Jason Egginton

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BACKGROUND Burden of treatment refers to the workload of health care as well as its impact on patient functioning and well-being. We set out to build a conceptual framework of issues descriptive of burden of treatment from the perspective of the complex patient, as a first step in the development of a new patient-reported measure. METHODS We conducted(More)
BACKGROUND Burden of treatment refers to the workload of health care and its impact on patient functioning and well-being. There are a number of patient-reported measures that assess burden of treatment in single diseases or in specific treatment contexts. A review of such measures could help identify content for a general measure of treatment burden that(More)
BACKGROUND This systematic review and meta-analysis aims at assessing the composition and performance of care management models evaluated in the last decade and their impact on patient important outcomes. METHODS A comprehensive literature search of electronic bibliographic databases was performed to identify care management trials in type 2 diabetes.(More)
PURPOSE Patients with multiple chronic conditions (multimorbidity) often require ongoing treatment and complex self-care. This workload and its impact on patient functioning and well-being are, together, known as treatment burden. This study reports on factors that patients with multimorbidity draw on to lessen perceptions of treatment burden. PATIENTS(More)
PURPOSE The workload of health care and its impact on patient functioning and well-being is known as treatment burden. The purpose of this study was to finalize a conceptual framework of treatment burden that will be used to inform a new patient-reported measure of this construct. PATIENTS AND METHODS Semi-structured interviews were conducted with 50(More)
At Mayo Clinic, care teams are being evaluated as a means to improve health care staff productivity and patient service. Traditional care in outpatient practices has health care staff working independently of each other with little coordination. Initial feedback by participating practices support the value of care teams. Our research focuses on a(More)
BACKGROUND Existing theories of self-directed learning (SDL) have emphasized the importance of process, personal, and contextual factors. Previous medical education research has largely focused on the process of SDL. We explored the experience with and perception of SDL among internal medicine residents to gain understanding of the personal and contextual(More)
OBJECTIVE To assess US physicians' attitudes towards using shared decision-making (SDM) to achieve cost containment. DESIGN Cross-sectional mailed survey. SETTING US medical practice. PARTICIPANTS 3897 physicians were randomly selected from the AMA Physician Masterfile. Of these, 2556 completed the survey. MAIN OUTCOME MEASURES Level of enthusiasm(More)
OBJECTIVE This evaluation assessed the opinions and experiences of primary care providers and their support staff before and after implementation of expanded on-site mental health services and related system changes in a primary care clinic. METHOD Individual semistructured interviews, which contained a combination of open-ended questions and rating(More)
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