Research Topics
| M L ParchmanSummaryAffiliation: University of Texas Health Science Center Country: USA Publications
Research Grants
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Detail Information
Publications
Family support and diet barriers among older Hispanic adults with type 2 diabetesLonnie K Wen
VERDICT, South Texas Veterans Health Care System, San Antonio, Texas 78229-4404, USA
Fam Med 36:423-30. 2004..For those with poorly functioning families or low levels of family support, family-level interventions may need to be considered...
Initiation of insulin among veterans with type 2 diabetes and sustained elevation of A1cMichael L Parchman
University of Texas Health Science Center San Antonio, TX 78229, United States
Prim Care Diabetes 6:19-25. 2012..To examine if the relationship between insulin initiation and glycemic control among veterans with poorly controlled type 2 diabetes (T2DM) varies by the number of oral-glucose-lowering-medication classes used prior to insulin initiation...
The importance of organizational characteristics for improving outcomes in patients with chronic disease: a systematic review of congestive heart failureLuci K Leykum
South Texas Veterans Health Care System and Department of Medicine, University of Texas Health Science Center at San Antonio, San Antonio TX, 78229, USA
Implement Sci 5:66. 2010....- Reciprocal learning and chronic care model implementation in primary care: results from a new scale of learning in primary careLuci K Leykum
Department of Medicine, University of Texas Health Science Center, San Antonio, TX, USA
BMC Health Serv Res 11:44. 2011.... - Patterns of primary care and mortality among patients with schizophrenia or diabetes: a cluster analysis approach to the retrospective study of healthcare utilizationLaurel A Copeland
VERDICT Research, South Texas Veterans Health Care System, San Antonio, TX, USA
BMC Health Serv Res 9:127. 2009..We also assessed whether such patterns of primary care use were a significant predictor of mortality over a 4-year period... - A pilot survey of post-deployment health care needs in small community-based primary care clinicsPolly H Noel
VERDICT, Central Texas Veterans Health Care System Scott and White, 7400 Merton Minter Blvd, San Antonio, Texas 78229, USA
BMC Fam Pract 12:79. 2011..Relatively little is known regarding to what extent community-based primary care physicians are encountering post-deployment health care needs among veterans of the Afghanistan or Iraq conflicts and their family members... - Competing demands or clinical inertia: the case of elevated glycosylated hemoglobinMichael L Parchman
VERDICT Health Services Research Center, South Texas Veterans Health Care System, San Antonio, Tex 78229 4404, USA
Ann Fam Med 5:196-201. 2007..This study aimed to examine the contribution of competing demands to changes in hypoglycemic medications and to return appointment intervals for patients with type 2 diabetes and an elevated glycosylated hemoglobin (A1c) level... - Glucose control, self-care behaviors, and the presence of the chronic care model in primary care clinicsMichael L Parchman
Department of Family and Community Medicine University of Texas Health Science Center San Antonio, San Antonio, Texas, USA
Diabetes Care 30:2849-54. 2007.... - Risk of coronary artery disease in type 2 diabetes and the delivery of care consistent with the chronic care model in primary care settings: a STARNet studyMichael L Parchman
Veterans Affairs HSR and D, South Texas Veterans Health Care System Verdict, University of Texas Health Science Center, San Antonio, Texas 78229 4404, USA
Med Care 45:1129-34. 2007..Modifiable risks for coronary heart disease (CHD) in type 2 diabetes include glucose, blood pressure, lipid control, and smoking. The chronic care model (CCM) provides an organizational framework for improving these outcomes... - Are elements of the chronic care model associated with cardiovascular risk factor control in type 2 diabetes?Michael Parchman
Department of Family and Community Medicine, The University of Texas Health Science Center at San Antonio, USA
Jt Comm J Qual Patient Saf 35:133-8. 2009..The relationship between control of CV risk factors, patient self-care behaviors, and the presence of CCM (Chronic Care Model) components across multiple primary care clinic settings was examined... - Communication competence, self-care behaviors and glucose control in patients with type 2 diabetesMichael L Parchman
Department of Family and Community Medicine, University of Texas Health Science Center, San Antonio, TX 78229 4404, USA
Patient Educ Couns 77:55-9. 2009..To examine the relationship between physician communication competence and A1c control among Hispanics and non-Hispanics seen in primary care practices... - Risk factors for methicillin-resistant Staphylococcal aureus skin and soft tissue infections presenting in primary care: a South Texas Ambulatory Research Network (STARNet) studyMichael L Parchman
Department of Family and Community Medicine, University of Texas Health Science Center, San Antonio, Texas, USA
