Research Topics
| Richard KravitzSummaryAffiliation: University of California Country: USA Publications
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Publications
An academic-marketing collaborative to promote depression care: A tale of two culturesRichard L Kravitz
Department of Internal Medicine, University of California at Davis, Sacramento, USA Center for Healthcare Policy and Research, University of California at Davis, Sacramento, USA Electronic address
Patient Educ Couns 90:411-9. 2013..This paper aims to describe a collaboration between academic researchers and a marketing firm working to produce demographically targeted public service anouncements (PSAs) designed to enhance depression care-seeking in primary care...
Physician job satisfaction as a public health issueRichard L Kravitz
UC Davis Division of General Medicine, 4150 V, Street, Suite 2400 PSSB, Sacramento, CA, 95817, USA
Isr J Health Policy Res 1:51. 2012..The Commentary considers several possible solutions while advocating for rigorous and comprehensive monitoring of physician satisfaction over time...
Screening mammography beliefs and recommendations: a web-based survey of primary care physiciansShagufta Yasmeen
Department of Internal Medicine and Centre for Healthcare Policy and Research University of California Davis School of Medicine, Sacramento, California, USA
BMC Health Serv Res 12:32. 2012....
Influence of patient coaching on analgesic treatment adjustment: secondary analysis of a randomized controlled trialRichard L Kravitz
Department of Internal Medicine, University of California, Davis, Sacramento, California, USA
J Pain Symptom Manage 43:874-84. 2012..For patients with cancer-related pain and their physicians, routine oncology visits are an opportunity to adjust the analgesic regimen and secure better pain control. However, treatment intensification occurs haphazardly in practice...
Dealing with heterogeneity of treatment effects: is the literature up to the challenge?Nicole B Gabler
Center for Healthcare Policy and Research, University of California, Davis, California, USA
Trials 10:43. 2009..We undertook this literature sample to track the use of HTE analyses over time, examine the appropriateness of the statistical methods used, and explore the predictors of such analyses...
Physician career satisfaction within specialtiesJ Paul Leigh
Center for Healthcare Policy and Research and Department of Public Health Sciences, University of California, Davis, CA 95616 8638, USA
BMC Health Serv Res 9:166. 2009..Specialty-specific data on career satisfaction may be useful for understanding physician workforce trends and for counseling medical students about career options...
Survival enhancing indications for coronary artery bypass graft surgery in CaliforniaZhongmin Li
Division of General Internal Medicine and Center for Healthcare Policy and Research, University of California, Davis, Sacramento, CA, USA
BMC Health Serv Res 8:257. 2008..We performed this study to explore variations in clinical indications for CABG surgery among California hospitals and surgeons...
Editorial peer reviewers' recommendations at a general medical journal: are they reliable and do editors care?Richard L Kravitz
Department of Medicine, University of California Davis, Sacramento, California, United States of America
PLoS ONE 5:e10072. 2010..We examined the relationship between external reviewers' recommendations and the editorial outcome of manuscripts undergoing external peer-review at the Journal of General Internal Medicine (JGIM)...
Direct-to-consumer advertising of prescription drugs: balancing benefits and risks, and a way forwardR L Kravitz
Department of Internal Medicine, University of California, Davis, California, USA
Clin Pharmacol Ther 82:360-2. 2007
Evidence-based medicine, heterogeneity of treatment effects, and the trouble with averagesRichard L Kravitz
University of California, Davis, CA, USA
Milbank Q 82:661-87. 2004..Recognizing these factors, researchers can design studies that better characterize who will benefit from medical treatments, and clinicians and policymakers can make better use of the results...
Cancer Health Empowerment for Living without Pain (Ca-HELP): study design and rationale for a tailored education and coaching intervention to enhance care of cancer-related painRichard L Kravitz
Department of Internal Medicine, University of California Davis, School of Medicine, Sacramento, CA, USA
BMC Cancer 9:319. 2009..Cancer-related pain is common and under-treated. This article describes a study designed to test the effectiveness of a theory-driven, patient-centered coaching intervention to improve cancer pain processes and outcomes...
