Continuity of Patient Care
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Subject Areas on Research
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"Getting to Zero" Among Men Who Have Sex with Men in China: a Review of the HIV Care Continuum.
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"I wish I had seen this test result earlier!": Dissatisfaction with test result management systems in primary care.
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A Framework for Improving Chronic Critical Illness Care: Adapting the Medical Home's Central Tenets.
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A Novel Rehabilitation Intervention for Older Patients With Acute Decompensated Heart Failure: The REHAB-HF Pilot Study.
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A comparison of the adoption of electronic health records in North Carolina and South Carolina HIV systems.
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A major barrier to universal hepatitis B immunization of infants.
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A pilot study of assertive community treatment for patients with chronic psychotic disorders.
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A qualitative analysis of communication workflows between adult day service centers and primary care providers.
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A risk score to identify HIV-infected women most likely to become lost to follow-up in the postpartum period.
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A systematic review of interventions to improve outcomes for elders discharged from the emergency department.
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A trial of increased access to primary care.
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A typology of longitudinal integrated clerkships.
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Adaptation of a postoperative handoff communication process for children with heart disease: a quantitative study.
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Adult cancer survivors discuss follow-up in primary care: 'not what i want, but maybe what i need'.
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Adults' lack of a usual source of care: a matter of preference?
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Advancing the HIV Pre-Exposure Prophylaxis Continuum: A Collaboration Between a Public Health Department and a Federally Qualified Health Center in the Southern United States.
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An analysis of returning patients in family practice.
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Application of assessing care of vulnerable elders-3 quality indicators to patients with advanced dementia and poor prognosis.
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Applying a Nursing Perspective to Address the Challenges Experienced by Cisgender Women in the HIV Status Neutral Care Continuum: A Review of the Literature.
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Assessment of follow-up completeness and notification preferences for imaging findings of possible cancer: what happens after radiologists submit their reports?
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Association of patient and physician characteristics with follow-up of abnormal laboratory results.
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CARE-PARTNER: a computerized knowledge-support system for stem-cell post-transplant long-term follow-up on the World-Wide-Web.
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COVID-19: maintaining essential rehabilitation services across the care continuum.
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Can we make postoperative patient handovers safer? A systematic review of the literature.
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Care Coordination and Comprehensive Electronic Health Records are Associated With Increased Transition Planning Activities.
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Care continuity impacts medicare expenditures of older adults: Fact or fiction?
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Care coordination for complex cancer survivors in an integrated safety-net system: a study protocol.
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Care of cancer survivors.
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Care transitions from the hospital to home for patients with mobility impairments: patient and family caregiver experiences.
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Caring for survivors of childhood cancer: it takes a village.
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Changing preferences for survival after hospitalization with advanced heart failure.
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Climbing out of the black hole of subacute care.
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Clinical perspectives on portable do-not-resuscitate orders.
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Code Abdomen: An Assessment Coding Scheme for Abdominal Imaging Findings Possibly Representing Cancer.
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Colon cancer.
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Communication factors in the follow-up of abnormal mammograms.
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Comparison of strategies for sustaining weight loss: the weight loss maintenance randomized controlled trial.
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Complexities of Medication Management Across Care Transitions: A Case Report.
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Consensus Recommendations for the Conduct, Training, Implementation, and Research of Perioperative Handoffs.
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Continuity of antipsychotic medication management for Medicaid patients with schizophrenia.
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Continuity of care (COC) and amyloid-β PET scan: the CARE-IDEAS study.
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Continuity of care in the 80-hour workweek era?
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Continuity of medical care, health insurance, and nonmedical advice in the first 3 years of life.
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Continuity of medication management in Medicaid patients with chronic comorbid conditions: An examination by mental health status.
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Continuum of care in the treatment of ST-segment elevation myocardial infarction (STEMI): importance of platelet and coagulation inhibition.
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Cost-effectiveness of osteo-odonto keratoprosthesis in Singapore.
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Defining High-Quality Palliative Care in Oncology Practice: An American Society of Clinical Oncology/American Academy of Hospice and Palliative Medicine Guidance Statement.
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Defining the HIV pre-exposure prophylaxis care continuum.
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Determinants of remaining in the community after discharge: results from New Jersey's Nursing Home Transition Program.
