John F Steiner

..To achieve the adherence goals set by CMS, front-line clinicians, interdisciplinary teams, organizational leaders, and policymakers will need to coordinate efforts in ways that exemplify the underlying principles of health care reform...

..We identified recent, methodologically rigorous quantitative studies on return to work after cancer, summarized the themes from these studies, and illustrated those themes with narratives of individual cancer survivors...

..We attempted to develop clinical prediction rules for adherence with antihypertensive medications in 2 healthcare delivery systems...

..The objectives of this study were to compare reported (1) access to care, (2) utilization of health care, and (3) quality of care during the year before and the first year after enrollment into CHP+...

..We assessed the incidence and duration of simultaneous control of hyperglycemia, blood pressure, and low-density lipoprotein cholesterol in patients from 2 health care systems in Colorado...

..Our objective was to identify risk factors for development of incident CKD and decline in estimated GFR (eGFR) in hypertensive patients...

..Pneumococcal vaccine (PPV) is recommended for adults >or=65 years and those with chronic illness, but there are potential advantages of universal vaccination of adults age 50-64 years...

..To study the educational contributions of attending physicians in an internal medicine house staff ambulatory clinic...

..It remains unclear whether these risk factors predict CVD death in racial/ethnic minorities as well as they do in the predominately white Framingham cohorts...

..Colorado's Child Health Plan Plus (CHP+) is a non-Medicaid state child health plan that began enrollment in April 1998. Families are disenrolled 12 months after enrollment if they fail to re-enroll...

..Our objective was to explore processes of care desired by elderly patients who have multimorbidities that may present competing demands for patients and providers...

..Sentinel networks represent the opinions and experiences of physicians in a manner equivalent to traditional mail surveys and may provide a more efficient approach to conducting physician surveys...

..To determine patient acceptance of a preventive care model employing outreach by non-physician experts outside of clinic visits...

..Our goal was to identify barriers to self-management that were associated with lower perceived health status and, secondarily, with lower reported physical functioning for a population of seniors with multimorbidities...

..Since changes in work are common and are associated with both physical and psychosocial symptoms, strategies are needed to reduce symptom burden and barriers to work and to improve work capacity for working-age cancer survivors...

..The numbers and types of disruptions in insurance that children experience and the effects of these disruptions on health care measures have not been well characterized...

..We assessed the distribution of immunization records among 3 health care delivery sectors and the impact of a regional immunization registry on "up to date" rates...

..To examine the association between primary care provider turnover in managed care organizations and measures of member satisfaction and preventive care...

..Because of influenza vaccine shortages during the 2004-2005 influenza season, vaccine was targeted for high-risk priority groups...

..Such disparities involve barriers to health care, comorbid illnesses, tumor characteristics, and patient preferences. It is unclear whether differences in urologist treatment recommendations also might play a role...

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..While more work is needed to develop proxies that can predict risk factor control and CVD outcomes, our simple measures can facilitate regular assessment of the cultural component of behavioral risk...

..To explore the constructs underlying a self-report assessment of multimorbidity...

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..In this study we sought to assess the relationship between the quantity of statin dispensed by the pharmacy with patient adherence and total cholesterol...

..Additional research is needed to identify prognostic factors that can guide clinical or workplace efforts to restore cancer survivors to their desired level of work function and economic productivity...

..Often, primary care physicians lack sufficient time to educate patients and address their potential misconceptions and fears about this procedure...

..This study describes physicians' perception of burden associated with herpes zoster (HZ) and postherpetic neuralgia (PHN), intentions for recommending the HZ vaccine, and perceived barriers to vaccination...

..However, the effectiveness of H-ISDN in a community sample of African-American patients and other racial/ethnic groups is unknown...

..Fear on the part of patients that providers stereotype them negatively might be one cause of this poorer communication. This stereotype threat may be lessened by a values-affirmation intervention...

..We compared the contributions of self-reported morbidity and morbidity measured using administrative diagnosis data for both patient-reported outcomes and utilization outcomes...

..In particular, those who are foreign-born and who do not speak English as their primary language may have greater challenges interacting with the health care system and thus be at greater risk for adverse outcomes...

..The purpose of this article was to describe results of a quantitative survey designed to measure surgical care structures and processes within NSQIP sites...

..The purpose of this study was to examine the effects of two different ambulatory case presentation formats that involve attending physicians more directly...

