Affiliation: Oregon Health and Science University
- Primary care provider cultural competence and racial disparities in HIV care and outcomesSomnath 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...
- The role of cultural distance between patient and provider in explaining racial/ethnic disparities in HIV careSomnath 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...
- Reducing language barriers and racial/ethnic disparities in health care: an investment in our futureSomnath Saha
J Gen Intern Med 22:371-2. 2007
- Communicative competence: a framework for understanding language barriers in health careJessica Gregg
J Gen Intern Med 22:368-70. 2007
- Are preventable hospitalizations sensitive to changes in access to primary care? The case of the Oregon Health PlanSomnath 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....
- Language barriers in health careSomnath Saha
Section of General Internal Medicine, Portland VA Medical Center, Portland, OR, USA
J Gen Intern Med 22:281-2. 2007
- Race-neutral versus race-conscious workforce policy to improve access to careSomnath 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...
- Racial and ethnic disparities in the VA health care system: a systematic reviewSomnath 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...
- Patient centeredness, cultural competence and healthcare qualitySomnath 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...
- Trust in physicians and racial disparities in HIV careSomnath 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...
- The impact of patient-centered communication on patients' decision making and evaluations of physicians: a randomized study using video vignettesSomnath 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...
- Student body racial and ethnic composition and diversity-related outcomes in US medical schoolsSomnath 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...
- Explaining low ratings of patient satisfaction among Asian-AmericansSomnath 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...
- Patient-physician relationships and racial disparities in the quality of health careSomnath 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...
- 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...
- The art and science of incorporating cost effectiveness into evidence-based recommendations for clinical preventive servicesS 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...
- Impact of patient race on patient experiences of access and communication in HIV careP 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...
- Transforming clinical practice to eliminate racial-ethnic disparities in healthcareDonna 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...
- Substance use and the quality of patient-provider communication in HIV clinicsP 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...
- Patient activation and improved outcomes in HIV-infected patientsREBECCA MARSHALL
Department of Psychiatry, Oregon Health and Science University, Portland, OR, USA
J Gen Intern Med 28:668-74. 2013....
- Patient and provider comfort discussing substance useMoira 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...
- HIV providers' perceptions of and attitudes toward female versus male patientsOni 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...
- Methodological shortcomings predicted lower harm estimates in one of two sets of studies of clinical interventionsRoger 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...
- Higher quality communication and relationships are associated with improved patient engagement in HIV careTabor 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...
- Motivational interviewing by HIV care providers is associated with patient intentions to reduce unsafe sexual behaviorTabor 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...
- Health-related quality of life in HIV-infected patients: the role of substance useP 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...
- Losing culture on the way to competence: the use and misuse of culture in medical educationJessica 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...
- Cost-effectiveness of echocardiography to identify intracardiac thrombus among patients with first stroke or transient ischemic attackRichard 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...
- Pressure ulcer treatment strategies: a systematic comparative effectiveness reviewM 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...
- Post-discharge intervention in vulnerable, chronically ill patientsDevan 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...
- Teaching systems-based practice to residents by using independent study projectsElizabeth 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...
- Career and time management strategies for clinical and health services researchersNancy 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
- Out-of-hospital decision making and factors influencing the regional distribution of injured patients in a trauma systemCraig 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...
- Physician race and ethnicity, professional satisfaction, and work-related stress: results from the Physician Worklife StudyM 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...
- Student perspectives on diversity and the cultural climate at a U.S. medical schoolRobert Hung
Rush University Medical Center, Chicago, Illinois, USA
Acad Med 82:184-92. 2007....
- The relevance of cultural distance between patients and physicians to racial disparities in health careSomnath Saha
J Gen Intern Med 21:203-5. 2006
- Reducing racial bias among health care providers: lessons from social-cognitive psychologyDiana 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...
- Racial and ethnic differences in patient perceptions of bias and cultural competence in health careRachel 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....
- Quality of adverse event assessment in randomized controlled trials and observational studiesRoger Chou
Mayo Clin Proc 78:119; author reply 119. 2003
- The cost-effectiveness of screening mammography beyond age 65 years: a systematic review for the U.S. Preventive Services Task ForceJeanne 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...
- The Latina paradox: an opportunity for restructuring prenatal care deliveryMichael 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...
- The inherent inequities of market-based health care reformSomnath Saha
J Gen Intern Med 21:1211-2. 2006
- Improving literacy as a means to reducing health disparitiesSomnath Saha
J Gen Intern Med 21:893-5. 2006
- Free to be you and me?Mary Catherine Beach
J Gen Intern Med 20:312-3. 2005
- Measuring Cultural Competence and Racial Bias Among PhysiciansSomnath 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. ..