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David Justin Halpern

David Justin Halpern

Associate Professor of Medicine
Medicine, General Internal Medicine
david.halpern@duke.edu
5102 N Roxboro Street, Durham, NC 27713
5102 N Roxboro Street, Durham, NC 27713

Selected Publications

Effectiveness of Synchronous Postdischarge Contacts on Health Care Use and Patient Satisfaction : A Systematic Review and Meta-analysis.

Journal Article Ann Intern Med · February 2025 BACKGROUND: Postdischarge contacts (PDCs) after hospitalization are common practice, but their effectiveness in reducing use of acute care after discharge remains unclear. PURPOSE: To assess the effects of PDC on 30-day emergency department (ED) visits, 30 ... Full text Open Access Link to item Cite

Improving Hypertension Control in the Black Patient Population: A Quality Improvement Study of Workflow Redesign Using the Electronic Health Record to Integrate Self-Monitoring, Education, and Reporting.

Journal Article J Nurs Care Qual · April 2024 BACKGROUND: Nearly half of American adults have hypertension (HTN), and non-Hispanic Black patients are diagnosed at a higher rate than others. LOCAL PROBLEM: Our local clinic population reflected disproportionate rates of uncontrolled HTN among Black pati ... Full text Link to item Cite

Colorectal cancer screening uptake and adherence by modality at a large tertiary care center in the United States: a retrospective analysis.

Journal Article Curr Med Res Opin · March 2024 OBJECTIVE: Real-world data is crucial to inform existing opportunistic colorectal cancer (CRC) prevention programs. This study aimed to assess CRC screening adherence and utilization of various screening modalities within a Primary Care network over a thre ... Full text Link to item Cite

Effective Care Transitions: Reducing Readmissions to Improve Patient Care and Outcomes.

Journal Article Prof Case Manag · March 2024 PURPOSE/OBJECTIVES: Care transitions from one setting to another are vulnerable spaces where patients are susceptible to complications. Health systems, accountable care organizations, and payers recognize that care transition interventions are necessary to ... Full text Link to item Cite

Interactive visualization tool to understand and monitor health disparities in diabetes care and outcomes.

Journal Article J Clin Transl Sci · 2024 OBJECTIVE: Type 2 diabetes (T2DM) poses a significant public health challenge, with pronounced disparities in control and outcomes. Social determinants of health (SDoH) significantly contribute to these disparities, affecting healthcare access, neighborhoo ... Full text Link to item Cite

ACR Appropriateness Criteria® Pretreatment Detection, Surveillance, and Staging of Prostate Cancer: 2022 Update.

Journal Article J Am Coll Radiol · May 2023 Prostate cancer is second leading cause of death from malignancy after lung cancer in American men. The primary goal during pretreatment evaluation of prostate cancer is disease detection, localization, establishing disease extent (both local and distant), ... Full text Link to item Cite

The interagency care team: A new model to integrate social and medical care for older adults in primary care.

Journal Article Geriatr Nurs · 2023 To integrate management of social drivers of health with complex clinical needs of older adults, we connected patients aged 60 and above from primary care practices with a nurse practitioner (NP) led Interagency Care Team (ICT) of geriatrics providers and ... Full text Link to item Cite

Telehealth for the Longitudinal Management of Chronic Conditions: Systematic Review.

Journal Article J Med Internet Res · August 26, 2022 BACKGROUND: Extensive literature support telehealth as a supplement or adjunct to in-person care for the management of chronic conditions such as congestive heart failure (CHF) and type 2 diabetes mellitus (T2DM). Evidence is needed to support the use of t ... Full text Link to item Cite

Impact of a clinical pharmacist on provider prescribing patterns in a primary care clinic.

Journal Article J Am Pharm Assoc (2003) · 2022 BACKGROUND: Sodium-glucose transporter 2 (SGLT2) inhibitors and glucagon-like peptide-1 (GLP-1) agonists have demonstrated beneficial outcomes in patients with type 2 diabetes at high cardiovascular risk. Unfortunately, these agents are still underutilized ... Full text Link to item Cite

ACR Appropriateness Criteria® Post-Treatment Surveillance of Bladder Cancer: 2021 Update.

Journal Article J Am Coll Radiol · May 2021 Urothelial cancer is the second most common cancer, and cause of cancer death, related to the genitourinary tract. The goals of surveillance imaging after the treatment of urothelial cancer of the urinary bladder are to detect new or previously undetected ... Full text Link to item Cite

Reducing Imaging Utilization in Primary Care Through Implementation of a Peer Comparison Dashboard.

Journal Article J Gen Intern Med · January 2021 BACKGROUND: High clinical variation has been linked to decreased quality of care, increased costs, and decreased patient satisfaction. We present the implementation and analysis of a peer comparison intervention to reduce clinical variation within a large ... Full text Link to item Cite

Low health literacy and health outcomes: an updated systematic review.

Journal Article Ann Intern Med · July 19, 2011 BACKGROUND: Approximately 80 million Americans have limited health literacy, which puts them at greater risk for poorer access to care and poorer health outcomes. PURPOSE: To update a 2004 systematic review and determine whether low health literacy is rela ... Full text Link to item Cite

Health literacy interventions and outcomes: an updated systematic review.

Journal Article Evid Rep Technol Assess (Full Rep) · March 2011 OBJECTIVES: To update a 2004 systematic review of health care service use and health outcomes related to differences in health literacy level and interventions designed to improve these outcomes for individuals with low health literacy. Disparities in heal ... Link to item Cite

Interventions for individuals with low health literacy: a systematic review.

Journal Article J Health Commun · 2011 The U.S. Department of Health and Human Services recently called for action on health literacy. An important first step is defining the current state of the literature about interventions designed to mitigate the effects of low health literacy. We performe ... Full text Link to item Cite