Literature Collection

81

Addressing trauma and stress in the COVID-19 pandemic: Challenges and the promise of integrated primary care

Type: Journal Article

Authors: K. E. Kanzler, S. Ogbeide

Year: 2020

Publication Place: United States

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82

Adolescent behavioral risk screening and use of health services

Type: Journal Article

Authors: D. J. Chisolm, J. Klima, W. Gardner, K. J. Kelleher

Year: 2009

Publication Place: United States

Abstract: This study assessed whether primary care based computerized screening for substance use, mental health issues and suicidal thoughts affects subsequent use of medical and behavioral health care services in adolescents. Administrative claims data were used to determine service use 6 months after a visit where screening could have occurred. Controlling for previous service use, screened youths were more likely to have post screening use than those not screened. Among the screened patients, medical service use did not differ by screening result. However, behavioral service use was higher for screened youths who screened positive for depression or suicidal thoughts.

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83

Adoption of Electronic Health Record Among Substance Use Disorder Treatment Programs: Nationwide Cross-Sectional Survey Study

Type: Journal Article

Authors: J. A. Frimpong, X. Liu, L. Liu, R. Zhang

Year: 2023

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84

Adoption of telemedicine services by substance abuse treatment facilities in the U.S

Type: Journal Article

Year: 2020

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85

Adoption, reach and effectiveness of computer-based, practitioner delivered and combined smoking interventions in general medical practices: a three-arm cluster randomized trial

Type: Journal Article

Authors: C. Meyer, S. Ulbricht, B. Gross, L. Kastel, S. Wittrien, G. Klein, B. A. Skoeries, H. J. Rumpf, U. John

Year: 2012

Publication Place: Ireland

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86

Advanced data capture in the assisted medical home: A model for distributed and multimedia technologies

Type: Journal Article

Authors: R. Churchill, D. Lorence, M. Richards

Year: 2010

Publication Place: United States

Abstract: Expanding the role of distributed health care, recent ONCHIT initiatives highlight the utilization of remote and home-based monitoring as a model for health care that is accessible, comprehensive and coordinated, delivered in the context of family and community. Extensible information technology in this context can be used to collect and store expanded data about patients and their environment, especially in assisted living and group home environments. Proposed here is a distributed model for meeting related ONC mandates, which include emerging patient data collection opportunities, especially within nursing homes, assisted living, and other group home arrangements. The conceptual applications employed in this technology set are provided by way of illustration, and may also serve as a transformative model for emerging EMR/EHR requirements.

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87

Advancing clinical information systems to support care coordination and improved outcomes for individuals with mental health and substance use disorders

Type: Report

Authors: California Institue for Mental Health, CalMHSA Integrated Behavioral Health Project

Year: 2013

Topic(s):

,

Disclaimer:

This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

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88

Advancing the adoption, integration and testing of technological advancements within existing care systems

Type: Journal Article

Year: 2013

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89

Adverse drug reactions causing hospitalization can be monitored from computerized medical records and thereby indicate the quality of drug utilization

Type: Journal Article

Authors: M. von Euler, E. Eliasson, G. Ohlen, U. Bergman

Year: 2006

Publication Place: England

Abstract: PURPOSE: To use computerized medical records to study the frequency of adverse drug reactions (ADR) as a cause for acute admission to a university hospital. METHODS: Computerized medical records in 168 consecutively acutely admitted cases to a short-term internal medicine ward at a university hospital were retrospectively evaluated to see if an ADR could have caused the admission. RESULTS: In 18 cases (11%), an ADR was judged to be the reason for acute admission to the hospital. Augmented pharmacological effects (type A reactions) accounted for 89% of the cases. An additional eight cases (5%) were intentional intoxications with prescription drugs. ADR-associated hospital admissions were age-related (average age 72 compared to 65 in patients admitted for other reasons) and also associated with poly-pharmacy (8.3 drugs compared to 5.2). The ADR was considered to arise from a drug-drug interaction in four cases (22%). Although all ADRs fulfilled the criteria for mandatory reporting, none of them were reported to the Swedish Adverse Drug Reactions Advisory Committee (SADRAC). CONCLUSIONS: The observed frequency of ADR-related acute hospital admissions in this pilot study is similar to earlier reported data from Sweden and abroad. Almost all of these reactions were known pharmacological (type A) reactions and many therefore theoretically preventable. In contrast to many prospective and costly studies, this retrospective analysis of computerized medical records offered a simple method that can be used in routine health care and also serve as an indicator of the quality of drug use.

