Kimberly S. Hawblitzel Yarnall

Journal Article AMIA 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 ... Open Access Link to item Cite

HPV genotypes and cervical intraepithelial neoplasia in a multiethnic cohort in the southeastern USA.

Journal Article Cancer Causes Control · August 2014 PURPOSE: For poorly understood reasons, invasive cervical cancer (ICC) incidence and mortality rates are higher in women of African descent. Oncogenic human papillomavirus (HPV) genotypes distribution may vary between European American (EA) and African-Ame ... Full text Open Access Link to item Cite

HPV genotypes and cervical intraepithelial Neoplasiain a multiethnic cohort in the southeastern United States

Journal Article Journal of Vaccines and Vaccination · January 1, 2014 Background: For poorly understood reasons, invasive cervical cancer (ICC) incidence and mortality rates are higher in women of African descent. Oncogenic human papillomavirus (HPV) genotypes distribution may vary between European American (EA) and African ... Full text Cite

HPV genotypes and cervical intraepithelial neoplasia in a multiethnic cohort in the southeastern USA

Journal Article Cancer Causes and Control · January 1, 2014 Purpose: For poorly understood reasons, invasive cervical cancer (ICC) incidence and mortality rates are higher in women of African descent. Oncogenic human papillomavirus (HPV) genotypes distribution may vary between European American (EA) and African-Ame ... Full text Cite

Neighborhood clinics: An academic medical center-community health center partnership

Chapter · 2013 The number of uninsured and underinsured in the United States is growing,1 and the challenges of their care are complex. The providers and services available to the un/underinsured are limited, and financial barriers are compounded by such obstacles as lac ... Cite

Neighborhood clinics: An academic medical center-community health center partnership

Chapter · January 1, 2013 The number of uninsured and underinsured in the United States is growing,1 and the challenges of their care are complex. The providers and services available to the un/underinsured are limited, and financial barriers are compounded by such obstacles as lac ... Cite

Improving hypertension control in a population of low-income frail older adults: An evaluation of the just for us model

Journal Article Journal of Applied Gerontology · August 1, 2012 We evaluated hypertension management among enrollees in Just for Us (JFU)-an approach to providing coordinated, in-home care to medically fragile, low-income older or disabled adults living independently. The sample was 264 JFU patients who enrolled betwee ... Full text Cite

Barriers to adopting a healthy lifestyle: insight from postpartum women.

Journal Article BMC Res Notes · August 17, 2009 Featured Publication BACKGROUND: Postpartum weight retention can contribute to obesity. There may be unique barriers to weight loss in this period. FINDINGS: Cases are presented for three postpartum women who declined to participate in a postpartum weight loss intervention.Des ... Full text Link to item Cite

Family physicians as team leaders: "time" to share the care.

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

Neighborhood clinics: an academic medical center-community health center partnership.

Journal Article J Health Care Poor Underserved · August 2007 This report describes a clinic run by a federally-qualified health center and an academic medical center. The clinic expands the community's primary care capacity, combining advantages of big and small settings, and of its dual affiliation. Survey data sug ... Full text Link to item Cite

Short birth intervals and uterine cervical cancer risk in Jamaican women.

Journal Article Int J Gynaecol Obstet · July 2007 Full text Link to item Cite

Use of email in a family practice setting: opportunities and challenges in patient- and physician-initiated communication.

Journal Article BMC Med · August 15, 2006 BACKGROUND: Electronic mail (email) has the potential to improve communication between physicians and patients. METHODS: We conducted two research studies in a family practice setting: 1) a brief, anonymous patient survey of a convenience sample to determi ... Full text 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 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 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

Pain predicts non-adherence to pap smear screening among middle-aged African American women.

Journal Article Prev Med · August 2005 BACKGROUND: Middle-aged African American women have the highest incidence and mortality of invasive cervical cancer in the United States and the lowest adherence to pap smear screening. METHODS: In 2001, we identified factors associated with non-adherence ... 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 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 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

Reproducibility of self-reported pap test utilization in middle-aged African-American women.

Journal Article Ethn Dis · 2005 Both clinicians who perform Pap tests and prescribe re-screens and public health officials, who periodically evaluate the success of Pap test screening programs, often depend on women to self-report their most recent Pap test. However, reliability of self- ... Link to item Cite

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

Journal Article Acad Med · January 2005 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

Factors associated with condom use among at-risk women students and nonstudents seen in managed care.

Journal Article Prev Med · August 2003 OBJECTIVES: Sexually transmitted diseases (STD) research has focused on high-risk populations such as STD clinic patients and college students. This report examines predictors of unprotected sex among nonstudent women seen in primary care. STUDY DESIGN: Da ... Full text Link to item Cite

A tailored minimal self-help intervention to promote condom use in young women: results from a randomized trial.

