Journal of general internal medicine
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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.
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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.
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Comparative Study
Difficulty assisting with health care tasks among caregivers of multimorbid older adults.
Family caregivers provide assistance with health care tasks for many older adults with chronic illnesses. The difficulty they experience in providing this assistance, and related implications for their well-being, have not been well described. ⋯ This study demonstrates that greater HCTD is associated with increased strain and depression among caregivers of multimorbid older adults. That caregiver self-efficacy was strongly associated with HCTD suggests health-system-based educational and empowering interventions might improve caregiver well-being.
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Comparative Study
Patient, primary care physician and specialist expectations of primary care physician involvement in cancer care.
In Canada, many health authorities recommend that primary care physicians (PCP) stay involved throughout their patients' cancer journey to increase continuity of care. Few studies have focused on patient and physician expectations regarding PCP involvement in cancer care. ⋯ Lung cancer patient, PCP and specialist expectations regarding PCP role differ with the phase of cancer and the specific aspect of cancer care. There is a need to reach a better agreement among them and to better define PCP role, in order to achieve more collaborative and integrated cancer care.
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Comparative Study
Provider characteristics, clinical-work processes and their relationship to discharge summary quality for sub-acute care patients.
Discharge summaries play a pivotal role in the transitional care of patients discharged to sub-acute care facilities, but the best ways to facilitate document completeness/quality remain unknown. ⋯ Critical component omissions in discharge summaries were common, and were associated with delayed document creation and less experienced providers. More research is needed to understand the impact of discharge documentation quality on patient/system outcomes.