Journal of general internal medicine
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Comparative Study
Mentorship, productivity, and promotion among academic hospitalists.
United States academic hospitals have rapidly adopted the hospitalist model of care. Academic hospitalists have taken on much of the clinical and teaching responsibilities at many institutions, yet little is known about their academic productivity and promotion. ⋯ Most academic hospitalists had not presented a poster at a national meeting, authored an academic publication, or presented grand rounds at their institution. Many academic hospitalists lacked mentorship and this was associated with a failure to produce scholarly activity. Mentorship may improve academic productivity among hospitalists.
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Randomized Controlled Trial Comparative Study
Conjoint analysis versus rating and ranking for values elicitation and clarification in colorectal cancer screening.
To compare two techniques for eliciting and clarifying patient values for decision making about colorectal cancer (CRC) screening: choice-based conjoint analysis and a rating and ranking task. ⋯ Choice-based conjoint analysis produced somewhat different patterns of attribute importance than a rating and ranking task, but had little effect on other outcomes.
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Comparative Study
Provider characteristics, clinical-work processes and their relationship to discharge summary quality for sub-acute care patients.
Discharge summaries play a pivotal role in the transitional care of patients discharged to sub-acute care facilities, but the best ways to facilitate document completeness/quality remain unknown. ⋯ Critical component omissions in discharge summaries were common, and were associated with delayed document creation and less experienced providers. More research is needed to understand the impact of discharge documentation quality on patient/system outcomes.
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Randomized Controlled Trial Multicenter Study Comparative Study
Randomized controlled trial of health maintenance reminders provided directly to patients through an electronic PHR.
Provider and patient reminders can be effective in increasing rates of preventive screenings and vaccinations. However, the effect of patient-directed electronic reminders is understudied. ⋯ Providing patients with HM reminders via a PHR may be effective in improving some elements of preventive care.
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Randomized Controlled Trial Comparative Study
Geriatric syndromes in older homeless adults.
The average age of the US homeless population is increasing. Little is known about the prevalence of geriatric syndromes in older homeless adults. ⋯ Geriatric syndromes that are potentially amenable to treatment are common in older homeless adults, and are experienced at higher rates than in the general older population.