DOCSLIB.ORG

Summer 2011H

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Summer 2011H Gooda healthcare journal from sansumHealt clinic • issue 1 • summer 2011H SUMMER SKINCARE TIPS tips to protect your skin this summer my journey to hEalth with Julie McGovern Nutritious Summer BarbequE Tips SanSumCliniC.org re-launched to improve your access WELCOME a healthcare journal from sansum clinic issue 1 • summer 2011 We are pleased to debut the premiere issue of Good Health, our new magazine about Sansum Clinic is the largest healthcare in our community and healthy lifestyles. With insightful articles, interviews, independent nonprofit anecdotes, resources, and practical advice, Good Health is designed to provide you and healthcare organization your family a stronger connection to your healthcare. between the Los Angeles Basin and the San Francisco 2011 marks Sansum Clinic’s 90th Bay Area, providing the full Anniversary. Our longevity is due to our spectrum of services from ongoing investment in the latest equipment primary care to more than and technology and our recruitment of the 30 specialties. best and the brightest physicians, which combined, enable us to deliver the hi-tech and hi-touch elements of quality healthcare. Kurt N. Ransohoff, MD One of our founders, Dr. William David Chief Executive Officer Sansum, was a pioneering researcher who President and Medical Director was the first American to successfully isolate, produce and administer insulin to Paul R. Jaconette treat diabetes. We have maintained that Executive Vice President innovative approach and continually Chief Administrative Officer evolved the level of care available in the community. Our myriad healthcare advancements include the first renal Jill R. Fonte dialysis machine and the first kidney Director of Marketing transplant surgery in Santa Barbara. Sansum Clinic physicians performed Dru A. Hartley the first carotid and laparoscopic surgeries Director of Philanthropy and brought the first digital mammography services to Santa Barbara. The Clinic expanded care to residents with one of the first outpatient Urgent Care facilities, providing after-hours services that were open to the community. 24-Hour Clinic Operator We are always working to stay ahead of the community’s needs — advancing care in (805) 681-7500 addition to responding to present challenges. We are also pleased to announce the launch of our new and improved website (www.sansumclinic.org) designed to offer you easy access to our many resources and quality healthcare information. Sansum Clinic Corporate Office In our 90-year history, thousands of individuals have worked together at Sansum Clinic 470 South Patterson Avenue to care for the people of our community. Our focus on customer service and our multi- Santa Barbara, CA 93111 specialty model enable us to provide compassionate, lifelong care to the people of Santa (805) 681-7700 Barbara County, and countless visitors from across the country and around the globe. www.SansumClinic.org When we look ahead, we see a strong future based on our continued delivery of the innovative healthcare solutions that our patients have come to expect from Sansum Clinic. All gifts are tax-deductible We hope you enjoy this issue…and here’s to your good health! to the extent allowed by law. Tax ID #: 95-6419205 Sincerely, Kurt N. Ransohoff, MD CEO and Medical Director What Men Can Learn from Women Is it really a man’s world in the 21st century? Not according to a recent issue of The Atlantic, whose cover story by Hanna Rossin was entitled “The End of Men: How Women are Taking Control — of Everything.” One of the main points of the article is that success in the post-industrial world depends upon education, where women greatly outperform men and hence, the future could well belong to women. In part due to the loss of six million manufacturing jobs over the past decade, should prostate cancer be treated? How can we make the women now outnumber men in the workplace and now more healthcare system more male-friendly? These are some of the than half of managerial jobs are held by women. One treatable issues discussed at the recent Second Harvard Men’s Health medical problem afflicts four times as many men as women Conference which I had the privilege of speaking at in April of and holds men back both academically and professionally: this year. The conference organizer, Dr. Abraham Morgentaler, attention deficit/hyperactivity disorder. As a result, fewer men is author of several books on men’s health including than women enroll in college and more men than women Testosterone for Life in which he argues for the benefits of drop out, so today 60% of both bachelors and masters degrees replacing testosterone in aging men. Such benefits include are awarded to women. The net effect of these changes is that stronger bones and muscles, increased energy