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Developing physicians as catalysts for change.
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Discharge huddle outfitted with mobile technology improves efficiency of transitioning stroke patients into follow-up care.
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Discharge information and support for veterans Receiving Outpatient Care in the Emergency Department: study design and methods.
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Early outcomes following low dose naltrexone enhancement of opioid detoxification.
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Effect of a mental health "carve-out" program on the continuity of antipsychotic therapy.
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Effectively identifying the inpatient with hyperglycemia to increase patient care and lower costs.
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Effects of Acute-Postacute Continuity on Community Discharge and 30-Day Rehospitalization Following Inpatient Rehabilitation.
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End of study transition from study drug to open-label vitamin K antagonist therapy: the ROCKET AF experience.
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End-of-life care at an academic medical center: are attending physicians, house staff, nurses, and bereaved family members equally satisfied? Implications for palliative care.
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Enhanced immigration enforcement in the USA and the transnational continuity of HIV care for Latin American immigrants in deportation proceedings.
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Establishing a regional, multisite database for quality improvement and service planning in community-based palliative care and hospice.
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Evaluation and management of the atrial fibrillation patient: a report from the Society of Cardiovascular Patient Care.
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Evaluation of a cancer survivorship protocol: transitioning patients to survivors.
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Evaluation of an intensive strategy for follow-up and surveillance of primary breast cancer.
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Evening continuity clinic: preserving primary care education in the face of duty hour limitations?
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Ever-evolving: population care coordinators.
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Evolution of a longitudinal, multidisciplinary, and scalable patient navigation matrix model.
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Exploring the HIV continuum of care among young black MSM.
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Exploring the use of social network analysis to measure social integration among older adults in assisted living.
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Follow-up of patients with new cardiovascular implantable electronic devices: are experts' recommendations implemented in routine clinical practice?
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Follow-up visits by provider specialty for patients with major depressive disorder initiating antidepressant treatment.
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Free visits: a strategy to retain patients and improve continuity in a residency program.
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Frequency of Malignancy and Imaging Characteristics of Probably Benign Lesions Seen at Breast MRI.
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From the psychiatric hospital to the community: integrating conditional release and contingency management.
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Geographical disparities in HIV prevalence and care among men who have sex with men in Malawi: results from a multisite cross-sectional survey.
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Grading of late effects in young adult survivors of childhood cancer followed in an ambulatory adult setting.
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Growing up with sickle cell disease: a pilot study of a transition program for adolescents with sickle cell disease.
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Guidelines for the use of survivorship care plans: a systematic quality appraisal using the AGREE II instrument.
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HIV and Sexuality Stigma Reduction Through Engagement in Online Forums: Results from the HealthMPowerment Intervention.
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HIV, prisoners, and human rights.
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Handoffs in the era of duty hours reform: a focused review and strategy to address changes in the Accreditation Council for Graduate Medical Education Common Program Requirements.
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Health Disparities in the Hospitalized Child.
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Health Literacy and Demographic Disparities in HIV Care Continuum Outcomes.
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Health Optimization Program for Elders: Improving the Transition From Hospital to Skilled Nursing Facility.
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Health care of young adult survivors of childhood cancer: a report from the Childhood Cancer Survivor Study.
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Health services access and use among older adults in North Carolina: urban vs rural residents.
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Healthcare retention and clinical outcomes among adolescents living with HIV after transition from pediatric to adult care: a systematic review.
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Hepatitis C Virus Elimination in the Human Immunodeficiency Virus-Coinfected Population: Leveraging the Existing Human Immunodeficiency Virus Infrastructure.
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Hepato-biliary late effects in survivors of childhood and adolescent cancer: a report from the Children's Oncology Group.
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Home surveillance program prevents interstage mortality after the Norwood procedure.
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Hospital discharge communications during care transitions for patients with acute kidney injury: a cross-sectional study.
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Impact of Patient Navigation Interventions on Timely Diagnostic Follow Up for Abnormal Cervical Screening.
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Impact of automated alerts on follow-up of post-discharge microbiology results: a cluster randomized controlled trial.
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Implementation of a Modified Bedside Handoff for a Postpartum Unit.
