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.

Reducing the Risks of Nuclear War —the Role of Health Professionals
(Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - November 21, 2023 Category: Internal Medicine Source Type: research

The Case for Rituals
(Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - November 21, 2023 Category: Internal Medicine Source Type: research

Stereotype Threat and Gender Bias in Internal Medicine Residency: It is Still Hard to be in Charge
ConclusionsGender-based stereotype threat is highly prevalent among women IM residents. This phenomenon poses a threat to confidence and ability to execute patient care responsibilities, detracting from well-being and professional development. These findings indicate that, despite robust representation of women in IM training, further attention is needed to address gendered experiences and contributors to women ’s vulnerability to stereotype threat. (Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - November 20, 2023 Category: Internal Medicine Source Type: research

Catalyzing System Change: 100 Quality Improvement Projects in 1000 Days
ConclusionsWith appropriate QI infrastructure, scalable QI training models like Stanford PC-PEP can empower frontline workers to create meaningful changes across the IHI QA. (Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - November 20, 2023 Category: Internal Medicine Source Type: research

Affordability of Insulin for Non-Elderly Adults in the United States following $35 Monthly Out-of-Pocket Cap
(Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - November 20, 2023 Category: Internal Medicine Source Type: research

Integrating Community Health Workers ’ Dual Clinic-Community Role in Safety-Net Primary Care: Implementation Lessons from a Pragmatic Diabetes-Prevention Trial
ConclusionsCHWs ’ community knowledge can support patient engagement, but overextension of social assistance may detract from protocolized health-coaching goals. CHW programs in primary care should explicitly delineate CHWs’ non-health support to patients, include multiprofessional teams or partnerships with co mmunity-based organizations, establish formal communication between CHWs and clinicians, and institute mechanisms to review and iterate CHWs’ work to resolve challenges in their community-oriented role. (Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - November 16, 2023 Category: Internal Medicine Source Type: research

The Role of Human-Centered Design in Healthcare Innovation: a Digital Health Equity Case Study
AbstractHealthcare delivery has become more complicated, particularly with the addition of digital tools and advanced technologies that can further exacerbate existing disparities. New approaches to solve complex, multi-faceted problems are needed. Human-centered design (HCD), also known as design thinking, is an innovative set of methods to develop solutions to these types of issues using collaborative, team-based, and empathetic approaches focused on end user experiences. Originally advanced in technology sectors, HCD has garnered growing attention in quality improvement, healthcare redesign, and public health and medica...
Source: Journal of General Internal Medicine - November 16, 2023 Category: Internal Medicine Source Type: research

Association of Remote Patient Monitoring with Mortality and Healthcare Utilization in Hypertensive Patients: a Medicare Claims –Based Study
ConclusionsRPM use was associated with substantial reductions in hazards of mortality and hospitalization outcomes with an increase in cardiovascular-related outpatient visits. (Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - November 16, 2023 Category: Internal Medicine Source Type: research

Paths Forward for Clinicians Amidst the Rise of Unregulated Clinical Decision Support Software: Our Perspective on NarxCare
AbstractAmidst the US overdose epidemic, policymakers, law enforcement agencies, and healthcare institutions have contributed to a decrease in opioid prescribing, assuming reduced mortality would result —an assumption we now understand was oversimplified. At this intersection between public health and public safety domains as they relate to opioid prescribing, unregulated and proprietary clinical decision support tools have emerged without rigorous external validation or public data sharing. In t he following piece, we discuss challenges facing clinicians practicing medicine amidst unregulated clinical decision support t...
Source: Journal of General Internal Medicine - November 14, 2023 Category: Internal Medicine Source Type: research

Concurrent Hospice and Dialysis Care: Considerations for Implementation
ConclusionsWe developed a conceptual model for concurrent hospice and dialysis care and a corresponding resource list. In addition to policy changes, clinical implementation and educational resources can facilitate scalable and equitable dissemination of concurrent care. Concurrent hospice and dialysis care must be systematically evaluated via a hybrid implementation-effectiveness trial that includes the resources outlined herein, based on our conceptual model of concurrent care delivery. (Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - November 14, 2023 Category: Internal Medicine Source Type: research

Protected Time for Research Among Academic Hospitalists: a Qualitative Study of Hospitalist Group Leaders
ConclusionsThe prevailing paradigm for accessing protected time is one which encourages and rewards pursuing research work during non-work hours. As a hospitalist becomes more senior, the focus shifts from proving earnestness to becoming adept at navigating the institutional system as insiders. (Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - November 14, 2023 Category: Internal Medicine Source Type: research

Real World Use of Anti-Obesity Medications and Weight Change in Veterans
ConclusionsAOM use following MOVE! initiation was uncommon, and exposure was time-limited. AOM  + MOVE! was associated with a higher probability of achieving clinically significant weight loss than MOVE! alone. (Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - November 14, 2023 Category: Internal Medicine Source Type: research

Intimate Partner Violence, Mental Health, and Aging-Related Health Among Men and Women Veterans Across the Lifespan
ConclusionsIPV is broadly associated with aging-related and mental health, and TBI is a common correlate that may further contribute to psychiatric outcomes. Findings highlight the importance of trauma-informed care and recognizing the potential role of these exposures on men and women Veterans ’ health across the lifespan. (Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - November 14, 2023 Category: Internal Medicine Source Type: research

Characteristics of Advanced Practice Nurses Receiving Top Industry Payments and Their Practice Settings: a Cross-sectional Study
ConclusionsTop APN payment recipients attracted high-value payments in practice settings and specialities associated with high-cost drug development; however, there may be little oversight of APNs ’ industry relationships. Policy development related to industry relationships must be inclusive of and responsive to the activities of interprofessional providers. (Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - November 14, 2023 Category: Internal Medicine Source Type: research

Exploring the Relationship Between Medication Adherence and Diabetes Disparities among Hispanic Patients in a Large Health System
ConclusionsThe findings of this study suggest that the relationship between Hispanic ethnicity, HbA1c level, and factors outside of medication adherence should be explored among primary care patients receiving care in Academic Medical Centers. (Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - November 14, 2023 Category: Internal Medicine Source Type: research