and sense of women’s incomes, which once lagged behind men’s, have now well-being, improvements in metabolism, and increased libido. equaled and in some areas surpassed that of men. Controversies persist in the medical literature on all aspects of prostate cancer from the benefits or lack thereof of screening to Are women the weaker sex? Not if looked at in terms of health. when and how prostate cancer should be treated. Despite their inferior health compared with women, men are much less likely to receive regular, preventive care than are My advice to men? Get regular, preventive medical care. women. When it comes to being proactive for better health, Don’t smoke. Exercise daily — at least a brisk half-hour men need to look no farther than women who are great role walk. Eat a lean diet of mostly whole grains and other plant models both personally by seeking medical care and on the foods and maintain a healthy weight. Consume alcohol in broader societal level by advocating for women’s health. moderation, not more than 2 drinks per day. Keep a positive mental attitude: prayer or meditation have demonstrated What are some of the major concerns of men’s health medical benefits. And remember — for a longer, healthier life, advocates? Is there an andropause in men similar to menopause women are usually excellent role models! R in women? Should we be screening for prostate cancer in men in the way we screen for breast cancer in women? How — David C. Dodson, MD, Internal Medicine Contents + Summer 2011 features departments 2 Keeping Families Focused on Prevention 8 Tips & advice Family Medicine with Dr. Ali Javanbakht 12 Technology update 4 my Journey to Health A Q&A with Julie McGovern 15 Donor Dollars at Work 6 Travel & Tropical medicine 16 letter from a Grateful Patient Chad Relief Foundation 17 meet Our new Physicians 11 advanced urology Care This magazine is not intended to provide medical Three specialists ready to serve care. For specific medical advice, diagnoses, and treatment, consult your doctor. All information in this publication is for educational purposes only. SansumClinic.org • issue 1 • summer 2011 1 faMiLy MEdiCinE Keeping Families Focused on Prevention Not only does he feel lucky to have the opportunity to practice Dr. Javanbakht enjoys the opportunity to work with entire medicine near Santa Barbara where he grew up, Dr. Ali families and to help them address their health issues before they Javanbakht has a strong passion for what his patients can do become medical problems. He tries to focus his patients and as families, at home, to improve their health. their families on prevention. “We have access to great healthy foods and plenty of opportunities to walk those few extra steps Many of Dr. Javanbakht’s younger patients have a hard time to help keep ourselves fit. Learning what is good for you is pronouncing words like temperature or stethoscope, so when it easier than most people think. And I think it can be a lot more comes to his name, they just call him Dr. Ali, which suits him, fun when the whole family is involved.” just fine. The name of his website, Healthcrap.com, is a clear indication of his sense of humor and easygoing manner. Dr. Javanbakht also speaks Spanish, Farsi and French. His book, For the Health of It!, which is a collection of his most loved columns by the same name that have appeared regularly in “The great advantage of working at the Coastal View News, uses humorous analogies, everyday metaphors, and made-up organizations to humanize medicine, Sansum Clinic is the tremendous support covering a broad range of topics from illnesses, to medical and dedicated, professional staff that politics, to anatomy and physiology. When asked what he likes most about Family Medicine, his answer covers the same we have. It frees me to be a doctor, complex gamut of issues, only with a strong emphasis on getting to know his patients. “I have the opportunity to treat and to with the ability to focus my attention become familiar with entire families and that provides a perfect environment for primary care.” on my patients.” His own family and involvement in the community keep him In his bio he writes that as a boy he dreamed of becoming a busy outside of the Clinic. His wife is also a doctor and he clown or a soccer player, but “settled” on medicine instead. likes to add that he is “being raised by his two children” here The events that led him to begin his practice at Carpinteria in Santa Barbara. His dream of clowning for the circus never Urgent Care & Family Medicine in 2001, actually provide a materialized, but he still plays a competitive game of soccer and warming back-story for the dedicated team of physicians and his patients and colleagues are genuinely glad that he “settled” medical staff that have come together to serve the medical for practicing family medicine — here at home.
