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Article
Social determinants of health associated with develo** long COVID in the US veteran population
Acute COVID-19 infection, morbidity, and mortality are strongly associated with many social determinants of health (SDoH). These trends are similar within the US veteran population. This study seeks to examine...
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Article
Open Access“Diving in the deep-end and swimming”: a mixed methods study using normalization process theory to evaluate a learning collaborative approach for the implementation of palliative care practices in hemodialysis centers
Normalization Process Theory (NPT) is an implementation theory that can be used to explain how and why implementation strategies work or not in particular circumstances. We used it to understand the mechanisms...
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Article
Pandemic Through the Lens of Black Barbershops: COVID-19’s Impact and Barbers’ Potential Role as Public Health Extenders
We examined the impact of COVID-19 on Black barbershops and their potential role as public health extenders. A 30-item survey was distributed to predominantly Black barbershop owners and barbers across 40 diff...
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Article
Open AccessA computational approach to measure the linguistic characteristics of psychotherapy timing, responsiveness, and consistency
Although individual psychotherapy is generally effective for a range of mental health conditions, little is known about the moment-to-moment language use of effective therapists. Increased access to computatio...
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Article
Open AccessDevelo** best practices for PPE Portraits across 25 sites: a systematic assessment of implementation and spread of adaptations using FRAME
Adaptation, a form of modification that aims to improve an intervention’s acceptability and sustainability in each context, is essential to successful implementation in some settings. Due to the COVID-19 pande...
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Article
Open AccessImplementation of clinical practice changes in the PICU: a qualitative study using and refining the iPARIHS framework
Like in many settings, implementation of evidence-based practices often fall short in pediatric intensive care units (PICU). Very few prior studies have applied implementation science frameworks to understand ...
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Article
Open AccessDevelo** a delivery science for artificial intelligence in healthcare
Artificial Intelligence (AI) has generated a large amount of excitement in healthcare, mostly driven by the emergence of increasingly accurate machine learning models. However, the promise of AI delivering sca...
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Article
The Connectedness of Mental Health Providers Referring Patients to a Treatment Study for Post-Traumatic Stress: A Social Network Study
We conducted a process evaluation in the context of a Hybrid Type 1 randomized controlled trial testing two treatments for post-traumatic stress, using a web-based social network survey and semi-structured int...
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Article
The Promise of Virtual Complex Care Management
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Article
The Costs of Hepatitis C by Liver Disease Stage: Estimates from the Veterans Health Administration
The release of highly effective but costly medications for the treatment of hepatitis C virus combined with a doubling in the incidence of hepatitis C virus have posed substantial financial challenges for many...
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Article
Open AccessLean Enterprise Transformation in VA: a national evaluation framework and study protocol
The goal of Lean Enterprise Transformation (LET) is to go beyond simply using Lean tools and instead embed Lean principles and practices in the system so that it becomes a fundamental, collective mindset of th...
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Article
Patient and provider perspectives on the development of personalized medicine: a mixed-methods approach
While genetic testing gains adoption in specialty services such as oncology, neurology, and cardiology, use of genetic and genomic testing has yet to be adopted as widely in primary care. The purpose of this s...
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Article
Open AccessDisparities in receipt of recommended care among younger versus older medicare beneficiaries: a cohort study
Although health disparities have been documented between Medicare beneficiaries based on age (<65 years vs. older age groups), underuse of recommended medical care in younger beneficiaries has not been thoroug...
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Article
Open AccessEvaluating the implementation of a national disclosure policy for large-scale adverse events in an integrated health care system: identification of gaps and successes
Many healthcare organizations have developed disclosure policies for large-scale adverse events, including the Veterans Health Administration (VA). This study evaluated VA’s national large-scale disclosure pol...
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Article
Open AccessThe facilitators and barriers associated with implementation of a patient-centered medical home in VHA
The patient-centered medical home (PCMH) is a team-based, comprehensive model of primary care. When effectively implemented, PCMH is associated with higher patient satisfaction, lower staff burnout, and lower ...
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Article
Open AccessPredictive validity of two process-of-care quality measures for residential substance use disorder treatment
In order to monitor and ultimately improve the quality of addiction treatment, professional societies, health care systems, and addiction treatment programs must establish clinical practice standards and then ...
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Article
Open AccessThe most used and most helpful facilitators for patient-centered medical home implementation
Like other transformative healthcare initiatives, patient-centered medical home (PCMH) implementation requires substantial investments of time and resources. Even though PCMH and PCMH-like models are being imp...
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Article
Open AccessThe role of evidence and context for implementing a multimodal intervention to increase HIV testing
Increasing the use of routine preventive care such as HIV testing is important, yet implementation of such evidence-based clinical care is complex. The Promoting Action on Research Implementation in Health Ser...
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Article
Open AccessEffect of electronic prescribing with formulary decision support on medication tier, copayments, and adherence
Medication non-adherence is prevalent. We assessed the effect of electronic prescribing (e-prescribing) with formulary decision support on preferred formulary tier usage, copayment, and concomitant adherence.
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Article
Open AccessThe effectiveness of computerized order entry at reducing preventable adverse drug events and medication errors in hospital settings: a systematic review and meta-analysis
The Health Information Technology for Economic and Clinical Health (HITECH) Act subsidizes implementation by hospitals of electronic health records with computerized provider order entry (CPOE), which may redu...