Journal Article AIDS · July 4, 2003 OBJECTIVE: To evaluate the efficacy of a theory-based tailored minimal self-help intervention to increase condom use among young women at risk for HIV/sexually transmitted disease (STD). DESIGN: Randomized controlled trial on an intent-to-treat basis in tw ... Full text Link to item Cite

The social context of gastrointestinal cancer pain: a preliminary study examining the relation of patient pain catastrophizing to patient perceptions of social support and caregiver stress and negative responses.

Journal Article Pain · May 2003 A number of studies have shown that catastrophizing is an important predictor of pain and disability in persons having persistent pain conditions. The newly developed communal model of catastrophizing maintains that catastrophizing is a part of broader, in ... Full text Link to item Cite

Primary care: is there enough time for prevention?

Journal Article Am J Public Health · April 2003 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

Ineffective use of condoms among young women in managed care.

Journal Article AIDS Care · December 2002 Condoms must be used effectively in order to prevent pregnancy and the spread of HIV/STD. This study investigated two types of ineffective condom use, delayed condom use (initiated after penetration has occurred) and condom slippage and/or breakage. We est ... Full text Link to item Cite

Factors associated with patient-recalled smoking cessation advice in a low-income clinic.

Journal Article J Natl Med Assoc · May 2002 It is recommended that providers advise cessation to their patients who smoke. However, patients' reports of cessation advice indicate disparities based on patients' race, gender, age, and smoking level. Providers' reports do not corroborate these disparit ... Link to item Cite

Influence of stereotyping in smoking cessation counseling by primary care residents.

Journal Article Ethn Dis · 2002 This study examined racial differences in primary care residents' rates of addressing smoking cessation. We expected residents to have higher rates of addressing cessation with White female patients as compared with African-American or Hispanic female pati ... Link to item Cite

How do residents prioritize smoking cessation for young "high-risk" women? Factors associated with addressing smoking cessation.

Journal Article Prev Med · October 2001 BACKGROUND: Sixty-seven percent of physicians report advising their smoking patients to quit. Primary care residents' priorities for preventive health for a young "high-risk" female are unknown. Factors related to residents addressing smoking also need exa ... Full text Link to item Cite

Minor depression in family practice: functional morbidity, co-morbidity, service utilization and outcomes.

Journal Article Psychol Med · November 2000 BACKGROUND: Minor depression is a disabling condition commonly seen in primary care settings. Although considerable impairment is associated with minor depression, little is known about the course of the illness. Using a variety of clinical and functional ... Full text Link to item Cite

The impact of tailored interventions on a community health center population.

Journal Article Patient Educ Couns · June 1999 We conducted a 4-year randomized study in a community health center that serves primarily low income Blacks in Durham, North Carolina. Patients (1318 at baseline) were assigned randomly to one of three study groups: provider prompting intervention alone, p ... Full text Link to item Cite

Does a coexisting anxiety disorder predict persistence of depressive illness in primary care patients with major depression?

Journal Article Gen Hosp Psychiatry · 1999 We assessed whether a coexisting anxiety disorder predicts risk for persistent depression in primary care patients with major depression at baseline. Patients with major depression were identified in a 12-month prospective cohort study at a University-base ... Full text Link to item Cite

Computerized prompts for cancer screening in a community health center.

Journal Article J Am Board Fam Pract · 1998 BACKGROUND: We describe the implementation and subsequent use of a computerized health maintenance tracking system in a large, urban, North Carolina community health center (Lincoln Community Health Center) as part of a larger study designed to increase ra ... Full text Link to item Cite

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

Journal Article J Clin Epidemiol · December 1997 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

Readiness to change smoking behavior in a community health center population.

Journal Article J Community Health · February 1997 This study examines predictors of readiness to change smoking behavior in a sample of smokers who receive care at a community health center that serves a predominantly low income African American population. Prior to initiating interventions we conducted a ... Full text Link to item Cite

Cancer screening practices among women in a community health center population.

Journal Article Am J Prev Med · 1996 BACKGROUND: Cancer takes a disproportionate toll on disadvantaged Americans. Poverty and low education are risk factors for underuse of cancer screening. METHODS: In this report, we discuss predictors of adherence to cancer screening (mammography, clinical ... Link to item Cite

Computer-prompted diagnostic codes.

Journal Article J Fam Pract · March 1995 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

Feasibility and potential clinical usefulness of a computerized severity of illness measure.

Journal Article Arch Fam Med · November 1994 OBJECTIVE: To assess the feasibility and potential clinical usefulness of the computerized Duke Severity of Illness Checklist (DUSOI). DESIGN: Cross-sectional study of patients whose severity of illness was measured with the DUSOI. Providers assessed the c ... Full text Link to item Cite

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

Journal Article J Am Board Fam Pract · 1994 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 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

Tricyclic antidepressant prescribing for nonpsychiatric disorders. An analysis based on data from the 1985 National Ambulatory Medical Care Survey.

Journal Article J Fam Pract · July 1991 BACKGROUND: Primary care physicians often do not document a psychiatric diagnosis when prescribing psychotropic medications. Recent literature suggests the potential benefit of tricyclic antidepressants (TCAs) in a number of nonpsychiatric conditions (low ... Link to item Cite