Learn More
PURPOSE (1) To determine the effectiveness of classroom health promotion/prevention training designed to improve work climate and alcohol outcomes; (2) to assess whether such training contributes to improvements in problem drinking beyond standard workplace alcohol policies. DESIGN A cross-sectional survey assessed employee problem drinking across three(More)
BACKGROUND The Veterans Affairs Diabetes Trial previously showed that intensive glucose lowering, as compared with standard therapy, did not significantly reduce the rate of major cardiovascular events among 1791 military veterans (median follow-up, 5.6 years). We report the extended follow-up of the study participants. METHODS After the conclusion of the(More)
While disease management appears to be effective in selected, small groups of CHF patients from randomized controlled trials, its effectiveness in a broader CHF patient population is not known. This prospective, quasi-experimental study compared patient outcomes under a nurse practitioner-led disease management model (intervention group) with outcomes under(More)
OBJECTIVE To describe how comorbid depression in chronically ill adults affects the willingness of their family and friends to provide them with illness management support. METHODS We identified a national sample of U.S. adults (n = 1027), all of whom had a close relative or friend with a chronic physical illness. We examined whether respondents were less(More)
OBJECTIVE To assess the relationship between volume of nonoperative mechanically ventilated patients receiving care in a specific Veterans Health Administration hospital and their mortality. DESIGN Retrospective cohort study. SETTING One-hundred nineteen Veterans Health Administration medical centers. PATIENTS We identified 5,131 hospitalizations(More)
OBJECTIVE To explore the response rate benefits and data limitations of mixing telephone and web survey modes in a health-related research study. DATA SOURCES/STUDY SETTING We conducted a survey of salaried employees from one large employer in the manufacturing sector in the summer of 2005. STUDY DESIGN We randomized 751 subjects, all of whom had(More)
BACKGROUND Critical care resource use accounts for almost 1% of US gross domestic product and varies widely among hospitals. However, we know little about the initial decision to admit a patient to the intensive care unit (ICU). METHODS To describe hospital ICU admitting patterns for medical patients after accounting for severity of illness on admission,(More)
OBJECTIVES To describe trends in advance directive (AD) completion from 2000 to 2010 and to explore the relationship between AD and hospitalization and hospital death at the end of life. DESIGN Retrospective cohort study. SETTING Health and Retirement Study (HRS). PARTICIPANTS HRS participants who died between 2000 and 2010 and were aged 60 and older(More)
This observational study examines changes in access to methadone maintenance treatment following Oregon's decision to remove substance abuse treatment from the Medicaid benefit for an expansion population. Access was compared before and after the benefit change for two cohorts of adults addicted to opiates presenting for publicly funded treatment.(More)
Clinical Pharmacy Specialists (CPSs) and Registered Nurses (RNs) are integrally involved in the Patient Aligned Care Teams (PACT) model, especially as physician extenders in the management of chronic disease states. CPSs may be an alternative to physicians as a supporting prescriber for RN case management (RNCM) of poorly controlled hypertension. To compare(More)