Research Topics
| Barbara TurnerSummaryAffiliation: University of Pennsylvania Country: USA Publications
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Publications
Gaps in addressing problem drinking: overcoming primary care and alcohol treatment deficienciesBarbara J Turner
Division of General Internal Medicine, University of Pennsylvania School of Medicine, 1123 Blockley Hall 6021, 423 Guardian Drive, Philadelphia, PA 19104, USA
Curr Psychiatry Rep 11:345-52. 2009..Opportunities to overcome these challenges are discussed and must be initiated to reduce the myriad of adverse outcomes resulting from problem drinking...- Effect of medical, drug abuse, and mental health care on receipt of dental care by drug usersBarbara J Turner
Division of General Internal Medicine, University of Pennsylvania School of Medicine, Philadelphia, PA 19104, USA
J Subst Abuse Treat 23:239-46. 2002..23, 1.35]) or with regular drug treatment (1.33 [CI 1.25, 1.41]) vs. neither. Mental health care and, to a lesser extent, a regular source of medical care and regular drug treatment may promote dental care in this vulnerable population... 
Relationship of gender, depression, and health care delivery with antiretroviral adherence in HIV-infected drug usersBarbara J Turner
Received from the Division of General Internal Medicine, University of Pennsylvania School of Medicine, Philadelphia, PA 19104, USA
J Gen Intern Med 18:248-57. 2003..Antiretroviral adherence is worse in women than in men, and depression can influence medication adherence...- Effects of drug abuse and mental disorders on use and type of antiretroviral therapy in HIV-infected personsB J Turner
Division of General Internal Medicine, Department of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA
J Gen Intern Med 16:625-33. 2001..To distinguish the effects of drug abuse, mental disorders, and problem drinking on antiretroviral therapy (ART) and highly active ART (HAART) use... - Physician and patient factors associated with ordering a colon evaluation after a positive fecal occult blood testBarbara Turner
Division of General Internal Medicine BT, University of Pennsylvania, Philadelphia, PA, USA
J Gen Intern Med 18:357-63. 2003..Successful colorectal cancer screening relies in part on physicians ordering a complete diagnostic evaluation of the colon (CDE) with colonoscopy or barium enema plus sigmoidoscopy after a positive screening fecal occult blood test (FOBT)... - Association of provider and patient characteristics with HIV-infected women's antiretroviral therapy regimenB J Turner
Division of General Internal Medicine, Department of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA
J Acquir Immune Defic Syndr 27:20-9. 2001..We explored the effect of patient and provider factors on the type of antiretroviral regimen among women receiving therapy... - Delayed medical care after diagnosis in a US national probability sample of persons infected with human immunodeficiency virusB J Turner
University of Pennsylvania, General Internal Medicine, 1119 Blockley Hall, 423 Guardian Dr, Philadelphia, PA 19104 6021
Arch Intern Med 160:2614-22. 2000..To identify health care and patient factors associated with delayed initial medical care for human immunodeficiency virus (HIV) infection... - Antiretroviral use and pharmacy-based measurement of adherence in postpartum HIV-infected womenB J Turner
Department of Medicine, University of Pennsylvania, Philadelphia 19104, USA
Med Care 38:911-25. 2000..Antiretroviral treatment for HIV-infected women is standard during pregnancy to prevent vertical transmission, but data on postpartum therapy for the mother are lacking... - Predicting adherence to colonoscopy or flexible sigmoidoscopy on the basis of physician appointment-keeping behaviorBarbara J Turner
University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania 19104, USA
Ann Intern Med 140:528-32. 2004..Poor patient attendance to scheduled flexible sigmoidoscopy or colonoscopy may contribute to deficient colorectal cancer screening... - Barriers and facilitators to primary care or human immunodeficiency virus clinics providing methadone or buprenorphine for the management of opioid dependenceBarbara J Turner
Division of General Internal Medicine, Department of Medicine, University of Pennsylvania School of Medicine, Philadelphia, PA 19104 6021, USA
Arch Intern Med 165:1769-76. 2005..The objective of this study was to describe clinics' willingness to provide methadone hydrochloride or buprenorphine hydrochloride for opioid dependence... - Methodological challenges and limitations of research on alcohol consumption and effect on common clinical conditions: evidence from six systematic reviewsBarbara J Turner
Division of General Internal Medicine, University of Pennsylvania, 6021 423 Guardian Drive, Philadelphia, PA 19104, USA
J Gen Intern Med 24:1156-60. 2009..This may be due in part to a dearth of rigorous research on alcohol's effect on common diseases... 
