Adam M Keller

Learn More
The COOP Project, a primary care research network, has begun development of a Chart method to screen function quickly. The COOP Charts, analogous to Snellen Charts, were pretested in two practices on adult patients (N = 117) to test feasibility, clinical utility, and validity. Patients completed questionnaires containing validated health status scales and(More)
OBJECTIVE To test the impact of physician education and facilitator assisted office system interventions on cancer early detection and preventive services. DESIGN A randomised trial of two interventions alone and in combination. SETTING AND SUBJECTS Physicians in 98 ambulatory care practices in the United States. INTERVENTIONS The education(More)
BACKGROUND Transurethral resection of the prostate is the most common surgical treatment for benign prostatic hyperplasia. We conducted a multicenter randomized trial to compare this surgery with watchful waiting in men with moderate symptoms of benign prostatic hyperplasia. METHODS Of 800 men over the age of 54 years who were screened between July 1986(More)
OBJECTIVE To examine whether specialty and system of care exert independent effects on resource utilization. STUDY DESIGN Cross-sectional analysis of just over 20,000 patients (greater than or equal to 18 years of age) who visited providers' offices during 9-day periods in 1986. Patient- and physician-provided information was obtained by self-administered(More)
In the past decade physicians have identified the need to expand patient assessment to include global function and quality of life. During the same period, the busy clinic has evolved into the location where this assessment seems most appropriate. Integrating functional health assessment into a busy clinical practice is difficult because the necessary steps(More)
Conducting educational research in medical schools is challenging partly because interventional controlled research designs are difficult to apply. In addition, strict accreditation requirements and student/faculty concerns about educational inequality reduce the flexibility needed to plan and execute educational experiments. Consequently, there is a(More)
OBJECTIVE To determine the cost-effectiveness of Assertive Community Treatment (ACT) in comparison to Standard Case Management (SCM) for persons with severe mental illness and substance use disorders. DATA SOURCES AND STUDY SETTING Original data on the effectiveness and social costs of ACT and SCM that were collected between 1989 and 1995. Seven community(More)
BACKGROUND Despite national priorities in cancer control, the number of people with established ongoing medical care who do not receive indicated preventive services is substantial. Proven strategies to optimize preventive care in community practice are limited. METHODS In the Cancer Prevention in Community Practice Project (CPCP), 50 primary care(More)
Teaching and learning in the ambulatory setting have been described as inefficient, variable, and unpredictable. A model of ambulatory teaching that was piloted in three settings (1973-1981 in a university-affiliated outpatient clinic in Portland, Oregon, 1996-2000 in a community outpatient clinic, and 2000-2001 in an outpatient clinic serving Dartmouth(More)