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Health Care Delivery Publications


Predicting Non-Alcoholic Fatty Liver Disease for Adults Using Practical Clinical Measures: Evidence from the Multi-ethnic Study of Atherosclerosis.

BACKGROUND: Many adults have risk factors for non-alcoholic fatty liver disease (NAFLD). Screening all adults with risk factors for NAFLD using imaging is not feasible. OBJECTIVE: To develop a practical scoring tool for predicting NAFLD using participant ...
Author(s): Rodriguez LA; Shiboski SC; Bradshaw PT; Fernandez A; Herrington D; Ding J; Bradley RD; Kanaya AM

J Gen Intern Med. 2021 Sep;36(9):2648-2655. doi: 10.1007/s11606-020-06426-5. Epub 2021 Jan 26.

PubMed abstract

Identifying modifiable obesogenic behaviors among Latino adolescents in primary pediatric care.

Latino adolescents engage in more obesogenic behaviors, including sedentary behaviors and sugary drink consumption, than White adolescents. However, it is unclear whether engagement in obesogenic behaviors differs within the Latino population. Cross-secti...
Author(s): Rodriguez LA; Gopalan A; Darbinian JA; Chandra M; Greenspan LC; Howell A; Lo JC

Prev Med Rep. 2022 Jul 30;29:101939. doi: 10.1016/j.pmedr.2022.101939. eCollection 2022 Oct.

PubMed abstract

Psychosocial and diabetes risk factors among racially/ethnically diverse adults with prediabetes.

Psychosocial factors such as self-efficacy may be important in helping high-risk adults prevent diabetes. We aimed to describe psychosocial and diabetes risk factors in adults with prediabetes and evaluate if these varied by demographic characteristics. C...
Author(s): Rodriguez LA; Thomas TW; Finertie H; Turner CD; Heisler M; Schmittdiel JA

Prev Med Rep. 2022 May 5;27:101821. doi: 10.1016/j.pmedr.2022.101821. eCollection 2022 Jun.

PubMed abstract

Sustainability of a Clinical Decision Support Intervention for Outpatient Care for Emergency Department Patients With Acute Pulmonary Embolism.

Importance: Physicians commonly hospitalize patients presenting to the emergency department (ED) with acute pulmonary embolism (PE), despite eligibility for safe outpatient management. Risk stratification using electronic health record-embedded clinical d...
Author(s): Vinson DR; Casey SD; Vuong PL; Huang J; Ballard DW; Reed ME

JAMA Netw Open. 2022 May 2;5(5):e2212340. doi: 10.1001/jamanetworkopen.2022.12340.

PubMed abstract

Association of standardized radiology reporting and management of abdominal CT and MRI with diagnosis of pancreatic cancer

Follow-up of abdominal computed tomography (CT) and magnetic resonance imaging (MRI) findings suspicious for pancreatic cancer may be delayed if documentation is unclear. We evaluated whether standardized reporting and follow-up of imaging results reduced...
Author(s): Ormsby EL; Kojouri K; Chang PC; Lin TY; Vuong B; Ramirez RM; Schueler KM; Sweet CF; Herrinton LJ

Clin Gastroenterol Hepatol. 2022 Apr 15.

PubMed abstract

Association of Medical Assistant-Supported Virtual Rooming With Successful Video Visit Connections

Author(s): Lieu TA; Warton EM; Levan C; San K; Hsueh L; Awsare S; Reed ME

JAMA Intern Med. 2022 Apr 11.

PubMed abstract

Developing a shared sepsis data infrastructure: a systematic review and concept map to FHIR

The development of a shared data infrastructure across health systems could improve research, clinical care, and health policy across a spectrum of diseases, including sepsis. Awareness of the potential value of such infrastructure has been heightened by ...
Author(s): Brant EB; Kennedy JN; King AJ; Gerstley LD; Mishra P; Schlessinger D; Shalaby J; Escobar GJ; Angus DC; Seymour CW; Liu VX

NPJ Digit Med. 2022 Apr 04;5(1):44. Epub 2022-04-04.

