Publications by authors named "Corinna Falck-Ytter"
Background: Using patient audio recordings of medical visits to provide clinicians with feedback on their attention to patient life context in care planning can improve health care delivery and outcomes, and reduce costs. However, such an initiative can raise concerns across stakeholders about surveillance, intrusiveness and merit. This study examined the perspectives of patients, physicians and other clinical staff, and facility leaders over 3 years at six sites during the implementation of a patient-collected audio quality improvement program designed to improve patient-centered care in a non-threatening manner and with minimal effort required of patients and clinicians.
View Article and Find Full Text PDFObjective: Type 2 diabetes is a risk factor for cognitive impairment. We examined the relation of glycemia, lipids, blood pressure (BP), hypertension history, and statin use with cognition in the Glycemia Reduction Approaches in Diabetes: A Comparative Effectiveness Study (GRADE).
Research Design And Methods: Cross-sectional analyses from GRADE at baseline examined the association of glycemia (hemoglobin A [HbA]), LDL, systolic BP (SBP) and diastolic BP (DBP), hypertension history, and statin use with cognition assessed by the Spanish English Verbal Learning Test, letter and animal fluency tests, and Digit Symbol Substitution Test (DSST).
Objective: The association of renal dysfunction with tests of cognition in type 2 diabetes has been examined in individuals with moderate and advanced renal disease. Here we examine the association of renal dysfunction with tests of cognition in a cohort of middle-aged adults with short duration diabetes (mean 4.0 ± 2.
View Article and Find Full Text PDFArticle Synopsis
- Evidence-based care plans often fail when they overlook important patient life circumstances, known as contextual factors, like social support loss or financial difficulties, which can hinder effective care.
- A quality improvement program was initiated to help clinicians become more aware of these contextual factors by giving them ongoing feedback based on audio recordings of patient visits, analyzed using a specific method called 4C.
- Results showed a significant increase in the clinician's attention to contextual factors, improving from 67% to 72% after feedback, indicating that addressing these factors can enhance patient outcomes.
Article Synopsis
- Loss to follow-up in primary care is a significant issue, particularly highlighted in the Veterans Health Administration where continuity of care positively impacts patient health outcomes.
- A new tool called the Panel Retention Tool (PRT) was developed to help primary care teams identify and follow up with patients who had been lost to care, improving scheduling and patient engagement.
- The implementation of the PRT resulted in a significant decrease in the percentage of patients lost to follow-up, from 10.1% to 6.4%, indicating better patient retention and potentially more effective use of healthcare resources.
The immediate clinically significant reduction in hemoglobin A following HCV treatment observed in this study contrasts with the expected rise seen with normal disease progression.
View Article and Find Full Text PDFObjectives: A 60-week randomized controlled trial assessed the effects of targeted training in illness management (TTIM) versus treatment as usual among 200 individuals with serious mental illness and diabetes mellitus.
Methods: The study used the Clinical Global Impression (CGI), the Montgomery-Asberg Depression Rating Scale (MADRS), and the Brief Psychiatric Rating Scale (BPRS) to assess psychiatric symptoms; the Global Assessment of Functioning (GAF) and the Sheehan Disability Scale (SDS) to assess functioning; the 36-Item Short-Form Health Survey (SF-36) to assess general health, and serum glycosylated hemoglobin (HbA1c) to assess diabetes control.
Results: Participants' mean±SD age was 52.
The American Diabetes Association (ADA)'s "Standards of Medical Care in Diabetes" recognizes that hemoglobin A1C targets for patients should be individualized.² We consider it important to discuss challenges and limitations with each patient.
View Article and Find Full Text PDFBackground: Patient activation interventions (PAIs) engage patients in care by promoting increased knowledge, confidence, and/or skills for disease self-management. However, little is known about the impact of these interventions on a wide range of outcomes for adults with type 2 diabetes (DM2), or which of these interventions, if any, have the greatest impact on glycemic control.
Methods: Electronic databases were searched from inception through November 2011.