Take a deeper look into all the publications produced by researchers at The Dartmouth Institute.

Lachman P, Nelson EC

2021 Apr 6;pii: mzab065. doi: 10.1093/intqhc/mzab065

Int J Qual Health Care|2021 Apr 6

Finley DJ, Stevens CJ, Emond JA, Batsis JA, Fay KA, Darabos C, Sacks OA, Cook SB, Lyons KD

2021 Mar 5;37:101525doi: 10.1016/j.suronc.2021.101525

Pre-operative exercise may improve functional outcomes for lung cancer patients, but barriers associated with cost, resources, and burden make it challenging to deliver pre-operative exercise programs. The goal of this proof-of-concept study was to determine level of moderate-vigorous physical activity (MVPA) and change in aerobic capacity after participation in a home-based pre-operative exercise intervention.

Surg Oncol|2021 Mar 5

Nyweide DJ, Austin AM, Bynum JPW

2021 Apr 1;doi: 10.1007/s11606-021-06710-y

It is not uncommon for medical specialists to predominantly care for patients with certain chronic conditions rather than primary care physicians (PCPs), yet the resource implications from such patterns of care are not well understood.

J Gen Intern Med|2021 Apr 1

Sprague BL, Lowry KP, Miglioretti DL, Alsheik N, Bowles EJA, Tosteson ANA, Rauscher G, Herschorn SD, Lee JM, Trentham-Dietz A, Weaver DL, Stout NK, Kerlikowske K

2021 Mar 29;pii: djab045. doi: 10.1093/jnci/djab045

The coronavirus disease 2019 (COVID-19) pandemic led to a near-total cessation of mammography services in the United States in mid-March 2020. It is unclear if screening and diagnostic mammography volumes have recovered to pre-pandemic levels and whether utilization has varied by women's characteristics.

J Natl Cancer Inst|2021 Mar 29

Miglioretti DL, Bissell MCS, Kerlikowske K, Buist DSM, Cummings SR, Henderson LM, Onega T, O'Meara ES, Rauscher GH, Sprague BL, Tosteson ANA, Wernli KJ, Lee JM, Lee CI

2021 Mar 1;4(3):e211974doi: 10.1001/jamanetworkopen.2021.1974

Breast cancer screening, surveillance, and diagnostic imaging services were profoundly limited during the initial phase of the coronavirus disease 2019 (COVID-19) pandemic.

JAMA Netw Open|2021 Mar 1

MacKenzie T, Lebeaux R

2021 Mar 24;doi: 10.1007/s11524-021-00516-3

The USA leads the world in healthcare spending but trails dozens of countries in life expectancy. Government spending may reduce overall mortality by redistributing resources from the rich to the poor. We linked mortality data from 2006 to 2015 to municipal and state government spending in 149 of the largest American cities. We modeled the association of mortality with city and state government spending per capita in 2005 using weighted linear regression. A 10% increase in state government expenditures was associated (P = 0.008) with a 1.4% (95%CI: 0.4-2.4%) reduction in mortality in American cities. Total city government expenditures were not associated with mortality (P > 0.10). However, among Whites, increases in city government spending were associated with a reduction in mortality of 4.8% (2.1-7.5%), but among Blacks and Asians, increased city government spending was associated with respective mortality increases of 1.7% (0.6-2.9%) and 5.1% (2.1-6.2%). State government spending is associated with reduced mortality in American cities. City government spending appears to benefit White longevity and hurt non-White longevity.

J Urban Health|2021 Mar 24

Batalden P, Ovalle A, Foster T, Elwyn G

2021 Mar 23;pii: mzab054. doi: 10.1093/intqhc/mzab054

Int J Qual Health Care|2021 Mar 23

Mohan D, O'Malley AJ, Chelen J, MacMartin M, Murphy M, Rudolph M, Barnato A

2021 Mar 22;11(3):e045084doi: 10.1136/bmjopen-2020-045084

Fewer than half of all people in the USA have a documented advance care plan (ACP). Hospitalisation offers an opportunity for physicians to initiate ACP conversations. Despite expert recommendations, hospital-based physicians (hospitalists) do not routinely engage in these conversations, reserving them for the critically ill.The objective of this study is to test the effect of a novel behavioural intervention on the incidence of ACP conversations by hospitalists practicing at a stratified random sample of hospitals drawn from 220 US acute care hospitals staffed by a large, nationwide acute care physician practice with an ongoing ACP quality improvement initiative.

BMJ Open|2021 Mar 22

Lane NE, Ling V, Glazier RH, Stukel TA

2021 Mar 9;22(1):51doi: 10.1186/s12875-021-01398-9

Some jurisdictions restrict primary care physicians' daily patient volume to safeguard quality of care for complex patients. Our objective was to determine whether people with dementia receive lower-quality care if their primary care physician sees many patients daily.

BMC Fam Pract|2021 Mar 9

Berkowitz J, Martinez-Camblor P, Stevens G, Elwyn G

2021 Feb 25;pii: S0738-3991(21)00140-3. doi: 10.1016/j.pec.2021.02.040

To develop 'incorpoRATE', a brief and broadly applicable measure of physicians' willingness to incorporate shared decision making (SDM) into practice.

Patient Educ Couns|2021 Feb 25


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