James Lloyd Michener

Journal article Prev Chronic Dis · April 2009 Featured Publication A major contributor to shortfalls in delivery of recommended health care services is lack of physician time. On the basis of recommendations from national clinical care guidelines for preventive services and chronic disease management, and including the ti ... Link to item Cite

Estimated time spent on preventive services by primary care physicians.

Journal article BMC Health Serv Res · December 1, 2008 Featured Publication BACKGROUND: Delivery of preventive health services in primary care is lacking. One of the main barriers is lack of time. We estimated the amount of time primary care physicians spend on important preventive health services. METHODS: We analyzed a large dat ... Full text Link to item Cite

Improving the health of the community: Duke's experience with community engagement.

Journal article Acad Med · April 2008 Featured Publication Evidence is accumulating that the United States is falling behind in its potential to translate biomedical advances into practical applications for the population. Societal forces, increased awareness of health disparities, and the direction of clinical an ... Full text Link to item Cite

New models of care: building medical homes in empowered communities.

Journal article N C Med J · 2007 Featured Publication Link to item Cite

Just for Us: an academic medical center-community partnership to maintain the health of a frail low-income senior population.

Journal article Gerontologist · April 2006 Featured Publication PURPOSE: To promote health and maintain independence, Just for Us provides financially sustainable, in-home, integrated care to medically fragile, low-income seniors and disabled adults living in subsidized housing. DESIGN AND METHODS: The program provides ... Full text Link to item Cite

Alternative models for academic family practices.

Journal article BMC Health Serv Res · March 20, 2006 Featured Publication BACKGROUND: The Future of Family Medicine Report calls for a fundamental redesign of the American family physician workplace. At the same time, academic family practices are under economic pressure. Most family medicine departments do not have self-support ... Full text Link to item Cite

The Kate B. Reynolds smoking education lifestyle fitness improvement program: Preventing and reducing chronic disease in low-income North Carolina communities.

Journal article N C Med J · 2006 Featured Publication Link to item Cite

Dynamics of patient targeting for care management in Medicaid: a case study of the Durham Community Health Network.

Journal article Care Manag J · 2006 Featured Publication Targeting appropriate patients for care management is crucial to maximizing quality of care and cost-effectiveness in Medicaid care management programs. This study examined patient characteristics predicting selection for care management pre- and postmanag ... Full text Link to item Cite

Risk classification of adult primary care patients by self-reported quality of life.

Journal article Med Care · February 2005 Featured Publication BACKGROUND: : Although patient-reported health-related quality of life (HRQOL) is known to predict health services utilization, most risk assessment systems use provider-reported diagnoses as predictors rather than HRQOL. OBJECTIVE: : We sought to classify ... Full text Link to item Cite

Is there time for management of patients with chronic diseases in primary care?

Journal article Ann Fam Med · 2005 Featured Publication PURPOSE: Despite the availability of national practice guidelines, many patients fail to receive recommended chronic disease care. Physician time constraints in primary care are likely one cause. METHODS: We applied guideline recommendations for 10 common ... Full text Link to item Cite

Making a home in the community for the academic medical center.

Journal article Acad Med · January 2005 Featured Publication Academic medical centers (AMCs) have traditionally provided primary care for low-income and other underserved populations. However, they have had difficulty developing lasting partnerships with other organizations serving the same populations. This article ... Full text Link to item Cite

Assessing departments of family medicine.

Journal article Fam Med · October 2004 Featured Publication Link to item Cite

Primary care: is there enough time for prevention?

Journal article Am J Public Health · April 2003 Featured Publication OBJECTIVES: We sought to determine the amount of time required for a primary care physician to provide recommended preventive services to an average patient panel. METHODS: We used published and estimated times per service to determine the physician time r ... Full text Link to item Cite

Duke Case-Mix System (DUMIX) for ambulatory health care.

