Somnath Saha

Summary

Affiliation: Oregon Health and Science University
Country: USA

Publications

  1. pmc Primary care provider cultural competence and racial disparities in HIV care and outcomes
    Somnath Saha
    Section of General Internal Medicine, Portland VA Medical Center, 3710 SW U S Veterans Hospital Rd, Portland, OR 97239, USA
    J Gen Intern Med 28:622-9. 2013
  2. pmc The role of cultural distance between patient and provider in explaining racial/ethnic disparities in HIV care
    Somnath Saha
    Portland VA Medical Center, Portland, OR, USA
    Patient Educ Couns 85:e278-84. 2011
  3. pmc Reducing language barriers and racial/ethnic disparities in health care: an investment in our future
    Somnath Saha
    J Gen Intern Med 22:371-2. 2007
  4. pmc Communicative competence: a framework for understanding language barriers in health care
    Jessica Gregg
    J Gen Intern Med 22:368-70. 2007
  5. ncbi request reprint Are preventable hospitalizations sensitive to changes in access to primary care? The case of the Oregon Health Plan
    Somnath Saha
    Department of Medicine, Section of General Internal Medicine, Portland Veterans Affairs Medical Center, Oregon Health and Science University, Portland, OR 97207, USA
    Med Care 45:712-9. 2007
  6. pmc Language barriers in health care
    Somnath Saha
    Section of General Internal Medicine, Portland VA Medical Center, Portland, OR, USA
    J Gen Intern Med 22:281-2. 2007
  7. doi request reprint Race-neutral versus race-conscious workforce policy to improve access to care
    Somnath Saha
    Section of General Internal Medicine, Portland Veterans Affairs Medical Center, Oregon, USA
    Health Aff (Millwood) 27:234-45. 2008
  8. pmc Racial and ethnic disparities in the VA health care system: a systematic review
    Somnath Saha
    Portland VA Medical Center, Portland, OR, USA
    J Gen Intern Med 23:654-71. 2008
  9. pmc Patient centeredness, cultural competence and healthcare quality
    Somnath Saha
    Portland VA Medical Center, Portland, OR 97239, USA
    J Natl Med Assoc 100:1275-85. 2008
  10. pmc Trust in physicians and racial disparities in HIV care
    Somnath Saha
    Portland VA Medical Center, Oregon Health and Science University, 97239, USA
    AIDS Patient Care STDS 24:415-20. 2010

