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  1. Article: Reducing the Stigma of Diabetes in Medical Education: A Contact-Based Educational Approach.

    Beverly, Elizabeth A / Guseman, Emily H / Jensen, Laura L / Fredricks, Todd R

    Clinical diabetes : a publication of the American Diabetes Association

    2019  Volume 37, Issue 2, Page(s) 108–115

    Abstract: ... IN ... ...

    Abstract IN BRIEF
    Language English
    Publishing date 2019-04-13
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1025953-3
    ISSN 0891-8929
    ISSN 0891-8929
    DOI 10.2337/cd18-0020
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.A 2591: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular
    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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  2. Article ; Online: Lifestyle Medicine: Successful Reimbursement Methods and Practice Models.

    Jensen, Laura L / Drozek, David S / Grega, Meagan L / Gobble, John

    American journal of lifestyle medicine

    2018  Volume 13, Issue 3, Page(s) 246–252

    Abstract: Preventable and reversible chronic diseases affect millions of Americans, costing the United States billions of dollars annually for treatments that slow the trajectory but fail to address the root cause of illness. Lifestyle medicine is efficacious, and ...

    Abstract Preventable and reversible chronic diseases affect millions of Americans, costing the United States billions of dollars annually for treatments that slow the trajectory but fail to address the root cause of illness. Lifestyle medicine is efficacious, and research has shown that this medical approach garners a significant return on investment in the treatment of many chronic diseases. To obtain an overview of successful reimbursement and practice models used by practitioners, American College of Lifestyle Medicine members were invited to participate in an online survey regarding their experience with lifestyle medicine services and reimbursement models. Three hundred and fifty-one respondents with diverse practice structures, geographical locations, and educational backgrounds completed the survey. The results demonstrate that practitioners are utilizing a variety of lifestyle medicine programs and reimbursement and practice models. Seventy-four percent of respondents are currently providing lifestyle medicine, though the majority do not receive reimbursement for their services. This study provides examples of successful lifestyle medicine reimbursement and practice models, as well as demonstrates the need for continued advocacy for sustainable reimbursement of lifestyle medicine services.
    Language English
    Publishing date 2018-12-10
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2265653-4
    ISSN 1559-8284 ; 1559-8276
    ISSN (online) 1559-8284
    ISSN 1559-8276
    DOI 10.1177/1559827618817294
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: A qualitative process evaluation of a diabetes navigation program embedded in an endocrine specialty center in rural Appalachian Ohio.

    Beverly, Elizabeth A / Hamel-Lambert, Jane / Jensen, Laura L / Meeks, Sue / Rubin, Anne

    BMC endocrine disorders

    2018  Volume 18, Issue 1, Page(s) 50

    Abstract: Background: Diabetes in the United States has reached epidemic proportions and the people of Appalachia have been disproportionately affected by this disease. Strategies that complement standard diabetes care are critically important to mitigate the ... ...

    Abstract Background: Diabetes in the United States has reached epidemic proportions and the people of Appalachia have been disproportionately affected by this disease. Strategies that complement standard diabetes care are critically important to mitigate the risk of complications, reduce health expenditures, and improve the quality of life of patients living in rural Appalachia. The purpose of this study was to conduct a qualitative process evaluation of a patient navigation program for diabetes after its first year of implementation.
    Methods: The process evaluation assessed how the Diabetes Navigation Program was delivered as well as how it was experienced by the navigators, providers, health administrators, and office staff at an endocrine specialty center in rural Appalachian Ohio. We employed total population sampling to conduct in-depth, face-to-face interviews with all providers, health administrators, staff, and navigators at a Diabetes Endocrine Center. Interviews were transcribed, coded, and analyzed via content and thematic analyses using NVivo 11 software.
    Results: Seventeen individuals (providers n = 5, health administrators n = 4, office staff members n = 3, and navigators n = 5) participated in in-depth, face-to-face interviews (age = 44.7 ± 11.6 years, 82.4% female, 94.1% white, 13.3 ± 9.6 years work experience). Fidelity of implementation: The navigation team carried out most of the activities denoted in the Work Plan, therefore the program was implemented somewhat successfully. Qualitative analysis revealed three themes: 1) The navigator addresses sources of health disparities: All participants described the role of the diabetes navigator as someone who is knowledgeable about diabetes and able to identify and address health disparities. 2) The navigators are the eyes in the community and the patients' homes: Navigators offered providers and clinic staff a rare glimpse into the personal lives of patients, which led to the identification of unrecognized barriers. 3) Difficulties with cross-system integration of services: Differences in the organizational culture and vision of the specialty center and navigation office contributed to systemic barriers.
    Conclusions: Overall, this process evaluation highlights the importance of coordinating providers, health administrators, medical office staff, and navigators to address barriers to diabetes care. Forthcoming research is needed to document the clinical effectiveness and sustainability of the Diabetes Navigation Program in rural Appalachia.
    MeSH term(s) Adult ; Aged ; Clinical Competence ; Diabetes Mellitus/therapy ; Endocrinology/manpower ; Endocrinology/organization & administration ; Endocrinology/standards ; Female ; Health Services Accessibility/organization & administration ; Health Services Accessibility/standards ; Humans ; Male ; Middle Aged ; Ohio ; Patient Navigation/manpower ; Patient Navigation/organization & administration ; Patient Navigation/standards ; Program Evaluation ; Quality Assurance, Health Care ; Rural Health Services/organization & administration ; Rural Health Services/standards ; Rural Population ; Tertiary Care Centers/manpower ; Tertiary Care Centers/organization & administration ; Tertiary Care Centers/standards
    Language English
    Publishing date 2018-07-27
    Publishing country England
    Document type Journal Article
    ISSN 1472-6823
    ISSN (online) 1472-6823
    DOI 10.1186/s12902-018-0278-7
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Medical Students' Knowledge, Attitudes, and Behaviors With Regard to Skin Cancer and Sun-Protective Behaviors.