Barriers to adherence and hypertension control in a racially diverse representative sample of elderly primary care patientsBarbara J Turner
Division of General Internal Medicine, University of Pennsylvania School of Medicine, Philadelphia, PA 19104, USA
Pharmacoepidemiol Drug Saf 18:672-81. 2009..To examine the effect of antihypertensive adherence on blood pressure and barriers to adherence in racially diverse elderly patients...- Effect of unrelated comorbid conditions on hypertension managementBarbara J Turner
University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania 19104 6021, USA
Ann Intern Med 148:578-86. 2008..Quality-of-care assessment at a single visit can be affected by whether a patient's comorbid conditions are related or unrelated to a specific measure... - Overcoming poor attendance to first scheduled colonoscopy: a randomized trial of peer coach or brochure supportBarbara J Turner
Division of General Internal Medicine, University of Pennsylvania School of Medicine, Philadelphia, PA, USA
J Gen Intern Med 23:58-63. 2008..Among patients unlikely to attend a scheduled colonoscopy, we examined the impact of peer coach versus educational brochure support and compared these with concurrent patients who did not receive support... - Effect of dysthymia on receipt of HAART by minority HIV-infected womenBarbara J Turner
Division of General Internal Medicine, Department of Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA
J Gen Intern Med 21:1235-41. 2006..Receipt of highly active antiretroviral therapy (HAART) differs by gender and racial/ethnic group and may reflect an effect of mood disorders... - Effects of long-term, medically supervised, drug-free treatment and methadone maintenance treatment on drug users' emergency department use and hospitalizationBarbara J Turner
Division of General Internal Medicine, Department of Medicine, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania 19104, USA
Clin Infect Dis 37:S457-63. 2003..For both HIV-positive and HIV-negative drug users, long-term drug-free treatment was at least as effective as long-term methadone treatment in reducing use of services indicative of poorer access to care and/or poorer health... - Principles to consider in defining new directions in internal medicine training and certificationBarbara J Turner
Society of General Internal Medicine, Division of General Internal Medicine, Department of Medicine, University of Pennsylvania, Philadelphia, PA, USA
J Gen Intern Med 21:276-8. 2006.... - Adherence to antiretroviral therapy by human immunodeficiency virus-infected patientsBarbara J Turner
Division of General Medicine, University of Pennsylvania, Philadelphia, Pennsylvania 19104 6021, USA
J Infect Dis 185:S143-51. 2002..Although such programs will require a substantial investment in terms of time and energy, the rewards associated with optimal treatment adherence are worth the effort... - Impact of a physician-oriented intervention on follow-up in colorectal cancer screeningRonald E Myers
Department of Medicine, Thomas Jefferson University, Philadelphia, PA 19107, USA
Prev Med 38:375-81. 2004..Complete diagnostic evaluation or CDE (i.e., colonoscopy or combined flexible sigmoidoscopy plus barium enema X-ray) is often not performed for persons with an abnormal screening fecal occult blood test (FOBT+) result... - Raising achievement: educating physicians to address effects of at-risk drinking on common diseasesMeghan A Gannon
American College of Physicians, Department of Clinical Policy, Philadelphia, PA 19106, USA
Qual Prim Care 19:43-7. 2011..A contributing factor is likely to be physicians' limited understanding of the negative effects that at-risk drinking can have on common clinical conditions managed on a daily basis... - Translating clinical trial results into practice: the effect of an AIDS clinical trial on prescribed antiretroviral therapy for HIV-infected pregnant womenB J Turner
Jefferson Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania 19107 5083, USA
Ann Intern Med 130:979-86. 1999..The success of Pediatric AIDS Clinical Trials Group (PACTG) Protocol 076 in preventing vertical HIV transmission prompted intensive efforts to inform lay-persons and professionals about the trial's results... - Improved birth outcomes among HIV-infected women with enhanced Medicaid prenatal careB J Turner
Center for Research in Medical Education and Health Care, Jefferson Medical College, Thomas Jefferson University, Philadelphia, PA, USA
Am J Public Health 90:85-91. 2000..This study evaluated the impact of enhanced prenatal care on the birth outcomes of HIV-infected women... - Sources of prenatal care data and their association with birth outcomes of HIV-infected womenB J Turner
Center for Research in Medical Education and Health Care, Jefferson Medical College of Thomas Jefferson University, Philadelphia, PA, USA
Am J Public Health 90:118-21. 2000..Different sources of prenatal care data were used to examine the association between birth outcomes of HIV-infected women and the Adequacy of Prenatal Care Utilization (APNCU) index... - Improved birth outcomes associated with enhanced Medicaid prenatal care in drug-using women infected with the human immunodeficiency virusC J Newschaffer
