J F Steiner

..Our objective was to assess the effect of certain comorbid conditions on physical well being over time in a population of persons with chronic medical conditions; and to compare these effects to that of hypertension alone...

..A subjective measure of comorbidity that incorporates an assessment of disease severity may be particularly useful for assessing comorbidity for these investigations...

..In this study we sought to assess the relationship between the quantity of statin dispensed by the pharmacy with patient adherence and total cholesterol...

..While neither story is fully representative of the research, the process of evaluating these stories illustrates an approach to identifying representative stories for use in disseminating research...

..Such a collaboration provides the breadth of perspectives necessary to address complex health care problems, and the pragmatic infrastructure necessary to sustain research themes and careers...

..We assessed the relationship between primary-care utilization and subsequent ACSC hospitalization among inner-city children...

..Since changes in work are common and are associated with both physical and psychosocial symptoms, strategies are needed to reduce symptom burden and barriers to work and to improve work capacity for working-age cancer survivors...

..To assess the impact of CU CARE, a managed care program for medically indigent adults developed by University Hospital (UH) in Denver and Kaiser Permanente, on outpatient and inpatient utilization...

..Our goal was to identify characteristics of research fellows and their training associated with subsequent publications and research funding...

..To assess the association between mentorship and both subsequent research productivity and career development among primary care research fellows...

..To describe the organization, models of training, and institutional impact of National Research Service Award fellowship programs in primary care research...

..To evaluate the quality of care and use of the medical home in a state-funded capitated insurance plan for low-income children-the Colorado Child Health Plan (CCHP)...

..To determine increases in immunization up-to-date (UTD) rates at a rural pediatric practice with the sequential addition of records from other sites in a 2-county region...

..To identify barriers to enrollment into Colorado's Child Health Insurance Plan (CHP+) for non-Hispanic (NH), Hispanic (H), and uninsured families...

..The emergence and spread of antibiotic-resistant Streptococcus pneumoniae in US communities is due, in part, to the excessive use of antibiotics for acute respiratory tract infections...

..We attempted to develop clinical prediction rules for adherence with antihypertensive medications in 2 healthcare delivery systems...

..The objectives of this study were to compare reported (1) access to care, (2) utilization of health care, and (3) quality of care during the year before and the first year after enrollment into CHP+...

..Using a patient and clinician educational intervention, we successfully reduced antibiotic use for uncomplicated acute bronchitis. The impact of this intervention on patient satisfaction is not known...

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..This "virtual" registry combining primary care and public health department data increased calculated immunization rates at primary care sites substantially, with a range of 0 to 26 percent...

..How frequently antibiotics are prescribed for these conditions and for and by whom is not known...

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..To study the educational contributions of attending physicians in an internal medicine house staff ambulatory clinic...

..Our goal was to identify barriers to self-management that were associated with lower perceived health status and, secondarily, with lower reported physical functioning for a population of seniors with multimorbidities...

..To examine the association between primary care provider turnover in managed care organizations and measures of member satisfaction and preventive care...

..It remains unclear whether these risk factors predict CVD death in racial/ethnic minorities as well as they do in the predominately white Framingham cohorts...

..The numbers and types of disruptions in insurance that children experience and the effects of these disruptions on health care measures have not been well characterized...

..Colorado's Child Health Plan Plus (CHP+) is a non-Medicaid state child health plan that began enrollment in April 1998. Families are disenrolled 12 months after enrollment if they fail to re-enroll...

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..Pneumococcal vaccine (PPV) is recommended for adults >or=65 years and those with chronic illness, but there are potential advantages of universal vaccination of adults age 50-64 years...

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..We assessed the distribution of immunization records among 3 health care delivery sectors and the impact of a regional immunization registry on "up to date" rates...

..The extent to which immunization registry-based recall can increase immunization rates for a new vaccine has not been prospectively studied...

..To assess adequacy of reimbursement for childhood vaccinations in two rural regions in Colorado, the authors measured medical practice costs of providing childhood vaccinations and compared them with reimbursement...

..Efforts to reduce antibiotic treatment of URIs should educate clinicians about the limited value of purulent manifestations in predicting antibiotic-responsive disease...

..CONCLUSIONS: Recall efforts were partially successful but were undermined by inability to reach the clinic population, poor documentation of immunizations, and missed opportunities...

..Such disparities involve barriers to health care, comorbid illnesses, tumor characteristics, and patient preferences. It is unclear whether differences in urologist treatment recommendations also might play a role...

..However, the effectiveness of H-ISDN in a community sample of African-American patients and other racial/ethnic groups is unknown...

..To define a clinical prediction rule for underimmunization in children of low socioeconomic status...

..Because of influenza vaccine shortages during the 2004-2005 influenza season, vaccine was targeted for high-risk priority groups...

..We assessed the effect of enhanced ascertainment of inactive patients on clinic-based immunization rates and on the conclusions of a randomized controlled trial...

..Thus, treatment should reflect trade-offs between the probability of curing disease and the desire to avoid treatment-associated side effects. Factors that actually influence patient treatment preferences are poorly understood...

..Often, primary care physicians lack sufficient time to educate patients and address their potential misconceptions and fears about this procedure...