Influence of patients' requests for direct-to-consumer advertised antidepressants: a randomized controlled trialRichard L Kravitz
Center for Health Services Research in Primary Care, University of California, Davis, Sacramento, CA 95817, USA
JAMA 293:1995-2002. 2005..Critics charge that it leads to overprescribing, while proponents counter that it helps avert underuse of effective treatments, especially for conditions that are poorly recognized or stigmatized...
Networked for change? Identifying obstetric opinion leaders and assessing their opinions on caesarean deliveryRichard L Kravitz
Center for Health Services Research in Primary Care, University of California, Davis, 4150 V Street Suite 2500, Sacramento, CA 95817, USA
Soc Sci Med 57:2423-34. 2003..However, they did not consistently support policies designed to reduce the caesarean delivery rate. The results have implications for the generalizability of opinion leader strategies...
Marketing therapeutic precision: Potential facilitators and barriers to adoption of n-of-1 trialsRichard L Kravitz
Division of General Medicine and Center for Healthcare Policy and Research, University of California, Davis, Sacramento, California, 95817, USA
Contemp Clin Trials 30:436-45. 2009..To learn why, we interviewed physicians and patients, focusing on the perceived benefits and drawbacks of n-of-1 trials and factors influencing these perceptions...
N-of-1 trials of expensive biological therapies: a third way?Richard L Kravitz
Division of General Medicine and Center for Healthcare Policy and Research, University of California, Davis, School of Medicine, Sacramento, CA 95817, USA
Arch Intern Med 168:1030-3. 2008..In the primary model, the n-of-1 trial option was 15% more expensive than stepped care but 47% cheaper than open access to etanercept. More research is needed on the acceptability, safety, and generalizability of this promising approach...
Introduction: chronic medical conditions and depression--the view from primary careRichard L Kravitz
Department of Internal Medicine, University of California-Davis, Sacramento, California 95817, USA
Am J Med 121:S1-7. 2008
What ever happened to N-of-1 trials? Insiders' perspectives and a look to the futureRichard L Kravitz
University of California, Davis, USA
Milbank Q 86:533-55. 2008..Despite early enthusiasm, by the turn of the twenty-first century, few academic centers were conducting n-of-1 trials on a regular basis...
What drives referral from primary care physicians to mental health specialists? A randomized trial using actors portraying depressive symptomsRichard L Kravitz
Center for Health Services Research in Primary Care and Department of Internal Medicine, University of California Davis, Sacramento, CA 95817, USA
J Gen Intern Med 21:584-9. 2006..Referral from primary care to the mental health specialty sector is important but poorly understood...
Measuring patients' expectations and requestsR L Kravitz
University of California, Center for Health Services Research in Primary Care, Davis, Sacramento, CA 95817, USA
Ann Intern Med 134:881-8. 2001..For clinicians and policymakers alike, learning to elicit, evaluate, and understand patients' expectations will be a major task for the early part of the new century...
A taxonomy of requests by patients (TORP): a new system for understanding clinical negotiation in office practiceR L Kravitz
Department of Internal Medicine, and the Center for Health Services Research in Primary Care, University of California, Davis, USA
J Fam Pract 48:872-8. 1999..The goal of our investigation was to facilitate research on clinical negotiation between patients and physicians by developing a reliable and valid classification system for patients' requests in office practice...
Relational barriers to depression help-seeking in primary careRichard L Kravitz
Department of Internal Medicine, Division of General Medicine, University of California Davis School of Medicine, Sacramento, CA 95817, USA
Patient Educ Couns 82:207-13. 2011..To identify attitudinal and interpersonal barriers to depression care-seeking and disclosure in primary care and in so doing, evaluate the primary care paradigm for depression care in the United States...
Comparing the use of physician time and health care resources among patients speaking English, Spanish, and RussianR L Kravitz
UC Davis Division of General Medicine and Center for Health Services Research in Primary Care, Sacramento, California 95817, USA
Med Care 38:728-38. 2000..The number of US residents with limited English proficiency (LEP) is 14 million and rising. The goal of this study was to estimate the effects of LEP on physician time and resource use...