Load more

Recommended publications
  • 2019-CHNA-Report-Full 20191122.Pdf
    TABLE OF CONTENTS Executive Summary ......................................................................................................................... 5 Introduction .................................................................................................................................... 8 Methods and Data Sources ........................................................................................................... 10 Community Served ........................................................................................................................ 25 Local Resources ............................................................................................................................. 35 Conclusions ................................................................................................................................... 36 Appendix A: Complete Results of 2019 Santa Barbara County BRFSS Survey ............................. 40 Appendix B: 2019 Santa Barbara County BRFSS Questions and Sources ..................................... 62 Appendix C: Looking Back: Evaluation of Community Benefit Programs Identified in 2016 ....... 77 Appendix D: Santa Barbara County Complete List Of Health Indicators ...................................... 82 Appendix E: Further Explanation of 2016 Santa Barbara County BRFSS Methodology ............. 113 Appendix F: CHNA Data Collection Tools and Instruments ........................................................ 129 Full 2019 Santa Barbara County BRFSS Questionnaire in
    [Show full text]
  • Access+ HMO Plan Overview Access+ HMO
    Access+ HMO plan Overview Access+ HMO Now with lower rates! life is limitless. never stop. blueshieldca.com/calpers 1 You don’t have to sacrifice choice for lower costs Nothing matters more than your health. Except protecting it. Get access to one of the largest networks of doctors, specialists and hospitals in California with Access+ HMO®. It offers you many care options, so you can choose what’s right for you and your family. For 2018, we've worked to lower our rates for Access+ HMO to offer you a plan that delivers choice and affordability. Here are some of the valuable Access+ HMO programs and services that offer you more choice, convenience and control over your own care: Self-refer to a Select a different Contact a Stay covered across the specialist within primary care physician through country for extended your medical physician (PCP) Teladoc 24/7/365 periods with the Away group, without for each member when your doctor From Home Care® going to your of your family and isn’t available, program when you doctor first.1 change that doctor even while have students, long-term anytime you want. traveling, for only travelers and families a $5 copay.10 living apart.7 2 Access+ HMO plan Overview About the Access+ HMO plan Blue Shield’s Access+ HMO plan is designed to provide both comprehensive coverage and access to one of the largest, quality networks of doctors, specialists and hospitals throughout the state. With our Access+ HMO plan, you can expect zero or low copayments for most covered services, plus no deductible and virtually no claim forms.
    [Show full text]
  • Goodhealth Magazine Issue 26
    ™ GOODA HEALTHCARE JOURNAL FROM SANSUMHEALTH CLINIC • ISSUE 26 • WINTER 2020 JULIE NADEL visionary philanthropist COVID-19 AWARENESS MASKED AND MIGHTY ADVANCEMENTS IN PAIN MANAGEMENT DR. WINNIE LEUNG ADVANCED IMAGING WELCOME Dear Patients, When the pandemic arrived in March, we answered the call A free publication from to action by working together, masking up and serving patients Sansum Clinic published who count on us for their care. We quickly adapted to deliver three times a year healthcare amidst a spreading virus with dwindling supplies ISSUE 26 • WINTER 2020 while at the same time slamming into the financial wall that accompanied the shutdown of all elective services. There is no Sansum Clinic’s mission is to provide an doubt that the coordination, cooperation and personal sacrifice excellent healthcare experience, recognizing of our physicians and staff saved lives. For every publicly- our first priority is the patients we serve. visible Clinic leader you heard from during this time, there are hundreds of unsung heroes whose names you may never know, but whose faces you see Sansum Clinic is accredited by the at Sansum Clinic and Ridley-Tree Cancer Center. This giant tide of countless acts behind Institute for Medical Quality the scenes is what has allowed us to emerge, and take the steps needed to recover and look toward a brighter future. Kurt N. Ransohoff, MD, FACP Many of you have embraced your role in this pandemic, largely adhering to safety guidelines Chief Executive Officer and around mask wearing and social distancing. While the status of COVID-19 in our county is Chief Medical Officer improved (as we go to print), along with the ability to test for it and understand the science behind it, we are not yet able to view all of this in the rear view mirror.
