Publications by authors named "J P Clapp"
Unlabelled: Primary care clinic structures and operations may influence early MOUD discontinuation. Flexible scheduling can improve early MOUD retention but must be balanced with clinic efficiency. Multidisciplinary teams can improve retention but require additional resources.
View Article and Find Full Text PDFIntroduction: Since the onset of the COVID-19 pandemic and loosening of some opioid use disorder (OUD) treatment regulations in the U.S. and Canada, there has been a rapid rise in the use of telehealth for buprenorphine induction, maintenance, and counseling (tele-bupe).
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- Major lower limb amputation (MLLA) is a critical surgery that can lead to significant psychological distress, especially in the early recovery phase, yet there’s limited guidance for emotional support post-surgery.
- A project was initiated to improve emotional support for patients post-MLLA on a vascular surgical ward, incorporating an 'emotionally supportive conversation' (ESC) model and staff training led by a Clinical Psychologist.
- Results showed a substantial increase in patient satisfaction regarding information and support from staff after implementing these interventions, highlighting a cost-effective approach to enhancing psychological care for these patients.
Background: Social determinants of health (SDOHs) mediate outcomes of critical illness. Increasingly, professional organizations recommend screening for social risks. Yet, how clinicians should identify and then incorporate SDOHs into acute care practice is poorly defined.
View Article and Find Full Text PDFBackground: This study describes how New York City (NYC) Health + Hospitals implemented a large-scale Community Health Worker (CHW) program in adult primary care clinics between January 2022 and December 2023 and established metrics to monitor program implementation. This study is timely as healthcare systems consider how to scale high-quality CHW programs.
Methods: We collected metrics in the following areas: (1) Workforce demographics, team structure, and training; (2) Enrolled patient demographics; (3) Patient-centered metrics, such as patient counts (e.