Center for Research in Medical Education and Health Care, Department of Medicine, Jefferson Medical College, Thomas Jefferson University, Philadelphia, PA 19107 5083, USA
Obstet Gynecol 91:885-91. 1998..To evaluate the effectiveness of an intervention designed to enhance Medicaid prenatal care in improving birth outcomes of drug-using women infected with the human immunodeficiency virus (HIV)... - Delays in seeking HIV care due to competing caregiver responsibilitiesM D Stein
Division of General Medicine, Brown University, Providence, RI, USA
Am J Public Health 90:1138-40. 2000..This study sought to describe the characteristics of HIV-infected persons who delay medical care for themselves because they are caring for others... - Clinic characteristics associated with reduced hospitalization of drug users with AIDSC J Newschaffer
Center for Research in Medical Education and Health Care, Jefferson Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania 19107 5083, USA
J Urban Health 75:153-69. 1998..To identify features of ambulatory care associated with reduced hospitalization among drug users with acquired immunodeficiency syndrome (AIDS)... - Regular outpatient medical and drug abuse care and subsequent hospitalization of persons who use illicit drugsC Laine
Division of General Internal Medicine, University of Pennsylvania, 1122 Blockley Hall/6021, 423 Guardian Dr, Philadelphia, PA 19104, USA
JAMA 285:2355-62. 2001..CONCLUSION: Our data indicate that regular drug abuse care with regular medical care for drug users is associated with less subsequent hospitalization... - Clinic HIV-focused features and prevention of Pneumocystis carinii pneumoniaB J Turner
Center for Research in Medical Education and Health Care, Department of Medicine, Jefferson Medical College, Philadelphia, PA 19107-5083, USA
J Gen Intern Med 13:16-23. 1998..Neither clinic experience nor specialty had a significant association with prophylaxis or PCP. CONCLUSIONS: PCP prevention in our study cohort appears to be more successful in clinics offering an array of HIV-focused features... - The impact of competing subsistence needs and barriers on access to medical care for persons with human immunodeficiency virus receiving care in the United StatesW E Cunningham
Department of Medicine, School of Medicine, University of California, Los Angeles, USA
Med Care 37:1270-81. 1999..To examine whether competing subsistence needs and other barriers are associated with poorer access to medical care among persons infected with human immunodeficiency virus (HIV), using self-reported data... - Clinic services for persons with AIDS. Experience in a high-prevalence stateL E Markson
Center for Research in Medical Education and Health Care, Jefferson Medical College, Philadelphia, PA, USA
J Gen Intern Med 12:141-9. 1997.... - Urgency in seeking medical care for specific symptoms: perceptions of physicians and patientsB J Turner
Center for Research in Medical Education and Health Care, Jefferson Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania
J Gen Intern Med 3:245-9. 1988..The results indicate that patients may not agree with physicians in the way they interpret symptoms of disease and that symptom appraisal may differ depending on patients' sociodemographic characteristics... - Screening for cervical cancer in HIV-infected women receiving care in the United StatesM D Stein
Division of General Internal Medicine, Rhode Island Hospital, Brown University, 593 Eddy Street, Providence, RI 02903, USA
J Acquir Immune Defic Syndr 27:463-6. 2001..We examined the sociodemographic, clinical and provider factors associated with screening for cervical cancer among HIV-infected women... - Care of vaginal symptoms among HIV-infected womenM D Stein
Division of General Medicine, Brown University, Providence, Rhode Island 02903, USA
J Acquir Immune Defic Syndr 25:51-5. 2000..Gynecologic disease is common in HIV-infected women. We examine the sociodemographic, clinical, and provider factors associated with the care of women with vaginal symptoms... - Measuring quality of care in patients with multiple clinical conditions: summary of a conference conducted by the Society of General Internal MedicineRachel M Werner
Center for Health Equity Research and Promotion, Philadelphia VAMC, Philadelphia, PA, USA
J Gen Intern Med 22:1206-11. 2007..This research should evaluate the impact of quality measurement on these patients and expand the range of quality measures relevant to the care of clinically complex patients... - Effect of drug and medical treatment on wide geographic variations in repeated emergency department use by HIV-infected drug usersBarbara J Turner
Department of Medicine, University of Pennsylvania School of Medicine, Philadelphia, USA
J Opioid Manag 2:105-12. 2006..Regional variations in receipt of long-term drug treatment by HIV+ drug users in one state appear to contribute to large differences in ED utilization... - On-site medical care in methadone maintenance: associations with health care use and expendituresMarc N Gourevitch
Division of General Internal Medicine, Department of Medicine, New York University School of Medicine, New York, NY 10016, USA
