Literature Collection

961

Alcohol use, military sexual trauma, expectancies, and coping skills in women veterans presenting to primary care

Type: Journal Article

Authors: Suzannah K. Creech, Brian Borsari

Year: 2014

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962

Alcohol-Related Nurse Care Management in Primary Care: A Randomized Clinical Trial

Type: Journal Article

Authors: K. A. Bradley, J. F. Bobb, E. J. Ludman, L. J. Chavez, A. J. Saxon, J. O. Merrill, E. C. Williams, E. J. Hawkins, R. M. Caldeiro, C. E. Achtmeyer, D. M. Greenberg, G. T. Lapham, J. E. Richards, A. K. Lee, D. R. Kivlahan

Year: 2018

Publication Place: United States

Abstract: Importance: Experts recommend that alcohol use disorders (AUDs) be managed in primary care, but effective approaches are unclear. Objective: To test whether 12 months of alcohol care management, compared with usual care, improved drinking outcomes among patients with or at high risk for AUDs. Design, Setting, and Participants: This randomized clinical trial was conducted at 3 Veterans Affairs (VA) primary care clinics. Between October 11, 2011, and September 30, 2014, the study enrolled 304 outpatients who reported heavy drinking (>/=4 drinks per day for women and >/=5 drinks per day for men). Interventions: Nurse care managers offered outreach and engagement, repeated brief counseling using motivational interviewing and shared decision making about treatment options, and nurse practitioner-prescribed AUD medications (if desired), supported by an interdisciplinary team (CHOICE intervention). The comparison was usual primary care. Main Outcomes and Measures: Primary outcomes, assessed by blinded telephone interviewers at 12 months, were percentage of heavy drinking days in the prior 28 days measured by timeline follow-back interviews and a binary good drinking outcome, defined as abstinence or drinking below recommended limits in the prior 28 days (according to timeline follow-back interviews) and no alcohol-related symptoms in the past 3 months as measured by the Short Inventory of Problems. Results: Of 304 participants, 275 (90%) were male, 206 (68%) were white, and the mean (SD) age was 51.4 (13.8) years. At baseline, both the CHOICE intervention (n = 150) and usual care (n = 154) groups reported heavy drinking on 61% of days (95% CI, 56%-66%). During the 12-month intervention, 137 of 150 patients in the intervention group (91%) had at least 1 nurse visit, and 77 of 150 (51%) had at least 6 nurse visits. A greater proportion of patients in the intervention group than in the usual care group received alcohol-related care: 42% (95% CI, 35%-49%; 63 of 150 patients) vs 26% (95% CI, 19%-35%; 40 of 154 patients). Alcohol-related care included more AUD medication use: 32% (95% CI, 26%-39%; 48 of 150 patients in the intervention group) vs 8% (95% CI, 5%-13%; 13 of 154 patients in the usual care group). No significant differences in primary outcomes were observed at 12 months between patients in both groups. The percentages of heavy drinking days were 39% (95% CI, 32%-47%) and 35% (95% CI, 28%-42%), and the percentages of patients with a good drinking outcome were 15% (95% CI, 9%-22%; 18 of 124 patients) and 20% (95 % CI, 14%-28%; 27 of 134 patients), in the intervention and usual care groups, respectively (P = .32-.44). Findings at 3 months were similar. Conclusions and Relevance: The CHOICE intervention did not decrease heavy drinking or related problems despite increased engagement in alcohol-related care. Trial Registration: clinicaltrials.gov Identifier: NCT01400581.

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963

Alcohol, Cannabis, and Opioid Use Disorders, and Disease Burden in an Integrated Health Care System

Type: Journal Article

Authors: A. L. Bahorik, D. D. Satre, A. H. Kline-Simon, C. M. Weisner, C. I. Campbell

