Melissa Tabbarah

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This pilot study examined the covariation of patients' self-reports of instrumental and affective aspects of communication during physician-patient visits with 2 other sources of data: medical chart records and audio/videotapes. Participants were 17 community-based (nonuniversity) primary-care physicians and 77 of their patients, ages 50 to 80. Patients(More)
BACKGROUND Genetic testing has the potential to identify persons at high risk for disease. Given the history of racial disparities in screening, early detection and accessing treatment, understanding racial differences in beliefs about genetics is essential to preventing disparities in some conditions. METHODS In 2004, a sample of older adult patients(More)
BACKGROUND The relationship between change in cognitive and physical performance has yet to be fully understood. Because aging decreases the ability to learn new information while preserving more established knowledge, this article examines whether the association between change in cognitive and physical performance depends on the nature of the physical(More)
OBJECTIVES To increase adult immunizations at inner-city health centers serving primarily minority patients. DESIGN A before-after trial with a concurrent control. SETTING Five inner-city health centers. PARTICIPANTS All adult patients at the health centers eligible for influenza and pneumococcal vaccines. INTERVENTION Four intervention sites chose(More)
BACKGROUND One proposed explanation for the persistence of racial disparities in adult immunizations is that minority patients receive primary care at practices that differ substantively from practices where white patients receive care. This study used both quantitative and qualitative methods to assess physician and practice factors contributing to(More)
Although colorectal cancer (CRC) is the second leading cause of cancer death in the U.S., screening rates are low. Understanding the predictors of CRC screening is needed. In 2003, a random sample of patients aged 50 and over from three inner-city health centers was surveyed by computer-assisted telephone interview concerning CRC screening. The(More)
BACKGROUND To explain why rates of colorectal cancer (CRC) screening including fecal occult blood testing (FOBT), flexible sigmoidoscopy (FS), colonoscopy (CS), and barium enema (BE), are low, this study assessed determinants of CRC screening from medical records. METHODS Data were abstracted from patients aged > or =64 years selected from each clinician(More)
OBJECTIVES We designed and evaluated interventions to increase adult immunizations within inner-city health centers. METHODS Interventions included reminders, standing orders, and walk-in "flu shot clinics." Patients were surveyed and records evaluated. RESULTS Records from 1 center showed that immunization rates increased from 24% to 30% (P <.001) for(More)
BACKGROUND The US experienced a shortage of varicella vaccine in 2002, leading to the concerns about its impact. METHODS 204 Minnesota and Pennsylvania physicians, most (164) of whom were interviewed in 1999 on the topic of varicella vaccine, responded to a 2003 survey. RESULTS Although 67% were aware of the 2002 varicella vaccine shortage, 24%(More)
BACKGROUND Despite the availability of pneumococcal polysaccharide vaccine (PPV), vaccination rates are modest, and racial disparity in these rates is known to occur. OBJECTIVE The purpose of this study was to identify determinants of patient-reported receipt of PPV among patients from 3 inner-city health centers that serve large numbers of minority and(More)