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Implementing novel models of posttreatment care for cancer survivors: Enablers, challenges and recommendations.
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Implementing survivorship care plans for colon cancer survivors
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Improvements in the HIV care continuum needed to meaningfully reduce HIV incidence among men who have sex with men in Baltimore, US: a modelling study for HPTN 078.
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Improving Care Coordination for Veterans Within VA and Across Healthcare Systems.
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Improving Transitional Care: The Role of Handoffs and Discharge Checklists in Hematologic Malignancies.
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Improving care transitions: current practice and future opportunities for pharmacists.
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Improving communication and recall of information in paediatric diabetes consultations: a qualitative study of parents' experiences and views.
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Improving post-intensive care unit neuropsychiatric outcomes: understanding cognitive effects of physical activity.
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Improving research for prostate cancer survivorship: A statement from the Survivorship Research in Prostate Cancer (SuRECaP) working group.
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Improving the quality of discharge communication with an educational intervention.
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Incidence and predictors of all and preventable adverse drug reactions in frail elderly persons after hospital stay.
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Initial Effectiveness of a Monitoring System to Correctly Identify Inappropriate Lack of Follow-Up for Abdominal Imaging Findings of Possible Cancer.
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Intern Transitions of Care Curriculum Through Posthospital Home and Skilled Nursing Facility Visits.
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Internal Medicine Residents' Ambulatory Management of Core Geriatric Conditions.
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Interpersonal continuity of primary care of veterans with diabetes: a cohort study using electronic health record data.
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Intersectionalities and the HIV continuum of care among gay Latino men living with HIV in North Carolina.
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Interventions Designed to Improve HIV Continuum of Care Outcomes for Persons with HIV in Contact with the Carceral System in the USA.
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Interventions to improve transitional care between nursing homes and hospitals: a systematic review.
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Intraprofessional Excellence in Nursing: Collaborative Strategies for Neonatal Abstinence Syndrome.
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Is Discordance Between Recommended and Actual Postacute Discharge Setting a Risk Factor for Readmission in Patients With Congestive Heart Failure?
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Is anybody out there? Integrating HIV services in rural regions.
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Is there a role for survivorship care plans in advanced cancer?
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Just for us.
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Knowledge and Preferences of Primary Care Providers in Delivering Head and Neck Cancer Survivorship Care.
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Late Consequences of Acute Coronary Syndromes: Global Registry of Acute Coronary Events (GRACE) Follow-up.
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Lessons learned from implementation of a computerized application for pending tests at hospital discharge.
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Longitudinal risk-based health care for adult survivors of childhood cancer.
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Maintenance Check-ups Following Treatment for Cannabis Dependence.
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Making the Link: A Pilot Health Navigation Intervention to Improve Timely Linkage to Care for Men Who have Sex with Men and Transgender Women Recently Diagnosed with HIV in Guatemala City.
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Management of patients requiring prolonged mechanical ventilation: report of a NAMDRC consensus conference.
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Measuring handoff quality in labor and delivery: development, validation, and application of the Coordination of Handoff Effectiveness Questionnaire (CHEQ).
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Models for delivering survivorship care.
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Models of Peer Support to Remediate Post-Intensive Care Syndrome: A Report Developed by the Society of Critical Care Medicine Thrive International Peer Support Collaborative.
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Models of cancer survivorship health care: moving forward.
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Multicenter development, implementation, and patient safety impacts of a simulation-based module to teach handovers to pediatric residents.
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Multiyear Outcomes of a Population-Oriented Care Redesign in an Internal Medicine Residency Continuity Clinic.
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Muscle mass and physical recovery in ICU: innovations for targeting of nutrition and exercise.
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National survey of adult transplant hepatologists on the pediatric-to-adult care transition after liver transplantation.
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National survey of hospital strategies to reduce heart failure readmissions: findings from the Get With the Guidelines-Heart Failure registry.
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Non-inferiority of fragmented care for high-risk pediatric neuroblastoma patients: a single institution analysis.
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Nonabandonment: medical ethics.
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Nonabandonment: medical ethics.
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Nursing Contributions to Ending the Global Adolescent and Young Adult HIV Pandemic.
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ONS launches strategic plans for the society through 2012.
