Journal of general internal medicine
-
Comparative Study
Mentorship, productivity, and promotion among academic hospitalists.
United States academic hospitals have rapidly adopted the hospitalist model of care. Academic hospitalists have taken on much of the clinical and teaching responsibilities at many institutions, yet little is known about their academic productivity and promotion. ⋯ Most academic hospitalists had not presented a poster at a national meeting, authored an academic publication, or presented grand rounds at their institution. Many academic hospitalists lacked mentorship and this was associated with a failure to produce scholarly activity. Mentorship may improve academic productivity among hospitalists.
-
Comparative Study
Changes in disparities following the implementation of a health information technology-supported quality improvement initiative.
Health information technology (HIT)-supported quality improvement initiatives have been shown to increase ambulatory care quality for several chronic conditions and preventive services, but it is not known whether these types of initiatives reduce disparities. ⋯ Generalized and provider-directed quality improvement initiatives can decrease racial disparities for some chronic disease and preventive care measures, but achieving equity in areas with persistent disparities will require more targeted, patient-directed, and systems-oriented strategies.
-
Randomized Controlled Trial Multicenter Study Comparative Study
Randomized controlled trial of health maintenance reminders provided directly to patients through an electronic PHR.
Provider and patient reminders can be effective in increasing rates of preventive screenings and vaccinations. However, the effect of patient-directed electronic reminders is understudied. ⋯ Providing patients with HM reminders via a PHR may be effective in improving some elements of preventive care.
-
Randomized Controlled Trial Comparative Study
Geriatric syndromes in older homeless adults.
The average age of the US homeless population is increasing. Little is known about the prevalence of geriatric syndromes in older homeless adults. ⋯ Geriatric syndromes that are potentially amenable to treatment are common in older homeless adults, and are experienced at higher rates than in the general older population.