Journal of Patient-Centered Research and Reviews最新文献_第6页

A Qualitative Study of Preclinical Medical Students Randomized to Patient-Partnered vs Traditional Clinical Experiences. 临床前医学院学生随机分组与传统临床经验对比的定性研究

IF 1.7

Journal of Patient-Centered Research and Reviews Pub Date : 2022-10-18 eCollection Date: 2022-01-01 DOI: 10.17294/2330-0698.1930

Joyce W Tang, Tia Kostas, Anshu Verma, Valerie G Press, Josef Kushner, Nicole Gier, Lauren O Wiklund, Vineet M Arora, Jeanne Farnan, David O Meltzer

{"title":"A Qualitative Study of Preclinical Medical Students Randomized to Patient-Partnered vs Traditional Clinical Experiences.","authors":"Joyce W Tang, Tia Kostas, Anshu Verma, Valerie G Press, Josef Kushner, Nicole Gier, Lauren O Wiklund, Vineet M Arora, Jeanne Farnan, David O Meltzer","doi":"10.17294/2330-0698.1930","DOIUrl":"https://doi.org/10.17294/2330-0698.1930","url":null,"abstract":"Purpose: Longitudinal patient-partnered experiences may promote medical student empathy, but evaluation of such programs is limited. The aim of this study was to compare areas of learning among first-year medical students randomized to a patient-centered track (PCT) or traditional track (TT) longitudinal clinical experience.Methods: PCT students (n=24) were paired with 2 patients and a physician to participate in their patients' care across multiple settings. TT students (n=56) were paired with a physician preceptor and participated in caring for a variety of patients in a single setting. This qualitative study used a phenomenological approach to template analysis, examining and comparing student reflective essays for areas of learning.Results: Three domains of learning emerged: 1) Focus of learning (biomedical, patient-centered); 2) Roles and relationships (clinical skills, relationship-building, teaching from preceptor and patients); and 3) Context of care (health systems science, interprofessional care). PCT students described patient-centered learning, relationship-building, and patients' role as teachers. In contrast, TT students emphasized biomedical learning, clinical skills development, and teaching from physician preceptors.Conclusions: Longitudinal patient-partnered clinical experiences provide rich opportunities for preclinical students to cultivate empathy and develop patient-centered values.","PeriodicalId":16724,"journal":{"name":"Journal of Patient-Centered Research and Reviews","volume":" ","pages":"290-297"},"PeriodicalIF":1.7,"publicationDate":"2022-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9584085/pdf/jpcrr-9.4.290.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40669093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Heart to Heart, Mom to Mom. 心对心，妈妈对妈妈。

IF 1.7

Journal of Patient-Centered Research and Reviews Pub Date : 2022-07-18 eCollection Date: 2022-01-01 DOI: 10.17294/2330-0698.1949

Karis L Tekwani

引用次数: 0

Can Variables From the Electronic Health Record Identify Delirium at Bedside? 电子健康记录的变量能识别床边的谵妄吗?

IF 1.7

Journal of Patient-Centered Research and Reviews Pub Date : 2022-07-18 eCollection Date: 2022-01-01 DOI: 10.17294/2330-0698.1890

Ariba Khan, Kayla Heslin, Michelle Simpson, Michael L Malone

{"title":"Can Variables From the Electronic Health Record Identify Delirium at Bedside?","authors":"Ariba Khan, Kayla Heslin, Michelle Simpson, Michael L Malone","doi":"10.17294/2330-0698.1890","DOIUrl":"https://doi.org/10.17294/2330-0698.1890","url":null,"abstract":"Delirium, a common and serious disorder in older hospitalized patients, remains underrecognized. While several delirium predictive models have been developed, only a handful have focused on electronic health record (EHR) data. This prospective cohort study of older inpatients (≥65 years old) aimed to determine if variables within our health system's EHR could be used to identify delirium among hospitalized patients at the bedside. Trained researchers screened daily for delirium using the 3-minute diagnostic Confusion Assessment Method (3D-CAM). Patient demographic and clinical variables were extracted from the EHR. Among 408 participants, mean age was 75 years, 60.8% were female, and 82.6% were Black. Overall rate of delirium was 16.7%. Patients with delirium were older and more likely to have an infection diagnosis, prior dementia, higher Charlson comorbidity severity of illness score, lower Braden Scale score, and higher Morse Fall Scale score in the EHR (P<0.01 for all). On multivariable analysis, a prior diagnosis of dementia (odds ratio: 5.0, 95% CI: 2.5-10.3) and a Braden score of <18 (odds ratio: 2.8, 95% CI: 1.5-5.1) remained significantly associated with delirium among hospitalized patients. Further research in the development of an automated delirium prediction model is needed.","PeriodicalId":16724,"journal":{"name":"Journal of Patient-Centered Research and Reviews","volume":"9 3","pages":"174-180"},"PeriodicalIF":1.7,"publicationDate":"2022-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9302913/pdf/jpcrr-9.3.174.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40675674","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Is Home Blood Pressure Monitoring Effective at Controlling Hypertension in African American Patients? A Clin-IQ. 家庭血压监测对控制非裔美国人高血压有效吗?Clin-IQ。

