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Justine Strand de Oliveira

Professor Emeritus in Family Medicine and Community Health
Family Medicine and Community Health, Physician Assistant Program
DUMC 104780, Durham, NC 27710
800 South Duke Street, Physician Assistant Program, Durham, NC 27701

Selected Publications


Nonpharmacological Self-Management of Migraine Across Social Locations: An Equity-Oriented, Qualitative Analysis.

Journal Article Glob Adv Health Med · 2019 BACKGROUND: Migraine is a disabling neurological disorder and the sixth biggest cause of disability worldwide. The World Health Organization has declared migraine a major public health problem due to a paucity of knowledge about cause and effective treatme ... Full text Link to item Cite

Patient preference in primary care provider type.

Journal Article Healthc (Amst) · March 2018 BACKGROUND: Given the growing roles of nurse practitioners (NPs) and physician assistants (PAs), patients are increasingly able to choose their primary care provider type. Studies examining patient preferences among provider types are limited and ours is t ... Full text Link to item Cite

Primary care multidisciplinary teams in practice: a qualitative study.

Journal Article BMC Fam Pract · December 29, 2017 BACKGROUND: Current recommendations for strengthening the US healthcare system consider restructuring primary care into multidisciplinary teams as vital to improving quality and efficiency. Yet, approaches to the selection of team designs remain unclear. T ... Full text Open Access Link to item Cite

Preceptors' Perceptions of Interprofessional Practice, Student Interactions, and Strategies for Interprofessional Education in Clinical Settings.

Journal Article J Physician Assist Educ · December 2017 PURPOSE: This study describes clinical preceptors' perceptions of interprofessional practice, the nature and variety of physician assistant (PA) students' interprofessional interactions during clinical training, and factors that facilitate or hinder interp ... Full text Open Access Link to item Cite

Dr Carek's Commentary on Training PAs and NPs.

Journal Article Fam Med · October 2016 Link to item Cite

Dr. Carek's Commentary on Training PAs and NPs

Journal Article Family medicine · October 1, 2016 Link to item Cite

A framework for revising preservice curriculum for nonphysician clinicians: The mozambique experience.

Journal Article Educ Health (Abingdon) · 2014 Mozambique, with approximately 0.4 physicians and 4.1 nurses per 10,000 people, has one of the lowest ratios of health care providers to population in the world. To rapidly scale up health care coverage, the Mozambique Ministry of Health has pushed for gre ... Full text Open Access Link to item Cite

Access to care: beyond health insurance.

Journal Article JAAPA · November 2013 Access to healthcare is derived from a complex mix of personal beliefs, cultural norms, and social structure, combined with available individual and community resources. This article reviews the concept of access to care and its evolution since the 1960s. ... Full text Link to item Cite

The assistant medical officer in Sri Lanka: mid-level health worker in decline.

Journal Article J Interprof Care · September 2013 The history of Assistant Medical Officers (AMOs) in Sri Lanka can be traced back to the 1860s. Their training from the beginning followed an allopathic, 'evidence based' model. AMOs have played a key role in rural and peripheral health care, through staffi ... Full text Link to item Cite

Teaching population health: a competency map approach to education.

Journal Article Acad Med · May 2013 A 2012 Institute of Medicine report is the latest in the growing number of calls to incorporate a population health approach in health professionals' training. Over the last decade, Duke University, particularly its Department of Community and Family Medic ... Full text Link to item Cite

Physician assistants and nurse practitioners: a missing component in state workforce assessments.

Journal Article J Interprof Care · July 2011 Due to current or predicted health workforce shortages, policy makers worldwide are addressing issues of task allocation, skill mix, and role substitution. This article presents an example of this process in the United States (US). Health workforce analyst ... Full text Link to item Cite

How do non-physician clinicians respond to advanced cancer patients' negative expressions of emotions?

Journal Article Support Care Cancer · January 2011 PURPOSE: Patients with advanced cancer often experience negative emotion; clinicians' empathic responses can alleviate patient distress. Much is known about how physicians respond to patient emotion; less is known about non-physician clinicians. Given that ... Full text Link to item Cite

Comparing oncologist, nurse, and physician assistant attitudes toward discussions of negative emotions with patients.

Journal Article J Physician Assist Educ · 2010 PURPOSE: Although research shows that empathic communication improves patient outcomes, physicians often fail to respond empathically to patients. Nurses and physician assistants (PAs) may be able to help fill the need for empathic communication. Our study ... Full text Link to item Cite

Missing in action: care by physician assistants and nurse practitioners in national health surveys.

Journal Article Health Serv Res · October 2007 Featured Publication OBJECTIVE: To assess applicability of national health survey data for generalizable research on outpatient care by physician assistants (PAs) and nurse practitioners (NPs). DATA SOURCES: Methodology descriptions and 2003 data files from the National Ambula ... Full text Link to item Cite

Genetics Interdisciplinary Faculty Training (GIFT): Integrating genetics into graduate nursing curricula

Journal Article Annual Review of Nursing Education · December 1, 2006 Cite

What about physician assistants?

Journal Article Health Aff (Millwood) · 2005 Full text Link to item Cite

Anticipating the profession's future.

Journal Article JAAPA · October 2002 Featured Publication This article considers the future of the physician assistant (PA) profession in light of trends in the US health care system. A bright job outlook is highlighted, and potential new professional roles are discussed. The author predicts opportunities for PAs ... Link to item Cite

Nonpharmacological Self-Management of Migraine Across Social Locations: An Equity-Oriented, Qualitative Analysis.