    [Show full text]
  • EXCELLENCE in Healthcare
    EXCELLENCE in Healthcare 1 (800) 4-SANSUM 1 (800) 472-6786 www.sansumclinic.org Sansum Clinic has been a leading provider of healthcare on the Central Coast for more than 90 years. Our success in delivering the high-tech and high-touch elements of quality care is due to our ongoing investment in the latest equipment and technology and our recruitment of the best and the brightest physicians. Dr. William David Sansum, one of Sansum Clinic’s founders, was a pioneering researcher who launched the Clinic with the intent to study and eventually conquer diabetes. He was the first American to successfully isolate, produce and administer insulin to treat diabetes. That spirit of innovation is a legacy carried forward to this day. By ensuring that all of our physicians have around the clock access to state-of-the-art electronic health records, by investigating promising new treatments, and by introducing emerging new programs such as Nurse Navigators to Santa Barbara, we continue to provide the most advanced care that our patients have come to expect from Sansum Clinic. Kurt N. Ransohoff, MD CEO and Chief Medical Officer OURMISSION To provide an excellent healthcare experience, recognizing our first priority is the patients we serve. CONTENTS About Sansum Clinic 3 Medical Excellence Primary Care – Pediatrics, Family Medicine and Internal Medicine 5 Urgent Care 6 Make the Most of Your Doctor Visit 7 SpecialtyCare(ListedAlphabetically)Featuring: 8 Cardiac Care & Rehabilitation 9 Certified Diabetes Care 11 Clinical Research 12 Oncology Services 13
    [Show full text]
  • Goodhealth Magazine Issue 21
    ™ GOODA HEALTHCARE JOURNAL FROM SANSUMHEALTH CLINIC • ISSUE 21 • FALL/WINTER 2018 HIGH-FLYING SURGEON WELCOME NEW DERMATOLOGISTS HEALTHY EATING ACTIVE LIVING THE ROLE OF ADVANCE PRACTICE PROVIDERS WELCOME Dear Patients, As we approach the end of the year, we are reflecting on A free publication from the many things for which we have to be grateful. Sansum Clinic published three times a year Our dedicated efforts in recruiting have enabled us to ISSUE 21 • FALL/WINTER 2018 welcome many new talented physicians from all over the country. We celebrated the first anniversary of the Sansum Clinic’s mission is to provide an Ridley-Tree Cancer Center in September, and our excellent healthcare experience, recognizing physicians and staff have received a number of recent our first priority is the patients we serve. honors (see page 23). One thing we know for sure is that healthcare is going Sansum Clinic is accredited by the to continue to evolve, and we will continue to evolve Institute for Medical Quality with it. We are currently evaluating the various ways in which we can expand access to healthcare through telehealth and virtual visits. We will be starting a new Pain Kurt N. Ransohoff, MD, FACP Management Program within Sansum Clinic that will be located at 3916 State Street, Chief Executive Officer and adjacent to our Psychiatry & Psychology Department. This program got its start with Chief Medical Officer funding from one local couple. Chad Hine, MBA We are looking to establish a Palliative Care & Advance Care Planning Program early in Chief Operating Officer 2019. Our goal is to raise funds to see the program through its inception.