Measuring the clinical consistency of panelists' appropriateness ratings: the case of coronary artery bypass surgeryR L Kravitz
University of California, Davis, School of Medicine, Sacramento 95817, USA
Health Policy 42:135-43. 1997..To assess the clinical consistency of expert panelists' ratings of appropriateness for coronary artery bypass surgery...
Cancer Health Empowerment for Living without Pain (Ca-HELP): effects of a tailored education and coaching intervention on pain and impairmentRichard L Kravitz
Department of Internal Medicine and Center for Healthcare Policy and Research, University of California at Davis, Sacramento, CA 95817, USA
Pain 152:1572-82. 2011..10). We conclude that TEC, compared with EUC, resulted in improved pain communication self-efficacy and temporary improvement in pain-related impairment, but no improvement in pain severity...
Tracking career satisfaction and perceptions of quality among US obstetricians and gynecologistsRichard L Kravitz
Center for Health Services Research in Primary Care, Division of General Internal Medicine, University of California, Davis Medical Center, Sacramento, California 95817, USA
Obstet Gynecol 102:463-70. 2003....
Request fulfillment in office practice: antecedents and relationship to outcomesRichard L Kravitz
Department of Medicine, Center for Health Services Research in Primary Care, University of California, Davis, Sacramento 95817, USA
Med Care 40:38-51. 2002..Patients communicate their desires and expectations largely by making requests. However, the antecedents and consequences of request fulfillment have received limited attention...
Depressive symptoms moderated the effect of chronic illness self-management training on self-efficacyAnthony Jerant
Department of Family and Community Medicine, University of California Davis School of Medicine UCDSOM, 4860 Y Street, Suite 2300, Sacramento, CA 95817, USA
Med Care 46:523-31. 2008..Current theories and data concerning the potential moderating effect of depressive symptoms on interventions to enhance patient chronic illness self-management self-efficacy are conflicting...
Health selection among migrants from Mexico to the U.S.: childhood predictors of adult physical and mental healthJoshua Breslau
University of California, Davis, School of Medicine, Department of Internal Medicine, Ticon 1, 2000 Stockton Blvd, Ste 210, Sacramento, CA 95817, USA
Public Health Rep 126:361-70. 2011..We tested whether positive selection on childhood predictors of adult mental and physical health contributed to health advantages of Mexican-born immigrants to the United States relative to U.S.-born Mexican Americans...
Characterizing patient requests and physician responses in office practiceRichard L Kravitz
UC Davis Center for Health Services Research in Primary Care, Sacramento, CA 95817, USA
Health Serv Res 37:217-38. 2002..In addition, the system appears applicable to both generalist and specialist practices. More experience with the system is necessary to appraise TORP's ability to predict important clinical outcomes...
Do patient requests for antidepressants enhance or hinder physicians' evaluation of depression? A randomized controlled trialMitchell D Feldman
Division of General Internal Medicine, Department of Medicine, University of California, San Francisco, USA
Med Care 44:1107-13. 2006....
Primary care visit length, quality, and satisfaction for standardized patients with depressionEstella M Geraghty
Division of General Medicine, Department of Internal Medicine, UC Davis, Sacramento, CA, USA
J Gen Intern Med 22:1641-7. 2007..The contribution of physician and organizational factors to visit length, quality, and satisfaction remains uncertain, in part, because of confounding by patient presentation...
When help becomes a hindrance: mental health referral systems as barriers to care for primary care physicians treating patients with Alzheimer's diseaseCarol E Franz
Department of Psychiatry, University of California, San Diego, CA, USA
Am J Geriatr Psychiatry 18:576-85. 2010..To describe structural barriers to mental health specialists and consequences of these barriers to care for patients with dementia and neuropsychological symptoms and their primary care physicians (PCPs)...
Let's not talk about it: suicide inquiry in primary careMitchell D Feldman
Division of General Internal Medicine, Department of Medicine, University of California, San Francisco, Calif, USA
Ann Fam Med 5:412-8. 2007..The purpose of this study was to ascertain physician characteristics associated with exploring suicidality in patients with depressive symptoms and the influence of patient antidepressant requests...
