Journal of general internal medicine
-
Randomized Controlled Trial
Enhancing care for hospitalized older adults with cognitive impairment: a randomized controlled trial.
Approximately 40% of hospitalized older adults have cognitive impairment (CI) and are more prone to hospital-acquired complications. The Institute of Medicine suggests using health information technology to improve the overall safety and quality of the health care system. ⋯ A simple screening program for CI followed by a CDSS did not change physician prescribing behaviors or improve the process of care for hospitalized older adults with CI.
-
Randomized Controlled Trial
The effects of financial pressures on adherence and glucose control among racial/ethnically diverse patients with diabetes.
The Affordable Care Act is designed to decrease the numbers of uninsured patients in U.S. However, even with insurance, patients who have financial hardships may have difficulty obtaining their medications because of cost issues. ⋯ While having health insurance coverage eliminated some of the financial barriers associated with having diabetes, low-income patients still faced significant financial burdens. Thus, providing health insurance to more individuals is only the first step towards eliminating health disparities. It is important to address medication cost in order to improve medication adherence and glucose control.
-
Randomized Controlled Trial Comparative Study
Qualitative analysis of peer coaches' experiences with counseling African Americans about reducing heart disease risk.
Despite mounting evidence that peer coaches can make significant contributions to patient health, little is known about factors that must be addressed to engage and retain them in their role. ⋯ Programs that utilize peer support to enhance positive health behaviors should recognize that a spirit of volunteerism motivates many successful peer coaches. Program planners should acknowledge the special characteristics required of successful peer coaches when selecting, motivating and training individuals for this role.
-
Randomized Controlled Trial Comparative Study
Young adults at risk for excess alcohol consumption are often not asked or counseled about drinking alcohol.
Excessive alcohol consumption is most widespread among young adults. Practice guidelines recommend screening and physician advice, which could help address this common cause of injury and premature death. ⋯ Despite practice guidelines, few young adults are asked and advised by physicians about excessive alcohol consumption. Physicians should routinely ask all adults about their drinking and offer advice about levels that pose health risk, particularly to young adults.
-
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.