PubMed abstract

Evaluation of Outcomes Following Hospital-Wide Implementation of a Subcutaneous Insulin Protocol for Diabetic Ketoacidosis

Standard diabetic ketoacidosis care in the US includes intravenous insulin treatment in the intensive care unit. Subcutaneous (SQ) insulin could decrease intensive care unit need, but the data are limited. To assess outcomes after implementation of an SQ ...
Author(s): Rao P; Jiang SF; Kipnis P; Patel DM; Katsnelson S; Madani S; Liu VX

JAMA Netw Open. 2022 Apr 01;5(4):e226417. Epub 2022-04-01.

PubMed abstract

Prognostic Accuracy of Presepsis and Intrasepsis Characteristics for Prediction of Cardiovascular Events After a Sepsis Hospitalization

Sepsis survivors face increased risk for cardiovascular complications; however, the contribution of intrasepsis events to cardiovascular risk profiles is unclear. Kaiser Permanente Northern California (KPNC) and Intermountain Healthcare (IH) integrated he...
Author(s): Walkey AJ; Myers LC; Go AS; Liu VX; et al.

Crit Care Explor. 2022 Apr;4(4):e0674. Epub 2022-04-08.

PubMed abstract

Primary care telemedicine during the COVID-19 pandemic: patient's choice of video versus telephone visit

The aim of this study is to examine the association between patient characteristics and primary care telemedicine choice among integrated delivery system patients self-scheduling visits during the COVID-19 pandemic. We used multivariate logistic regressio...
Author(s): Huang J; Graetz I; Millman A; Gopalan A; Lee C; Muelly E; Reed ME

JAMIA Open. 2022 Apr;5(1):ooac002. Epub 2022-01-19.

PubMed abstract

Association Between High-Deductible Health Plans and Engagement in Routine Medical Care for Type 2 Diabetes in a Privately Insured Population: A Propensity Score-Matched Study

High-deductible health plans (HDHPs) are increasingly more common but can be challenging for patients to navigate and may negatively affect care engagement for chronic conditions such as type 2 diabetes. We sought to understand how higher out-of-pocket co...
Author(s): Wu YM; Huang J; Reed ME

Diabetes Care. 2022 Mar 15.

PubMed abstract

All in the Family: A Qualitative Study of the Early Experiences of Adults with Younger Onset Type 2 Diabetes

Adults with type 2 diabetes diagnosed at a younger age are at increased risk for poor outcomes. We examined life stage-related facilitators and barriers to early self-management among younger adults with newly diagnosed type 2 diabetes. We conducted 6 foc...
Author(s): Gopalan A; Blatchins MA; Xu KK; Altschuler A; Marshall CJ; Hessler DM; Fernandez A; Grant RW

J Am Board Fam Med. 2022 Mar-Apr;35(2):341-351.

PubMed abstract

The COVID-19 Pandemic Strikes Again and Again and Again

Author(s): Myers LC; Liu VX

JAMA Netw Open. 2022 03 01;5(3):e221760. Epub 2022-03-01.

PubMed abstract

Future of Teleoncology: Trends and Disparities in Telehealth and Secure Message Utilization in the COVID-19 Era

The COVID-19 pandemic created an imperative to re-examine the role of telehealth in oncology. We studied trends and disparities in utilization of telehealth (video and telephone visits) and secure messaging (SM; ie, e-mail via portal/app), before and duri...
Author(s): Neeman E; Lyon L; Sun H; Conell C; Reed M; Kumar D; Kolevska T; Kotak D; Sundaresan T; Liu R

JCO Clin Cancer Inform. 2022 Mar;6:e2100160.

PubMed abstract

Cardiovascular Disease Risk Factors Among Middle-Aged and Older Adult Vietnamese American Members of a Northern California Health Plan

There is increasing recognition that cardiovascular disease (CVD) risk factors vary by Asian subgroups. We examined CVD risk factor prevalence among Vietnamese adults in a northern California health plan. We used electronic health record data to examine s...
Author(s): Haysbert DB; Lo JC; Ramalingam ND; Gordon NP

Public Health Rep. 2022 Feb 20:333549221076543.

PubMed abstract

Continuous Glucose Monitor Use Prevents Glycemic Deterioration in Insulin-Treated Patients with Type 2 Diabetes

Continuous glucose monitoring (CGM) is indicated in poorly controlled insulin-treated patients with type 2 diabetes (T2D) to improve glycemic control and reduce the risk of hypoglycemia, but the benefits of CGM for lower risk patients have not been well s...
Author(s): Karter AJ; Parker MM; Moffet HH; Gilliam LK; Dlott R

Diabetes Technol Ther. 2022 Feb 18.

