Sarah Hudson Scholle
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View article: Development of an evidence- and consensus-based Digital Healthcare Equity Framework
Development of an evidence- and consensus-based Digital Healthcare Equity Framework Open
Objective To develop an evidence- and consensus-based Digital Healthcare Equity Framework (the Framework) that guides users in intentionally considering equity in healthcare solutions that involve digital technologies. Materials and Method…
View article: A Cluster Randomized Trial of Primary Care Practice Redesign to Integrate Behavioral Health for Those Who Need It Most: Patients With Multiple Chronic Conditions
A Cluster Randomized Trial of Primary Care Practice Redesign to Integrate Behavioral Health for Those Who Need It Most: Patients With Multiple Chronic Conditions Open
Intervention assignment had no effect on change in patient outcomes; however, we did observe improved patient outcomes among practices that entered the study with greater IBH. We also observed more improvement of integration and patient ou…
View article: A Person-Centered Care Dashboard for Individuals With Complex Health Care Needs—Charting a Course for the Future
A Person-Centered Care Dashboard for Individuals With Complex Health Care Needs—Charting a Course for the Future Open
Evelyn T. Chang, MD, MSHS; Sydne Newberry, PhD; Lisa V. Rubenstein, MD, MSPH; Aneesa Motala, BA; Marika J. Booth, MS; Paul G. Shekelle, MD, PhD
View article: Are Pain Screening and Functional Assessment Results Associated with New Diagnoses and Treatment for Pain in Primary Care? An Observational Study
Are Pain Screening and Functional Assessment Results Associated with New Diagnoses and Treatment for Pain in Primary Care? An Observational Study Open
Screening and assessment with patient-reported tools may influence pain care. Care for Latinx patients differed from non-Latinx white patients.
View article: Payment strategies for behavioral health integration in hospital-affiliated and non-hospital-affiliated primary care practices
Payment strategies for behavioral health integration in hospital-affiliated and non-hospital-affiliated primary care practices Open
Recent value-based payment reforms in the U.S. called for empirical data on how primary care practices of varying characteristics fund their integrated behavioral health services. To describe payment strategies used by U.S. primary care pr…
View article: Patient and provider perspectives on using goal attainment scaling in care planning for older adults with complex needs
Patient and provider perspectives on using goal attainment scaling in care planning for older adults with complex needs Open
Background Assess the feasibility of using goal attainment scaling (GAS) in care planning for older adults with complex needs. GAS is an individualized approach to goal setting and follow up using a quantified scale. To date, little is kno…
View article: Challenges and Strategies for Patient Safety in Primary Care: A Qualitative Study
Challenges and Strategies for Patient Safety in Primary Care: A Qualitative Study Open
Although most health care occurs in the ambulatory setting, limited research examines how providers and patients think about and enact ambulatory patient safety. This multimethod qualitative study seeks to identify perceived challenges and…
View article: Integrating behavioral health & primary care for multiple chronic diseases: Clinical trial of a practice redesign toolkit
Integrating behavioral health & primary care for multiple chronic diseases: Clinical trial of a practice redesign toolkit Open
Context: Most patients in need of behavioral health (BH) care are seen in primary care, which often has difficulty responding. Some practices integrate behavioral health care (IBH), with medical and BH providers at the same location, worki…
View article: Distinguishing neighborhood and individual social risk factors in health care
Distinguishing neighborhood and individual social risk factors in health care Open
Objective To investigate (a) the magnitude of the independent associations of neighborhood‐level and person‐level social risk factors (SRFs) with quality, (b) whether neighborhood‐level SRF associations may be proxies for person‐level SRF …
View article: Structural Components of Integrated Behavioral Health Care: A Comparison of National Programs
Structural Components of Integrated Behavioral Health Care: A Comparison of National Programs Open
Initiatives that support and incentivize the integration of behavioral health and general medical care have become a focus of government strategies to achieve the triple aim of improved health, better patient experience, and reduced costs.…
View article: Evaluation of a Chronic Pain Screening Program Implemented in Primary Care
Evaluation of a Chronic Pain Screening Program Implemented in Primary Care Open
A systematic, 2-step process for chronic pain screening and functional assessment in primary care appeared to identify patients with previously undocumented chronic pain and was feasible to implement. Patient-provided information on the fr…
View article: Implementation of Patient Safety Structures and Processes in the Patient-Centered Medical Home
Implementation of Patient Safety Structures and Processes in the Patient-Centered Medical Home Open
Although most patient–clinician interactions occur in ambulatory care, little research has addressed measuring ambulatory patient safety or how primary care redesign such as the patient-centered medical home (PCMH) addresses patient safety…