..To explore the constructs underlying a self-report assessment of multimorbidity...

..Medication nonadherence may reduce the effectiveness of therapies. To our knowledge, the association between medication nonadherence and mortality remains unexplored outside the context of clinical trials...

..To determine patient acceptance of a preventive care model employing outreach by non-physician experts outside of clinic visits...

..The purpose of this article was to describe results of a quantitative survey designed to measure surgical care structures and processes within NSQIP sites...

..Sentinel networks represent the opinions and experiences of physicians in a manner equivalent to traditional mail surveys and may provide a more efficient approach to conducting physician surveys...

..Retrospective database analyses have revealed that 50% of patients receiving statins discontinue therapy after one year of treatment. Typically, these data do not focus on patient-specific reasons for discontinuation...

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..To quantify physician-reported preventive counseling and screening during well-child visits (WCVs) and to examine racial and ethnic disparities in these activities...

..Timeliness of care is 1 of 6 dimensions of quality identified in Crossing the Quality Chasm. We compared patient and physician perceptions of appropriate timing of visits for common medical problems...

..The relationship between complementary and alternative medicine (CAM) and standard preventive care is not well defined...

..To evaluate effects on patient outcomes of Outcome-Based Quality Improvement (OBQI), a continuous quality improvement methodology for home health care (HHC)...

..We wanted to characterize patient accompaniment to medical encounters and to explore the rationale and influence of the companion on the primary care medical encounter...

..The purpose of this study was to examine the effects of two different ambulatory case presentation formats that involve attending physicians more directly...

..This study was designed to determine if women are more likely than men to have heart failure (HF) with preserved systolic function after adjustment for potential confounders, including age...

..Our objective was to determine the proportion of older persons meeting enrollment criteria of randomized controlled trials of agents that prolong life in heart failure...

..To measure the effect of a multimodal intervention on well-child care visit (WCV) and immunization rates in an inner-city population...

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..Little is known, however, about the complexity and financial burden of medical therapy in this population...

..Sociocultural factors may also have influences on patient and urologist treatment choices...

..Additional research is needed to identify prognostic factors that can guide clinical or workplace efforts to restore cancer survivors to their desired level of work function and economic productivity...

..Resident physicians generate many patient-related questions in the outpatient setting, but rarely answer them. This study examined how answering a patient-specific clinical question affected residents' patient care decisions...

..This study compared the immunization rates of urban and rural 2-year-olds and examined the association between demographic factors and underimmunization for rural 2-year-olds...

..The primary objective of this study was to determine whether the inability to speak English adversely affected glycemic control in Hispanic patients with type 2 diabetes mellitus...

..Healthcare systems have been challenged to ensure the timely administration of immunizations. Immunization registries have been proposed to improve the accuracy and completeness of immunization information and to promote effective practice...

..Our objective was to explore processes of care desired by elderly patients who have multimorbidities that may present competing demands for patients and providers...

..We identified recent, methodologically rigorous quantitative studies on return to work after cancer, summarized the themes from these studies, and illustrated those themes with narratives of individual cancer survivors...

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..We hypothesized that persons who reported increased barriers to self-management would also report lower general health status and a greater disease burden...

..To examine differences in social risk factors and health care use between young children with and without recurrent injuries...

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..No study to date has compared outcomes over an entire episode of care delivered across multiple settings...

..Despite growing inmate populations in the USA, inmates are excluded from most national health surveys and little is known about whether the prevalence of chronic disease differs between inmates and the non-institutionalised population...

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..This study describes physicians' perception of burden associated with herpes zoster (HZ) and postherpetic neuralgia (PHN), intentions for recommending the HZ vaccine, and perceived barriers to vaccination...

..These problems are associated with worsened self-perceived health status. Addressing podiatric health may be a successful way to improve the overall health of this population...

..Our study investigated the relationship between living in kinship or foster care and high-risk reproductive behaviors in a nationally representative sample of women...

..Unless we create incentives to careers in clinical research, we will never answer the growing number of clinical research questions we face today...

..These findings suggest that clinicians use the diagnosis of acute bronchitis as an indication for antibiotic treatment, despite clinical trials and expert recommendations to the contrary...

..3). CONCLUSIONS: Treatment reduction is feasible in many well-controlled hypertensives, though systolic BP rises. Patients with high intensity and long duration of treatment are most likely to reduce medications successfully...

..Within a clinic serving disadvantaged children, 1) to evaluate a multifaceted quality improvement (QI) project to improve immunization (IZ) up-to-date (UTD) rates and 2) to assess the efficacy of IZ reminder/recall performed following QI...

..The amounts of direct research time during these fellowships may need to be increased to enhance the likelihood of subsequent research success...

..This approach will require a rationally designed health care delivery system that applies the best available evidence to the care of individual patients with heart failure...

..To describe clinician delivery of injury prevention anticipatory guidance and injury visits in a birth cohort, and to describe the association of injury prevention anticipatory guidance with subsequent injury visits...

..Professional societies have an important role to play in endorsing educational strategies and in clarifying and assessing the adequacy of patient knowledge...

..Research to improve the quality of emergency care can benefit from a more systematic consideration of the domains of quality and the research steps necessary to generate evidence and inform quality improvement efforts in practice...

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