Research Topics
| E H WagnerSummaryAffiliation: Group Health Cooperative Country: USA Publications
Research Grants
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Detail Information
Publications
Understanding high-quality cancer care: a summary of expert perspectivesErin J Aiello Bowles
Group Health Center for Health Studies, Group Health Cooperative, Seattle, Washington 98103, USA
Cancer 112:934-42. 2008..Through interviews with nationally recognized experts in healthcare quality, perspectives on barriers and facilitators to achieving these aims for cancer patients were elicited...
Care for chronic diseasesEdward H Wagner
BMJ 325:913-4. 2002
Chronic illness management: what is the role of primary care?Arlyss Anderson Rothman
University of California, San Francisco, 3333 California Street, Suite 265, San Francisco, CA 94118, USA
Ann Intern Med 138:256-61. 2003..The future of primary care in the United States may depend on its ability to successfully redesign care systems that can meet the needs of a growing population of chronically ill patients...- Effective teamwork and quality of careEdward H Wagner
Med Care 42:1037-9. 2004 - Finding common ground: patient-centeredness and evidence-based chronic illness careEdward H Wagner
MacColl Institute for Healthcare Innovation, Center for Health Studies, Group Health Cooperative, Seattle, WA, USA
J Altern Complement Med 11:S7-15. 2005..We conclude that the Model is both evidence-based and patient-centered and that these can be properties of health systems, and not just of individual practitioners... - The changes involved in patient-centered medical home transformationEdward H Wagner
MacColl Center for Health Care Innovation, Group Health Research Institute, 1730 Minor Avenue, Suite 1600, Seattle, WA 98101, USA
Prim Care 39:241-59. 2012..This article describes the eight consensus change concepts and 32 key changes that emerged from this process, and the evidence supporting their inclusion... - Physician support for diabetes patients and clinical outcomesJochen Gensichen
Institute for General Practice, University Hospital Jena, Jena, Germany
BMC Public Health 9:367. 2009..Physician practical support (e.g. setting goals, pro-active follow-up) and communicative support (e.g., empathic listening, eliciting preferences) have been hypothesized to influence diabetes outcomes... - Academia, chronic care, and the future of primary careEdward H Wagner
MacColl Institute for Healthcare Innovation, Group Health Research Institute, Seattle, WA 98101, USA
J Gen Intern Med 25:S636-8. 2010..The Chronic Care Model provides a proven framework for such a redesign, and has been, with organizational support and effort, successfully implemented in academic settings... - Quality improvement in chronic illness care: a collaborative approachE H Wagner
MacColl Institute for Healthcare Innovation, Center for Health Studies, Group Health Cooperative of Puget Sound, 1730 Minor Ave, Suite 1290, Seattle, WA, USA www improvingchroniccare org
Jt Comm J Qual Improv 27:63-80. 2001.... - Effect of improved glycemic control on health care costs and utilizationE H Wagner
MacColl Institute for Healthcare Innovation, Center for Health Studies, Group Health Cooperative, 1730 Minor Ave, Suite 1290, Seattle, WA 98101, USA
JAMA 285:182-9. 2001..Because of the additional costs associated with improving diabetes management, there is interest in whether improved glycemic control leads to reductions in health care costs, and, if so, when such cost savings occur... - Chronic care clinics for diabetes in primary care: a system-wide randomized trialE H Wagner
W A MacColl Institute for Healthcare Innovation, Center for Health Studies, Group Health Cooperative of Puget Sound, Seattle, Washington 98101, USA
Diabetes Care 24:695-700. 2001..To evaluate the impact of primary care group visits (chronic care clinics) on the process and outcome of care for diabetic patients... - The quality of cancer patient experience: perspectives of patients, family members, providers and expertsEdward H Wagner
Group Health Research Institute, Seattle, Washington, USA
Qual Saf Health Care 19:484-9. 2010..Anecdotes and limited evidence suggest that a significant percentage of cancer patients encounter troublesome problems in the course of their care... - Factors associated with changes in gait speed in older adultsD M Buchner
Department of Health Services, University of Washington, Seattle, USA
J Gerontol A Biol Sci Med Sci 51:M297-302. 1996..The study addressed whether changes in gait speed in community-dwelling older adults were associated with changes in fitness (strength and aerobic capacity), physical health status, and/or depressive symptoms... - A randomized controlled trial of CQI teams and academic detailing: can they alter compliance with guidelines?H I Goldberg