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90

Advice nursing practice: on the quality of the evidence

Type: Journal Article

Authors: A. Omery

Year: 2003

Publication Place: United States

Abstract: OBJECTIVE: The primary objective was to review the research regarding advice nursing practice to determine the content areas investigated and the quality of the evidence. METHODS: A systematic review of advice nursing research was done in electronic databases, reference lists, and the literature identified by experts (N = 527). After deletion of duplicates and clinical and theoretical articles, full text reviews were done on 62 studies. RESULTS: Eight thematic content areas were identified: delivery and continuity of care to populations, appropriateness of advice given, patient/provider satisfaction, disposition/utilization after calls, reason for calling, cost analysis, process of decision-making, and documentation. The most frequently investigated subject was delivery/continuity of care (n = 16). IMPLICATIONS: For certain chronic disease populations, interventions using telephone advice for social support, education, and symptom management improve clinical outcomes. Availability and use of protocols and guidelines do not guarantee standardized care or ensure that appropriate advice will be given. Consumer satisfaction with advice nursing is high, and appears to be related to the intervention component of the nursing process. The priority for future research should be given to those studies that describe the character and suitable dose of the nursing intervention that is advice nursing.

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91

AHRQ Health Information Technology Ambulatory Safety and Quality - Findings and Lessons from the Enabling Patient-Centered Care Through Health IT Grant Initiative

Type: Government Report

Authors: Agency for Healthcare Research and Quality

Year: 2013

Publication Place: Rockville, MD

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,

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This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

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92

Alcohol use screening and case finding: screening tools, clinical clues, and making the diagnosis

Type: Journal Article

Authors: J. R. Freedy, K. Ryan

Year: 2011

Publication Place: United States

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93

Aligning health information technologies with effective service delivery models to improve chronic disease care

Type: Journal Article

Authors: A. M. Bauer, S. M. Thielke, W. Katon, J. Unutzer, P. Arean

Year: 2014

Publication Place: United States

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94

An Assessment of the One-Month Effectiveness of Telehealth Treatment for Opioid Use Disorder Using the Brief Addiction Monitor

Type: Journal Article

Authors: B. Burke, B. Clear, R. L. Rollston, E. N. Miller, S. G. Weiner

Year: 2024

Abstract:

OBJECTIVES: Telehealth treatment with medication for opioid use disorder (teleMOUD) was made possible with regulations following the COVID-19 pandemic that permitted prescribing buprenorphine without an in-person visit. This study evaluates the self-reported outcomes of patients treated by teleMOUD using the Brief Addiction Monitor (BAM), a 17-question tool that assesses drug use, cravings, physical and psychological health, and psychosocial factors to produce 3 subset scores: substance use, risk factors, and protective factors. METHODS: Patients treated by a teleMOUD provider group operating in >30 states were asked to complete an app-based version of BAM at enrollment and at 1 month. Patients who completed both assessments between June 2022 and March 2023 were included. RESULTS: A total of 2556 patients completed an enrollment BAM and 1447 completed both assessments. Mean number of days from baseline BAM to follow-up was 26.7 days. Changes were significantly different across most questions. The substance use subscale decreased from mean 2.6 to 0.8 (P < .001), the risk factors subscale decreased from mean 10.3 to 7.5 (P < .001), and the protective factors subscale increased from mean 14.3 to 15.0. (P < .001). Substance use and risk factor subscale changes were significant across all sex and age groups, while protective factors subscale did not improve for those <25 and >54 years. Patient reports of at least 1 day of illegal use or misuse decreased, including marijuana (28.1% vs 9.0%), cocaine/crack (3.9% vs 2.6%), and opioids (49.8% vs 10.5%). CONCLUSIONS: Among patients treated by teleMOUD who completed assessments at enrollment and 1 month, there was improvement in drug use, risk factor, and protective factor scores.

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95

An EHR-based paradigm shift in the operation of mental health and addiction services

Type: Journal Article

Authors: K. A. Moselle

Year: 2009

Publication Place: Netherlands

Abstract: This paper responds to a commonly expressed belief, or perhaps hope, that full implementation of the electronic health record (EHR) will promote a "paradigm shift" in the delivery of health services, enhancing both service system efficiency and effectiveness in ways that would not have otherwise been possible. A model is proposed that defines stages in the development of the EHR in terms of two sets of functional components: 1) information management tools used to support the delivery of care; and 2) decision support tools that use information drawn from the EHR to promote functional integration among the components of complex service systems. "Paradigm shift" is defined operationally within this framework in terms of evolution of the EHR through these stages. The concept of "clinical interoperability" (anchored in a semantically interoperable EHR) is elaborated upon and presented as the sine qua non for a distinctive form of paradigm change that centres on support for care delivery within any given location in the system, and on EHR-based support for client movement through the system. The Vancouver Island Health Authority/Infoway Bridges, now deployed across the full array of hospital and community-based mental health and addiction services, is an example of an EHR that leverages the semantically interoperable components of an EHR to support a paradigm shift in clinical interoperability for the mental health and addictions service system.