J Am Board Fam Med 22:375-9. 2009..To examine skin and soft tissue infections presenting at 4 primary care clinics and assess if historical risk factors and examination findings were associated with a positive methicillin-resistant Staphylococcus aureus (MRSA) culture... - Participatory decision making, patient activation, medication adherence, and intermediate clinical outcomes in type 2 diabetes: a STARNet studyMichael L Parchman
VERDICT Health Services Research Program, South Texas Veterans Health Care System, San Antonio, Texas 78229 4404, USA
Ann Fam Med 8:410-7. 2010..Participatory decision making (PDM) is associated with improved diabetes control. We examine a causal model linking PDM to improved clinical outcomes that included patient activation and medication adherence... - Understanding the implementation of evidence-based care: a structural network approachMichael L Parchman
Family and Community Medicine Department, 7703 Floyd Curl Drive, University of Texas Health Science Center, San Antonio, Texas, 78229 3884, USA
Implement Sci 6:14. 2011..The purpose of this analysis is to examine the properties of a network created by the 'co-care' of patients within one region of the Veterans Health Affairs... - Encounters by patients with type 2 diabetes--complex and demanding: an observational studyMichael L Parchman
Department of Family and Community Medicine, University of Texas Health Science Center, San Antonio, Tex, USA
Ann Fam Med 4:40-5. 2006..We wanted to examine the relationships between quality of diabetes care delivered, the type and length of encounter, and time to the next follow-up encounter... - Primary care attributes, health care system hassles, and chronic illnessMichael L Parchman
VERDICT Health Services Research Center South Texas Veterans Health Care System, TX 78229 4404, USA
Med Care 43:1123-9. 2005..Although most patients with a chronic illness are managed by primary care clinicians, little is known about how the attributes of primary care might be related to health care system hassles... - Access to and use of ambulatory health care by a vulnerable Mexican American population on the U.S.-Mexico borderM Parchman
Department of Family Practice, University of Texas Health Sciences Center, San Antonio, USA
J Health Care Poor Underserved 12:404-14. 2001..The lack of health insurance and a regular source of care for Mexican Americans on the U.S.-Mexico border creates significant inequalities in access to care... - Continuity of care, self-management behaviors, and glucose control in patients with type 2 diabetesMichael L Parchman
Department of Family and Community Medicine, University of Texas Health Sciences Center, San Antonio, TX 78229 3900, USA
Med Care 40:137-44. 2002..The influence of continuity of care on outcomes of care for patients with type 2 diabetes is poorly understood... - Geography and geographic information systems in family medicine researchMichael L Parchman
Department of Family and Community Medicine, University of Texas Health Sciences Center San Antonio, 78229 3900, USA
Fam Med 34:132-7. 2002..The analytic techniques used for analyzing spatial data depend on the type of data. Maps tell powerful stories and display relationships that may not be obvious using other techniques... - Continuity and quality of care in type 2 diabetes: a Residency Research Network of South Texas studyMicahel L Parchman
Department of Family Community Medicine, University of Texas Health Sciences Center San Antonio, 78229 3900, USA
J Fam Pract 51:619-24. 2002..We investigated the relationship between continuity of care and the quality of care received by patients with type 2 diabetes mellitus... - Preventable hospitalizations in primary care shortage areas. An analysis of vulnerable Medicare beneficiariesM L Parchman
Department of Family Practice, University of Texas, San Antonio, USA
Arch Fam Med 8:487-91. 1999..Recent studies suggest that potentially preventable hospitalizations may be useful for identifying poor ambulatory health care outcomes among vulnerable populations... - Stage of change advancement for diabetes self-management behaviors and glucose controlMichael L Parchman
Department of Family and Community Medicine, School of Public Health, 7703 Floyd Curl Drive MSC7795, San Antonio, TX 78229 3900, USA
Diabetes Educ 29:128-34. 2003..This study was conducted to evaluate whether patients with type 2 diabetes who participated in diabetes education advanced through stages of change for self-management behaviors and to determine if movement was related to glucose control... - The patient-physician relationship, primary care attributes, and preventive servicesMichael L Parchman
Department of Family and Community Medicine, University of Texas Health Science Center at San Antonio, San Antonio, TX 78229 3900, USA
Fam Med 36:22-7. 2004..This study examined whether there is an association among the length of the patient-physician relationship, various attributes of primary care, and the delivery of clinical preventive services to Medicare beneficiaries... - Understanding ambulatory care use by people with panic attacks: testing the behavioral model for vulnerable populationsDavid A Katerndahl
