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Search All Research Studies
Topics
- Ambulatory Care and Surgery (1)
- (-) Care Management (4)
- Chronic Conditions (2)
- (-) Clinician-Patient Communication (4)
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AHRQ Research Studies
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Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
Results
1 to 4 of 4 Research Studies DisplayedChang E, Ali R, Berkman ND
Unpacking complex interventions that manage care for high-need, high-cost patients: a realist review.
This realist review synthesized data from 48 studies on complex interventions that manage care for high-need, high-cost (HNHC) patients. Intervention care providers and patients require building a trusting relationship to successfully change HNHC patients’ behaviors. The literature emphasized establishing a trusting relationship with the patient, tailoring individualized assistance for medical and non-medical needs, emotional support, and self-management. These practices increased patient participation in managing their own care.
AHRQ-funded; 290201500011I.
Citation: Chang E, Ali R, Berkman ND .
Unpacking complex interventions that manage care for high-need, high-cost patients: a realist review.
BMJ Open 2022 Jun 9;12(6):e058539. doi: 10.1136/bmjopen-2021-058539..
Keywords: Care Management, Communication, Clinician-Patient Communication, Healthcare Delivery
Brajcich BC, Shallcross ML, Johnson JK
Barriers to post-discharge monitoring and patient-clinician communication: a qualitative study.
This study used semi-structured interviews and focus groups to identify barriers to post-discharge monitoring and patient-clinician communication. Participants were gastrointestinal surgery patients and clinicians, with a total of 15 patients and 17 clinicians. Four themes and four barriers were identified from patient and clinician interviews and focus groups. Patient-identified barriers included education and expectation setting, technology access and literacy, availability of resources and support, and misalignment of communication preferences. Clinician-identified barriers included health education, access to clinical team, healthcare practitioner time constraints, and care team experience and consistency.
AHRQ-funded; HS026385.
Citation: Brajcich BC, Shallcross ML, Johnson JK .
Barriers to post-discharge monitoring and patient-clinician communication: a qualitative study.
J Surg Res 2021 Dec;268:1-8. doi: 10.1016/j.jss.2021.06.032..
Keywords: Hospital Discharge, Clinician-Patient Communication, Care Management, Transitions of Care
Fredericksen RJ, Fitzsimmons E, Gibbons LE
How do treatment priorities differ between patients in HIV care and their providers? A mixed-methods study.
The authors asked patients in HIV care and providers to prioritize topic areas to address during routine visits. They found that patients and providers showed high discordance in rank order priorities. Patients ranked social domains such as HIV stigma highly; a higher proportion of providers prioritized substance use domains. HIV stigma was a higher priority for patients in care fewer than 6 years, nonwhite patients, and younger patients. Patients' priorities differed between men and women, white race vs. other races, and Latinos vs. non-Latinos.
AHRQ-funded; HS022242.
Citation: Fredericksen RJ, Fitzsimmons E, Gibbons LE .
How do treatment priorities differ between patients in HIV care and their providers? A mixed-methods study.
AIDS Behav 2020 Apr;24(4):1170-80. doi: 10.1007/s10461-019-02746-8.
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Keywords: Human Immunodeficiency Virus (HIV), Chronic Conditions, Social Stigma, Clinician-Patient Communication, Care Management
Ike B, Baldwin LM, Sutton S
Staff and clinician work-life perceptions after implementing systems-based improvements to opioid management.
The authors assessed the impact of implementing the Six Building Blocks on the work-life of primary care providers and staff. Six rural and rural-serving primary care organizations implemented the Six Building Blocks, with assistance from practice facilitators, clinical experts, and informatics specialists. The authors found that clinicians and staff reported improvement in their work-life after implementing the Six Building Blocks Program to improve opioid medication management and recommended further research on patient experiences specific to practice redesign programs.
AHRQ-funded; HS023750.
Citation: Ike B, Baldwin LM, Sutton S .
Staff and clinician work-life perceptions after implementing systems-based improvements to opioid management.
J Am Board Fam Med 2019 Sep-Oct;32(5):715-23. doi: 10.3122/jabfm.2019.05.190027.
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Keywords: Opioids, Pain, Chronic Conditions, Primary Care: Models of Care, Primary Care, Care Management, Ambulatory Care and Surgery, Quality Improvement, Medication, Provider, Clinician-Patient Communication