E F Ellerbeck

..The infrastructure and organization of AMI care in rural and urban Kansas hospitals was examined...

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..To date, an evaluation of the formulation of implementation intentions for breast cancer screening has not been conducted with minority populations...

..Although practices varied widely in their care of patients with diabetes, as currently implemented, office system tools have not led to consistently better performance...

..These hospitalizations may represent a missed opportunity to address immunizations. Addressing these missed immunizations could provide an opportunity for CAHs to gain practical experience in data-driven quality improvement...

..Although organizational change has been advocated as a critical component of quality improvement, there is little data available on the variation and effectiveness of organizational elements in the care of acute myocardial infarction (AMI)...

..We conducted this study to examine the relationship between these characteristics and the frequency of physician-initiated smoking cessation interventions...

..Cigarette smoking is a chronic, relapsing illness that is inadequately addressed in primary care practice...

..The frequency of CRC discussions in physician offices varies widely. More widespread implementation of simple office systems, such as flow sheets, is needed to improve CRC screening rates...

..Our goals were to determine how often family physicians incorporate smoking cessation efforts into routine office visits and to examine the effect of patient, physician, and office characteristics on the frequency of these efforts...

..To describe the design, implementation, baseline data, and feasibility of establishing a disease management program for smoking cessation in rural primary care...

..Rural communities are adversely impacted by increased rates of tobacco use. Rural residents may be exposed to unique communal norms and other factors that influence smoking cessation...

..The aim of this study was to examine utilization of and trends in fecal occult blood testing (FOBT) among beneficiaries since Medicare began FOBT coverage on January 1, 1998...

..Future studies should examine the potential to improve self-efficacy by addressing depression and autonomous motivation...

..These patients may be critical targets for broaching issues of home smoking restrictions...

..Develop and validate a contemporary bleeding risk model to guide the clinical use of warfarin in the elderly atrial fibrillation (AF) population...

..This may be particularly important for rural smokers who have less access to smoking cessation resources than others. This study describes long-term engagement in counseling for smoking cessation and factors associated with engagement...

..Although some comorbid conditions and concurrent drug therapies were considered contraindications, particularly to bupropion, physicians rarely considered these clinically significant risks enough to deny pharmacotherapy...

..The efficacy of smoking cessation interventions for hospital patients has been well described, but we know little regarding implementation and outcomes of real-world programs...

..Future research is warranted to determine the subpopulations with which MI is most effective...

..People with poor access to medical care are more likely to smoke but are less likely to receive nicotine dependence treatment...

..Dissatisfaction with mammography could lead to lower routine mammography adherence. The purpose of this study was to use qualitative research methods to assess patient satisfaction with all stages of the mammography experience...

..To determine the frequency with which atrial fibrillation (AF) patients receiving warfarin are prescribed interacting drugs that could increase bleeding risks...

..3; 95% CI, 0.34, 4.9). ACE inhibitor use in the Kansas Medicaid congestive heart failure population is not consistent with practice guidelines, particularly among older and/or nursing home patients...

..Future research is warranted to examine the benefits of group phone-based treatment for long-term management of obesity among rural populations...

..This study assessed the impact of patient, physician, and practice characteristics on rural primary care patient receipt of CRC screening...

..Breast cancer screening rates are lower in rural communities. Although studies have addressed barriers to mammography for rural residents, physician practice barriers have received less attention...

..The goal of this study was to examine mammography facility characteristics and explore how such characteristics may impact repeat mammography use...

..Promoting access to national CI sources could bridge the CI needs gap that exists in rural areas currently...

..99). CONCLUSION: The majority of Kansans live near a mammography facility. Although there is a large variation in county-level mammography rates across Kansas, this disparity is not well explained by proximity to mammography facilities...

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..Strategies targeting both physician and the health care system may improve the consistency of physician preventive counseling practices...

..27%, respectively; p < 0.05). Anticoagulation rates for high-risk patients with atrial fibrillation were low and poorly explained by stroke or bleeding risks...

..This paper examines differences in predictors of abstinence following initial (6-month) and extended (24-month) intervention...

..Little is known about differences between current patterns of antiresorptive therapy (ART) use in nursing facility (NF) residents and by community-dwelling older adults (CDs). ART use was compared in older NF residents and CDs...

..Further studies are needed to determine the relationship of postinfarction lipid subfractions and mortality in older patients with coronary artery disease (CAD)...

..Bleeding risks from combined antiplatelet-warfarin therapy have not been well-described in clinical practice. We examined antiplatelet therapy among warfarin users and the impact on major bleeding rates...

..Interventions to reduce these disparities should be an integral part of overall efforts to improve CRC prevention and control...

..In this follow-up to Kan Quit we will see if disease management for hospitalized smokers can increase use of effective pharmaco- therapy, improve communication with health care providers, and increase rates of smoking cessation. ..

..If successful, this intervention will provide a generalizable model for addressing nicotine dependence that could improve long-term management of smoking in primary care. ..

..Overall, the program is designed to increase the number of program Scholars who apply for and receive extramural funding for clinical research at both the novice and transitional investigator levels. ..

..If successful, this intervention will provide a generalizable model for addressing nicotine dependence that could improve long-term management of smoking in primary care. ..

..In this follow-up to Kan Quit we will see if disease management for hospitalized smokers can increase use of effective pharmaco- therapy, improve communication with health care providers, and increase rates of smoking cessation. ..