J Subst Abuse Treat 32:143-51. 2007..Long-term drug treatment with on-site medical care was associated with increased ambulatory care, less ED and inpatient care, and no net increase in expenditures... - Effectiveness of complete diagnostic examination in clinical practice settingsMasahito Jimbo
Department of Family Medicine, University of Michigan, 1018 Fuller Street, Ann Arbor, MI 48109, USA
Cancer Detect Prev 30:545-51. 2006..However, little evidence outside clinical screening trial settings has been reported in the literature to support CDE performance. The focus of this study was to determine the impact of CDE in primary care practice settings... - The effect of ethnicity and maternal birthplace on small-for-gestational-age deliveries to HIV-infected womenJames R Cocroft
Division of Genetic and Preventive Medicine, Jefferson Medical College of Thomas Jefferson University, Philadelphia, Pennsylvania, USA
J Urban Health 79:147-60. 2002..Differences in lifestyle factors appear to contribute to lower odds of SGA delivery for foreign-born versus US-born white- and black-Latina HIV-infected women... - Symptom-based framework for assessing quality of HIV careSteven M Asch
Department of General Internal Medicine, VA Greater Los Angeles Health System, 11301 Wilshire Boulevard, Los Angeles, CA 90073, USA
Int J Qual Health Care 16:41-50. 2004..To evaluate HIV quality of care using a symptom-based, patient-centered framework... - Clinic-based treatment for opioid dependence: a qualitative inquirySuzanne McMurphy
University of Pennsylvania, Philadelphia, 19104, USA
Am J Health Behav 30:544-54. 2006.... - Availability of medical care services in drug treatment clinics associated with lower repeated emergency department useChristine Laine
Division of Internal Medicine, Center for Research in Medical Education and Health Care, Jefferson Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania 19104, USA
Med Care 43:985-95. 2005..CONCLUSIONS: Greater onsite medical care in low- and moderate-volume drug treatment clinics was associated with less repeated ED use... - Outpatient patterns of care and longitudinal intensity of antiretroviral therapy for HIV-infected drug usersChristine Laine
Division of Internal Medicine, Jefferson Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania, USA
Med Care 40:976-95. 2002.... - Seasonal variation in undiagnosed HIV infection on the general medicine and trauma services of two urban hospitalsKathleen A Brady
Division of Infectious Diseases, Department of Medicine, University of Pennsylvania, Philadelphia, PA, USA
J Gen Intern Med 20:324-30. 2005..To examine the seroprevalence of undiagnosed HIV and variation by season among patients admitted to the general internal medicine (GIM) and trauma services of two urban hospitals... - HIV-1 RNA viral load monitoring in HIV-infected drug users on antiretroviral therapy: relationship with outpatient care patternsChristine Laine
Division of Internal Medicine, Center for Research in Medical Education and Health Care, Jefferson Medical College, Thomas Jefferson University, Philadelphia, USA
J Acquir Immune Defic Syndr 29:270-4. 2002..50-2.51 for four or more visits). We found that nearly half this cohort of drug users did not have regular VL testing. Drug users with HIV-focused care or with regular drug treatment are more likely to have regular VL testing... - Physician-reported reasons for limited follow-up of patients with a positive fecal occult blood test screening resultNadeem Baig
Jefferson Medical College, Philadelphia, Pennsylvania, USA
Am J Gastroenterol 98:2078-81. 2003..The reasons for nonperformance most frequently have to do with physician decision making. Many physician-related explanations do not conform to expert recommendations for appropriate follow-up... - Antiretroviral adherence interventions: a review of current literature and ongoing studiesJane M Simoni
Department of Psychology, University of Washington, Box 351525, Seattle, WA 98195, USA
Top HIV Med 11:185-98. 2003.... - The future of quality measures--the challenge of patients with multiple comorbiditiesBarbara J Turner
MedGenMed 8:35. 2006 - A survey of women regarding factors affecting colorectal cancer screening complianceDavid S Weinberg
Fox Chase Cancer Center, Philadelphia, PA 19111, USA
Prev Med 38:669-75. 2004..Our study objective was to understand factors related to women's use of CRC screening. We examined the personal health, medical care, and psychosocial responses to CRC and screening use of a community-based sample of women... - Trials that matter: CD4+ T-lymphocyte count-guided interruption of antiretroviral therapy in HIV-infected patientsJeffrey M Jacobson
Ann Intern Med 146:682-3. 2007 - Medical student, medicine resident, and attending physician knowledge of the Medicare Prescription Drug Modernization and Improvement Act of 2003Bruce Y Lee
Section of Decision Sciences and Clinical Systems Modeling, University of Pittsburgh, Pittsburgh, Pennsylvania 15213, USA
Teach Learn Med 19:91-4. 2007..The Medicare Prescription Drug Modernization and Improvement Act of 2003 (MMA) will undoubtedly influence health care delivery and affect how physicians practice medicine in the United States...