Journal of General Internal Medicine This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Expanding Access to Comprehensive Geriatric Evaluation via Telehealth: Development of Hybrid-Virtual Home Visits
ConclusionsThese results provide a blueprint to translate an in-person home-based geriatrics program into a hybrid-virtual model and support the feasibility of using hybrid-virtual home visits to expand access to comprehensive geriatric evaluation and ongoing care for high-risk, community-dwelling older persons who reside geographically distant from the primary VA facility.Graphical Abstract (Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - January 16, 2024 Category: Internal Medicine Source Type: research

Factors Affecting Post-trial Sustainment or De-implementation of Study Interventions: A Narrative Review
AbstractIn contrast to traditional randomized controlled trials, embedded pragmatic clinical trials (ePCTs) are conducted within healthcare settings with real-world patient populations. ePCTs are intentionally designed to align with health system priorities leveraging existing healthcare system infrastructure and resources to ease intervention implementation and increase the likelihood that effective interventions translate into routine practice following the trial. The NIH Pragmatic Trials Collaboratory, funded by the National Institutes of Health (NIH), supports the conduct of large-scale ePCT Demonstration Projects that...
Source: Journal of General Internal Medicine - January 12, 2024 Category: Internal Medicine Source Type: research

Interventions to Reduce Loneliness in Community-Living Older Adults: a Systematic Review and Meta-analysis
DiscussionLow-to-moderate certainty evidence exists that group-based treatments, internet training, and possibly group exercises are associated with modest reductions in loneliness in community-living older adults. These findings can inform the design of supplemental benefits and the implementation of evidence-based interventions to address loneliness.Systematic Review Registration NumberPROSPERO (CRD42021272305) (Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - January 10, 2024 Category: Internal Medicine Source Type: research

Participation in a Physician Creative Writing Community: 15-Year Program Survey Outcomes at an Academic Medical Center
(Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - January 9, 2024 Category: Internal Medicine Source Type: research

Glucagon-like peptide-1 receptor agonists and the risk of atrial fibrillation in adults with diabetes: a real-world study
ConclusionsIn this real-word study, GLP-1RA was associated with a lower risk of AF compared with DPP4i, but no difference compared with SGLT2i, suggesting that cardiovascular benefits of GLP-1RA use may extend to prevention for AF in patients with diabetes. Our findings call for future randomized controlled trials to focus on the effects of GLP-1RA on AF prevention. (Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - January 8, 2024 Category: Internal Medicine Source Type: research

Screening for Elder Abuse in the Veterans Health Administration: Varied Approaches Across a National Health System
ConclusionsHigh variability in screening practices for abuse/neglect and lack of EA-specific screening in a system that has successfully deployed other standardized screening approaches present an important opportunity to standardize and improve EA detection practices. Lessons learned in VHA could help advance the evidence base for EA screening more broadly to increase overall detection rates for EA nationally. (Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - January 8, 2024 Category: Internal Medicine Source Type: research

US Medical-Legal Partnerships to Address Health-Harming Legal Needs: Closing the Health Injustice Gap
AbstractThe medical-legal partnership (MLP) model is emerging across the USA as a powerful tool to address the adverse social conditions underlying health injustice. MLPs embed legal experts into healthcare teams to address health-harming legal needs with civil legal remedies. We conducted a narrative review of peer-reviewed articles published between 2007 and 2022 to characterize the structure and impacts of US MLPs on patients, providers, and healthcare systems. We found that MLPs largely serve vulnerable patient populations by integrating legal experts into community-based clinical settings or children ’s hospitals, a...
Source: Journal of General Internal Medicine - January 8, 2024 Category: Internal Medicine Source Type: research

Clinician use of the Statin Choice Shared Decision-making Encounter Tool in a Major Health System
ConclusionsPatient factors, including race and sex, were associated with clinician use of Statin Choice; half the variation in use was attributable to individual clinicians. (Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - January 8, 2024 Category: Internal Medicine Source Type: research

The Naming: Tell Me How You Say It, and I ’ll Tell You What You Think
(Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - January 8, 2024 Category: Internal Medicine Source Type: research

Re: Letter to the Editor: Inpatient Understanding of Their Care Team and Receipt of Mixed Messages: A Two-Site Cross-Sectional Study
(Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - January 8, 2024 Category: Internal Medicine Source Type: research

Letter to the Editors
(Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - January 5, 2024 Category: Internal Medicine Source Type: research

Did Medicaid Reimbursements Shape the Effects of Medicaid Expansion on Access to Health Care Among the Low-Income Population?
ConclusionsMedicaid ’s fee structure should be considered as a factor influencing large-scale coverage expansions. (Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - January 3, 2024 Category: Internal Medicine Source Type: research

Clinician ’s Approach to Advanced Statistical Methods: Win Ratios, Restricted Mean Survival Time, Responder Analyses, and Standardized Mean Differences
This article offers guidance to busy clinicians on the comprehension and practical applicability of the results to patients. Win ratios provide an alternative method to analyze composite outcomes by prioritizing individual components of the composite; prioritization of the outcomes should be evidence-based, pre-specified, and patient-centered. Restricted mean survival time presents a method to analyze Kaplan –Meier curves when assumptions required for Cox proportional hazards analysis are not met. As it only considers outcomes that occur within a specific timeframe, the duration of follow-up must be appropriately defined...
Source: Journal of General Internal Medicine - January 3, 2024 Category: Internal Medicine Source Type: research

The Role of Pragmatic Implementation Science Methods in Achieving Equitable and Effective Use of Artificial Intelligence in Healthcare
(Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - January 3, 2024 Category: Internal Medicine Source Type: research

Human Rights in Hospitals: an End to Routine Shackling
AbstractMedical students (NSB, NM, JDW) spearheaded revision of the policy and clinical practice for shackling incarcerated patients at Boston Medical Center (BMC), the largest safety net hospital in New England. In American hospitals, routine shackling of incarcerated patients with metal restraints is widespread —except for perinatal patients—regardless of consciousness, mobility, illness severity, or age. The modified policy includes individualized assessments and allows incarcerated patients to be unshackled if they meet defined criteria. The students also formed the Stop Shackling Patients Coalition (SSP Coalition)...
Source: Journal of General Internal Medicine - January 2, 2024 Category: Internal Medicine Source Type: research