Leif I Solberg
Datos Biográficos
| ID | 214815 |
|---|---|
| NOMBRE | Leif I Solberg |
| NOMBRES | Leif I |
| APELLIDO | Solberg |
| FIRMA | SOLBERG L I |
| AFILIACIONES | H ea lt hP ar tn er s |
| ORCID | 0000-0001-5509-1139 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 13 |
| TOTAL DE CITAS | 14 |
| TOTAL COMO AUTOR | 13 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 1992 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2016 |
| ÍNDICE H | 3 |
A Statewide Effort to Implement Collaborative Care for Depression
BACKGROUND: Little is known about the reach and impact of collaborative care for depression outside of clinical trials. OBJECTIVE: The objective of this study was to examine the effect of a collaborative care intervention for depression on the rates of depression diagnosis, use of specific depression codes, and treatment intensification. RESEARCH DESIGN: Evaluation of a staggered, multiple baseline implementation initiative. SUBJECTS: Patients re…
A Framework for Describing Health Care Delivery Organizations and Systems
Describing, evaluating, and conducting research on the questions raised by comparative effectiveness research and characterizing care delivery organizations of all kinds, from independent individual provider units to large integrated health systems, has become imperative. Recognizing this challenge, the Delivery Systems Committee, a subgroup of the Agency for Healthcare Research and Quality’s Effective Health Care Stakeholders Group, which repres…
Racial/Ethnic Differences in Health Care Visits Made Before Suicide Attempt Across the United States
BACKGROUND: Suicide is a public health concern, but little is known about the patterns of health care visits made before a suicide attempt, and whether those patterns differ by race/ethnicity. OBJECTIVES: To examine racial/ethnic variation in the types of health care visits made before a suicide attempt, when those visits occur, and whether mental health or substance use diagnoses were documented. RESEARCH DESIGN: Retrospective, longitudinal stud…
Designing and Implementing Research on a Statewide Quality Improvement Initiative
OBJECTIVE: To demonstrate a rigorous methodology that optimally balanced internal validity with generalizability to evaluate a statewide collaborative that implemented an evidence-based, collaborative care model for depression management in primary care. STUDY DESIGN AND SETTING: Several operational features of the DIAMOND (Depression Improvement Across Minnesota, Offering a New Direction) Initiative suggested that the DIAMOND Study use a stagger…
Barriers to Improving Primary Care of Depression
Using clinical trials, researchers have demonstrated effective methods for treating depression in primary care, but improvements based on these trials are not being implemented. This might be because these improvements require more systematic organizational changes than can be made by individual physicians. We interviewed 82 physicians and administrative leaders of 41 medical groups to learn what is preventing those organizational changes. The id…
Are Characteristics of the Medical Home Associated With Diabetes Care Costs
OBJECTIVE: To examine the relationship between primary care medical home clinical practice systems corresponding to the domains of the Chronic Care Model and annual diabetes-related health care costs incurred by members of a health plan with type-2 diabetes and receiving care at one of 27 Minnesota-based medical groups. STUDY DESIGN: Cross-sectional analysis of the relation between patient-level costs and Patient-Centered Medical Home (PCMH) prac…
Partnership Research
BACKGROUND: Translational research is increasingly important as academic health centers transform themselves to meet new requirements of National Institutes of Health funding. Most attention has focused on T1 translation studies (bench to bedside) with considerable uncertainty about how to enhance T2 (effectiveness trials) and especially T3 (implementation studies). OBJECTIVE: To describe an innovative example of a T3 study, conducted as partners…
Smoking and Cessation Behaviors Among Young Adults of Various Educational Backgrounds
Objectives. We sought to determine whether the educational backgrounds of young adult smokers (aged 18 to 24 years) affect their cessation attitudes or behaviors in ways that could be used to improve smoking interventions. Methods. We surveyed 5580 members of the HealthPartners health plan and conducted a follow-up survey 12 months later of current and former smokers. Respondents were divided into subgroups according to educational level. Results…
Nonresponse Bias
BACKGROUND: Previous studies of nonresponders have not assessed the effects of nonresponse on the accuracy of clinician behavior measurements. Knowledge of these effects is critical to both research and quality improvement. OBJECTIVE: To evaluate the hypothesis that nonresponders to a survey would not adversely affect the ability to measure rates of preventive services. RESEARCH DESIGN: Four primary-care medical practices participating in a rando…