Migration from Mexico to the United States and subsequent risk for depressive and anxiety disorders: a cross-national studyJoshua Breslau
Department of Internal Medicine, University of California, Davis, School of Medicine, Sacramento, CA 95817, USA
Arch Gen Psychiatry 68:428-33. 2011..Migration is suspected to increase risk for depressive and anxiety disorders...
Heterogeneity of treatment effects: implications for guidelines, payment, and quality assessmentSheldon Greenfield
Center for Health Policy Research, Department of Medicine, University of California Irvine School of Medicine, Irvine, California 92697 5800, USA
Am J Med 120:S3-9. 2007..We also examine strategies for understanding and managing HTE in practice, to increase the usefulness of trial results...
Nonmedical influences on the use of cholinesterase inhibitors in dementia careCarol E Franz
University of California, San Diego, La Jolla, CA 92093, USA
Alzheimer Dis Assoc Disord 21:241-8. 2007..Physicians reported feeling pressured by families to prescribe ChEI. Under these ambiguous conditions, some physicians prescribed medications simply to be able to offer "something" to patients...
Physician wages across specialties: informing the physician reimbursement debateJ Paul Leigh
Center for Healthcare Policy and Research, Department of Public Health Sciences, University of California Davis School of Medicine, USA
Arch Intern Med 170:1728-34. 2010..Previous studies have compared annual incomes across specialties unadjusted for work hours. Wage (earnings-per-hour) comparisons could better inform the physician payment debate...
Practice constraints, behavioral problems, and dementia care: primary care physicians' perspectivesLadson Hinton
Department of Psychiatry and Behavioral Sciences and Alzheimer s Disease Center, UC Davis, Sacramento, California 95817, USA
J Gen Intern Med 22:1487-92. 2007..To examine how practice constraints contribute to barriers in the health care of persons with dementia and their families, particularly with respect to behavioral aspects of care...
Getting to "no": strategies primary care physicians use to deny patient requestsDebora A Paterniti
Division of General Medicine, University of California Davis, 4150 V Street, Sacramento, CA 95817, USA
Arch Intern Med 170:381-8. 2010..Physicians need strategies for addressing patient requests for medically inappropriate tests and treatments. We examined communication processes that physicians use to deal with patient requests of questionable appropriateness...
Training residents to employ self-efficacy-enhancing interviewing techniques: randomized controlled trial of a standardized patient interventionAnthony Jerant
Department of Family and Community Medicine, University of California Davis School of Medicine, 4860 Y Street, Suite 2300, Sacramento, CA 95618, USA
J Gen Intern Med 24:606-13. 2009..Current interventions to enhance patient self-efficacy, a key mediator of health behavior, have limited primary care application...
Do antidepressant advertisements educate consumers and promote communication between patients with depression and their physicians?Robert A Bell
Department of Communication, University of California, Davis, CA 95616, USA
Patient Educ Couns 81:245-50. 2010..To examine how online depression support group members respond to direct-to-consumer (DTC) antidepressant advertising...
Physician counseling for hypertension: what do doctors really do?Robert A Bell
Department of Communication, University of California, Davis, CA 95616, United States
Patient Educ Couns 72:115-21. 2008..To describe patient counseling by physicians on hypertension and lifestyle and assess its impact on participants' satisfaction...
Third-person effects and direct-to-consumer advertisements for antidepressantsLaramie D Taylor
Communication Department, University of California, Davis, California 95616, USA
Depress Anxiety 28:160-5. 2011..Past Previous research has also found a link between depression and diminished self-serving biases; whether this would be the case for TPE is unknown...
Encouraging patients with depressive symptoms to seek care: a mixed methods approach to message developmentRobert A Bell
Department of Communication, University of California, Davis, CA 95616, USA
Patient Educ Couns 78:198-205. 2010..To assess the message preferences of individuals affected by depression as part of a project that will evaluate interventions to encourage at-risk patients to talk to their physicians about depression...
Can patient coaching reduce racial/ethnic disparities in cancer pain control? Secondary analysis of a randomized controlled trialDonna Kalauokalani
Department of Anesthesiology and Pain Medicine, Division of Pain Medicine, University of California, Davis, California, USA
Pain Med 8:17-24. 2007..Therefore, we examined whether patient coaching could reduce disparities in pain control in a secondary analysis of a randomized controlled trial...