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Older patients' understanding of emergency department discharge information and its relationship with adverse outcomes.
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Open access in primary care: results of a North Carolina pilot project.
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Optimizing the efficiency and quality of sipuleucel-T delivery in an academic institution.
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Overwhelming Need, Insufficient Health Care for Justice-involved North Carolinians
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Palliative Care Early in the Care Continuum among Patients with Serious Respiratory Illness: An Official ATS/AAHPM/HPNA/SWHPN Policy Statement.
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Patient and provider preferences for survivorship care plans.
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Patient complexity, prescriber continuity and acute care.
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Patient predictors of follow-up care attendance in Roux-en-Y gastric bypass patients.
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Patient safety concerns arising from test results that return after hospital discharge.
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Patient satisfaction and use of Veterans Affairs versus non-Veterans Affairs healthcare services by veterans.
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Patients' perceptions of safety if interpersonal continuity of care were to be disrupted.
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Personalized Cancer Follow-Up Care Pathways: A Delphi Consensus of Research Priorities.
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Physician Perspectives on Long-Term Relationships and Friendships with Patients: A National Assessment.
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Postoperative handoff communication: a simulation-based training method.
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Practical and Ethical Concerns in Implementing Enhanced Surveillance Methods to Improve Continuity of HIV Care: Qualitative Expert Stakeholder Study.
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Predictors of discharges to a nursing home in a hospital-based cohort.
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Predictors of postpartum HIV care engagement for women enrolled in prevention of mother-to-child transmission (PMTCT) programs in Tanzania.
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Predischarge initiation of carvedilol in patients hospitalized for decompensated heart failure.
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Preference for place of death in a continuing care retirement community.
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Preferences for transitional HIV care among people living with HIV recently released from prison in Zambia: a discrete choice experiment.
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Prescriber Continuity and Disease Control of Older Adults.
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Prescriber continuity and medication adherence for complex patients.
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Primary care for patients infected with human immunodeficiency virus: a randomized controlled trial.
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Primary care physician attitudes concerning follow-up of abnormal test results and ambulatory decision support systems.
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Programs for adult survivors of childhood cancer.
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Promoting continuing care adherence among substance abusers with co-occurring psychiatric disorders following residential treatment.
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Randomized trial of long-term follow-up for early-stage breast cancer: a comparison of family physician versus specialist care.
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Readmissions After Acute Myocardial Infarction: How Often Do Patients Return to the Discharging Hospital?
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Recent changes in service use patterns of disabled Medicare beneficiaries.
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Recovery Focused Nutritional Therapy across the Continuum of Care: Learning from COVID-19.
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Reducing family stress during and after coronary artery bypass surgery.
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Regular sources of medical care among persons with severe mental illness at risk of hepatitis C infection.
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Resident compliance with the american academy of ophthalmology preferred practice pattern guidelines for primary open-angle glaucoma.
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Respiratory care year in review 2011: long-term oxygen therapy, pulmonary rehabilitation, airway management, acute lung injury, education, and management.
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Risk behaviors and HIV care continuum outcomes among criminal justice-involved HIV-infected transgender women and cisgender men: Data from the Seek, Test, Treat, and Retain Harmonization Initiative.
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Rural Medicare Beneficiaries Have Fewer Follow-up Visits and Greater Emergency Department Use Postdischarge.
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S.M.A.R.T. Transitions: A Program Evaluation.
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Say what you mean to say: improving patient handoffs in the operating room and beyond.
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Seamless care: what is it; what is its value; what does it require; when might we get it?
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Searching for "the dying point:" providers' experiences with palliative care in pediatric acute care.
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Searching for evidence about health education and health behavior interventions.
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Shared care of adult survivors of childhood cancers.
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Solidifying roles, responsibilities, and the process of navigation across the continuum of cancer care: The Professional Oncology Navigation Task Force.
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Staff interaction strategies that optimize delivery of transitional care in a skilled nursing facility: a multiple case study.
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Standardizing patient-reported outcomes assessment in cancer clinical trials: a patient-reported outcomes measurement information system initiative.
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Substance use treatment needs among recent veterans.
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Surveillance for gestational trophoblastic neoplasia following molar pregnancy: a cost-effectiveness analysis.
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Survivorship care plans in research and practice.