University of Washington, Seattle, USA
Jt Comm J Qual Improv 24:130-42. 1998.... - Patient-level estimates of the cost of complications in diabetes in a managed-care populationS D Ramsey
Department of Medicine, University of Washington, Seattle, USA
Pharmacoeconomics 16:285-95. 1999..To develop incidence-based estimates of the cost of several diabetes-related complications... - Improving depression care: barriers, solutions, and research needsM Von Korff
Center for Health Studies, Group Health Cooperative, Seattle, WA 98101, USA
J Fam Pract 50:E1. 2001.... - Diastolic blood pressure and the risk of primary cardiac arrest among pharmacologically treated hypertensive patientsD S Siscovick
Department of Medicine, University of Washington, Seattle, USA
J Gen Intern Med 11:350-6. 1996..CONCLUSIONS: Our findings support available evidence that among hypertensive patients a treated diastolic blood pressure level below 85 mm Hg is associated with cardiac hazards... - The effect of strength and endurance training on gait, balance, fall risk, and health services use in community-living older adultsD M Buchner
Department of Health Services, University of Washington, Seattle, USA
J Gerontol A Biol Sci Med Sci 52:M218-24. 1997..The study tested the effect of strength and endurance training on gait, balance, physical health status, fall risk, and health services use in older adults... - Managed care data and public health: the experience of Group Health Cooperative of Puget SoundP A Fishman
Center for Health Studies, Group Health Cooperative, Seattle, Washington 98101, USA
Annu Rev Public Health 19:477-91. 1998..This paper reviews why traditional HMOs are ideal places to conduct public health research and analyzes how recent market trends may threaten this role for managed care... - Diffusion of aromatase inhibitors for breast cancer therapy between 1996 and 2003 in the Cancer Research NetworkErin J Aiello
Group Health Center for Health Studies, 1730 Minor Ave, Suite 1600, Seattle, WA 98101, USA
Breast Cancer Res Treat 107:397-403. 2008..We evaluated diffusion of aromatase inhibitor dispensings for breast cancer treatment in integrated healthcare delivery systems across the United States... - Untangling practice redesign from disease management: how do we best care for the chronically ill?Katie Coleman
MacColl Institute for Healthcare Innovation, Group Health Center for Health Studies Seattle, Washington 98101, USA
Annu Rev Public Health 30:385-408. 2009..More innovation and research are needed to understand how disease-management components can be more meaningfully embedded within practice to improve patient care... - Strengthening primary care with better transfer of informationRobert J Reid
Group Health Center for Health Studies, 1730 Minor Ave, Suite 1600, Seattle WA 98101, USA
CMAJ 179:987-8. 2008 - Evidence on the Chronic Care Model in the new millenniumKatie Coleman
MacColl Institute for Healthcare Innovation, Group Health Center for Health Studies, Seattle, Washington, USA
Health Aff (Millwood) 28:75-85. 2009..Although work remains to be done in areas such as cost-effectiveness, these studies suggest that redesigning care using the CCM leads to improved patient care and better health outcomes... - Accuracy and complexities of using automated clinical data for capturing chemotherapy administrations: implications for future researchErin J Aiello Bowles
Group Health Center for Health Studies, Group Health Cooperative, Seattle, Washington 98101, USA
Med Care 47:1091-7. 2009..However, chemotherapy data obtained from tumor registries may be incomplete, and abstracting chemotherapy directly from medical records can be expensive and time consuming... - Implementation and effectiveness of a community-based health promotion program for older adultsJ I Wallace
Department of Medicine, University of Washington, Seattle, USA
J Gerontol A Biol Sci Med Sci 53:M301-6. 1998.... - Improving chronic illness care: translating evidence into actionE H Wagner
W.A. MacColl Institute for Healthcare Innovation at the Center for Health Studies, Group Health Cooperative of Puget Sound, Seattle, USA
Health Aff (Millwood) 20:64-78. 2001..In this paper we describe the CCM, its use in intensive quality improvement activities with more than 100 health care organizations, and insights gained in the process... - Transform residency training in chronic illness care -- nowDavid P Stevens
Institute for Improving Clinical Care, Association of American Medical Colleges, Washington, DC 20037, USA
Acad Med 81:685-7. 2006..These ACCC teams and their sponsoring health systems have successfully harnessed these drivers for the implementation of evidence-based chronic illness care in resident practices... - Assessment of chronic illness care (ACIC): a practical tool to measure quality improvementAmy E Bonomi