Year: 2017

Publication Place: United States

Abstract: OBJECTIVES: We examined prevalence of major medical conditions and extent of disease burden among patients with and without substance use disorders (SUDs) in an integrated health care system serving 3.8 million members. METHODS: Medical conditions and SUDs were extracted from electronic health records in 2010. Patients with SUDs (n = 45,461; alcohol, amphetamine, barbiturate, cocaine, hallucinogen, and opioid) and demographically matched patients without SUDs (n = 45,461) were compared on the prevalence of 19 major medical conditions. Disease burden was measured as a function of 10-year mortality risk using the Charlson Comorbidity Index. P-values were adjusted using Hochberg's correction for multiple-inference testing within each medical condition category. RESULTS: The most frequently diagnosed SUDs in 2010 were alcohol (57.6%), cannabis (14.9%), and opioid (12.9%). Patients with these SUDs had higher prevalence of major medical conditions than non-SUD patients (alcohol use disorders, 85.3% vs 55.3%; cannabis use disorders, 41.9% vs 23.0%; and opioid use disorders, 44.9% vs 26.1%; all P < 0.001). Patients with these SUDs also had higher disease burden than non-SUD patients; patients with opioid use disorders (M = 0.48; SE = 1.46) had particularly high disease burden (M = 0.23; SE = 0.09; P < 0.001). CONCLUSIONS: Common SUDs, particularly opioid use disorders, are associated with substantial disease burden for privately insured individuals without significant impediments to care. This signals the need to explore the full impact SUDs have on the course and outcome of prevalent conditions and initiate enhanced service engagement strategies to improve disease burden.

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964

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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965

Aligning incentives in the treatment of depression in primary care with evidence-based practice

Type: Journal Article

Authors: Richard G. Frank, Haiden A. Huskamp, Harold Alan Pincus

Year: 2003

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966

Aligning Payers and Practices to Transform Primary Care: A Report from the Multi-State Collaborative

Type: Report

Authors: LD Watkins

Year: 2014

Publication Place: New York, NY

Abstract: Since the mid-2000s, a number of states have developed and implemented initiatives to transform their primary care delivery systems in order to improve the health of their populations and reduce costs. These initiatives bring together health care providers and payers in collaborative efforts to implement patient-centered medical homes and promote payment reform by aligning incentives across all payers. What the states have learned from their experiences is that primary care transformation can only be achieved through change to both systems-organizing and paying for care.

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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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967

Aligning three substance use disorder interventions among a tribe in the Southwest United States: Pilot feasibility for cultural re-centering, dissemination, and implementation

Type: Journal Article

Authors: Katherine A. Hirchak, Alexandra Hernandez-Vallant, Jalene Herron, Violette Cloud, Scott Tonigan, Barbara McCrady, Kamilla Venner

Year: 2022

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968

All for One and One for All: Developing Coordinated State Opioid Strategies

Type: Report

Authors: Noam N. Levey

Year: 2018

Publication Place: New York,NY

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969

All Hands on Deck: Addressing Adolescent Depression in Pediatric Primary Care

Type: Journal Article

Authors: J. Kenny, L. Costello, K. Kelsay, M. Bunik, S. Xiong, L. Chiaravalloti, A. Millar, A. Talmi

Year: 2021

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970

All together now? Staff views and experiences of a pre-qualifying interprofessional curriculum

Type: Journal Article

Authors: D. Rees, R. Johnson

Year: 2007

Publication Place: England

Abstract: An interprofessional pre-qualifying curriculum for health and social care professionals was introduced at an English university in September 2000. This study explored the experiences of academic staff from a range of professional backgrounds involved in this interprofessional initiative. Data were collected via questionnaires, individual interviews and focus groups and were analysed using Interpretative Phenomenological Analysis. Sixty-one questionnaires were returned out of a possible two hundred (response rate 30.5%); twenty-nine respondents participated in interviews and focus groups. Four main themes emerged from the data: (i) Huge: Size does matter; (ii) Isolation: Together but separate; (iii) Facilitation: Anything but easy; and (iv) Faculty: Do we walk the talk? The study found a cross-Faculty commitment to interprofessional education, but revealed considerable difficulties for those staff responsible for the management and delivery of the curriculum. The vast scale, the complex nature of interprofessional education delivery, the logistics and organizational challenges created significant difficulties for staff, who could at times feel overwhelmed and isolated. Attitudinal barriers to interprofessional education were identified, although the interprofessional curriculum had enhanced interprofessional working within the Faculty. In order to optimize the success of interprofessional education, the significant challenges that exist for academic staff must be addressed, and ownership by staff enabled.

