Clin Pediatr (Phila) 2020 10 7;59(12):1092-1096. Epub 2020 Jun 7.
Duke University, Durham, NC, USA.
J Gen Intern Med 2021 Jan 22. Epub 2021 Jan 22.
Center for Value-Based Care Research, Cleveland Clinic Community Care, Cleveland, OH, USA.
Background: Identifying which patients receive referrals to and which ones attend weight management programs can provide insights into how physicians manage obesity.Objective: To describe patient factors associated with referrals, which primarily reflect physician priorities, and attendance, which reflects patient priorities. We also examine the influence of the individual physician by comparing adjusted rates of referral and attendance across physicians. Read More
South Med J 2021 01;114(1):41-45
From the Center for Value-Based Care Research and the Department of Family Medicine, Cleveland Clinic Community Care, the Strategy Office, Cleveland Clinic, and the Cleveland Clinic Lerner College of Medicine, Cleveland, Ohio.
Objective: To deliver effective care, healthcare systems should understand patients' preferences for weight management across a spectrum of needs. Our objective was to describe patients' perceptions of what helps or hinders weight loss and maintenance.Methods: Semistructured interviews were conducted with patients who accessed weight management services at a large integrated health system in 2018. Read More
Diabetes Care 2020 12;43(12):e199
Quantitative Health Sciences, Cleveland Clinic, Cleveland, OH.
Cleve Clin J Med 2020 Nov 3. Epub 2020 Nov 3.
Chairman, Department of Hospital Medicine, Cleveland Clinic Community Care, Cleveland Clinic; Clinical Assistant Professor, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH.
SARS-CoV-2-infected inpatients who are admitted to a noncritical care medical ward require a standardized approach that is based on evidence if available, and effective supportive and respiratory care. Outcomes are better when patients receive standardized care, in special COVID-19 wards in the hospital, from clinical teams with expertise. Available evidence and guidelines should be continuously appraised and integrated into clinical protocols for all domains of treatment, including isolation, and personal protective measures, pharmacologic therapy, and transitions of care. Read More
J Gen Intern Med 2020 12 21;35(12):3549-3555. Epub 2020 Sep 21.
Center for Value-Based Care Research, Cleveland Clinic Community Care, Cleveland Clinic, 9500 Euclid Avenue, G10, Cleveland, OH, 44195, USA.
Background: Treating hypertension is important but physicians often do not intensify blood pressure (BP) treatment in the setting of pain.Objective: To identify whether reporting pain is associated with (1) elevated BP at the same visit, (2) medication intensification, and (3) elevated BP at the subsequent visit.Design: Retrospective cohort SETTING: Integrated health system PARTICIPANTS: Adults seen in primary care EXPOSURE: Pain status based on numerical scale: mild (1-3), moderate (4-6), or severe (≥ 7). Read More