MacColl Institute for Healthcare Innovation, Center for Health Studies, Group Health Cooperative of Puget Sound, Seattle, WA 98101-1448, USA
Health Serv Res 37:791-820. 2002.... - Delivering effective primary care to older adults: a randomized, controlled trial of the senior resource team at group health cooperativeElizabeth A Phelan
Division of Gerontology and Geriatric Medicine, Department of Medicine, School of Public Health and Community Medicine, University of Washington, Seattle, Washington, USA
J Am Geriatr Soc 55:1748-56. 2007..To assess the effect of a team of geriatrics specialists on the practice style of primary care providers (PCPs) and the functioning of their patients aged 75 and older... - Identifying suicide potential in primary careE H Lin
Center for Health Studies, Group Health Cooperative of Puget Sound, Seattle, Washington 98121
J Gen Intern Med 4:1-6. 1989..Less than 20% of the suicides visited a primary care physician in the month prior to death. Only 39% of suicides received specialty mental health treatment in the 18 months prior to death... - Hypertension and outcomes research. From clinical trials to clinical epidemiologyB M Psaty
Department of Medicine, University of Washington, Seattle, USA
Am J Hypertens 9:178-83. 1996..Consistency of findings across various study designs, outcomes, and populations is critical to the practice of evidence-based medicine and the effort to maximize the health benefits of antihypertensive therapies... - Case studies from two collaboratives on diabetes in Washington StateDonna M Daniel
Qualis Health, Seattle, USA
Jt Comm J Qual Saf 30:103-8, 57. 2004..Two individual teams, one from a small, rural clinic and one from a larger urban health system, were able to introduce innovations in care and realize improvement in patient outcomes... - Primary care delivery is associated with greater physician experience and improved survival among persons with AIDSMari M Kitahata
Department of Medicine, University of Washington, Seattle, Wash, USA
J Gen Intern Med 18:95-103. 2003..It has been shown that greater physician experience in the care of persons with AIDS prolongs survival, but how more experienced primary care physicians achieve better outcomes is not known... - A comparison of how generalists and fellowship-trained geriatricians provide "geriatric" careElizabeth A Phelan
Department of Medicine, Divisions of Gerontology and Geriatric Medicine, University of Washington, Seattle, Washington 98104, USA
J Am Geriatr Soc 56:1807-11. 2008..To determine whether outpatient care provided to older patients by fellowship-trained geriatricians is distinguishable from that provided by generalists... - Community exercise program use and changes in healthcare costs for older adultsRonald T Ackermann
Robert Wood Johnson Clinical Scholars Program, University of Washington, and Veterans Affairs Puget Sound Health Care System, Seattle, Washington, USA
Am J Prev Med 25:232-7. 2003..Regular exercise is associated with many health benefits. Community-based exercise programs may increase exercise participation, but little is known about cost implications... - A multisite randomized trial of the effects of physician education and organizational change in chronic-asthma care: health outcomes of the Pediatric Asthma Care Patient Outcomes Research Team II StudyPaula Lozano
Center for Health Studies, Group Health Cooperative, 1730 Minor Avenue, Seattle, WA 98101, USA
Arch Pediatr Adolesc Med 158:875-83. 2004..Traditional primary care practice change approaches have not led to full implementation of national asthma guidelines... - A state-level application of the chronic illness breakthrough series: results from two collaboratives on diabetes in Washington StateDonna M Daniel
Qualis Health, Seattle, USA
Jt Comm J Qual Saf 30:69-79. 2004.... - Health care costs and participation in a community-based health promotion program for older adultsCharles Mayer
University of Washington Health Promotion Research Center, Department of Health Services, School of Public Health and Community Medicine, Seattle, WA 98105, USA
Prev Chronic Dis 7:A38. 2010..A previous randomized controlled trial demonstrated a decrease in inpatient use for EW participants but did not evaluate health care costs. We assessed the effect of EW participation on health care costs... - Outcome of follow-up colon examination among a population-based cohort of colorectal cancer patientsStephen J Rulyak
University of Washington, Division of Gastroenterology, Harborview Medical Center, Seattle, Washington 98104, USA
Clin Gastroenterol Hepatol 5:470-6; quiz 407. 2007..We sought to estimate survival among colorectal cancer patients according to receipt of a follow-up colon examination and to describe the findings of such exams... - Comprehensive health care for people infected with HIV in developing countriesMari M Kitahata