    [Show full text]
  • Goodhealth Magazine Issue 25
    ™ GOODA HEALTHCARE JOURNAL FROM HEALTHSANSUM CLINIC • ISSUE 25 • FALL 2020 25TH ISSUE COVID + FLU don’t risk two ADVANCEMENTS IN UROLOGY ONLINE BILL PAY IS HERE TEEN HEALTH PANEL OF EXPERTS WELCOME Dear Patients, A free publication from Healthcare across the globe has been forever changed Sansum Clinic published by COVID-19 and Sansum Clinic is no different. The three times a year pandemic delivered a double-edged effect, creating new ISSUE 25 • FALL 2020 operational challenges while also highlighting our many strengths. What emerged most clearly was the character Sansum Clinic’s mission is to provide an of our people. The bravery, dedication, compassion excellent healthcare experience, recognizing and professionalism of our team is the anchor of this our first priority is the patients we serve. organization. These values have been a guide through unforeseen circumstances throughout a nearly 100-year Sansum Clinic is accredited by the history, and shone brightly while battling a new and still not- Institute for Medical Quality fully-understood virus. Kurt N. Ransohoff, MD, FACP March of 2020 will remain forever embedded in Sansum Clinic’s institutional memory as Chief Executive Officer and staff members dug in to learn everything they could about the novel coronavirus, from its Chief Medical Officer origins to its ability to spread, to its impact on health. Medical Director Marjorie Newman, MD, partnered with the Santa Barbara County Public Health Department to stay at the Chad Hine, MBA forefront of protecting patients, employees and the community. Battling worldwide shortages Chief Operating Officer of personal protective equipment, clinicians and managers worked tirelessly alongside our Purchasing Department to outfit every site with appropriate masks and gear, while Sansum Clinic researching the best practices to reduce the risk of transmission.
    [Show full text]
  • Goodhealth Magazine Issue 27
    ™ GOODA HEALTHCARE JOURNAL FROM SANSUMHEALTH CLINIC • ISSUE 27 • SPRING 2021 HERO HOSPITALISTS comprehensive COVID-19 CARE PATIENT-CENTRIC WEIGHT-LOSS SUPPORT CORNEA SPECIALIST EXPERT EYE CARE ADVANCEMENTS IN UROLOGY WELCOME Dear Patients, Delivering high-quality healthcare during a pandemic has come A free publication from with some significant challenges. I am filled with pride for Sansum Clinic published how our team has persevered. They are truly committed to our three times a year patients and the community. ISSUE 27 • SPRING 2021 Last March, our IT team launched a comprehensive Telehealth Sansum Clinic’s mission is to provide an program, which normally would have taken a few months, in excellent healthcare experience, recognizing a matter of days. Our Urgent Care team established car-based our first priority is the patients we serve. COVID-19 testing so patients could be tested safely without having to come into our Clinic. Our operations and clinical staff teamed up to design a Sansum Clinic is accredited by the COVID-19 vaccine program—with the need for repeat shots, uncertain supplies and the Institute for Medical Quality requirement to observe people and keep them apart all at the same time—with just a few days’ notice, the week before Christmas. From the moment this all started, our medical Kurt N. Ransohoff, MD, FACP director, Dr. Marjorie Newman, has played an invaluable role in translating guidance from Chief Executive Officer and the Santa Barbara County Public Health Department into safe healthcare practices for the Chief Medical Officer more than 118,509 individual patients who visited us in 2020.
    [Show full text]
  • Goodhealth Magazine Issue 22
    ™ GOODA HEALTHCARE JOURNAL FROM SANSUMHEALTH CLINIC • ISSUE 22 • SPRING/SUMMER 2019 SANSUM CLINIC PHARMACIES MYCARE ADVANCE CARE PLANNING DR. JULIAN DAVIS PASSION FOR SCIENCE WELCOME Dear Patients, In this issue of GOOD HEALTH, we have several articles A free publication from about the many ways in which Sansum Clinic and Ridley- Sansum Clinic published Tree Cancer Center patients benefit from our expert three times a year pharmacists. We have two retail pharmacies and Stephanie Daughters, PharmD, talks about the ways we can use those ISSUE 22 • SPRING/SUMMER 2019 resources to enhance patient care and control costs. In another article we hear about the work of pharmacist Lily Sansum Clinic’s mission is to provide an Yip, PharmD, who is helping to coordinate the care of excellent healthcare experience, recognizing diabetic patients by educating physicians and patients about our first priority is the patients we serve. this increasingly complex field. Sansum and Ridley-Tree use other pharmacists including Estella Wu, PharmD, who is an Oncology Pharmacist, and Rania Shenoda, PharmD, Sansum Clinic is accredited by the our Prescription Navigator, who helps patients learn how to Institute for Medical Quality use their medications safely. We have a lot of good work being done by these very valuable healthcare professionals who are an integral part of our clinical team (see pages 10-13). Kurt N. Ransohoff, MD, FACP The role of pharmacists is changing as the role of medications changes. Since I was a Chief Executive Officer and medical student and resident in the 1980s, there are now drug treatments for conditions that Chief Medical Officer were basically untreatable as recently as 10 years ago, not to mention 30 years ago.