    Ivanov, Nedyalko N / Swan, Aili / Guseman, Emily Hill / Whipps, Jonathon / Jensen, Laura L / Beverly, Elizabeth A

    The Journal of the American Osteopathic Association

    2018  Volume 118, Issue 7, Page(s) 444–454

    Abstract: Background: Skin cancer is the most prevalent cancer in the United States. Training medical students about the importance of sun-protective behaviors is critical to reducing skin cancer rates. However, minimal research has explored osteopathic medical ... ...

    Abstract Background: Skin cancer is the most prevalent cancer in the United States. Training medical students about the importance of sun-protective behaviors is critical to reducing skin cancer rates. However, minimal research has explored osteopathic medical students' knowledge and behaviors with regard to the sun's effect on skin health.
    Objective: To assess first-year osteopathic medical students' knowledge about skin cancer and UV radiation, attitudes toward tanning, and sun-protective behaviors to establish baseline values.
    Methods: Using a descriptive, cross-sectional study design, the authors evaluated students' knowledge, attitudes, and behaviors through a quiz.
    Results: A total of 121 first-year osteopathic medical students completed the quiz. The mean (SD) score was 74.6% (11.5%). Two-thirds of participants (n=82) correctly identified basal cell carcinoma as the most common skin cancer, and the majority identified the ABCDs (asymmetry, border irregularity, color, and diameter) of melanoma detection (96 [79.3%], 106 [87.6%], 108 [89.3%], and 94 [77.7%], respectively). Most participants were aware that cloud cover and swimming underwater do not provide UV ray protection (121 [100%] and 109 [90.1%], respectively), a fact that is often misconceived. Forty participants (33.1%) usually or always used some form of sun protection when outdoors. Forty-seven participants (38.8%) believed that a tan makes one look healthy, and 43 participants (35.6%) sunbathed with the intention of tanning.
    Conclusion: Physicians are uniquely positioned to counsel patients regarding sun-protective behaviors. Thus, a medical school curriculum that includes education about the sun's effect on health is needed for the prevention and early recognition of skin cancer in future patients.
    MeSH term(s) Adult ; Cross-Sectional Studies ; Female ; Health Behavior ; Health Knowledge, Attitudes, Practice ; Humans ; Male ; Osteopathic Medicine/education ; Skin Neoplasms/etiology ; Skin Neoplasms/prevention & control ; Students, Medical/psychology ; Sunbathing ; Sunscreening Agents/therapeutic use ; Surveys and Questionnaires ; Young Adult
    Chemical Substances Sunscreening Agents
    Language English
    Publishing date 2018-06-06
    Publishing country United States
    Document type Journal Article
    ZDB-ID 410350-6
    ISSN 1945-1997 ; 0003-0287 ; 0098-6151
    ISSN (online) 1945-1997
    ISSN 0003-0287 ; 0098-6151
    DOI 10.7556/jaoa.2018.098
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    In stock of ZB MED Cologne/Königswinter

    Zs.B 138: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
    bis Jg. 2021: Bestellungen von Artikeln über das Online-Bestellformular
    ab Jg. 2022: Lesesaal (EG)

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