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Survivorship care plans: is there buy-in from community oncology providers?
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Survivorship navigation outcome measures: a report from the ACS patient navigation working group on survivorship navigation.
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System-integrated technology-enabled model of care to improve the health of stroke patients in rural China: protocol for SINEMA-a cluster-randomized controlled trial.
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Temporal Delays Along the Neurosurgical Care Continuum for Traumatic Brain Injury Patients at a Tertiary Care Hospital in Kampala, Uganda.
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Test site predicts HIV care linkage and antiretroviral therapy initiation: a prospective 3.5 year cohort study of HIV-positive testers in northern Tanzania.
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The Affordable Care Act's Medicaid Expansion and Impact Along the Cancer-Care Continuum: A Systematic Review.
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The Future of Childhood Cancer Survivorship: Challenges and Opportunities for Continued Progress.
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The HIV Care Continuum among Female Sex Workers: A Key Population in Lilongwe, Malawi.
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The HIV care continuum among men who have sex with men in Moscow, Russia: a cross-sectional study of infection awareness and engagement in care.
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The Initiation Management Predischarge Process for Assessment of Carvedilol Therapy for Heart Failure (IMPACT-HF) Study: design and implications.
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The Natural Course of Adolescent Depression Treatment in the Primary Care Setting.
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The clinical document architecture and the continuity of care record: a critical analysis.
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The continuity and quality of primary care.
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The contributions of physician assistants in primary care systems.
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The depression treatment cascade in primary care: a public health perspective.
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The evaluation of the Fort Bragg Demonstration Project: an alternative interpretation of the findings.
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The intersection of patient complexity, prescriber continuity and acute care utilization.
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The medical home: an essential competency for pediatric residents.
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The resident leaves the clinic: the effects of changing physicians on appointment-keeping behavior.
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Transitional Care Partners: a hospital-to-home support for older adults and their caregivers.
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Transitional adherence and persistence in the use of aldosterone antagonist therapy in patients with heart failure.
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Transitional care after hospitalization for acute stroke or myocardial infarction: a systematic review.
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Transitions of care in heart failure: a scientific statement from the American Heart Association.
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Treatment retention and care transitions during and after the scale-up of HIV care and treatment in Northern Tanzania.
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Two-year impacts on employment and income among adults receiving antiretroviral therapy in Tamil Nadu, India: a cohort study.
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Understanding the HIV Epidemic Among MSM in Baltimore: A Modeling Study Estimating the Impact of Past HIV Interventions and Who Acquired and Contributed to Infections.
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Unintended consequences of steps to cut readmissions and reform payment may threaten care of vulnerable older adults.
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Use of medications for gastroesophageal reflux at discharge among extremely low birth weight infants.
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Use of outpatient care in Veterans Health Administration and Medicare among veterans receiving primary care in community-based and hospital outpatient clinics.
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Vulnerable at Each Step in the PMTCT Care Cascade: High Loss to Follow Up During Pregnancy and the Postpartum Period in Tanzania.
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Walk-in clinics in Ontario. An atmosphere of tension.
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Weight management and physical activity throughout the cancer care continuum.
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What do medical students learn when they follow patients from hospital to community? A longitudinal qualitative study.
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What's new in childhood organ transplantation.
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When is caring sharing? Primary care provider interdependence and continuity of care.
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Wilms tumor imaging: patient costs and protocol compliance.
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Keywords of People
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Anderson, Ruth A.,
Professor Emerita in the School of Nursing,
School of Nursing
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Andolsek, Kathryn Marijoan,
Professor in Family Medicine and Community Health,
School of Medicine
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Bettger, Janet Prvu,
Adjunct Associate in the Department of Orthopaedic Surgery,
Duke Science & Society
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Brown, Gregory,
Assistant Professor of Psychiatry and Behavioral Sciences,
Medicine, General Internal Medicine
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Curtis, Lesley H.,
Professor in Population Health Sciences,
Medicine, General Internal Medicine
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McConnell, Eleanor Schildwachter,
Associate Professor in the School of Nursing,
School of Nursing
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O'Connor, Christopher Michael,
Richard Sean Stack, M.D. Distinguished Professor,
Medicine, Clinical Pharmacology