IF 1.7

Journal of Patient-Centered Research and Reviews Pub Date : 2022-07-18 eCollection Date: 2022-01-01 DOI: 10.17294/2330-0698.1944

Rebecca Nye, Wilhelm Lehmann, Deborah Simpson

{"title":"Is Home Blood Pressure Monitoring Effective at Controlling Hypertension in African American Patients? A Clin-IQ.","authors":"Rebecca Nye, Wilhelm Lehmann, Deborah Simpson","doi":"10.17294/2330-0698.1944","DOIUrl":"https://doi.org/10.17294/2330-0698.1944","url":null,"abstract":"African Americans are disproportionately affected by hypertension, a modifiable contributor to multiple chronic diseases and premature death. Primary care physicians play an important role in hypertension control. Home blood pressure monitoring (HBPM) is an evidence-based method for confirming diagnosis and monitoring hypertension over time. Some studies have found that HBPM may lead to clinically relevant reductions in blood pressure when combined with additional interventions, but few studies have focused specifically on African American populations. Evidence of effectiveness could increase clinical recommendation of HBPM. This clinical inquiry examined whether HBPM improves blood pressure control in African Americans with uncontrolled hypertension. Reviewed studies included 4 randomized controlled trials and 2 comparative research studies. Because these studies often were coupled with various co-interventions, ascertaining the independent effects of HBPM was difficult. When examining reviews of HBPM without a co-intervention and conducted independent of race, HBPM alone was insufficient to achieve long-term changes in hypertension control. More research focused on African Americans, with use of control groups, is needed to determine the true role for HBPM in controlling hypertension in this at-risk patient population.","PeriodicalId":16724,"journal":{"name":"Journal of Patient-Centered Research and Reviews","volume":"9 3","pages":"185-190"},"PeriodicalIF":1.7,"publicationDate":"2022-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9302914/pdf/jpcrr-9.3.185.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40676592","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Asking the Question 'What Matters to You?' in a London Intensive Care Unit. 问“什么对你重要?”在伦敦重症监护室。

IF 1.7

Journal of Patient-Centered Research and Reviews Pub Date : 2022-07-18 eCollection Date: 2022-01-01 DOI: 10.17294/2330-0698.1922

Harriet Pittaway, Laura White, Karen Turner, Angelique McGillivary

{"title":"Asking the Question 'What Matters to You?' in a London Intensive Care Unit.","authors":"Harriet Pittaway, Laura White, Karen Turner, Angelique McGillivary","doi":"10.17294/2330-0698.1922","DOIUrl":"https://doi.org/10.17294/2330-0698.1922","url":null,"abstract":"Purpose: At the heart of the paradigm shift in approach to patient care from paternalism toward shared decision-making lies the international \"What Matters To You?\" (WMTY) movement. However, WMTY principles are not frequently applied to the critical care setting. The aim of this quality improvement project work was to design and integrate a tool for all patients admitted to the intensive care unit (ICU) that helped answer WMTY.Methods: Using Plan-Do-Study-Act (PDSA) methodology across 8 cycles, a multidisciplinary team designed and integrated a bedside poster into the ICU. Quantitative and qualitative data were collected via a bedside audit process on a regular basis during each of the study phases comprising PDSA cycles.Results: Project results confirmed that the introduction of this poster/tool, alongside resource- and staff engagement-focused interventions, enabled the ICU to offer more than 50% of patients a WMTY conversation, as compared to zero at the start of the project. Consistently, 100% of staff surveyed (n=46 over all cycles) felt the posters were a useful addition to the ICU and confirmed they learned something new about their patients that they didn't know already.Conclusions: This novel poster design successfully summarized patients' responses to the question \"What matters to you?\" for ICU staff and would be transferable to other ICUs.","PeriodicalId":16724,"journal":{"name":"Journal of Patient-Centered Research and Reviews","volume":"9 3","pages":"166-173"},"PeriodicalIF":1.7,"publicationDate":"2022-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9302912/pdf/jpcrr-9.3.166.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40675670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Partnering to Advance Health Equity and a Welcome Opportunity to Gather: Proceedings From the 28^th Annual Conference of the Health Care Systems Research Network. 携手促进健康公平，欢聚一堂：医疗保健系统研究网络第 28 届年会论文集》。