Journal article J Clin Epidemiol · December 1997 Featured Publication The Duke Case-Mix System (DUMIX), which combines age, gender, patient-reported perceived and physical health status, and provider-reported or auditor-reported severity of illness to classify patients by their risk of high future utilization, explained 17.1 ... Full text Link to item Cite

Nutrition, education, and family physicians.

Journal article Arch Fam Med · 1997 Featured Publication Full text Link to item Cite

Nutrition, family physicians, and health.

Journal article Arch Fam Med · July 1995 Featured Publication Full text Link to item Cite

An integrated nutrition curriculum for medical students.

Journal article Acad Med · May 1995 Featured Publication Full text Link to item Cite

Computer-prompted diagnostic codes.

Journal article J Fam Pract · March 1995 Featured Publication BACKGROUND: The purpose of this study was to develop and evaluate a computer system that would translate patient diagnoses noted by a physician into appropriate International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) codes ... Link to item Cite

Attitudes, experience, and influence of family medicine predoctoral education directors.

Journal article Fam Med · May 1994 Featured Publication BACKGROUND AND OBJECTIVES: While debate surrounds the determinants of medical students' specialty choices, the presence of favorable role models is generally agreed upon as beneficial to students' selection of a specialty. This study assessed the influence ... Link to item Cite

Tracking medical students' clinical experiences with a computerized medical records system.

Journal article Fam Med · 1994 Featured Publication A fully computerized system for recording and reporting of medical students' patient contacts has been developed and successfully used in a high-volume outpatient practice. In contrast to previously described systems, the need for manual recording and/or e ... Link to item Cite

The medical record: a comprehensive computer system for the family physician.

Journal article J Am Board Fam Pract · 1994 Featured Publication BACKGROUND: Despite the early excitement regarding the possible uses of computers in medical care in the 1980s, the computer has not had much effect on routine outpatient medicine except for billing and accounting. METHODS: An emerging comprehensive ambula ... Link to item Cite

Increasing compliance with mammography recommendations: health assessment forms.

Journal article J Fam Pract · January 1993 Featured Publication BACKGROUND: Inexpensive reminder systems are needed to ensure that primary care physicians consistently provide health maintenance services to their patients. The purpose of this study was to determine the effectiveness of a simple, inexpensive health asse ... Link to item Cite

The effect of a telephone family assessment intervention on the functional health of patients with elevated family stress.

Journal article Med Care · July 1989 Featured Publication A randomized trial of a telephone family assessment intervention was conducted during a 2.5 month period on 224 ambulatory primary care patients, aged 18-49 years, who were selected according to self-report of elevated family stress levels. Family physicia ... Full text Link to item Cite

Associations among family support, family stress, and personal functional health status.

Journal article J Clin Epidemiol · 1989 Featured Publication The self-reported family support and stress of 249 ambulatory adult patients, aged 18-49 years, were studied relative to their self-reported functional health. Support from family members was found to be related positively with emotional function. Stress f ... Full text Link to item Cite

A health promotion program for medical students.

Journal article J Med Educ · September 1988 Featured Publication Full text Link to item Cite

Clinical skills acquired during a clerkship in family medicine.

Journal article J Med Educ · October 1986 Featured Publication The authors report on their study of the perceived acquisition of clinical skills by 151 second-year students in six required clerkships: surgery, internal medicine, pediatrics, obstetrics-gynecology, psychiatry, and family medicine. The students completed ... Full text Link to item Cite

Clinical experience of medical students in model family practices and private family practices.

Journal article J Fam Pract · October 1986 Featured Publication The clinical experience of 21 Duke medical students during their family medicine clerkship is analyzed to compare experience in model family practices with that in private family practices. In model practices where 50 percent of the time involved patient c ... Link to item Cite

Development and modification of a required family medicine clerkship.

Journal article J Med Educ · October 1985 Featured Publication A new required clinical clerkship in family medicine at Duke University School of Medicine is described in terms of planning, implementation, and modification in response to students' evaluations. Seventy-five percent of the eight-week course involves dire ... Full text Link to item Cite