    [Show full text]
  • Disaster & Diabetes
    SPRING 2018 DISASTER & DIABETES The catastrophic mudslides in Montecito, California, in January claimed the lives of 23 people, destroyed or damaged more than 500 structures, forced thousands from their homes, and left a path of destruction that irrevocably altered the Santa Barbara County coastal community. A gas line explosion witnessed by many Montecito residents in the early morning hours of January 9 also awakened Dr. Robert Nagy, a psychiatrist Thomas Fire and a SDRI Board Trustee. IN THIS ISSUE “It’s 3:30 in the morning. My wife and I heard this 02 Disasters & Diabetes big explosion. The power is out. We look up and see the hillside and there’s this ball of fire. It’s huge! 05 Military Honors for Dr. Jordan Pinsker It has to be at least 100 feet tall and it’s pulsating and 06 Winemaker Dinner Series it’s pouring rain,” recalled Dr. Nagy. “We step out on 07 SDRI is turning 75! our patio and we hear this horrible sound. It sounded 08 New Free Exercise Resource like a big train coming out of the mountains. A lot of things are being destroyed as it’s coming down.” 09 Type 1 Clubs on Campus 10 Dexcom G6 Trials at SDRI The 30-square-mile debris flow missed their home by 11 The Alice Tweed Tuohy Library about 100 yards. By daybreak, Dr. Nagy witnessed 12 Competeing in a Triathlon with T1D helicopters on both sides of his house with rescuers dropping down to pick up stranded neighbors. 13 Eric Skipsey Honors SDRI 14 Family Events Dr.
    [Show full text]
  • Dr. Kurt Ransohoff Sansum Clinic: 96 Years of Innovative Healthcare, P.12
    health Volume 11 • No. 1 Spring 2017 Dr. Kurt Ransohoff Sansum Clinic: 96 Years of Innovative Healthcare, p.12 How Will “Repeal and Replace” Affect My State?, p.14 Preparing for MACRA: Leading Physicians Through Change, p.27 For your organization, KNOWING is transformative. Today, the right lab is far more than a lab. It’s a source of insight and innovation. It’s a catalyst for change. It’s a valuable resource you use to elevate everything you do. It’s a true partner in the pursuit of better outcomes—in the care you provide and the business you operate. Contact [email protected] to schedule a visit with a representative. Get to know us better. Visit QuestForHealthSystems.com. © 2016 Quest Diagnostics Incorporated. All rights reserved. 5616 Mitigate financial risk. Improve outcomes and value. Transition your most complex patients to VITAS Healthcare and our enhanced continuum of care for advanced-disease patients. VITAS addresses the concerns physician groups • Rapid, seamless transitions of patients from have about their “at risk” populations—their most hospitals and other post-acute care settings to complex, medically compromised patients. home, by dedicated VITAS admissions staff But we know you are also concerned with • Improved physician RVU benchmarks providing the optimum in patient-centered, • Clinical criteria of hospice eligibility via the coordinated and accountable care. That’s why VITAS app VITAS offers: • 24/7 access to our Care Connection Center • Personalized care plans that improve patients’ quality of life, resulting in higher CAHPS® • Interoperability and customized patient data scores and impacting multiple HEDIS® indicators exchange • Hospice education and collaterals available to • Benefits of participating as attending when your our partners patient elects the hospice benefit Transition your most complex patients to VITAS Healthcare.
