Publications by authors named "A E Barnato"
Guided by communication accommodation theory, we studied 27 physician reports of patient-physician advanced cancer communication during the COVID-19 pandemic. Advanced cancer communication requires recognizing patients' psychosocial states and collaboratively engaging patients empathetically to develop the shared understanding necessary to guide decision-making. However, physicians found their communication underaccommodated, stemming from personal protection equipment, social distancing, and telemedicine.
View Article and Find Full Text PDFImportance: Leaders of healthcare organizations play a key role in developing, prioritizing, and implementing plans to adopt new evidence-based practices. This study examined whether a letter with peer comparison data and social norms messaging impacted healthcare leaders' decision to access a website with resources to support evidence-based practice adoption.
Methods: Pragmatic, parallel-group, randomized controlled trial completed from December 2019 -June 2020.
A Quality Improvement Initiative for Inpatient Advance Care Planning.
JAMA Health Forum
October 2024
Article Synopsis
- The Centers for Medicare & Medicaid Services (CMS) introduced advance care planning (ACP) billing codes in 2016 to promote discussions between practitioners and patients about future healthcare decisions, with added metrics for quality improvement starting in 2018.
- A study was conducted to evaluate the effectiveness of a quality improvement intervention aimed at increasing ACP conversations among hospitalized Medicare beneficiaries aged 65 and older, comparing results across different practitioner groups.
- The research analyzed ACP billing rates, hospital treatment changes, and patient outcomes from 2015 to 2019, ultimately assessing key factors like the initiation of do-not-resuscitate orders and patient discharge status.
Article Synopsis
- Data sharing is becoming a big part of health research, especially with new rules from the National Institutes of Health in 2023 that include qualitative studies, which look at people's experiences and opinions.
- The Palliative Care Research Cooperative Group (PCRC) created a new data repository for qualitative research to go along with their existing quantitative data, working with the Qualitative Data Repository (QDR).
- They developed guidelines and reached out to researchers to help them share their data, while also learning important lessons during the process to improve future data sharing practices.
Background: Care partners of people with serious illness experience significant challenges and unmet needs during the patient's treatment period and after their death. Learning from others with shared experiences can be valuable, but opportunities are not consistently available.
Objective: This study aims to design and prototype a regional, facilitated, and web-based peer support network to help active and bereaved care partners of persons with serious illness be better prepared to cope with the surprises that arise during serious illness and in bereavement.