View article: Annual wellness visits and care management before and after dialysis initiation
Annual wellness visits and care management before and after dialysis initiation Open
Introduction Demands of dialysis regimens may pose challenges for primary care provider (PCP) engagement and timely preventive care. This is especially the case for patients initiating dialysis adjusting to new logistical challenges and ma…
View article: Quality of Preventive and Chronic Illness Care for Insured Adults With Opioid Use Disorder
Quality of Preventive and Chronic Illness Care for Insured Adults With Opioid Use Disorder Open
These findings suggest that individuals with OUD have moderately lower quality of care across preventive and chronic illness care and care coordination for non-OUD care compared with individuals without OUD. More attention to measurement a…
View article: Cumulative burden of chronic health conditions among adolescent and young adult survivors of childhood cancer: Identification of vulnerable groups at key medical transitions
Cumulative burden of chronic health conditions among adolescent and young adult survivors of childhood cancer: Identification of vulnerable groups at key medical transitions Open
The cumulative burden of chronic health conditions as childhood cancer survivors transition to adult health care and insurance systems is unknown. We estimated the cumulative burden ( N = 4612 survivors, 625 controls) in the St. Jude Lifet…
View article: Quality of Buprenorphine Care for Insured Adults With Opioid Use Disorder
Quality of Buprenorphine Care for Insured Adults With Opioid Use Disorder Open
Aim: The aim of this study was to characterize quality of buprenorphine care for opioid use disorder (OUD) by quantifying buprenorphine initiation, engagement, and maintenance for individuals in a large, diverse, real-world cohort in the U…
View article: Model Homes
Model Homes Open
Background: The patient-centered medical home (PCMH) model has been widely adopted, but the evidence on its effectiveness remains mixed. One potential explanation for these mixed findings is variation in how the model is implemented by pra…
View article: Disparities in Chronic Kidney Disease Progression by Medicare Advantage Enrollees
Disparities in Chronic Kidney Disease Progression by Medicare Advantage Enrollees Open
Introduction: The prevalence of chronic kidney disease (CKD) in Medicare beneficiaries has quadrupled in the past 2 decades, but little is known about risk factors affecting the progression of CKD. This study aims to understand the progres…
View article: Integrating Behavioral Health and Primary Care (IBH-PC) to improve patient-centered outcomes in adults with multiple chronic medical and behavioral health conditions: study protocol for a pragmatic cluster-randomized control trial
Integrating Behavioral Health and Primary Care (IBH-PC) to improve patient-centered outcomes in adults with multiple chronic medical and behavioral health conditions: study protocol for a pragmatic cluster-randomized control trial Open
BackgroundChronic diseases that drive morbidity, mortality, and health care costs are largely influenced by human behavior. Behavioral health conditions such as anxiety, depression, and substance use disorders can often be effectively mana…
View article: Clinician Perspectives on Implementing Video Visits in Home-Based Palliative Care
Clinician Perspectives on Implementing Video Visits in Home-Based Palliative Care Open
Background: Despite the increasing use and acceptance of technology in health care, there is limited evidence on the usefulness and appropriate use of telehealth in home-based palliative care (HBPC). As part of the process evaluation of a …
View article: Facilitators and Barriers to Implementing a Patient-Centered Oncology Care Model
Facilitators and Barriers to Implementing a Patient-Centered Oncology Care Model Open
PURPOSE: Oncology practices often serve as the “medical home” for patients but may not have systems to support all aspects of patient-centered care. We piloted a new set of oncology medical home standards that call for accessible, continuo…
View article: Patient Safety in Primary Care: Conceptual Meanings to the Health Care Team and Patients
Patient Safety in Primary Care: Conceptual Meanings to the Health Care Team and Patients Open
Function-based conceptualizations of patient safety in primary care may better reflect frontline personnel and patients' experiences than domain-based conceptualizations, which are favored by experts.
View article: Association of Implementation and Social Network Factors With Patient Safety Culture in Medical Homes: A Coincidence Analysis
Association of Implementation and Social Network Factors With Patient Safety Culture in Medical Homes: A Coincidence Analysis Open
Objectives The patient-centered medical home (PCMH) may provide a key model for ambulatory patient safety. Our objective was to explore which PCMH and patient safety implementation and social network factors may be necessary or sufficient …
View article: Access to and Engagement in Substance Use Disorder Treatment Over Time
Access to and Engagement in Substance Use Disorder Treatment Over Time Open
Although an increasing proportion of health plan members are being identified with substance use disorders, the majority of these individuals are not engaging in treatment.