Research Topics
| Kurt C StangeSummaryAffiliation: Case Western Reserve University Country: USA Publications
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Detail Information
Publications
The anatomy of asthma care visits in community family practiceBarbara Yawn
Department of Research, Olmsted Medical Center, Rochester, Minnesota 55904, USA
J Asthma 39:719-28. 2002..A better understanding of how time is spent during visits for asthma may facilitate the design of programs to enhance asthma disease management...
The role of conversation in health care interventions: enabling sensemaking and learningMichelle E Jordan
Department of Educational Psychology, College of Education, The University of Texas at Austin, Austin, Texas, USA
Implement Sci 4:15. 2009....- Sustainability of a practice-individualized preventive service delivery interventionKurt C Stange
Department of Family Medicine, Case Western Reserve University, 10900 Euclid Avenue, Cleveland, OH 44106, USA
Am J Prev Med 25:296-300. 2003..This analysis reports the 24-month follow-up of a practice-tailored intervention to increase preventive service delivery rates... - One minute for prevention: the power of leveraging to fulfill the promise of health behavior counselingKurt C Stange
Department of Family Medicine, Epidemiology and Biostatistics Sociology, Case Western Reserve University, and the Ireland Comprehensive Cancer Center at University Hospitals of Cleveland, Ohio 44106, USA
Am J Prev Med 22:320-3. 2002 - A reemerging political space for linking person and community through primary health careSarah A Sweeney
School of Medicine, Case Western Reserve University, Cleveland, OH 44107, USA
Am J Public Health 102:S336-41. 2012..We sought to understand how national policy key informants perceive the value and changing role of primary care in the context of emerging political opportunities... 
Bridging primary care practices and communities to promote healthy behaviorsRebecca S Etz
Department of Family Medicine, University of Medicine and Dentistry of New Jersey Robert Wood Johnson Medical School, Somerset, New Jersey 08873, USA
Am J Prev Med 35:S390-7. 2008..Primary care practices able to create linkages with community resources may be more successful at helping patients to make and sustain health behavior changes...- Appreciative Inquiry for quality improvement in primary care practicesMary C Ruhe
Department of Family Medicine, Case Western Reserve University, Cleveland, OH 44106, USA
Qual Manag Health Care 20:37-48. 2011..Appreciative inquiry enables the discovery of shared motivations, envisioning a transformed future, and learning around the implementation of a change process... - Fidelity versus flexibility: translating evidence-based research into practiceDeborah J Cohen
Department of Family Medicine, University of Medicine and Dentistry of New Jersey Robert Wood Johnson Medical School, Somerset, New Jersey 08873, USA
Am J Prev Med 35:S381-9. 2008..Understanding the process by which research is translated into practice is limited. This study sought to examine how interventions change during implementation... - Summary of the National Demonstration Project and recommendations for the patient-centered medical homeBenjamin F Crabtree
Department of Family Medicine, Robert Wood Johnson Medical School, University of Medicine and Dentistry of New Jersey, New Brunswick, NJ 08873, USA
Ann Fam Med 8:S80-90; S92. 2010..In the meantime, we find that much can be done before larger health system reform... - Primary care practice transformation is hard work: insights from a 15-year developmental program of researchBenjamin F Crabtree
Department of Family Medicine, Robert Wood Johnson Medical School, Somerset, NJ 08873, USA
Med Care 49:S28-35. 2011..Recent calls to transform primary care practice to a patient-centered medical home present even greater challenges and require more effective approaches... - Correlates of baseline performance do not predict results of an intervention to improve preventive careDavid Litaker
Department of Medicine, Case Western Reserve University, Cleveland, Ohio, USA
Prev Med 47:635-7. 2008..An implicit assumption in these studies is that factors associated with better performance at baseline may also be useful in predicting change in performance over time... - Understanding healing relationships in primary careJohn G Scott
University of Medicine and Dentistry of New Jersey, Department of Family Medicine, Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA
Ann Fam Med 6:315-22. 2008..Yet we know little empirically about the experience of healing and how it occurs between clinicians and patients. Our purpose was to create a model that identifies how healing relationships are developed and maintained... - Facilitating practice change: lessons from the STEP-UP clinical trialMary C Ruhe
