Journal ArticleWorld J Mens Health · July 2023
PURPOSE: Prostate cancer (PCa) screening can lead to potential over-diagnosis/over-treatment of indolent cancers. There is a need to optimize practices to better risk-stratify patients. We examined initial longitudinal outcomes of mid-life men with an elev ...
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ConferenceBMJ Open Qual · June 2023
BACKGROUND: Interprofessional primary care (PC) teams are key to the provision of high-quality care. PC providers often 'share' patients (eg, a patient may see multiple providers in the same clinic), resulting in between-visit interdependence between provi ...
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Journal ArticleJAAPA · January 1, 2023
Efforts to improve access to high-quality, efficient primary care have highlighted the need for team-based care. Most primary care teams are designed to maintain continuity of care between patients and primary care providers (PCPs), because continuity of c ...
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Journal ArticleJAAPA · February 1, 2022
OBJECTIVE: Increased demand for quality primary care and value-based payment has prompted interest in implementing primary care teams. Evidence-based recommendations for implementing teams will be critical to successful PA participation. This study sought ...
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ConferenceJ Gen Intern Med · January 2021
BACKGROUND: Implementation methods of risk-stratified cancer screening guidance throughout a health care system remains understudied. OBJECTIVE: Conduct a preliminary analysis of the implementation of a risk-stratified prostate cancer screening algorithm i ...
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Journal ArticleJ 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 ...
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Journal ArticleJ Grad Med Educ · April 2020
BACKGROUND: Improved well-being is a focus for graduate medical education (GME) programs. Residents and fellows often express difficulty with visiting primary care physicians, and this issue has not been thoroughly investigated. OBJECTIVE: We reported impl ...
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Journal ArticlePrim Care · December 2019
Lean thinking is a leadership, management, and operational approach for continuous improvement. Originally pioneered in Toyota's automobile manufacturing, Lean has now been implemented by health care to focus on improving care to deliver the greatest value ...
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Journal ArticleJ Telemed Telecare · April 2019
INTRODUCTION: Health systems are seeking innovative solutions to improve specialty care access. Electronic consultations (eConsults) allow specialists to provide formal clinical recommendations to primary care providers (PCPs) based on patient chart review ...
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Journal ArticleUrol Oncol · November 2018
PURPOSE: In response to controversy regarding prostate cancer (CaP) screening recommendations, a consolidated Duke Cancer Institute (DCI) multidisciplinary algorithm for CaP screening was developed and implemented. We conducted an online survey within the ...
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Journal ArticleJ Gen Intern Med · May 2018
PURPOSE: Ideally, a referral from a primary care physician (PCP) to a specialist results in a completed specialty appointment with results available to the PCP. This is defined as "closing the referral loop." As health systems grow more complex, regulatory ...
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Journal ArticleTher Adv Urol · January 2018
Prostate-specific antigen (PSA) screening for prostate cancer remains a controversial topic, particularly in the primary care community. Our multidisciplinary prostate screening panel at Duke University Health System, USA created a nuanced PSA screening al ...
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Journal ArticleAMIA Annu Symp Proc · 2016
The Chronic Care Model (CCM) is a promising framework for improving population health, but little is known regarding the long-term impact of scalable, informatics-enabled interventions based on this model. To address this challenge, this study evaluated th ...
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Journal ArticleJ Gen Intern Med · January 2010
While many patient self-management (PSM) programs have been developed and evaluated for effectiveness, less effort has been devoted to translating and systematically delivering PSM in primary and specialty care. Therefore, the purpose of this paper is to r ...
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Journal ArticlePediatrics · July 2005
ObjectiveAppointment delays impede access to primary health care. By reducing appointment delays, open access (OA) scheduling may improve access to and the quality of primary health care. The objective of this pilot study was to assess the potenti ...
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