Research Grants

Detail Information

Publications44

  1. pmc Primary care provider cultural competence and racial disparities in HIV care and outcomes
    Somnath Saha
    Section of General Internal Medicine, Portland VA Medical Center, 3710 SW U S Veterans Hospital Rd, Portland, OR 97239, USA
    J Gen Intern Med 28:622-9. 2013
    ..It is unclear whether provider CC is associated with more equitable care...
  2. pmc The role of cultural distance between patient and provider in explaining racial/ethnic disparities in HIV care
    Somnath Saha
    Portland VA Medical Center, Portland, OR, USA
    Patient Educ Couns 85:e278-84. 2011
    ..We sought to evaluate whether cultural distance between patients and providers was associated with quality of care for people living with HIV/AIDS, and whether cultural distance helped explain racial/ethnic disparities in HIV care...
  3. pmc Reducing language barriers and racial/ethnic disparities in health care: an investment in our future
    Somnath Saha
    J Gen Intern Med 22:371-2. 2007
  4. pmc Communicative competence: a framework for understanding language barriers in health care
    Jessica Gregg
    J Gen Intern Med 22:368-70. 2007
  5. ncbi request reprint Are preventable hospitalizations sensitive to changes in access to primary care? The case of the Oregon Health Plan
    Somnath Saha
    Department of Medicine, Section of General Internal Medicine, Portland Veterans Affairs Medical Center, Oregon Health and Science University, Portland, OR 97207, USA
    Med Care 45:712-9. 2007
    ....
  6. pmc Language barriers in health care
    Somnath Saha
    Section of General Internal Medicine, Portland VA Medical Center, Portland, OR, USA
    J Gen Intern Med 22:281-2. 2007
  7. doi request reprint Race-neutral versus race-conscious workforce policy to improve access to care
    Somnath Saha
    Section of General Internal Medicine, Portland Veterans Affairs Medical Center, Oregon, USA
    Health Aff (Millwood) 27:234-45. 2008
    ..These findings have implications for policies and programs that might leverage the workforce to better meet the needs of disadvantaged patients...
  8. pmc Racial and ethnic disparities in the VA health care system: a systematic review
    Somnath Saha
    Portland VA Medical Center, Portland, OR, USA
    J Gen Intern Med 23:654-71. 2008
    ..To better understand the causes of racial disparities in health care, we reviewed and synthesized existing evidence related to disparities in the "equal access" Veterans Affairs (VA) health care system...
  9. pmc Patient centeredness, cultural competence and healthcare quality
    Somnath Saha
    Portland VA Medical Center, Portland, OR 97239, USA
    J Natl Med Assoc 100:1275-85. 2008
    ..Each approach holds promise for improving the quality of healthcare for individual patients, communities and populations...
  10. pmc Trust in physicians and racial disparities in HIV care
    Somnath Saha
    Portland VA Medical Center, Oregon Health and Science University, 97239, USA
    AIDS Patient Care STDS 24:415-20. 2010
    ..Our findings suggest that enhancing trust in patient-provider relationships for African-American patients may help reduce disparities in ART adherence and the outcomes associated with improved adherence...
  11. pmc The impact of patient-centered communication on patients' decision making and evaluations of physicians: a randomized study using video vignettes
    Somnath Saha
    Portland VA Medical Center, Portland, OR, USA
    Patient Educ Couns 84:386-92. 2011
    ..To assess the impact of patient-centered communication (PCC) behaviors on patients' evaluations of physicians and acceptance of clinical recommendations...
  12. doi request reprint Student body racial and ethnic composition and diversity-related outcomes in US medical schools
    Somnath Saha
    Section of General Internal Medicine, Portland VA Medical Center, Portland, OR 97239, USA
    JAMA 300:1135-45. 2008
    ..However, there is limited evidence addressing the educational effects of student body racial diversity...
  13. ncbi request reprint Explaining low ratings of patient satisfaction among Asian-Americans
    Somnath Saha
    Section of General Internal Medicine, Portland Veterans Affairs Medical Center, Division of General Internal Medicine, Oregon Health and Science University, Portland, OR 97239, USA
    Am J Med Qual 18:256-64. 2003
    ..Further research is needed to explain this phenomenon and assess its potential impact on quality-of-care evaluations for clinicians and health care organizations providing care for large numbers of Asian-Americans...
  14. pmc Patient-physician relationships and racial disparities in the quality of health care
    Somnath Saha
    Section of General Internal Medicine, Portland Veterans Affairs Medical Center, Department of Veterans Affairs, Portland, OR 97239, USA
    Am J Public Health 93:1713-9. 2003
    ..This study explored whether racial differences in patient-physician relationships contribute to disparities in the quality of health care...
  15. pmc Impact factor: a valid measure of journal quality?
    Somnath Saha
    Division of Medical Informatics and Outcomes Research, Portland VA Medical Center and Oregon Health and Science University, Portland VA Medical Center P3MED 3710 Southwest US Veterans Hospital Road Portland, Oregon 97207, USA
    J Med Libr Assoc 91:42-6. 2003
    ..The authors assessed the validity of impact factor as a measure of quality for general medical journals by testing its association with journal quality as rated by clinical practitioners and researchers...