IF 1.6

Journal of Patient-Centered Research and Reviews Pub Date : 2022-07-18 eCollection Date: 2022-01-01 DOI: 10.17294/2330-0698.1994

Robert T Greenlee

{"title":"Partnering to Advance Health Equity and a Welcome Opportunity to Gather: Proceedings From the 28th Annual Conference of the Health Care Systems Research Network.","authors":"Robert T Greenlee","doi":"10.17294/2330-0698.1994","DOIUrl":"10.17294/2330-0698.1994","url":null,"abstract":"In April 2022, the Health Care Systems Research Network (HCSRN) - a consortium of 20 research institutions affiliated with large health systems spread across the United States (and one in Israel) - held its 28th annual conference in Pasadena, California, with 275 researchers, health care colleagues, and external academic partners in attendance. With a conference theme of \"Promoting Collaboration and Partnerships to Advance Health Equity,\" the scientific program was assembled by a multisite planning committee with input from representatives of informal local host Kaiser Permanente Southern California. Objectives of the annual conference are to showcase scientific findings from HCSRN projects and to spur collaboration on research initiatives that improve health and health care for individuals and populations. To those ends, the NIH Pragmatic Trials Collaboratory sponsored a preconference workshop on the essentials of embedded pragmatic clinical trials, and more than a dozen scientific interest groups and active research project teams held ancillary sessions throughout the conference. This welcome opportunity for network members to meet in-person followed a 2-year hiatus necessitated by the COVID-19 pandemic, during which HCSRN conference proceedings were conducted through virtual and written communication platforms.","PeriodicalId":16724,"journal":{"name":"Journal of Patient-Centered Research and Reviews","volume":"9 3","pages":"193-195"},"PeriodicalIF":1.6,"publicationDate":"2022-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9302911/pdf/jpcrr-9.3.193.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40675667","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Abstracts From the 2022 Health Care Systems Research Network (HCSRN) Annual Conference. 摘要来自2022年卫生保健系统研究网络(HCSRN)年会。

IF 1.7

Journal of Patient-Centered Research and Reviews Pub Date : 2022-07-18 eCollection Date: 2022-01-01 DOI: 10.17294/2330-0698.1997

引用次数: 2

Cardiac Metastasis After Curative Treatment of Hepatocellular Carcinoma: Assessment of Risk Factors, Treatment Options, and Prognosis. 肝癌根治后心脏转移:危险因素、治疗方案和预后的评估。

IF 1.7

Journal of Patient-Centered Research and Reviews Pub Date : 2022-07-18 eCollection Date: 2022-01-01 DOI: 10.17294/2330-0698.1878

Gaurav Jain, Mathew Otto, Mubeen Khan Mohammed Abdul, Manpreet Chadha, Ajay Sahajpal

{"title":"Cardiac Metastasis After Curative Treatment of Hepatocellular Carcinoma: Assessment of Risk Factors, Treatment Options, and Prognosis.","authors":"Gaurav Jain, Mathew Otto, Mubeen Khan Mohammed Abdul, Manpreet Chadha, Ajay Sahajpal","doi":"10.17294/2330-0698.1878","DOIUrl":"https://doi.org/10.17294/2330-0698.1878","url":null,"abstract":"Hepatocellular carcinoma (HCC) is primary hepatic malignancy with a high incidence of recurrence. The risk of recurrence directly correlates to patient's overall prognosis. Management of advanced HCC involves a combination of surgical resection, locoregional therapy, and systemic treatment. Distant metastases are rare, and intraventricular cardiac metastases are even more infrequent. This brief review details an illustrative case of cardiac metastasis after curative treatment of primary HCC and then summarizes the literature on risk factors, treatment options, and patient prognosis in the setting of distant metastases from HCC. Prognosis of metastasis to the heart is generally poor, and available evidence emphasizes the importance of maintaining regular posttreatment screening for metastases in patients with HCC. Given the variable presentation and high risk of recurrence, it is critical to have individualized multimodality treatment plans.","PeriodicalId":16724,"journal":{"name":"Journal of Patient-Centered Research and Reviews","volume":"9 3","pages":"181-184"},"PeriodicalIF":1.7,"publicationDate":"2022-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9302909/pdf/jpcrr-9.3.181.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40675668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Real-World Third COVID-19 Vaccine Dosing and Antibody Response in Patients With Hematologic Malignancies. 血液恶性肿瘤患者的真实世界第三种COVID-19疫苗剂量和抗体反应

IF 1.7

Journal of Patient-Centered Research and Reviews Pub Date : 2022-07-18 eCollection Date: 2022-01-01 DOI: 10.17294/2330-0698.1952

Michael A Thompson, Sigrun Hallmeyer, Veronica E Fitzpatrick, Yunqi Liao, Michael P Mullane, Stephen C Medlin, Kenneth Copeland, James L Weese

