Donald E. Pathman
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View article: Effects of Healthcare Organization Actions and Policies Related to COVID-19 on Perceived Organizational Support Among U.S. Internists: A National Study
Effects of Healthcare Organization Actions and Policies Related to COVID-19 on Perceived Organizational Support Among U.S. Internists: A National Study Open
GOAL: Perceived organizational support (POS) may promote healthcare worker mental health, but organizational factors that foster POS during the COVID-19 pandemic are unknown. The goals of this study were to identify actions and policies re…
View article: Scholarship Criteria for Promotion in the Age of Diverse Faculty Roles and Digital Media.
Scholarship Criteria for Promotion in the Age of Diverse Faculty Roles and Digital Media. Open
BACKGROUND AND OBJECTIVES: In academic medical centers, scholarship is essential to advancing scientific knowledge, clinical care, and teaching and is a requirement for faculty promotion. Traditional evidence of scholarship, such as public…
View article: Preparing behavioral health clinicians for success and retention in rural safety net practices
Preparing behavioral health clinicians for success and retention in rural safety net practices Open
PURPOSE: This study assesses how, among behavioral health clinicians working in rural safety net practices, the amount of exposure to care in rural underserved communities received during training relates to confidence in skills important …
View article: Preparing behavioral health clinicians for success and retention in rural safety net practices
Preparing behavioral health clinicians for success and retention in rural safety net practices Open
Purpose This study assesses how, among behavioral health clinicians working in rural safety net practices, the amount of exposure to care in rural underserved communities received during training relates to confidence in skills important i…
View article: Race‐ethnicity and sex differences in 1‐year survival following percutaneous coronary intervention among Medicare fee‐for‐service beneficiaries
Race‐ethnicity and sex differences in 1‐year survival following percutaneous coronary intervention among Medicare fee‐for‐service beneficiaries Open
Rationale Existing literature describing differences in survival following percutaneous coronary intervention (PCI) by patient sex, race‐ethnicity and the role of socioeconomic characteristics (SEC) is limited. Aims and Objectives Evaluate…
View article: Students with global experiences during medical school are more likely to work in settings that focus on the underserved: an observational study from a public U.S. institution
Students with global experiences during medical school are more likely to work in settings that focus on the underserved: an observational study from a public U.S. institution Open
Background: Global health interest has grown among medical students over the past 20 years, and most medical schools offer global health opportunities. Studies suggest that completing global health electives during medical school may incre…
View article: Scholarship Criteria for Promotion in the Age of Diverse Faculty Roles and Digital Media
Scholarship Criteria for Promotion in the Age of Diverse Faculty Roles and Digital Media Open
Background and Objectives: In academic medical centers, scholarship is essential to advancing scientific knowledge, clinical care, and teaching and is a requirement for faculty promotion. Traditional evidence of scholarship, such as public…
View article: Moral distress among clinicians working in US safety net practices during the COVID-19 pandemic: a mixed methods study
Moral distress among clinicians working in US safety net practices during the COVID-19 pandemic: a mixed methods study Open
Objective To explore the causes and levels of moral distress experienced by clinicians caring for the low-income patients of safety net practices in the USA during the COVID-19 pandemic. Design Cross-sectional survey in late 2020, employin…
View article: Moral distress among clinicians working in US safety net practices during the COVID-19 pandemic: a mixed methods study
Moral distress among clinicians working in US safety net practices during the COVID-19 pandemic: a mixed methods study Open
Objective To explore the causes and levels of moral distress experienced by clinicians caring for the low-income patients of safety net practices in the USA during the COVID-19 pandemic. Design Cross-sectional survey in late 2020, employin…
View article: A national study of moral distress among U.S. internal medicine physicians during the COVID-19 pandemic
A national study of moral distress among U.S. internal medicine physicians during the COVID-19 pandemic Open
Background There have been no studies to date of moral distress during the COVID-19 pandemic in national samples of U.S. health workers. The purpose of this study was to determine, in a national sample of internal medicine physicians (inte…
View article: A national study of moral distress among U.S. internal medicine physicians during the COVID-19 pandemic
A national study of moral distress among U.S. internal medicine physicians during the COVID-19 pandemic Open
Background There have been no studies to date of moral distress during the COVID-19 pandemic in national samples of U.S. health workers. The purpose of this study was to determine, in a national sample of internal medicine physicians (inte…
View article: Experiences of Safety-Net Practice Clinicians Participating in the National Health Service Corps During the COVID-19 Pandemic
Experiences of Safety-Net Practice Clinicians Participating in the National Health Service Corps During the COVID-19 Pandemic Open
Objectives: The impact of the COVID-19 pandemic has been particularly harsh for low-income and racial and ethnic minority communities. It is not known how the pandemic has affected clinicians who provide care to these communities through s…
View article: When access-to-care indicators meet. Designated shortage areas and avoidable hospitalizations.
