Kevin Fiscella

..Little is known regarding the reliability of hospital coding for race and ethnicity particularly for Hispanics, Asians, and American Indians. We assessed these questions using hospital and mortality data from a large, diverse state...

..There is considerable interest in the influences on patients' ratings of physicians...

..Our goal was to assess primary care physicians' use of the 5A model in discussions with underserved populations about physical activity...

..Future research and prevention aimed at ameliorating SES health disparities may benefit from considering the risk clustering of social disadvantage and dispositional factors...

..To develop a reliable and valid computer coded measure to assess emotional expression from transcripts of physician-patient interactions...

..The causes of racial and ethnic disparities in preventive care are not fully understood. We examined the hypothesis that fewer primary care visits by minority patients contribute to these disparities...

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..We explored the strengths, limitations, and our own lessons learned about adopting the novel methodology of multiperspective analysis...

..Racial/ethnic disparities are assessed using either self-report or claims data. We compared these two data sources and examined contributors to discrepancies in estimates of disparities...

..Key health care reforms offer promise for doing so...

..We wanted to compare ratings by real patients with ratings by standardized patients of physician communication...

..There is limited high-quality evidence about the impact of patient navigation (PN) on outcomes for patients with diagnosed cancer...

..physical activity itself, and whether IL-6 levels may be reduced by boosting regular activity levels in demographic segments such as women and minorities who appear susceptible to greater inflammation...

..We sought to identify characteristics associated with favorable treatment in receipt of preventive healthcare services, from the perspective of resettled African refugee women...

..Aside from patient presentation, little is known about other influences on PCC. We investigated whether PCC is influenced by personality dispositions of primary care providers, independent of patient presentation...

..All participants were familiar with the process and rationale for immunizations and routine medical examinations; few understood cancer screening services...

..National self-report surveys show minimal racial disparity in mammography, whereas analyses of administrative data show large disparity...

..To understand how physicians communicate may contribute to the mistrust and poor clinical outcomes observed in patients who present with medically unexplained symptoms (MUS)...

..An enhanced understanding of the process of PN derived from our analyses will facilitate improvement in navigators' training and rational design of new PN programs to reduce disparities in cancer-related care...

..These findings suggest several features that can be tracked during studies involving mifepristone and, potentially, other progesterone receptor modulators...

..Blacks experience a number of health disparities. Sleep disturbances contribute to poor health. This preliminary study explores whether a disparity in sleep disturbances exists among blacks compared with whites and others...

..Explanations for the difference in prevalence are incomplete. Emerging data suggest that low vitamin D levels may contribute...

..We studied the relationship between patient-centered communication and diagnostic testing expenditures...

..Relatively little is known about the benefits of these interventions among unselected patients...

..A patient's educational level may affect a physician's diagnosis of angina and/or a patient's symptom recognition. The objective of this study was to determine whether low education is a risk factor for undiagnosed angina...

..The increasing influence of the PCC literature to guide medical education, licensure of clinicians, and assessments of quality provides a strong rationale for further clarification of these measurement issues...

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..Approximately 1% of patients leave hospitals against medical advice, but the clinical significance of premature hospital discharge is unknown, particularly after admission for acute myocardial infarction (AMI)...

..This will ensure that schools, particularly those serving large numbers of poor and minority children, have the resources necessary to promote optimal learning...

..To assess the effect of low-dose mifepristone on quality of life, pain, bleeding, and uterine size among women with symptomatic leiomyomata...

..We wanted develop a reliable and valid objective measure of patient-physician collaborative decision making, the Rochester Participatory Decision-Making Scale (RPAD)...

..Little is known about whether educational gradients in smoking patterns can be explained by financial measures of socioeconomic status (SES) and/or personality traits...

..Consider the following scenario...

..To examine risk factors and sequela for post partum discharge against medical advice...

..Findings are conflicting about the relationship between vitamin D levels and cardiovascular mortality. We wanted to determine the contribution of vitamin D levels to black-white disparities in cardiovascular mortality...

..We assessed differences in systolic blood pressure (SBP) control among white and black adults with a diagnosis of hypertension, and measured the impact of that difference on cardiovascular and cerebrovascular mortality among blacks...

..To conduct a pilot study to examine physician patient interaction when elderly patients are accompanied during a medical visit...

..We examined the rural-urban disparity of screening for breast cancer and colorectal cancer (CRC) among the elder Medicare beneficiaries and assessed rurality's independent impact on receipt of screening...

..Navigators' estimate of intensity independently predicts navigation time for cancer patients. Findings have implications for assigning navigator case loads...

..To examine the relationship between racial disparities in common primary care procedures and patient HMO membership and physician level of HMO participation...

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..To understand factors associated with primary care physician research participation in a practice-based research network (PBRN) and to compare perspectives by specialty...