Department of Family Medicine, Case Western Reserve University, 10900 Euclid Avenue, Cleveland, OH 44106 7136, USA
Prev Med 40:729-34. 2005..However, the process by which practice change can be facilitated has not been well described... - Features of medical records in community practices and their association with preventive service deliverySharon M Weyer
Department of Family Medicine, Case Western Reserve University, Cleveland, Ohio 44106, USA
Med Care 43:28-33. 2005..However, little is known about their current state in primary care practices. This article describes features of medical record systems in diverse practices and examines their association with preventive service delivery rates... - A systematic approach to practice assessment and quality improvement intervention tailoringMary C Ruhe
Department of Family Medicine, Cleveland, OH, USA
Qual Manag Health Care 18:268-77. 2009..Using the empirically developed Practice Change Model (PCM), we identify and describe assessment and tailoring activities with potential to enhance the fit between proposed interventions and practice settings... - Measuring practice capacity for change: a tool for guiding quality improvement in primary care settingsSarah N Bobiak
Departments of Family Medicine, Case Western Reserve University, Cleveland, Ohio, USA
Qual Manag Health Care 18:278-84. 2009..We report on the development and psychometric properties of a quantitative measure of capacity for change for use in primary care settings... - Primary care practice development: a relationship-centered approachWilliam L Miller
Department of Family Medicine, Lehigh Valley Health Network, 17th and Chew Streets, Allentown, PA 18105 7017, USA
Ann Fam Med 8:S68-79; S92. 2010.... - The effect of insurance-driven medication changes on patient careMark N Rood
Department of Family Medicine, Case Western Reserve University, South Russell Family Practice, Cleveland, OH, USA
J Fam Pract 61:E1-7. 2012..Patients face challenges when formulary changes affect their treatment. This study assessed the impact of insurance-driven medication changes on primary care patients and examined implications for patient care... - Defining and measuring the patient-centered medical homeKurt C Stange
Family Medicine, Epidemiology and Biostatistics, Sociology and Oncology, Case Western Reserve University, 10900 Euclid Ave, LC 7136, Cleveland, OH 44106, USA
J Gen Intern Med 25:601-12. 2010..Efforts to transform practice to patient-centered medical homes must recognize, assess and value the fundamental features of primary care that provide personalized, equitable health care and foster individual and population health... - A practice change model for quality improvement in primary care practiceDeborah Cohen
Department of Family Medicine, University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School, USA
J Healthc Manag 49:155-68; discussion 169-70. 2004..Interventions that are based on understanding the four key elements and their interrelationships can yield sustainable quality improvements in primary care practice... - Context for understanding the National Demonstration Project and the patient-centered medical homeKurt C Stange
Department of Family Medicine, and the Case Comprehensive Cancer Center, Case Western Reserve University, 10900 Euclid Avenue, Cleveland, OH 44106, USA
Ann Fam Med 8:S2-8; S92. 2010.... - State-of-the-art and future directions in multilevel interventions across the cancer control continuumKurt C Stange
Department of Family Medicine and Community Health, Case Western Reserve University, 11000 Cedar Ave, Ste 402, Cleveland, OH 44106, USA
J Natl Cancer Inst Monogr 2012:20-31. 2012.... - Physicians' attitudes and preventive care delivery: insights from the DOPC studyDavid Litaker
Louis Stokes Cleveland Department of Veterans Affairs Medical Center, Case Western Reserve University, Cleveland, OH 44106, USA
Prev Med 40:556-63. 2005..We assessed associations between physicians' attitudes and delivery of preventive care, compared with factors related to the patient, visit, or practice... - Clinician reflections on promotion of healthy behaviors in primary care practiceSusan A Flocke
Department of Family Medicine, Case Western Reserve University, Cleveland, OH 44106 7136, United States
Health Policy 84:277-83. 2007..We used stimulated reflections of primary care physicians and nurse practitioners to generate insights about current practices and opportunities for changing how health behavior advice is addressed... - The association of how time is spent during outpatient visits and patient satisfaction: are there racial differences?Sonja Harris-Haywood
Department of Family Medicine Research Division, Case Western Reserve University, Cleveland, OH 44106, USA
J Natl Med Assoc 99:1061-5. 2007..Efforts to understand disparities in satisfaction should address areas other than how physicians allocate time in the physician-patient encounter... - A re-emerging political space for linking person and community through primary health careSarah A Sweeney