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96

An electronic health record-based intervention to improve tobacco treatment in primary care: a cluster-randomized controlled trial

Type: Journal Article

Authors: J. A. Linder, N. A. Rigotti, L. I. Schneider, J. H. Kelley, P. Brawarsky, J. S. Haas

Year: 2009

Publication Place: United States

Abstract: BACKGROUND: To improve the documentation and treatment of tobacco use in primary care, we developed and implemented a 3-part electronic health record enhancement: (1)smoking status icons, (2) tobacco treatment reminders, and (3) a Tobacco Smart Form that facilitated the ordering of medication and fax and e-mail counseling referrals. METHODS: We performed a cluster-randomized controlled trial of the enhancement in 26 primary care practices between December 19, 2006, and September 30, 2007. The primary outcome was the proportion of documented smokers who made contact with a smoking cessation counselor. Secondary outcomes included coded smoking status documentation and medication prescribing. RESULTS: During the 9-month study period, 132 630 patients made 315 962 visits to study practices. Coded documentation of smoking status increased from 37% of patients to 54% (+17%) in intervention practices and from 35% of patients to 46% (+11%) in control practices (P < .001 for the difference in differences). Among the 9589 patients who were documented smokers at the start of the study, more patients in the intervention practices were recorded as nonsmokers by the end of the study (5.3% vs 1.9% in control practices; P < .001). Among 12 207 documented smokers, more patients in the intervention practices made contact with a cessation counselor (3.9% vs 0.3% in control practices; P < .001). Smokers in the intervention practices were no more likely to be prescribed smoking cessation medication (2% vs 2% in control practices; P = .40). CONCLUSION: This electronic health record-based intervention improved smoking status documentation and increased counseling assistance to smokers but not the prescription of cessation medication.

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97

An electronic linkage system for health behavior counseling effect on delivery of the 5A's

Type: Journal Article

Authors: A. H. Krist, S. H. Woolf, C. O. Frazier, R. E. Johnson, S. F. Rothemich, D. B. Wilson, K. J. Devers, J. W. Kerns

Year: 2008

Publication Place: Netherlands

Abstract: BACKGROUND: A variety of factors limit the ability of clinicians to offer intensive counseling to patients with unhealthy behaviors, and few patients (2%-5%) are referred to the community counseling resources that do offer such assistance. A system that could increase referrals through an efficient collaborative partnership between community programs and clinicians could have major public health implications; such was the subject of this feasibility evaluation. METHODS: At nine primary care practices, an electronic linkage system (eLinkS) was instituted to promote health behavior counseling and to automate patient referrals to community counseling services. Patients were offered 9 months of free counseling for weight loss, smoking cessation, and problem drinking at a choice of venues: group counseling, telephone counseling, computer care, and usual care. The delivery of behavioral counseling, measured by the 5A's (ask, address, advise, assess, agree, arrange) and patients' reported experiences with eLinkS, was examined. RESULTS: For 5 weeks eLinkS was used, until high referral volumes depleted counseling funds. Of the 5679 patients visiting the practices, 71% had an unhealthy behavior. Of these patients, 10% were referred for intensive counseling from a community program, most often for weight loss. Counseling and referrals occurred regardless of visit type--wellness, acute, or chronic care. eLinkS was used more often for middle-aged adults and women and by more-experienced clinicians. CONCLUSIONS: The intervention increased the rate at which patients were referred for intensive behavioral counseling compared to current practice norms. Given the evidence that intensive counseling is more effective in promoting behavior change, implementing eLinkS could have substantial public health benefits.

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98

An evaluation of a computer based education program for the diagnosis and management of dementia in primary care. An international study of the transcultural adaptations necessary for European dissemination

Type: Journal Article

Authors: J. Degryse, J. De Lepeleire, L. Southgate, M. Vernooij-Dassen, B. Gay, J. Heyrman

Year: 2009

Publication Place: England

Abstract: OBJECTIVES: The aim of this study is to make an inventory of the changes that are needed to make an interactive computer based training program (ICBT) with a specific educational content, acceptable to professional communities with different linguistic,cultural and health care backgrounds in different European countries. METHODS: Existing educational software, written in two languages was reviewed by GPs and primary care professionals in three different countries. Reviewers worked through the program using a structured critical reading grid. RESULTS: A 'simple' translation of the program is not sufficient. Minor changes are needed to take account of linguistic differences and medical semantics. Major changes are needed in respect of the existing clinical guidelines in every country related to differences in the existing health care systems. CONCLUSIONS: ICTB programs cannot easily be used in different countries and cultures. The development of a structured educational program needs collaboration between educationalists, domain experts, information technology advisers and software engineers. Simple validation of the content by local expert groups will not guarantee the program's exportability. It is essential to involve different national expert groups at every phase of the development process in order to disseminate it in other countries.

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99

An evaluation of a solution focused computer game in adolescent interventions.

Type: Journal Article

Authors: David Coyle, Gavin Doherty, John Sharry

Year: 2009

Publication Place: US

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100

An evaluation of general practice websites in the UK.

Type: Journal Article

Authors: Alistair Howitt, Sarah Clement, Simon de Lusignan, Krish Thiru, Daryl Goodwin, Sally Wells

Year: 2002

Publication Place: United Kingdom

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