    [Show full text]
  • Sansum Clinic 2014 Annual Report Back in 2012 , the Sansum Clinic Board of Trustees and Leadership Staff Completed a Five-Year Strategic Plan
    C o m m u n i t y 2014 Annual Report Excellence S u s t a Accountability i n a Delivering b i l on Our Promise i t y Kurt N. Ransohoff, MD, CEO and Chief Medical Officer; Vince Jensen, MBA, President and Chief Operating Officer; Chad Hine, Chief Financial Officer; Vicki Hazard, Chair, Board of Trustees Sansum Clinic Delivering Board of Trustees On Our Promise Vicki Hazard, Chair Ed Rosenblatt, Vice Chair Janet A. Garufis, Vice Chair In 2014, Sansum Clinic faced monumental changes to the healthcare We opened the Medical and Surgical Center on Foothill Road providing Michael Bernstein, MD system as the Affordable Care Act took effect, representing a necessary an additional 60,000 square feet of medical space, including a Kenneth Coates shift in our industry toward greater accountability for quality and cost comprehensive eye center and our first multi-specialty surgical center, Chris Corpuz of care. We are pleased to have ended the year with many successes the Foothill Surgery Center at Elings Pavilion. Roger P. Craton as a result of our dedicated leadership, physicians and staff remaining Paul Hartloff We experienced one of our most successful years in history in securing focused on delivering high quality, patient-centered care. Chuck Kaye philanthropic support from the community, including a $1 million gift Tom Kenny In 2012, the Sansum Clinic Board of Trustees and executive staff from local philanthropist Dr. Virgil Elings and a tremendously Ronald G. Latimer, MD developed a five-year strategic plan with the theme Designing Our successful campaign to expand our Women's Health Program by Julie McGovern Future that centered on four core strategies for the coming years: bringing breast tomosynthesis (3-D mammography) to Sansum Clinic.
    [Show full text]
  • Risk Drinking Among Older Adults: the Project SHARE Study
    ALCOHOLISM:CLINICAL AND EXPERIMENTAL RESEARCH Vol. 39, No. 7 July 2015 Examining the Impact of Separate Components of a Multicomponent Intervention Designed to Reduce At-Risk Drinking Among Older Adults: The Project SHARE Study Obidiugwu K. Duru, Haiyong Xu, Alison A. Moore, Michelle Mirkin, Alfonso Ang, Louise Tallen, Chi-Hong Tseng, and Susan L. Ettner Background: Health promotion interventions often include multiple components and several patient contacts. The objective of this study was to examine how participation within a multicomponent intervention (Project SHARE) is associated with changes in at-risk drinking among older adults. Methods: We analyzed observational data from a cluster-randomized trial of 31 primary care physi- cians and their patients aged ≥60 years, at a community-based practice with 7 clinics. Recruitment occurred between 2005 and 2007. At-risk drinkers in a particular physician’s practice were randomly assigned as a group to usual care (n = 640 patients) versus intervention (n = 546 patients). The interven- tion included personalized reports, educational materials, drinking diaries, in-person physician advice, and telephone counseling by health educators (HEs). The primary outcome was at-risk drinking at fol- low-up, defined by scores on the Comorbidity Alcohol Risk Evaluation Tool (CARET). Predictors included whether a physician–patient alcohol risk discussion occurred, HE call occurred, drinking agree- ment with the HE was made, and patients self-reported keeping a drinking diary as suggested by the HE. Results: At 6 months, there was no association of at-risk drinking with having had a physician– patient discussion. Compared to having had no HE call, the odds of at-risk drinking at 6 months were lower if an agreement was made or patients reported keeping a diary (odds ratio [OR] 0.58, 95% confi- dence interval [CI] 0.37 to 0.90), or if an agreement was made and patients reported keeping a diary (OR 0.52, CI 0.28 to 0.97).
    [Show full text]