School of Medicine, Case Western Reserve University, Cleveland, Ohio 44107, USA
Am J Prev Med 42:S184-90. 2012..The goal of the study was to understand how national policy key informants perceive the value and changing role of primary care in the context of emerging political opportunities... - Delivery of clinical preventive services in family medicine officesBenjamin F Crabtree
Department of Family Medicine, UMDNJ Robert Wood Johnson Medical School, New Brunswick, NJ 08873, USA
Ann Fam Med 3:430-5. 2005..This study aimed to elucidate how clinical preventive services are delivered in family practices and how this information might inform improvement efforts... - Possible unintended consequences of a focus on performance: insights over time from the research association of practices networkSharon M Weyer
Frances Payne Bolton School of Nursing, Department of Family Medicine, Case Western Reserve University, Cleveland, Ohio 44106, USA corrected
Qual Manag Health Care 17:47-52. 2008..The effect on preventive service delivery (PSD) measures and patient satisfaction is not well described. The goals of this study were to describe PSD and patient satisfaction trends over the past decade... - Direct observation of nutrition counseling in community family practiceCharles B Eaton
Department of Family Medicine, Brown Medical School, Center for Primary Care and Prevention, Memorial Hospital of Rhode Island, Pawtucket, Rhode Island 02860, USA
Am J Prev Med 23:174-9. 2002..Despite the large potential of dietary changes to reduce morbidity and mortality, the frequency, time spent, and factors associated with nutrition counseling in primary care are not well studied... - Healing relationships and the existential philosophy of Martin BuberJohn G Scott
University of Medicine and Dentistry of New Jersey, Department of Family Medicine, Robert Wood Johnson Medical School, One Worlds Fair Drive, Somerset, NJ 08873, USA
Philos Ethics Humanit Med 4:11. 2009..On the basis of our analysis, we argue that health care should be focused on healing, with I-Thou relationships at its core... - A survivor's guide for primary care physiciansBenjamin F Crabtree
Department of Family Medicine, Robert Wood Johnson Medical School, 1 World s Fair Drive, Somerset, NJ 08873, USA
J Fam Pract 58:E1. 2009..Interacting proactively with the economic, social, political, and cultural environment-the practice landscape-provides opportunities for adaptation and ongoing learning... - A novel protocol for streamlined IRB review of Practice-based Research Network (PBRN) card studiesMichelle D Hamilton
Department of Family Medicine, Research Division, Case Western Reserve University, Cleveland, Ohio 44106, USA
J Am Board Fam Med 24:605-9. 2011..Because an increasingly stringent regulatory environment has made conducting card studies difficult, we developed a streamlined method for obtaining card study institutional review board (IRB) approval... - A comparison of the National Ambulatory Medical Care Survey (NAMCS) measurement approach with direct observation of outpatient visitsValerie J Gilchrist
Department of Family Medicine, Northeastern Ohio Universities College of Medicine, Rootstown, OH 44272 0095, USA
Med Care 42:276-80. 2004..However, the validity of the NAMCS methods has not been compared with a reference standard... - An appreciative inquiry approach to practice improvement and transformative change in health care settingsCaroline A Carter
Department of Family Medicine, Case Western Reserve University, Cleveland, Ohio 44106, USA
Qual Manag Health Care 16:194-204. 2007..New approaches such as AI have the potential to transform practices, improve patient care, and enhance individual and group motivation by changing the way participants think about, approach, and envision the future... - Does patient educational level affect office visits to family physicians?Kevin Fiscella
Department of Family Medicine, University of Rochester School of Medicine and Dentistry, New York, USA
J Natl Med Assoc 94:157-65. 2002..These show that patients' education has relatively small, but potentially important, effects on the outpatient delivery of primary care... - Using complexity theory to build interventions that improve health care delivery in primary careDavid Litaker
VA HSR and D Center for Quality Improvement Research, Louis Stokes Cleveland Department of Veterans Affairs Medical Center and Department of Medicine, Case Western Reserve University, OH 44106, USA
J Gen Intern Med 21:S30-4. 2006.... - Addressing the unique challenges of inner-city practice: a direct observation study of inner-city, rural, and suburban family practicesRobert P Blankfield
Department of Family Medicine, Case Western Reserve University School of Medicine, Cleveland, Ohio, USA