Patient preferences for physician characteristics in university-based primary care clinicsJorge A Garcia
Department of Internal Medicine Division of General Medicine, Center for Health Services Research in Primary Care, University of California, Davis School of Medicine, Sacramento, California 95817 1498, USA
Ethn Dis 13:259-67. 2003..To examine patient preferences for age-,gender-, and racial/ethnic-concordant primary care physicians...
Use of conventional and complementary health care during the transition to menopause: longitudinal results from the Study of Women's Health Across the Nation (SWAN)Yali A Bair
Center for Health Services Research in Primary Care, University of California at Davis, 2103 Stockton Blvd, Suite 2224, Sacramento, CA 95817, USA
Menopause 12:31-9. 2005....
Direct observation of requests for clinical services in office practice: what do patients want and do they get it?Richard L Kravitz
Center for Health Services Research in Primary Care, University of California, Davis, Sacramento, CA 95817, USA
Arch Intern Med 163:1673-81. 2003..However, little is known about the nature, frequency, and impact of such requests. We performed this study to ascertain the prevalence, antecedents, and consequences of patients' requests for clinical services in ambulatory practice...
Mandating coverage of biologic therapies for rheumatic disease: where evidence and politics meetYali A Bair
Center for Health Services Research in Primary Care, University of California Davis, 2103 Stockton Boulevard, Sacramento, CA 95817, USA
Arthritis Rheum 55:353-4. 2006..We hope that the readership of Arthritis Care & Research find this article informative as an exemplar of the policies that could dramatically alter the welfare of our patients...
Combined use of rapid D-dimer testing and estimation of clinical probability in the diagnosis of deep vein thrombosis: systematic reviewTonya L Fancher
Division of General Medicine, University of California at Davis, Patient Support Services Building, Suite 2400, Sacramento, California 95817, USA
BMJ 329:821. 2004..To summarise the evidence supporting the use of rapid d-dimer testing combined with estimation of clinical probability to exclude the diagnosis of deep venous thrombosis among outpatients...
Unmet expectations for care and the patient-physician relationshipRobert A Bell
Department of Communication, University of California Davis, Davis, Calif 95616, USA
J Gen Intern Med 17:817-24. 2002..To profile patients likely to have unmet expectations for care, examine the effects of such expectations, and investigate how physicians' responses to patients' requests affect the development of unfulfilled expectations...
Physician career satisfaction across specialtiesJ Paul Leigh
Center for Health Services Research in Primary Care, PSSB Suite 2500, UCD Medical Center, Sacramento, CA 95817, USA
Arch Intern Med 162:1577-84. 2002..The career satisfaction and dissatisfaction physicians experience likely influence the quality of medical care...
Connoisseurs of care? Unannounced standardized patients' ratings of physiciansMalathi Srinivasan
University of California Davis School of Medicine, Davis, California, USA
Med Care 44:1092-8. 2006..Using unannounced standardized patients (SPs) may overcome some of these limitations because their experience and training make them able judges of physician behavior...
Developing indicators of nursing quality to evaluate nurse staffing ratiosMargaret Blakeman Hodge
University of California Davis Medical Center, Center for Nursing Research, Sacramento, Calif 95817, USA
J Nurs Adm 32:338-45. 2002..The results of this project demonstrate that this is a useful method for identifying indicators appropriate for use in outcomes research with a focus on structural predictors of quality in healthcare...
Effects of a tailored interactive multimedia computer program on determinants of colorectal cancer screening: a randomized controlled pilot study in physician officesAnthony Jerant
Department of Family and Community Medicine DF and CM, University of California Davis UCD School of Medicine SOM, 4860 Y Street, Suite 2300, Sacramento, CA 95817, United States
Patient Educ Couns 66:67-74. 2007..Screening reduces colorectal cancer (CRC) mortality and is cost-effective, yet uptake is suboptimal. We developed and evaluated a personally tailored interactive multimedia computer program (IMCP) to encourage CRC screening...