Journal Article Glob Adv Health Med · 2019 BACKGROUND: Migraine is a disabling neurological disorder and the sixth biggest cause of disability worldwide. The World Health Organization has declared migraine a major public health problem due to a paucity of knowledge about cause and effective treatme ... Full text Link to item Cite

Patient preference in primary care provider type.

Journal Article Healthc (Amst) · March 2018 BACKGROUND: Given the growing roles of nurse practitioners (NPs) and physician assistants (PAs), patients are increasingly able to choose their primary care provider type. Studies examining patient preferences among provider types are limited and ours is t ... Full text Link to item Cite

Primary care multidisciplinary teams in practice: a qualitative study.

Journal Article BMC Fam Pract · December 29, 2017 BACKGROUND: Current recommendations for strengthening the US healthcare system consider restructuring primary care into multidisciplinary teams as vital to improving quality and efficiency. Yet, approaches to the selection of team designs remain unclear. T ... Full text Open Access Link to item Cite

Preceptors' Perceptions of Interprofessional Practice, Student Interactions, and Strategies for Interprofessional Education in Clinical Settings.

Journal Article J Physician Assist Educ · December 2017 PURPOSE: This study describes clinical preceptors' perceptions of interprofessional practice, the nature and variety of physician assistant (PA) students' interprofessional interactions during clinical training, and factors that facilitate or hinder interp ... Full text Open Access Link to item Cite

Dr Carek's Commentary on Training PAs and NPs.

Journal Article Fam Med · October 2016 Link to item Cite

Dr. Carek's Commentary on Training PAs and NPs

Journal Article Family medicine · October 1, 2016 Link to item Cite

A framework for revising preservice curriculum for nonphysician clinicians: The mozambique experience.

Journal Article Educ Health (Abingdon) · 2014 Mozambique, with approximately 0.4 physicians and 4.1 nurses per 10,000 people, has one of the lowest ratios of health care providers to population in the world. To rapidly scale up health care coverage, the Mozambique Ministry of Health has pushed for gre ... Full text Open Access Link to item Cite

Access to care: beyond health insurance.

Journal Article JAAPA · November 2013 Access to healthcare is derived from a complex mix of personal beliefs, cultural norms, and social structure, combined with available individual and community resources. This article reviews the concept of access to care and its evolution since the 1960s. ... Full text Link to item Cite

The assistant medical officer in Sri Lanka: mid-level health worker in decline.

Journal Article J Interprof Care · September 2013 The history of Assistant Medical Officers (AMOs) in Sri Lanka can be traced back to the 1860s. Their training from the beginning followed an allopathic, 'evidence based' model. AMOs have played a key role in rural and peripheral health care, through staffi ... Full text Link to item Cite

Teaching population health: a competency map approach to education.

Journal Article Acad Med · May 2013 A 2012 Institute of Medicine report is the latest in the growing number of calls to incorporate a population health approach in health professionals' training. Over the last decade, Duke University, particularly its Department of Community and Family Medic ... Full text Link to item Cite

Physician assistants and nurse practitioners: a missing component in state workforce assessments.

Journal Article J Interprof Care · July 2011 Due to current or predicted health workforce shortages, policy makers worldwide are addressing issues of task allocation, skill mix, and role substitution. This article presents an example of this process in the United States (US). Health workforce analyst ... Full text Link to item Cite

How do non-physician clinicians respond to advanced cancer patients' negative expressions of emotions?

Journal Article Support Care Cancer · January 2011 PURPOSE: Patients with advanced cancer often experience negative emotion; clinicians' empathic responses can alleviate patient distress. Much is known about how physicians respond to patient emotion; less is known about non-physician clinicians. Given that ... Full text Link to item Cite

Comparing oncologist, nurse, and physician assistant attitudes toward discussions of negative emotions with patients.

Journal Article J Physician Assist Educ · 2010 PURPOSE: Although research shows that empathic communication improves patient outcomes, physicians often fail to respond empathically to patients. Nurses and physician assistants (PAs) may be able to help fill the need for empathic communication. Our study ... Full text Link to item Cite

Missing in action: care by physician assistants and nurse practitioners in national health surveys.

Journal Article Health Serv Res · October 2007 Featured Publication OBJECTIVE: To assess applicability of national health survey data for generalizable research on outpatient care by physician assistants (PAs) and nurse practitioners (NPs). DATA SOURCES: Methodology descriptions and 2003 data files from the National Ambula ... Full text Link to item Cite

Genetics Interdisciplinary Faculty Training (GIFT): Integrating genetics into graduate nursing curricula

Journal Article Annual Review of Nursing Education · December 1, 2006 Cite

What about physician assistants?

Journal Article Health Aff (Millwood) · 2005 Full text Link to item Cite

Anticipating the profession's future.

Journal Article JAAPA · October 2002 Featured Publication This article considers the future of the physician assistant (PA) profession in light of trends in the US health care system. A bright job outlook is highlighted, and potential new professional roles are discussed. The author predicts opportunities for PAs ... Link to item Cite

Strategies for improving patient compliance.

Journal Article Physician Assist · January 1994 Featured Publication Achieving patient compliance in taking prescribed medications is a formidable challenge for all clinicians. As PAs, we have daily opportunities to communicate with patients and improve their compliance. An office-based compliance program, combining patient ... Link to item Cite