..An understanding of relevant mechanisms may offer potential routes for its prevention and treatment in patients with cancer.Disclosure of potential conflicts of interest is found at the end of this article...

..Racial and ethnic disparities in influenza vaccination among the elderly are well documented, but their impact on minority mortality is unknown...

..We assessed whether a single concurrent peer review visit reduced clinical inertia and improved control of hypertension, hyperlipidemia, and diabetes control among underserved patients...

..Estimates of racial disparity in mammography appear to differ depending on the data source. This study examined the impact of different survey methodology on estimates of racial disparity in mammography...

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..We wanted to compare the risk of death from coronary heart disease (CHD) for patients of low socioeconomic status, measured by educational level, with established risk factors...

..The study assessed racial differences in vaginal pH among women without bacterial vaginosis...

..Inadequately treated drug and alcohol withdrawal in US jails appears widespread. Our data raise important ethical and constitutional questions...

..This paper reviews the literature related to potential causes of racial disparities in infant and maternal mortality...

..Given the complexity of polygenic conditions such as PTD, the possibility of any single gene contributing substantially to racial disparity in PTD seems remote...

..We wanted to examine how membership in a health maintenance organization (HMO) is related to delivery of preventive clinical services to patients with different educational levels...

..To understand the role of trust of medical institutions in the decision by elderly black Americans to receive pneumococcal and influenza vaccinations...

..To compare the effect of 5 and 10 mg of mifepristone on uterine leiomyoma size and symptoms, and to measure side effects...

..Racial and ethnic disparities in health care have been well documented, but poorly explained...

..These practices jeopardize the health and well-being of persons enrolled in methadone programs and underscore the need for uniform national policies within jails...

..The 5As (Ask, Advise, Agree, Assist, Arrange) are a clinical tool recommended for health behavior counseling in primary care...

..To evaluate cost-effectiveness of a tobacco dependence intervention based on self-determination theory (SDT) and consistent with the Public Health Service (PHS)-sponsored Clinical Practice Guideline for Treating Tobacco Use and Dependence...

..The study compared the content of primary care visits between physicians with larger and smaller African American practices...

..To examine the relationship between race and surgical complications...

..With effective implementation, improved alignment of resources with patient needs, and most importantly, revitalization of primary care, these reforms could measurably improve equity...

..These data can be used to assess disparities in care, pending availability of self-reported race/ethnicity data...

..We tested the hypothesis that weekly influenza epidemic activity is associated with annual and daily influenza vaccine receipt...

..These results show that many jails fail use recommended opiate detoxification procedures and highlight the need for uniform national standards for jail management of opiate dependence...

..HHS should actively support HIT to improve quality in CHCs. This will maximize HIT benefits, minimize costs, and ensure that CHCs have the tools to address the needs of vulnerable populations...

..Despite the potential importance of trust, there are few studies of its correlates using objective measures of physician behavior during encounters with patients...

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..The primary aim was to assess long-term effects of low-dose mifepristone on myoma regression, symptoms, and endometrial pathology. The secondary aim was to assess regrowth of myomas after cessation of mifepristone...

..Two "big ideas" offer promise including federal investment in early child education and enhanced primary care within federally qualified community health centers. The proposed criteria are applied to each proposed policy...

..The purpose of the study was to examine the potential of adding socioeconomic status (SES) to Framingham Risk Scoring (FRS) to improve coronary heart disease (CHD) prediction by SES...

..Strategies to facilitate reliable assessment of CRF are also discussed. Disclosure of potential conflicts of interest is found at the end of this article...

..Previous research shows that patient socioeconomic status (SES) affects health care, but little is known about the relative effects of patient and physician practice SES among privately insured patients...

..These show that patients' education has relatively small, but potentially important, effects on the outpatient delivery of primary care...

..Because of these differential sociodemographic relationships caution is urged when using self-rated health measures in research, clinical, and policy settings...

..Using unannounced standardized patients (SPs) may overcome some of these limitations because their experience and training make them able judges of physician behavior...

..1-3.2) was associated with preterm birth. CONCLUSION: Vaginal douching does not appear to be a strong risk factor for preterm birth. Further study is needed to confirm the risk that is associated with frequent or long-term douching...

..Prior literature suggests that blacks are more likely to be discharged against medical advice (DAMA)...

..To examine the impact of provider continuity on preventive care among adults who have a regular site of care...

..Multi-level modeling may contribute to better understanding of the relationships between physician style and patient outcomes...

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..Although cancer-related patient navigation interventions are being adopted increasingly across the United States and Canada, further research will be necessary to evaluate their efficacy and cost-effectiveness in improving cancer care...

..Little is known about racial disparities in primary care at the level of the office visit...

..Monitoring patient SES using patient zip codes could be used to target resources to improve outcomes for higher risk patients...