Depression treatment preferences of Hispanic individuals: exploring the influence of ethnicity, language, and explanatory modelsErik Fernandez y Garcia
Department of Pediatrics, Division of General Pediatrics, University of California Davis School of Medicine, USA
J Am Board Fam Med 24:39-50. 2011..Specifically, we examined factors associated with medication preferences in non-Hispanic white and Spanish-speaking and English-speaking Hispanic persons...
Do the incentives in 3-tier pharmaceutical benefit plans operate as intended? Results from a physician leadership surveyWilliam H Shrank
Division of General Internal Medicine, VA Greater Los Angeles Health Care System, Los Angeles, Calif 90073, USA
Am J Manag Care 11:16-22. 2005..Three-tier pharmaceutical benefit systems use graded co-payments to steer patients toward "preferred" formulary medications...
A new instrument to measure appropriateness of services in primary careDavid H Thom
Department of Family and Community Medicine, University of California, San Francisco 94110, USA
Int J Qual Health Care 16:133-40. 2004..To develop a new instrument for judging the appropriateness of three key services (new prescription, diagnostic test, and referral) as delivered in primary care outpatient visits...
Physician communication when prescribing new medicationsDerjung M Tarn
Department of Family Medicine, David Geffen School of Medicine, University of California, Los Angeles, 10880 Wilshire Blvd, Suite 1800, Los Angeles, CA 90024, USA
Arch Intern Med 166:1855-62. 2006..This article describes and assesses the quality of physician communication with patients about newly prescribed medications...
Attributes affecting the medical school primary care experienceAnthony Jerant
Department of Family and Community Medicine, University of California, Davis, School of Medicine, Sacramento, California, USA
Acad Med 85:605-13. 2010..The authors sought to identify such attributes and weight their importance...
The CABG surgery volume-outcome relationship: temporal trends and selection effects in California, 1998-2004James P Marcin
Department of Pediatrics, UC Davis Children s Hospital, and Center for Health Services Research in Primary Care, 2516 Stockton Boulevard, Sacramento, CA 95817, USA
Health Serv Res 43:174-92. 2008....
Nurse-patient ratios: a systematic review on the effects of nurse staffing on patient, nurse employee, and hospital outcomesThomas A Lang
Tom Lang Communications, Murphys, CA, USA
J Nurs Adm 34:326-37. 2004..To determine whether the peer-reviewed literature supports specific, minimum nurse-patient ratios for acute care hospitals and whether nurse staffing is associated with patient, nurse employee, or hospital outcomes...
What are the public health effects of direct-to-consumer drug advertising?Elizabeth A Almasi
Stanford University, Stanford, California, USA
PLoS Med 3:e145. 2006..Critics argue that the information in the adverts is often biased and misleading, and that DTCA raises prescribing costs without net evidence of health benefits...
A decade of controversy: balancing policy with evidence in the regulation of prescription drug advertisingDominick L Frosch
Department of Medicine, University of California, Los Angeles, CA, USA
Am J Public Health 100:24-32. 2010..We propose guidelines for improving the utility of prescription drug advertising...
Diffusion of surgical techniques in early stage breast cancer: variables related to adoption and implementation of sentinel lymph node biopsyKimberly A Vanderveen
Department of Surgery, Division of Surgical Oncology, University of California, Davis, Cancer Center, 4501 X Street, Suite 3010, Sacramento, California 95817, USA
Ann Surg Oncol 14:1662-9. 2007....
Promise and perils for patients and physiciansRichard L Kravitz
Center for Health Services Research in Primary Care, University of California, Davis, Calif, USA
N Engl J Med 353:2735-9. 2005
Factors affecting physicians' responses to patients' requests for antidepressants: focus group studyAleksey Tentler
Rochester Center to Improve Communication in Health Care, Department of Family Medicine, University of Rochester School of Medicine and Dentistry, Rochester, NY, USA
J Gen Intern Med 23:51-7. 2008..The ways in which patients' requests for antidepressants affect physicians' prescribing behavior are poorly understood...