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971

All together: Integrated care for youth with type 1 diabetes

Type: Journal Article

Authors: Judith Versloot, Amna Ali, Simona C. Minotti, Julia Ma, Jane Sandercock, Michelle Marcinow, Daphne Lok, Deepy Sur, Maartje de Wit, Elizabeth Mansfield, Sheryl Parks, Ian Zenlea

Year: 2021

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972

Alternative Payment Models (APM) Framework

Type: Report

Authors: Health Care Payment Learning & Action Network

Year: 2016

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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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973

Alternative Payment Models for Sustaining Integration - Dr. Roger Kathol [Video]

Type: Web Resource

Authors: University of Colorado School of Medicine Department of Family Medicine

Year: 2013

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,

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974

America's Opioid Epidemic: From Evidence to Impact

Type: Report

Authors: Clinton Foundation, Johns Hopkins Bloomberg School of Public Health

Year: 2017

Publication Place: Baltimore, MD

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975

America's Opioid Epidemic: Supply and Demand Considerations

Type: Journal Article

Authors: D. J. Clark, M. A. Schumacher

Year: 2017

Publication Place: United States

Abstract: America is in the midst of an opioid epidemic characterized by aggressive prescribing practices, highly prevalent opioid misuse, and rising rates of prescription and illicit opioid overdose-related deaths. Medical and lay public sentiment have become more cautious with respect to prescription opioid use in the past few years, but a comprehensive strategy to reduce our reliance on prescription opioids is lacking. Addressing this epidemic through reductions in unnecessary access to these drugs while implementing measures to reduce demand will be important components of any comprehensive solution. Key supply-side measures include avoiding overprescribing, reducing diversion, and discouraging misuse through changes in drug formulations. Important demand-side measures center around educating patients and clinicians regarding the pitfalls of opioid overuse and methods to avoid unnecessary exposure to these drugs. Anesthesiologists, by virtue of their expertise in the use of these drugs and their position in guiding opioid use around the time of surgery, have important roles to play in reducing patient exposure to opioids and providing education about appropriate use. Aside from the many immediate steps that can be taken, clinical and basic research directed at understanding the interaction between pain and opioid misuse is critical to identifying the optimal use of these powerful pain relievers in clinical practice.

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976

America's Opioid Epidemic: Supply and Demand Considerations

Type: Journal Article

Authors: D. J. Clark, M. A. Schumacher

Year: 2017

Publication Place: United States

Abstract: America is in the midst of an opioid epidemic characterized by aggressive prescribing practices, highly prevalent opioid misuse, and rising rates of prescription and illicit opioid overdose-related deaths. Medical and lay public sentiment have become more cautious with respect to prescription opioid use in the past few years, but a comprehensive strategy to reduce our reliance on prescription opioids is lacking. Addressing this epidemic through reductions in unnecessary access to these drugs while implementing measures to reduce demand will be important components of any comprehensive solution. Key supply-side measures include avoiding overprescribing, reducing diversion, and discouraging misuse through changes in drug formulations. Important demand-side measures center around educating patients and clinicians regarding the pitfalls of opioid overuse and methods to avoid unnecessary exposure to these drugs. Anesthesiologists, by virtue of their expertise in the use of these drugs and their position in guiding opioid use around the time of surgery, have important roles to play in reducing patient exposure to opioids and providing education about appropriate use. Aside from the many immediate steps that can be taken, clinical and basic research directed at understanding the interaction between pain and opioid misuse is critical to identifying the optimal use of these powerful pain relievers in clinical practice.

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977

American College of Physicians (ACP)

Type: Web Resource

Authors: American College of Physicians

Year: 2013

Publication Place: Philadelphia, PA

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978

American Osteopathic Association

Type: Web Resource

Authors: American Osteopathic Association

Year: 2013

Publication Place: Chicago, IL

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979

American Psychological Association (APA)

Type: Web Resource

Authors: American Psychological Association

Year: 2013

Publication Place: Washington, D.C.

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980

American School Counselor Association (ASCA)

Type: Web Resource

Authors: American School Counselor Association

Year: 2013

Publication Place: Alexandria, VA

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