PubMed abstract

Validation of Respiratory Rate-Oxygenation Index in Patients With COVID-19-Related Respiratory Failure

The respiratory rate-oxygenation (ROX) index is a fraction of oxygen saturation, FIO2, and respiratory rate that has been validated to predict receipt of invasive mechanical ventilation in patients receiving high-flow nasal cannula (HFNC). This study aime...
Author(s): Myers LC; Mark D; Ley B; Guarnieri M; Hofmeister M; Paulson S; Marelich G; Liu VX

Crit Care Med. 2022 Feb 07.

PubMed abstract

Primary Care Visits Are Timelier When Patients Choose Telemedicine: A Cross-Sectional Observational Study

Introduction: Telemedicine could increase timely access to primary care-a key dimension of care quality. Methods: Among patient-scheduled appointments with their own primary care providers using the online portal in a large integrated health care delivery...
Author(s): Graetz I; Huang J; Muelly E; Gopalan A; Reed ME

Telemed J E Health. 2022 Feb 03.

PubMed abstract

Accounting for Social Risk Does not Eliminate Race/Ethnic Disparities in COVID-19 Infection Among Insured Adults: a Cohort Study

Communities of color have been disproportionately impacted by the COVID-19 epidemic in the USA. To examine the relationship of self-reported social health needs with SARS-COV-2 infection by race/ethnicity among insured adults with access to high-quality h...
Author(s): McCloskey JK; Ellis JL; Uratsu CS; Drace ML; Ralston JD; Bayliss EA; Grant RW

J Gen Intern Med. 2022 Feb 02.

PubMed abstract

Outcomes After Implementation of a Benzodiazepine-Sparing Alcohol Withdrawal Order Set in an Integrated Health Care System

Alcohol withdrawal syndrome (AWS) is a common inpatient diagnosis managed primarily with benzodiazepines. Concerns about the adverse effects associated with benzodiazepines have spurred interest in using benzodiazepine-sparing treatments. To evaluate chan...
Author(s): Smith JT; Sage M; Szeto H; Myers LC; Lu Y; Martinez A; Kipnis P; Liu VX

JAMA Netw Open. 2022 02 01;5(2):e220158. Epub 2022-02-01.

PubMed abstract

Chilblains and COVID-19-an Update on the Complexities of Interpreting Antibody Test Results, the Role of Interferon α, and COVID-19 Vaccines-Reply

Author(s): McCleskey PE; Lieberman A; Herrinton LJ

JAMA Dermatol. 2021 Dec 22.

PubMed abstract

Precision communication: Physicians' linguistic adaptation to patients' health literacy

Author(s): Schillinger D; Duran ND; McNamara DS; Crossley SA; Balyan R; Karter AJ

Sci Adv. 2021 Dec 17;7(51):eabj2836. Epub 2021-12-17.

PubMed abstract

Comanagement of Rashes by Primary Care Providers and Dermatologists: A Retrospective Study

There is a high demand for managing skin disease, and dermatologists are in short supply. To better understand how rashes and other specific skin conditions are co-managed by primary care providers (PCPs) and dermatologists, we estimated the frequency wit...
Author(s): Marwaha S; Dusendang JR; Alexeeff SE; Crowley E; Haiman M; Pham N; Tuerk MJ; Wudka D; Hartmann M; Herrinton LJ

Perm J. 2021 Dec 13;25. Epub 2021-12-13.

PubMed abstract

Video Telehealth Access and Changes in HbA1c Among People With Diabetes

Video telehealth can offer people convenient, real-time access to clinicians without arranging transportation or time off work. Among people with diabetes, this study examines the association between video telehealth access and changes in HbA1c. This long...
Author(s): Graetz I; Huang J; Muelly ER; Hsueh L; Gopalan A; Reed ME

Am J Prev Med. 2021 Dec 07.

PubMed abstract

Oral Health Care: A Missing Pillar of Total Health Care?

Oral health is an important component of overall health, and preventive dental care is essential for maintaining good oral health. However, many patients face significant barriers to preventive dental care. We examined prevalence of and factors associated...
Author(s): Gordon NP; Mosen DM; Banegas MP

Perm J. 2021 Dec 03;25. Epub 2021-12-03.

PubMed abstract