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

Zipkin RJ, Schaefer A, Wang C, Loehrer AP, Kapadia NS, Brooks GA, Onega T, Wang F, O'Malley AJ, Moen EL

2022 May 24;doi: 10.1245/s10434-022-11834-4

Delays between breast cancer diagnosis and surgery are associated with worsened survival. Delays are more common in urban-residing patients, although factors specific to surgical delays among rural and urban patients are not well understood.

Ann Surg Oncol|2022 May 24

Moumjid N, Durand MA, Carretier J, Charuel E, Daumer J, Haesebaert J, Hild S, Mancini J, Marsico G, Rat C, Zerbib Y, Vincent YM, Blot F

2022 May 20;pii: S1865-9217(22)00048-4. doi: 10.1016/j.zefq.2022.03.001

We present the evolution of patient-centered care (PCC) and shared decision-making (SDM) in France since 2017, highlighting advantages and drawbacks of their implementation at the macro level. We then focus on several key policy and legislative milestones that are aimed to develop PCC and SDM. These milestones underline the importance of patient movements to support and fund the development of research and practice in the field. We shall conclude by presenting the growing research agenda and selected key topics. These key topics notably include the increase in both patient and healthcare professional trainings on PCC and SDM provided by healthcare users' and patients' representatives. PCC and SDM continue to be central preoccupations at the macro level, supported by public health policies and patients/healthcare users' actions. This overview, however, suggests that although implementation initiatives have increased since 2017, implementation remains scarce in routine clinical practice. Funding, not only for research projects, but for the implementation of PCC and SDM in real-life settings (e-decision aids, clinical guidelines integrating PCC/SDM, human resources dedicated to PCC/SDM, etc.) are needed to promote sustained adoption. More systematic training for both healthcare professionals and patients is also warranted for a true acculturation to occur.

Z Evid Fortbild Qual Gesundhwes|2022 May 20

Lu Y, Elwyn G, Moulton BW, Volk RJ, Frosch DL, Spatz ES

2022 May 19;pii: S1865-9217(22)00082-4. doi: 10.1016/j.zefq.2022.04.031

Shared decision making (SDM) is defined as an approach in which clinicians and patients share the best available evidence when faced with the task of making decisions, and in which patients are supported to consider options to achieve informed preferences [1]. Over the past decade, SDM has been increasingly recognized as a component of value-based care in the US. There is greater acceptance overall that SDM is a key strategy for achieving patient-centered care, enhancing patient safety, and achieving the triple aim of better health, better care, and lower costs [2]. Essential elements of SDM include recognizing and acknowledging that a decision is required; knowing and understanding the best available evidence on risks and benefits; and incorporating the patient's values and preferences into the decision [3]. This paper provides an update of our previous review of SDM in the US published in 2017. We describe changes in healthcare policies to support SDM at the federal and state levels, the integration of SDM into clinical practice, and the role of implementation science to advance SDM. Finally, we discuss potential next steps to inform policies for SDM and facilitate uptake of SDM in clinical practice.

Z Evid Fortbild Qual Gesundhwes|2022 May 19

Green C, Leyenaar JK, Nuncio B, Leslie LK

2022 May 19;pii: S0022-3476(22)00419-X. doi: 10.1016/j.jpeds.2022.05.012

To assess whether residents who trained with a co-located or integrated behavioral/mental health professional (B/MHP) reported higher competence in the assessment and management of behavioral/mental health (B/MH) conditions than those who trained without an onsite B/MHP. We hypothesized that having an onsite B/MHP would be associated with higher self-reported competence, especially if integrated into clinic.

J Pediatr|2022 May 19

Loo S, Mullikin K, Robbins C, Xiao V, Battaglia TA, Lemon SC, Gunn C, TRIP Consortium.

2022 May 21;22(1):683doi: 10.1186/s12913-022-08090-3

In 2018 Translating Research Into Practice (TRIP), an evidence-based patient navigation intervention aimed at addressing breast cancer care disparities, was implemented across six Boston hospitals. This study assesses patient navigator team member perspectives regarding implementation barriers and facilitators one year post-study implementation.

BMC Health Serv Res|2022 May 21

Morgan A, Andrew T, Guerra SMA, Luna V, Davies L, Rees JR

2022;17(5):e0268566doi: 10.1371/journal.pone.0268566

To characterize the experiences of providers in completing the cause of death section on death certificates, with particular reference to deaths in people who have cancer.

PLoS One|2022

Mathew S, Orzechowski N, Teja N, Thakur D, Scudder P, Albert D

2022 May 18;doi: 10.2174/1573397118666220518150230

Rheumatologists encounter psychiatric illness daily in their practice, yet formal training in rheumatology rarely provides instruction in the psychiatric conditions commonly faced. In this article, we review common clinical situations that involve psychiatric disease, their relationship to the rheumatologic condition, how they impact the clinical presentation and their management. We illustrate key principles in a case-based format and reflect on the management of the psychiatric components. Prefacing these discussions is a brief review of the epidemiology of psychiatric disease emphasizing the prevalence and importance of these issues in daily practice.

Curr Rheumatol Rev|2022 May 18

Khayal IS, Brooks GA, Barnato AE

2022 May 19;12(5):e056328doi: 10.1136/bmjopen-2021-056328

Measures of variation in end-of-life (EOL) care intensity across hospitals are typically summarised using unidimensional measures. These measures do not capture the full dimensionality of complex clinical care trajectories over time that are needed to inform quality improvement efforts. The objective is to develop a novel visual map of EOL care trajectories that illustrates multidimensional utilisation over time.

BMJ Open|2022 May 19

Hichborn EG, Moore SK, Gauthier PR, Agosti NO, Bell KD, Boggis JS, Lambert-Harris CA, Saunders EC, Turner AM, McLeman BM, Marsch LA

2022 May 17;11(5):e34508doi: 10.2196/34508

Technology-based interventions (TBIs; ie, web-based and mobile interventions) have the potential to promote health equity in substance use treatment (SUTx) for underrepresented groups (people who identify as African American/Black, Hispanic/Latinx, and American Indian/Alaskan Native) by removing barriers and increasing access to culturally relevant effective treatments. However, technologies (emergent and more long-standing) may have unintended consequences that could perpetuate health care disparities among people who identify as a member of one of the underrepresented groups. Health care research, and SUTx research specifically, is infrequently conducted with people who identify with these groups as the main focus. Therefore, an improved understanding of the literature at the intersection of SUTx, TBIs, and underrepresented groups is warranted to avoid exacerbating inequities and to promote health equity.

JMIR Res Protoc|2022 May 17

Turpin RE, Williams ND, Akré EL, Boekeloo BO, Fish JN

2022 Apr 21;19(9)pii: 5075. doi: 10.3390/ijerph19095075

Sexual minority adults experience several health care access inequities compared to their heterosexual peers; such inequities may be affected by LGBTQ+ legislation, such as the 2015 national marriage equality ruling.

Int J Environ Res Public Health|2022 Apr 21


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