has increased dramatically over several decades, and the American Academy of Pediatrics has recommended primary care practices as ideal sites for the identification, education, and implementation of therapeutic...
These guidelines provide an overview of social determinants of health impacting children living in poverty and provide clinicians with practical screening tools and resources.
Randomized controlled trials have demonstrated that the collaborative care model for depression in primary care is more effective than usual care, but little is known about the effectiveness of this approach in real-world settings. Our...
In this study researchers tested the feasibility and acceptability of telephone-based nonprofessional patient navigation to promote linkages between the primary care physician office and community programs for patients with or at risk...