Neurologists' assessment of their ability to provide high quality careSteven P Ringel
Department of Neurology, University of Colorado Health Science Center, Denver 80262, USA
Neurology 61:612-5. 2003..S: To assess levels of professional satisfaction and distress in a national sample of neurologists and to compare neurologists with other physicians...
How does direct-to-consumer advertising (DTCA) affect prescribing? A survey in primary care environments with and without legal DTCABarbara Mintzes
Centre for Health Services and Policy Research, and the Department of Pharmacology and Therapeutics, University of British Columbia, Vancouver, BC
CMAJ 169:405-12. 2003..We compared prescribing decisions in a US setting with legal DTCA and a Canadian setting where DTCA of prescription drugs is illegal, but some cross-border exposure occurs...
Beliefs about control in the physician-patient relationship: effect on communication in medical encountersRichard L Street
Department of Communication, Texas A and M University, College Station, Tex 77843 4234, USA
J Gen Intern Med 18:609-16. 2003..g., shared control vs doctor control) were related to their communications styles and adaptations (i.e., how they responded to the communication of the other participant)...
Licensed caregiver characteristics and staffing in California acute care hospital unitsMargaret Blakeman Hodge
California State University Stanislaus, Turlock 95382, USA
J Nurs Adm 34:125-33. 2004..The authors describe the results of a California survey characterizing licensed caregivers, identifying staffing levels by unit type, and describing how staffing levels vary across hospital types...
Patient trust in the physician: relationship to patient requestsDavid H Thom
University of California at San Francisco School of Medicine, SF General Hospital, 1001 Potrero Avenue, Building 80 83, San Francisco, CA 94110, USA
Fam Pract 19:476-83. 2002..Patient trust is a key component of the patient-physician relationship. A previous qualitative study has suggested that a low level of trust is associated with unfulfilled requests...
Patient-centered communication during primary care visits for depressive symptoms: what is the role of physician personality?Benjamin P Chapman
Department of Psychiatry, University of Rochester Medical Center, Rochester, New York 14642, USA
Med Care 46:806-12. 2008..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...
Measuring patient-centered communication in patient-physician consultations: theoretical and practical issuesRonald M Epstein
Department of Family Medicine, University of Rochester, 1381 South Avenue, Rochester, NY 14620, USA
Soc Sci Med 61:1516-28. 2005..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...
Physician communication about the cost and acquisition of newly prescribed medicationsDerjung M Tarn
Department of Family Medicine, The David Geffen School of Medicine at UCLA, 10880 Wilshire Blvd, Ste 1800, Los Angeles, CA 90024, USA
Am J Manag Care 12:657-64. 2006..To describe the frequency and content of physician discussions about the cost and acquisition of new medications...
How much time does it take to prescribe a new medication?Derjung M Tarn
Department of Family Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CA 90024, USA
Patient Educ Couns 72:311-9. 2008..To measure the length of time spent discussing all aspects of new prescriptions and guideline-recommended aspects of counseling, and to evaluate factors associated with duration of discussion...
Caught in the act? Prevalence, predictors, and consequences of physician detection of unannounced standardized patientsCarol E Franz
University of California San Diego, Department of Psychiatry, La Jolla, CA 92093, USA
Health Serv Res 41:2290-302. 2006..Systematic assessment of detection is recommended when SPs are used in studies of clinical process and quality of care...
Physicians' shared decision-making behaviors in depression careHenry N Young
Social and Administrative Sciences Division, School of Pharmacy, University of Wisconsin Madison, Madison, USA
Arch Intern Med 168:1404-8. 2008..This study assesses the extent to which physicians enact SDM behaviors and describes factors associated with physicians' SDM behaviors within the context of depression care...
Providing health care services to the formerly homeless: a quasi-experimental evaluationAndrea L Ciaranello
Massachusetts General Hospital, USA
J Health Care Poor Underserved 17:441-61. 2006..At 6 months, residents at the intervention sites also experienced improved blood pressure control. There was no intervention effect on residents' access to specialists or on physical functioning, mental health, or dental health...
Ratings of physician communication by real and standardized patientsKevin Fiscella
University of Rochester School of Medicine, Rochester, NY, USA
Ann Fam Med 5:151-8. 2007..We wanted to compare ratings by real patients with ratings by standardized patients of physician communication...
