Karen Tallman

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The number of older drivers in Sweden will be rapidly increasing during the next decades. A possible relationship exists between the increased relative crash risk of older drivers and the prevalence of age-related diseases such as dementia. However, a clear-cut policy for evaluating driving competence in demented persons is still lacking. In recognition of(More)
OBJECTIVE Cognitive-behavioral therapy (CBT) protocols for each of the anxiety disorders are robust and effective but are best suited for specialty clinics. This study assessed a format more suitable for general clinics: a single protocol based on standard CBT techniques designed to treat patients who have different anxiety disorders in the same group. (More)
Karen Tallman, PhD, is a senior research analyst for the Care Experience Council. E-mail: karen.tallman@kp.org. Tom Janisse, MD, is the Editor-in-Chief of The Permanente Journal and publisher of The Permanente Press. E-mail: tom.janisse@kp.org. Richard M Frankel, PhD, is Professor of Medicine and Geriatrics at Indiana University School of Medicine. He is(More)
CONTEXT Panel management is an innovative approach for population care that is tightly linked with primary care. This approach, which is spreading rapidly across Kaiser Permanente, represents an important shift in population-care structure and emphasis, but its potential and implications have not been previously studied. OBJECTIVE To inform the ongoing(More)
The driving records of 249 persons referred to an outpatient dementia clinic were examined retrospectively to assess the specificity of the association between diagnosed dementia and increased traffic accidents. The clinic patients were divided into two groups: those who met criteria for dementia and those who did not. For each group, control subjects(More)
BACKGROUND AND OBJECTIVES Inpatient palliative care (IPC) consults are associated with improved quality of care and less intensive utilization. However, little is known about how the needs of patients with advanced illness and the needs of their families and caregivers evolve or how effectively those needs are addressed. The objectives of this study were 1)(More)
By Tracy Flanagan, MD Carl A Serrato, PhD Andrea Altschuler, PhD Karen Tallman, PhD Elizabeth Thomas, MD Introduction As the Baby Boomers move into their 50s and 60s, a larger proportion of Kaiser Permanente (KP) members will be menopausal women. Menopause and midlife have many potential short-term and long-term health consequences, including heart disease,(More)
INTRODUCTION The top predictors of patient satisfaction with clinical visits are the quality of the physician-patient relationship and the communications contributing to their relationship. How do physicians improve their communication, and what effect does it have on them? This article presents the verbatim stories of seven high-performing physicians(More)