J Urban Health 79:173-85. 2002..These findings have implications for health system organization along with the reimbursement and recruitment of physicians in medically underserved inner-city areas... - Patient-rated importance and receipt of information for colorectal cancer screeningSusan A Flocke
Case Western Reserve University, Cleveland, Ohio, USA
Cancer Epidemiol Biomarkers Prev 20:2168-73. 2011..This study examines and compares both patient rated importance and physician communication of key information elements about CRC screening during annual physical examinations... - Physician and staff turnover in community primary care practiceMary Ruhe
Department of Family Medicine, Case Western Reserve University, Cleveland, OH 44106, USA
J Ambul Care Manage 27:242-8. 2004.... - Opportunities for improved diabetes care among patients of safety net practices: a safety net providers' strategic alliance studyAnn Reichsman
Neighborhood Family Practice, Cleveland, OH 44102, USA
J Natl Med Assoc 101:4-11. 2009..To identify barriers and opportunities for quality diabetes care in safety net practices... - Clinical judgment predicts culture results in upper respiratory tract infectionsHenry R Bloom
Department of Family Medicine, Case Western Reserve University School of Medicine, Cleveland, Ohio, USA
J Am Board Fam Pract 15:93-100. 2002.... - Patient-physician shared experiences and value patients place on continuity of careArch G Mainous
Department of Family Medicine, Medical University of South Carolina, Charleston, SC 29425, USA
Ann Fam Med 2:452-4. 2004..We undertook a study to examine the impact of experiences shared between patient and physician and the value patients place on continuity of care... - Use of indoor tanning facilities by white adolescents in the United StatesCatherine A Demko
Comprehensive Cancer Center at Case Western Reserve University, University Hospitals of Cleveland, OH 44106 5065, USA
Arch Pediatr Adolesc Med 157:854-60. 2003..Indoor tanning is a risk factor for skin cancer, but the population-based prevalence of this behavior among adolescents is not clearly known... - How many problems do family physicians manage at each encounter? A WReN studyJohn W Beasley
Department of Family Medicine, University of Wisconsin Medical School, Madison, Wis 53715, USA
Ann Fam Med 2:405-10. 2004..Our study objective was to determine the number of problems physicians report managing at each visit and compare that with the number reflected in the chart and the bill... - Prescription for health: changing primary care practice to foster healthy behaviorsMaribel Cifuentes
Prescription for Health National Program Office, Department of Family Medicine, University of Colorado Health Sciences Center, Aurora 80045 0508, USA
Ann Fam Med 3:S4-11. 2005..We report lessons from 17 exploratory projects funded under Prescription for Health that tested the feasibility of innovative behavior change strategies for at least 2 of these behaviors in primary care practices... - Direct observation and patient recall of health behavior adviceSusan A Flocke
Department of Family Medicine, Case Western Reserve University, Cleveland, OH 44106 7136, USA
Prev Med 38:343-9. 2004..This study reports patient recall of health behavior discussions during outpatient visits and tests patient and visit characteristics associated with recall... - Nurse practitioners and preventive screening in the hospitalCarol Genet Kelley
Case Western Reserve University School of Nursing, Cleveland, Ohio, USA
Clin Nurs Res 11:433-49. 2002..The significant increase in documentation of screening associated with the use of the single reminder in the patients' charts support the use of this low-cost intervention... - Understanding organizational designs of primary care practicesAlfred F Tallia
Department of Family Medicine, University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School, New Brunswick, USA
J Healthc Manag 48:45-59; discussion 60-1. 2003.... - A comparison of ambulatory services for patients with managed care and fee-for-service insuranceGeorge E Kikano
Department of Family Medicine, Ireland Cancer Center, Case Western Reserve University, Cleveland, OH 44106 4950, USA
Am J Manag Care 8:181-6. 2002..To determine whether family physicians provide different ambulatory care to patients with health insurance from managed care organization (MCO) versus fee-for-service (FFS) plans... - Racial, ethnic, and socioeconomic differences in the incidence of obesity related to childbirthEsa M Davis
Department of Family Medicine, School of Medicine, and the Case Comprehensive Cancer Center, Case Western Reserve University, Cleveland, OH 44106, USA
Am J Public Health 99:294-9. 2009..We investigated the relationship between childbirth and 5-year incidence of obesity... - A sense of priorities for the healthcare commonsSteven H Woolf
School of Medicine, Department of Family Medicine, Virginia Commonwealth University, Fairfax, Virginia, USA
