Publications by authors named "Michael Dinneen"
Objectives: To develop a tool for measuring performance of a coordinated care center against the criteria of an integrated practice unit (IPU) and test it against an established care center in the Military Health System (MHS).
Study Design: Characteristics of 4 patient care coordination models were sorted using the 11 criteria of the IPU.
Methods: Subject matter experts evaluated characteristics and criteria for inclusion or exclusion based on the needs of specialty care in the MHS.
Article Synopsis
- The study investigates the role of HPV infection and human leukocyte antigen (HLA) polymorphisms in the development of penile intraepithelial neoplasia (PeIN).
- Out of 72 cases analyzed, HPV DNA was found in 90.2% of PeIN samples, with HPV16 being the most common type, indicating a strong association between HPV and PeIN.
- Specific HLA genotypes, such as HLA-C*15 increasing risk and HLA-DQA1*01 offering protection, suggest that immune genetics may also contribute to PeIN's development.
The pathogenesis of male genital lichen sclerosus (MGLSc) is controversial. Incriminated factors include infection with human papillomavirus (HPV) and autoimmunity (e.g.
View Article and Find Full Text PDFObjective: Members of the US armed forces have been heavily deployed in support of wars in Afghanistan and Iraq. This study examined the affect of a parent's deployment to war on the rate of psychiatric hospitalization among their children.
Methods: This was a retrospective cohort study.
This case study describes the Military Health System's (MHS) patient-centered medical home (PCMH) initiative and how it is being delivered across the MHS by the Army, Navy, and Air Force. The MHS, an integrated delivery model that includes both military treatment facilities and civilian providers and health care institutions, is transforming its primary care platforms from the traditional acute, episodic system to the PCMH model of care to maximize patient experience, satisfaction, health care quality, and readiness and to control cost growth. Preliminary performance measures are analyzed to assess the impact of PCMH implementation on the core primary care processes of the MHS.
View Article and Find Full Text PDFMale genital lichen sclerosus (MGLSc) has a bimodal distribution in boys and men. It is associated with squamous cell carcinoma (SCC). The pathogenesis of MGLSc is unknown.
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