Department of Family and Community Medicine, University of Texas Health Science Center of San Antonio, 7703 Floyd Curl Drive, MSC 7795, San Antonio 78229-3900, USA
J Nerv Ment Dis 190:554-7. 2002 - Association between self-monitoring of blood glucose and glycemic control in patients with type 2 diabetes mellitusLonnie Wen
Clinical Education, Pfizer Inc, San Antonio, TX 78258, USA
Am J Health Syst Pharm 61:2401-5. 2004..CONCLUSION: SMBG was not associated with glycemic control in VA patients with type 2 diabetes mellitus managed on oral hypoglycemic medications... - The challenges of multimorbidity from the patient perspectivePolly Hitchcock Noel
VERDICT South Texas Veterans Healthcare System, 7400 Merton Minter Blvd, San Antonio, TX, USA
J Gen Intern Med 22:419-24. 2007..Although multiple co-occurring chronic illnesses within the same individual are increasingly common, few studies have examined the challenges of multimorbidity from the patient perspective... - Dynamical difference in patients encounters involving uncontrolled diabetes: an orbital decomposition analysisDavid Katerndahl
Department of Family and Community Medicine, University of Texas Health Science Center, San Antonio, TX 78229 3900, USA
J Eval Clin Pract 16:211-9. 2010..The purpose of this study was to compare dynamics of encounters with and without a hypoglycaemic medication change for patients with poorly controlled diabetes... - Cardiovascular disease in type 2 diabetes: Attributable risk due to modifiable risk factorsJohn Zeber
US Department of Veterans Affairs Health Services Research, San Antonio, TX 78229, USA
Can Fam Physician 56:e302-7. 2010..To examine the common clinical and behavioural factors that contribute to cardiovascular disease (CVD) risk (ie, attributable risk) among those with type 2 diabetes... - Association of suboptimal prescribing and change in lower extremity physical function over timeMary Jo V Pugh
South Texas Veterans Health Care System Verdict, University of Texas Health Science Center at San Antonio, San Antonio, Tex, USA
Gerontology 53:445-53. 2007..This study explores the relationship between suboptimal prescribing, comorbid disease, and change in lower extremity functional limitation (LEFL)... - Suboptimal medication use and mortality in an older adult community-based cohort: results from the Hispanic EPESE StudyDavid V Espino
Department of Family and Community Medicine, University of Texas Health Science Center at San Antonio, MC 7795, 7703 Floyd Curl Dr, 78229 3900, USA
J Gerontol A Biol Sci Med Sci 61:170-5. 2006..Our objective was to evaluate the relationship between polypharmacy, drug-drug interactions, and inappropriate medication use on the mortality of a community-based population of Mexican American older adults... - The Chronic Care Model and Exercise Discussions during Primary Care Diabetes EncountersNeela K Patel
Department of Family and Community Medicine, University of Texas Health Science Center at San Antonio, TX 78229 3900, USA
J Am Board Fam Med 24:26-32. 2011..Our objective was to study the relationship between the Chronic Care Model (CCM) score in the clinic and time spent by the physicians discussing exercise during encounters with diabetic patients... - Family support, diet, and exercise among older Mexican Americans with type 2 diabetesLonnie K Wen
Veterans Evidence based Research, Dissemination, and Implementation CenTer, South Texas Veterans Health Care System, San Antonio, USA
Diabetes Educ 30:980-93. 2004..The purpose of this study was to examine the relationship between diabetes-specific family support and other psychosocial factors with regard to diet and exercise self-care behavior among older Mexican Americans with type 2 diabetes... - Handheld computer use in U.S. family practice residency programsDan F Criswell
Oklahoma University Health Sciences Center, Lawton, Oklahoma, USA
J Am Med Inform Assoc 9:80-6. 2002..The purpose of the study was to evaluate the uses of handheld computers (also called personal digital assistants, or PDAs) in family practice residency programs in the United States... - The association between cotton and prevalence of rural childhood asthmaBrian J Kingston
Department of Family Medicine, Texas Tech University Health Sciences Center at Amarillo, USA
Tex Med 99:61-5. 2003..12). More importantly, this study did reveal a significantly higher prevalence of asthma among the fifth graders in rural West Texas than the prevalence predicted by the Centers for Disease Control and Prevention (P < .0001)...
Research Grants
- Diabetes and Cardiovascular Risks in Primary CareMichael Parchman; Fiscal Year: 2005....
- Improving Risk Factors for Diabetes Complications in Primary CareMichael Parchman; Fiscal Year: 2007..Sustainability of the intervention will be tested with 24 month data. Insights will be included in a delayed intervention conducted in control practices and evaluated in a pre-post design.. ..