Patient participation in medical consultations: why some patients are more involved than othersRichard L Street
Department of Communication, Texas A and M University, College Station 77843 4234, and Houston Center for Quality of Care and Utilization Studies, Veterans Affairs Medical Center, Texas, USA
Med Care 43:960-9. 2005..Because more active patient participation contributes to improved health outcomes and quality of care, it is important to understand factors affecting the way patients communicate with healthcare providers...
Exploring and validating patient concerns: relation to prescribing for depressionRonald M Epstein
Department of Family Medicine, University of Rochester Medical Center, Rochester, NY 14610, USA
Ann Fam Med 5:21-8. 2007..This study examined moderating effects of physician communication behaviors on relationships between patient requests for antidepressant medications and subsequent prescribing...
Types of information physicians provide when prescribing antidepressantsHenry N Young
Social and Administrative Sciences Division, School of Pharmacy, University of Wisconsin, Madison, WI, USA
J Gen Intern Med 21:1172-7. 2006..Providing antidepressant information to patients may foster greater adherence to therapy...
Underuse of generic medicationsRichard L Kravitz
Med Care 45:107-8. 2007
Physicians' perceptions of relevant prescription drug costs: do costs to the individual patient or to the population matter most?William H Shrank
Division of Pharmacoepidemiology and Pharmacoeconomics, Brigham and Women s Hospital, Harvard Medical School, 1620 Tremont Street, Ste 3030, Boston, MA 02120, USA
Am J Manag Care 12:545-51. 2006..We evaluated physicians' perceptions about relevant costs for prescription drugs and the importance of communication about these costs...
Physicians' perceived knowledge of and responsibility for managing patients' out-of-pocket costs for prescription drugsWilliam H Shrank
Division of Pharmacoepidemiology and Pharmacoeconomics, Brigham and Women s Hospital, Harvard Medical School, Boston, MA 02120 1613, USA
Ann Pharmacother 40:1534-40. 2006..Most insurers in the US have implemented incentive-based formularies that rely on out-of-pocket costs to influence prescription drug utilization. Medicare Part D plans have broadly adopted such benefit designs...
Doing things better vs doing better thingsRichard L Kravitz
Ann Fam Med 3:483-5. 2005
Medical adherence research: time for a change in direction?Richard L Kravitz
Med Care 42:197-9. 2004
Influence of direct to consumer pharmaceutical advertising and patients' requests on prescribing decisions: two site cross sectional surveyBarbara Mintzes
Centre for Health Services and Policy Research, University of British Columbia, Vancouver BC, Canada V6T 1Z3
BMJ 324:278-9. 2002
Research Grants
- Targeted and Tailored Messages to Enhance Depression CareRichard L Kravitz; Fiscal Year: 2010..Then, in a randomized controlled trial conducted in primary care offices, the effects of the two programs on depression care and outcomes will be compared with each other and with a control group. ..
- Targeted and Tailored Messages to Enhance Depression CareRichard Kravitz; Fiscal Year: 2009..Then, in a randomized controlled trial conducted in primary care offices, the effects of the two programs on depression care and outcomes will be compared with each other and with a control group. ..
- Targeted and Tailored Messages to Enhance Depression CareRichard Kravitz; Fiscal Year: 2007..Then, in a randomized controlled trial conducted in primary care offices, the effects of the two programs on depression care and outcomes will be compared with each other and with a control group. ..
- Improving Care for Comorbid Physical and Mental IllnessRichard Kravitz; Fiscal Year: 2007..abstract_text> ..
- Consumer Influences of Treatment of DepressionRichard Kravitz; Fiscal Year: 2004..e., should DTCA be further regulated?) while also contributing to our understanding of the social influences on diagnosis and treatment of depression in primary care settings. ..
- Targeted and Tailored Messages to Enhance Depression CareRichard L Kravitz; Fiscal Year: 2010..Then, in a randomized controlled trial conducted in primary care offices, the effects of the two programs on depression care and outcomes will be compared with each other and with a control group. ..