{"title":"Real-World Third COVID-19 Vaccine Dosing and Antibody Response in Patients With Hematologic Malignancies.","authors":"Michael A Thompson, Sigrun Hallmeyer, Veronica E Fitzpatrick, Yunqi Liao, Michael P Mullane, Stephen C Medlin, Kenneth Copeland, James L Weese","doi":"10.17294/2330-0698.1952","DOIUrl":"https://doi.org/10.17294/2330-0698.1952","url":null,"abstract":"Purpose This study sought to describe the changes in immune response to a third dose of either Pfizer's or Moderna's COVID-19 mRNA vaccine (3V) among patients with hematologic malignancies, as well as associated characteristics. Methods This retrospective cohort study analyzed pre-3V and post-3V data on 493 patients diagnosed with hematologic malignancies across a large Midwestern health system between August 28, 2021, and November 1, 2021. For antibody testing, S1 spike antigen of the SARS-CoV-2 virus titer was used to determine serostatus. Results Among 493 participants, 274 (55.6%) were seropositive both pre- and post-3V (+/+) while 115 (23.3%) seroconverted to positive from prior negative following the third dose (-/+). The remaining 104 (21.1%) were seronegative both before and after 3V (-/-). No participant was seropositive pre-3V and seronegative post-3V (+/-). Results showed a statistically significant increase in the proportion of seropositivity after receiving a third COVID-19 vaccine (P<0.00001). Response to 3V was significantly associated with the 3V vaccine type (P=0.0006), previous COVID-19 infection (P=0.0453), and malignancy diagnosis (P<0.0001). Likelihood of seroconversion (-/+) after 3V was higher in the group of patients with multiple myeloma or related disorders compared to patients with lymphoid leukemias (odds ratio: 8.22, 95% CI: 2.12-31.79; P=0.0008). Conclusions A third COVID-19 vaccination is effective in producing measurable seroconversion in many patients with hematologic malignancies. Oncologists should actively encourage all their patients, especially those with multiple myeloma, to receive a 3V, given the high likelihood of seroconversion.","PeriodicalId":16724,"journal":{"name":"Journal of Patient-Centered Research and Reviews","volume":"9 3","pages":"149-157"},"PeriodicalIF":1.7,"publicationDate":"2022-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9302908/pdf/jpcrr-9.3.149.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40675669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 7

Virtual Behavioral Health Treatment Satisfaction and Outcomes Across Time. 虚拟行为健康治疗的满意度和跨时间结果。

IF 1.6

Journal of Patient-Centered Research and Reviews Pub Date : 2022-07-18 eCollection Date: 2022-01-01 DOI: 10.17294/2330-0698.1918

Mindy R Waite, Sara Diab, James Adefisoye

{"title":"Virtual Behavioral Health Treatment Satisfaction and Outcomes Across Time.","authors":"Mindy R Waite, Sara Diab, James Adefisoye","doi":"10.17294/2330-0698.1918","DOIUrl":"10.17294/2330-0698.1918","url":null,"abstract":"Purpose: The COVID-19 pandemic continues to have major and long-lasting impacts on health care delivery and mental health. As health care shifted to telehealth, legislation was adjusted to expand telehealth allowances, creating a unique opportunity to elucidate outcomes. The aim of this study was to assess long-term patient and clinician satisfaction and outcomes with virtual behavioral health.Methods: Data were obtained over 16 months from surveys to patients and clinicians receiving/providing virtual treatment. Outcomes data also were collected from medical records of adults receiving in-person and virtual behavioral health treatment. Data were summarized using descriptive statistics. Groups were compared using various chi-squared tests for categorical variables, Likert response trends over time, and conditional independence, with Wilcoxon rank-sum or Jonckheere trend test used to assess continuous variables. P-values of ≤0.05 were considered statistically significant.Results: Patients gave high ratings to virtual treatment and indicated a preference for virtual formats. Both patient and clinician preference for virtual visits increased significantly with time, and many clinicians perceived virtual services to be equally effective to in-person. Virtual programs had higher completion rates, attendance rates, and number of treatment visits, suggesting that virtual behavioral health had equivalent or better outcomes to in-person treatment and that attitudes toward telehealth changed over time.Conclusions: If trends found in this study continue, telehealth may emerge as a preferred option long term This is important considering the increase in mental health needs associated with the COVID-19 pandemic and the eventuality that in-person restrictions ease as the pandemic subsides.","PeriodicalId":16724,"journal":{"name":"Journal of Patient-Centered Research and Reviews","volume":"9 3","pages":"158-165"},"PeriodicalIF":1.6,"publicationDate":"2022-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9302910/pdf/jpcrr-9.3.158.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40675672","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0