Center for AIDS and STD, University of Washington, Harborview Medical Center, 325 9th Avenue, Seattle, WA 98104, USA
BMJ 325:954-7. 2002 - Improving primary care for patients with chronic illnessThomas Bodenheimer
Family and Community Medicine, University of California, San Francisco, USA
JAMA 288:1775-9. 2002..Case studies are provided describing how components of the chronic care model have been implemented in the primary care practices of 4 health care organizations... - Improving primary care for patients with chronic illness: the chronic care model, Part 2Thomas Bodenheimer
Family and Community Medicine, University of California, San Francisco, USA
JAMA 288:1909-14. 2002..Even though the chronic care model has the potential to improve care and reduce costs, several obstacles hinder its widespread adoption... - Development and validation of the Patient Assessment of Chronic Illness Care (PACIC)Russell E Glasgow
Kaiser Permanente Colorado, Denver, Colorado, USA
Med Care 43:436-44. 2005.... - Chronic disease careEdward H Wagner
BMJ 328:177-8. 2004 - Self-management aspects of the improving chronic illness care breakthrough series: implementation with diabetes and heart failure teamsRussell E Glasgow
AMC Cancer Research Center, Denver, CO 80214, USA
Ann Behav Med 24:80-7. 2002..Improvements were found for both diabetes and heart failure teams, suggesting that this improvement process may be broadly applicable. Lessons learned, keys to success, and directions for future research and practice are discussed... - Practice-level effects of interventions to improve asthma care in primary care settings: the Pediatric Asthma Care Patient Outcomes Research TeamJonathan A Finkelstein
Department of Ambulatory Care and Prevention, Harvard Medical School, Boston, MA, USA
Health Serv Res 40:1737-57. 2005..Benefits of practice-level interventions may accrue disproportionately to the subgroup of trial enrollees. The effect of such interventions may be less apparent at the level of practices or health plans... - Clinical effectiveness research in managed-care systems: lessons from the Pediatric Asthma Care PORT. Patient Outcomes Research TeamJonathan A Finkelstein
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA 02215, USA
Health Serv Res 37:775-89. 2002..With attention to these delivery system issues, as well as the usual design features of randomized trials, we believe managed-care organizations can serve as important laboratories to test care improvement strategies... - Improving diabetes treatment quality in managed care organizations: some progress, many challengesMichele Heisler
Ann Arbor Veteran's Affairs Center for Practice Management and Outcomes Research and Division of General Internal Medicine, University of Michigan, Ann Arbor, USA
Am J Manag Care 10:115-7. 2004 - How health care systems can begin to address the challenge of limited literacyMichael K Paasche-Orlow
Section of General Internal Medicine, Department of Medicine, Boston University School of Medicine, Boston, MA 02118, USA
J Gen Intern Med 21:884-7. 2006 - Are continuity of care and teamwork incompatible?Edward H Wagner
Med Care 45:6-7. 2007 - High quality care for people with chronic diseasesTrish Groves
BMJ 330:609-10. 2005 - Survivorship research based in integrated healthcare delivery systems: the Cancer Research NetworkAnn M Geiger
Division of Public Health Sciences, Wake Forest University School of Medicine, Winston Salem, North Carolina 27157, USA
Cancer 112:2617-26. 2008..The National Cancer Institute funds the Cancer Research Network (CRN) to leverage these capabilities for all types of cancer research, including survivorship... - Diversifying the options for interacting with patientsEdward H Wagner
Qual Saf Health Care 16:322-3. 2007 - Promoting health and preventing disability in older adults: lessons from intervention studies carried out through an academic-community partnershipElizabeth A Phelan
The Department of Medicine, University of Washington, Seattle 98104, USA
Fam Community Health 26:214-20. 2003..The iterative nature of research and programming that is carried out as part of this partnership is described... - Diversifying the options for interacting with patientsEdward H Wagner
Postgrad Med J 83:723-4. 2007 - Effect of part-time practice on patient outcomesPatricia H Parkerton
Department of Health Services, UCLA School of Public Health, University of California at Los Angeles, Box 91772, Los Angeles, CA 90095 1772, USA
J Gen Intern Med 18:717-24. 2003..Primary care physicians are spending fewer hours in direct patient care, yet it is not known whether reduced hours are associated with differences in patient outcomes...
Research Grants
- The HMO Cancer Research Network (CRN)Edward Wagner; Fiscal Year: 2007....