  16. ncbi request reprint The art and science of incorporating cost effectiveness into evidence-based recommendations for clinical preventive services
    S Saha
    Evidence Based Practice Center, Oregon Health Sciences University, Portland, Oregon, USA
    Am J Prev Med 20:36-43. 2001
    ..While this paper focuses on clinical preventive services (i.e., screening, counseling, immunizations, and chemoprevention), the framework we have developed should be broadly portable to other health care services...
  17. pmc Impact of patient race on patient experiences of access and communication in HIV care
    P Todd Korthuis
    Department of Medicine, Oregon Health and Science University, Portland, OR 97239 3098, USA
    J Gen Intern Med 23:2046-52. 2008
    ..Patient-centered care--including the domains of access and communication--is an important determinant of positive clinical outcomes...
  18. pmc Transforming clinical practice to eliminate racial-ethnic disparities in healthcare
    Donna L Washington
    Division of General Internal Medicine, VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA
    J Gen Intern Med 23:685-91. 2008
    ..We describe what is known about reducing racial-ethnic disparities in clinical practice and make recommendations for how clinician leaders can apply this evidence to transform their own practices...
  19. pmc Substance use and the quality of patient-provider communication in HIV clinics
    P Todd Korthuis
    Division of General Internal Medicine and Geriatrics, Oregon Health and Science University, Portland, OR 97239 3098, USA
    AIDS Behav 15:832-41. 2011
    ..Interventions should be developed that encourage providers to actively engage patients with unhealthy alcohol use...
  20. pmc Patient activation and improved outcomes in HIV-infected patients
    REBECCA MARSHALL
    Department of Psychiatry, Oregon Health and Science University, Portland, OR, USA
    J Gen Intern Med 28:668-74. 2013
    ....
  21. pmc Patient and provider comfort discussing substance use
    Moira K Ray
    Department of Family Medicine, and Department of Public Health and Preventive Medicine, Oregon Health and Science University, Portland, OR 97239, USA
    Fam Med 45:109-17. 2013
    ..This analysis identified patient and provider characteristics associated with high comfort discussing substance use in HIV primary care clinics using multivariable logistic regression...
  22. pmc HIV providers' perceptions of and attitudes toward female versus male patients
    Oni J Blackstock
    Division of General Internal Medicine, Department of Medicine, Montefiore Medical Center Albert Einstein College of Medicine, Bronx, New York 10467, USA
    AIDS Patient Care STDS 26:582-8. 2012
    ..Further study is needed to elucidate the role of providers' perceptions and attitudes about female and male patients in observed gender disparities in HIV care...
  23. ncbi request reprint Methodological shortcomings predicted lower harm estimates in one of two sets of studies of clinical interventions
    Roger Chou
    Oregon Evidence Based Practice Center, Portland, OR, USA
    J Clin Epidemiol 60:18-28. 2007
    ..Little is known, however, about whether perceived methodological shortcomings are associated with lower estimates of harms...
  24. pmc Higher quality communication and relationships are associated with improved patient engagement in HIV care
    Tabor E Flickinger
    Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA
    J Acquir Immune Defic Syndr 63:362-6. 2013
    ..Being involved in decisions was not significantly associated with appointment adherence. Enhancing providers' skills in effective communication and relationship building may improve patient retention in HIV care...
  25. pmc Motivational interviewing by HIV care providers is associated with patient intentions to reduce unsafe sexual behavior
    Tabor E Flickinger
    Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA
    Patient Educ Couns 93:122-9. 2013
    ..Little is known about the use of MI-consistent behavior among untrained providers. This study examines the prevalence of such behaviors and their association with patient intentions to reduce high-risk sexual behavior...
  26. pmc Health-related quality of life in HIV-infected patients: the role of substance use
    P Todd Korthuis
    Department of Medicine, Oregon Health and Science University, Portland, Oregon 97239 3098, USA
    AIDS Patient Care STDS 22:859-67. 2008
    ..5 [95% CI -16.4, -4.67]), and inhalants (beta = -14.0 [95% CI -24.1, -3.83]). Facilitating sobriety for patients with attention to specific illicit drugs represents an important avenue for elevating HRQOL in patients living with HIV...
  27. ncbi request reprint Losing culture on the way to competence: the use and misuse of culture in medical education
    Jessica Gregg
    Division of General Internal Medicine, Oregon Health and Science University, Portland, Oregon 97201, USA
    Acad Med 81:542-7. 2006
    ..They then examine the concept of culture, paying particular attention to how it has been used (and misused) in cultural competence training. Finally, they discuss the implications of these ideas for health professions education...
  28. ncbi request reprint Cost-effectiveness of echocardiography to identify intracardiac thrombus among patients with first stroke or transient ischemic attack
    Richard T Meenan
    Oregon Health and Science University Evidence based Practice Center, Portland, USA
    Med Decis Making 27:161-77. 2007