..Healthcare systems have been challenged to ensure the timely administration of immunizations. Immunization registries have been proposed to improve the accuracy and completeness of immunization information and to promote effective practice...

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..We assessed the effect of incident stage 0, 1, 2 or 3 breast, colon or prostate cancer; incident depression; or an exacerbation of chronic pulmonary disease on control of type 2 diabetes (DM2)...

..Our objectives were to (i) identify predictors of incident chronic kidney disease (CKD) and (ii) to estimate rate of decline in kidney function...

..To measure the effect of a multimodal intervention on well-child care visit (WCV) and immunization rates in an inner-city population...

..Our objective was to assess the effect of certain comorbid conditions on physical well being over time in a population of persons with chronic medical conditions; and to compare these effects to that of hypertension alone...

..Retrospective database analyses have revealed that 50% of patients receiving statins discontinue therapy after one year of treatment. Typically, these data do not focus on patient-specific reasons for discontinuation...

..To illustrate the use of cluster analysis for identifying sub-populations of complex patients who may benefit from targeted care management strategies...

..These problems are associated with worsened self-perceived health status. Addressing podiatric health may be a successful way to improve the overall health of this population...

..A subjective measure of comorbidity that incorporates an assessment of disease severity may be particularly useful for assessing comorbidity for these investigations...

..Medication nonadherence may reduce the effectiveness of therapies. To our knowledge, the association between medication nonadherence and mortality remains unexplored outside the context of clinical trials...

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..We assessed the relationship between primary-care utilization and subsequent ACSC hospitalization among inner-city children...

..Thus, treatment should reflect trade-offs between the probability of curing disease and the desire to avoid treatment-associated side effects. Factors that actually influence patient treatment preferences are poorly understood...

..Such a collaboration provides the breadth of perspectives necessary to address complex health care problems, and the pragmatic infrastructure necessary to sustain research themes and careers...

..Our goal was to identify characteristics of research fellows and their training associated with subsequent publications and research funding...

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..To quantify physician-reported preventive counseling and screening during well-child visits (WCVs) and to examine racial and ethnic disparities in these activities...

..Our objective was to determine the proportion of older persons meeting enrollment criteria of randomized controlled trials of agents that prolong life in heart failure...

..This approach will require a rationally designed health care delivery system that applies the best available evidence to the care of individual patients with heart failure...

..Within a clinic serving disadvantaged children, 1) to evaluate a multifaceted quality improvement (QI) project to improve immunization (IZ) up-to-date (UTD) rates and 2) to assess the efficacy of IZ reminder/recall performed following QI...

..Medicare Part D beneficiaries who reach the drug benefit threshold (DBT) risk adverse health outcomes...

..abstract:..

..Timeliness of care is 1 of 6 dimensions of quality identified in Crossing the Quality Chasm. We compared patient and physician perceptions of appropriate timing of visits for common medical problems...

..5 times more common than RP. Clinical trials are needed to rigorously assess the effects of different local treatment strategies on clinical outcomes in men with cT3 prostate carcinoma...

..Successful management of chronic conditions depends on adequate self-care. However, little is known about the self-care strategies of patients with comorbid chronic conditions...

..88) or initiation and visit compliance rate for EI services. Specific efforts to improve outcomes (e.g., decrease initiation time and increase use of EI services) are still needed...

..To assess the impact of CU CARE, a managed care program for medically indigent adults developed by University Hospital (UH) in Denver and Kaiser Permanente, on outpatient and inpatient utilization...

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..Sociocultural factors may also have influences on patient and urologist treatment choices...

..Resident physicians generate many patient-related questions in the outpatient setting, but rarely answer them. This study examined how answering a patient-specific clinical question affected residents' patient care decisions...

..Research to improve the quality of emergency care can benefit from a more systematic consideration of the domains of quality and the research steps necessary to generate evidence and inform quality improvement efforts in practice...

..Primary care practices are faced with the challenge of having too much to do in too little time. As a result, behavioral counseling is often overlooked, especially for patients with multiple health behaviors in need of change...

..We wanted to characterize patient accompaniment to medical encounters and to explore the rationale and influence of the companion on the primary care medical encounter...

..The relationship between complementary and alternative medicine (CAM) and standard preventive care is not well defined...

..The amounts of direct research time during these fellowships may need to be increased to enhance the likelihood of subsequent research success...

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..Findings will inform evidence-based health care and improve the national allocation of health care resources. ..