When access-to-care indicators meet. Designated shortage areas and avoidable hospitalizations. Open
PARCHMAN AND Culler, in this issue of the ARCHIVES, explore the difficult terrain of primary health care system assessment. Their work integrates 2 important measures of the primary care delivery system: the health professional shortage ar…
View article: Changes in rates and content of primary care visits within an evolving health care system
Changes in rates and content of primary care visits within an evolving health care system Open
It is no secret to patients and clinicians that the past decade has brought many changes to the organization, operations, and financing of health care in the United States. The Patient Protection and Affordable Care Act of 2010 (ACA) expan…
View article: When 1+2≠3 for Hard-working Rural Physicians
When 1+2≠3 for Hard-working Rural Physicians Open
UNDERSTANDING THE challenges and rewards of rural medical practice has long seemed to be the key to designing effective programs to increase the number of rural physicians. We believe that if we could only figure out what negative aspects …
View article: Are Global Experiences During Medical School Associated with Future Medical Practice? A Cross-Sectional Analysis of Survey and Medical School Application Data
Are Global Experiences During Medical School Associated with Future Medical Practice? A Cross-Sectional Analysis of Survey and Medical School Application Data Open
Background: Global health interest has grown among medical students over the past twenty years. Most medical schools offer global health opportunities. Studies suggest completing global health electives during medical school may increase l…
View article: Do adults who believe in periodic health examinations receive more clinical preventive services?
Do adults who believe in periodic health examinations receive more clinical preventive services? Open
Individuals who have periodic health examinations (“checkups”) with physicians even if they feel well have higher rates of screening and other preventive services than individuals who only see physicians when ill. This study assessed wheth…
View article: Tobacco Use Treatment at the U.S. National Cancer Institute's Designated Cancer Centers
Tobacco Use Treatment at the U.S. National Cancer Institute's Designated Cancer Centers Open
Tobacco use is a leading cause of cancer, and continued use after cancer diagnosis puts patients at greater risk for adverse health outcomes, including increased risk for cancer recurrence. This study surveyed National Cancer Institute (NC…
View article: Relationship between Physicians’ Uncertainty about Clinical Assessments and Patient-Centered Recommendations for Colorectal Cancer Screening in the Elderly
Relationship between Physicians’ Uncertainty about Clinical Assessments and Patient-Centered Recommendations for Colorectal Cancer Screening in the Elderly Open
The goal of this study was to examine associations between physicians’ clinical assessments, their certainty in these assessments, and the likelihood of a patient-centered recommendation about colorectal cancer (CRC) screening in the elder…
View article: Physician Decision Making for Colorectal Cancer Screening in the Elderly
Physician Decision Making for Colorectal Cancer Screening in the Elderly Open
Although individualized decision making is recommended to appropriately screen for colorectal cancer (CRC) in older adults, it is unclear whether physicians solicit input from older patients before making a recommendation for or against CR…
View article: Managed care, time pressure, and physician job satisfaction: Results from the physician worklife study
Managed care, time pressure, and physician job satisfaction: Results from the physician worklife study Open
To assess the association between HMO practice, time pressure, and physician job satisfaction.
View article: How Adults' Access to Outpatient Physician Services Relates to the Local Supply of Primary Care Physicians in the Rural Southeast
How Adults' Access to Outpatient Physician Services Relates to the Local Supply of Primary Care Physicians in the Rural Southeast Open
To examine how access to outpatient medical care varies with local primary care physician densities across primary care service areas (PCSAs) in the rural Southeast, for adults as a whole and separately for the elderly and poor.
View article: Retention of Primary Care Physicians in Rural Health Professional Shortage Areas
Retention of Primary Care Physicians in Rural Health Professional Shortage Areas Open
Objectives. We tested the assumption that average job retention duration is shorter for physicians in rural health professional shortage areas (HPSAs) than for physicians in rural non-HPSAs.
View article: Changes in Rates and Content of Primary Care Visits Within an Evolving Health Care System
Changes in Rates and Content of Primary Care Visits Within an Evolving Health Care System Open
It is no secret to patients and clinicians that the past decade has brought many changes to the organization, operations, and financing of health care in the United States. The Patient Protection and Affordable Care Act of 2010 (ACA) expan…
View article: Length of patient-physician relationship and patients' satisfaction and preventive service use in the rural south: a cross-sectional telephone study
Length of patient-physician relationship and patients' satisfaction and preventive service use in the rural south: a cross-sectional telephone study Open
Background Physicians and patients highly value continuity in health care. Continuity can be measured in several ways but few studies have examined the specific association between the duration of the patient-doctor relationship and patien…