    ..The authors' objective was to evaluate the cost-effectiveness of imaging strategies that use transthoracic (TTE) and transesophageal (TEE) echocardiography for identifying intracardiac thrombus in new stroke patients...
  29. doi request reprint Pressure ulcer treatment strategies: a systematic comparative effectiveness review
    M E Beth Smith
    Oregon Evidence Based Practice Center, Oregon Health and Science University, Portland, OR 97239 3098, USA
    Ann Intern Med 159:39-50. 2013
    ..Pressure ulcers affect as many as 3 million Americans and are major sources of morbidity, mortality, and health care costs...
  30. doi request reprint Post-discharge intervention in vulnerable, chronically ill patients
    Devan Kansagara
    Oregon Health and Sciences University, Portland VA Medical Center, Portland, OR, USA
    J Hosp Med 7:124-30. 2012
    ..Studies suggest that the inpatient to outpatient transition of care is a vulnerable period for patients, and socioeconomically disadvantaged populations may be particularly susceptible...
  31. ncbi request reprint Teaching systems-based practice to residents by using independent study projects
    Elizabeth Allen
    Section of General Internal Medicine, Portland VA Medical Center, P3 MED, P O Box 1034, Portland, OR 97207, USA
    Acad Med 80:125-8. 2005
    ..Residents have found that these projects enhance their systems knowledge, help them link systems-based-practice concepts to clinical practice, and foster opportunities for networking and early career development...
  32. pmc Career and time management strategies for clinical and health services researchers
    Nancy R Kressin
    Department of Veterans Affairs, Center for Health Quality, Outcomes and Economic Research, Bedford VA 200 Springs Rd Bldg 70 152, Bedford, MA, USA
    J Gen Intern Med 22:1475-8. 2007
  33. pmc Out-of-hospital decision making and factors influencing the regional distribution of injured patients in a trauma system
    Craig D Newgard
    Center for Policy and Research in Emergency Medicine, Department of Emergency Medicine, Oregon Health and Science University, Portland, Oregon 97239 3098, USA
    J Trauma 70:1345-53. 2011
    ..The objective of this study was to assess the process of field triage decision making in an established trauma system...
  34. pmc Physician race and ethnicity, professional satisfaction, and work-related stress: results from the Physician Worklife Study
    M Maria Glymour
    Harvard School of Public Health, Department of Health and Social Behavior, Boston, Massachusetts, USA
    J Natl Med Assoc 96:1283-9, 1294. 2004
    ..Significant racial and ethnic variations were found with respect to several specific satisfaction domains: autonomy, patient care issues, relations with staff, relations with the community, pay, and resources...
  35. ncbi request reprint Student perspectives on diversity and the cultural climate at a U.S. medical school
    Robert Hung
    Rush University Medical Center, Chicago, Illinois, USA
    Acad Med 82:184-92. 2007
    ....
  36. pmc The relevance of cultural distance between patients and physicians to racial disparities in health care
    Somnath Saha
    J Gen Intern Med 21:203-5. 2006
  37. pmc Reducing racial bias among health care providers: lessons from social-cognitive psychology
    Diana Burgess
    Center for Chronic Disease Outcomes Research, Veterans Affairs Medical Center, One Veterans Drive, Minneapolis, MN 55417, USA
    J Gen Intern Med 22:882-7. 2007
    ..These recommendations are also intended to provide a springboard for research on interventions to reduce unintentional racial bias in health care...
  38. pmc Racial and ethnic differences in patient perceptions of bias and cultural competence in health care
    Rachel L Johnson
    Welch Center for Prevention, Epidemiology and Clinical Research, Johns Hopkins University, Baltimore, MD 21205 2223, USA
    J Gen Intern Med 19:101-10. 2004
    ....
  39. ncbi request reprint Quality of adverse event assessment in randomized controlled trials and observational studies
    Roger Chou
    Mayo Clin Proc 78:119; author reply 119. 2003
  40. ncbi request reprint The cost-effectiveness of screening mammography beyond age 65 years: a systematic review for the U.S. Preventive Services Task Force
    Jeanne Mandelblatt
    Georgetown University Medical Center, Lombardi Cancer Center, Washington, DC 20007, USA
    Ann Intern Med 139:835-42. 2003
    ..The authors performed a review to determine the costs and benefits of mammography screening after age 65 years...
  41. pmc The Latina paradox: an opportunity for restructuring prenatal care delivery
    Michael S McGlade
    Geography Department, Western Oregon University
    Am J Public Health 94:2062-5. 2004
    ..We recommend steps to harness the benefits of informal systems of prenatal care in Latino communities to meet the increasing needs of pregnant Latina women...
  42. pmc The inherent inequities of market-based health care reform
    Somnath Saha
    J Gen Intern Med 21:1211-2. 2006
  43. pmc Improving literacy as a means to reducing health disparities
    Somnath Saha
    J Gen Intern Med 21:893-5. 2006
  44. pmc Free to be you and me?
    Mary Catherine Beach
    J Gen Intern Med 20:312-3. 2005

Research Grants2

  1. Measuring Cultural Competence and Racial Bias Among Physicians
    Somnath Saha; Fiscal Year: 2007
    ..These tools are needed to inform and evaluate future interventions to reduce pervasive racial disparities in health care quality and outcomes. ..