Am J Prev Med 31:99-102. 2006..The crisis facing health care requires society to function as a community to use limited resources in ways that maximize the public good... - Validation of a self-administered, computerized tool for collecting and displaying the family history of cancerLouise S Acheson
Department of Family Medicine, Comprehensive Cancer Center, Case Western Reserve University and University Hospitals of Cleveland, Cleveland, OH 44106 5036, USA
J Clin Oncol 24:5395-402. 2006..The purpose of this study was to validate family cancer histories produced by patients using the computer tool in comparison with pedigrees made by genetic counselors... - Physician-elder interaction in community family practiceEdward J Callahan
Department of Family and Community Medicine, Center for Health Services Research in Primary Care, University of California, Davis, CA 95817, USA
J Am Board Fam Pract 17:19-25. 2004.... - Does health habit advice affect patient satisfaction?Robin S Gotler
Family Medicine Research Division, Case Western Reserve University CWRU, USA
Fam Pract Manag 9:65. 2002 - Gender differences in time spent during direct observation of doctor-patient encountersHava Tabenkin
Department of Family Medicine, H'a Emek Medical Center, Afula, Israel
J Womens Health (Larchmt) 13:341-9. 2004..CONCLUSIONS: Outpatient visits by women differ from those of men in ways that reflect women's unique healthcare needs but also raise concern about unequal delivery of health habit counseling for diet and exercise... - Tools, teamwork, and tenacity: an examination of family practice office system influences on preventive service deliveryRichard M Carpiano
Department of Sociomedical Sciences, Joseph L Mailman School of Public Health, Columbia University, 722 West 168th Street, 9th Floor, New York, NY 10032, USA
Prev Med 36:131-40. 2003..We test a theoretical model of practice influences on PSD that accounts for Tools (preventive service aids/equipment), Teamwork (office organization), and Tenacity (prevention delivery attitudes)... - Does time use in outpatient residency training reflect community practice?Edward J Callahan
Department of Family and Community Medicine, University of California, Davis, Sacramento 95817, USA
Fam Med 35:423-7. 2003..Therefore, this paper compares time use during outpatient visits to family practice residents and experienced family physicians... - Time use during acute and chronic illness visits to a family physicianBarbara Yawn
Department of Research, Olmsted Medical Center, 210 Ninth Street SE, Rochester, MN 55904, USA
Fam Pract 20:474-7. 2003..To identify differences in time use during acute and chronic care visits... - Continuity of primary care: to whom does it matter and when?Paul A Nutting
Center for Research Strategies and the Department of Family Medicine, University of Colorado Health Sciences Center, Denver, Colo 80203, USA
Ann Fam Med 1:149-55. 2003..We hypothesized that continuity would be more important to patients who are older, sicker, and female, who have established a relationship with their physician, and whose visit addresses more complex problems... - The Future of Family Medicine: a collaborative project of the family medicine communityJames C Martin
Family Practice Residency Program, CHRISTUS Santa Rosa Health Care, San Antonio, Tex, USA
Ann Fam Med 2:S3-32. 2004..CONCLUSIONS: The leadership of US family medicine organizations is committed to a transformative process. In partnership with others, this process has the potential to integrate health care to improve the health of all Americans... - Trends in house calls to Medicare beneficiariesSteven H Landers
JAMA 294:2435-6. 2005 - Recruiting minority primary care practices into practice-based researchShawna V Hudson
Cancer Institute of New Jersey, 195 Little Albany Street, New Brunswick, NJ 08903, USA
Med Care 44:696-700. 2006..However, little attention has been paid to unique challenges and effective strategies for engaging practices with minority physicians... - Race and preventive services deliveryRobin S Gotler
Family Medicine Research Division, Case Western Reserve University/University Hospitals of Cleveland, USA
Fam Pract Manag 9:46. 2002 - The future of family medicine? Reflections from the front lines reveal frustration and opportunityKurt C Stange
Ann Fam Med 2:274-7. 2004 - The promise and pitfalls of generalism in achieving the Alma-Ata vision of health for allJane M Gunn
Primary Care Research Unit, Department of General Practice, University of Melbourne, Melbourne, Vic, Australia
Med J Aust 189:110-2. 2008 - The paradox of the parts and the whole in understanding and improving general practiceKurt C Stange
Int J Qual Health Care 14:267-8. 2002 - In this issue: new model finances, systematic reviews, patients, and health careKurt C Stange
Ann Fam Med 2:530-1. 2004