Incentivising, facilitating, and implementing an office tobacco cessation system
Although the development and publication of a national evidence based clinical guideline for smoking cessation from the Agency for Health Care Policy and Research (AHCPR)1 has clarified the approach that should be used in medical practice settings, clinicians are still a long way from following it consistently.2-7 Cromwell et al have studied the cost effectiveness of applying the recommendations in the AHCPR guideline and concluded that at $1915 …
Continuous Quality Improvement in Primary Care
OBJECTIVES: Despite much health care interest in quality and Continuous Quality Improvement, there is little quantitative information about it. The purpose of this study was to measure the attitudes, activities, and organizational cultures concerning Continuous Quality Improvement in a group of Midwestern primary care clinics. METHODS: Three surveys of the clinicians, nurses, and other staff in 44 primary care clinics in the metropolitan area of …
Physician-delivered smoking cessation advice
Objective-To identify the factors that physicians believe impair their ability to provide smoking cessation advice to their patients. Design - Ethnographic interviews of physicians. Setting - Non-academic primary care practice. Subjects -18 of 27 physicians who had recently participated in the intervention group of a randomised clinical trial to increase the rate at which physicians give smoking cessation advice. Main outcome measures -Factors th…
Report of the Tobacco Policy Research Study Group on Reimbursement and Insurance in the United States
The United States health care system is a unique and uncoordinated combination of private and public programmes involving em ployers, government, insurance companies, and individual consumers. Although spending on health care comprised 12 % of the US gross domestic product in 1990, it is estimated that 35-7 million Americans are uninsured, three quarters of whom are fulltime workers and their dependents.1 Also, it is estimated that as many as 40 …
A Framework for Describing Health Care Delivery Organizations and Systems
Describing, evaluating, and conducting research on the questions raised by comparative effectiveness research and characterizing care delivery organizations of all kinds, from independent individual provider units to large integrated health systems, has become imperative. Recognizing this challenge, the Delivery Systems Committee, a subgroup of the Agency for Healthcare Research and Quality’s Effective Health Care Stakeholders Group, which repres…
Smoking and Cessation Behaviors Among Young Adults of Various Educational Backgrounds
Objectives. We sought to determine whether the educational backgrounds of young adult smokers (aged 18 to 24 years) affect their cessation attitudes or behaviors in ways that could be used to improve smoking interventions. Methods. We surveyed 5580 members of the HealthPartners health plan and conducted a follow-up survey 12 months later of current and former smokers. Respondents were divided into subgroups according to educational level. Results…
Barriers to Improving Primary Care of Depression
Using clinical trials, researchers have demonstrated effective methods for treating depression in primary care, but improvements based on these trials are not being implemented. This might be because these improvements require more systematic organizational changes than can be made by individual physicians. We interviewed 82 physicians and administrative leaders of 41 medical groups to learn what is preventing those organizational changes. The id…
Report of the Tobacco Policy Research Study Group on Reimbursement and Insurance in the United States
The United States health care system is a unique and uncoordinated combination of private and public programmes involving em ployers, government, insurance companies, and individual consumers. Although spending on health care comprised 12 % of the US gross domestic product in 1990, it is estimated that 35-7 million Americans are uninsured, three quarters of whom are fulltime workers and their dependents.1 Also, it is estimated that as many as 40 …
Physician-delivered smoking cessation advice
Objective-To identify the factors that physicians believe impair their ability to provide smoking cessation advice to their patients. Design - Ethnographic interviews of physicians. Setting - Non-academic primary care practice. Subjects -18 of 27 physicians who had recently participated in the intervention group of a randomised clinical trial to increase the rate at which physicians give smoking cessation advice. Main outcome measures -Factors th…
Continuous Quality Improvement in Primary Care
OBJECTIVES: Despite much health care interest in quality and Continuous Quality Improvement, there is little quantitative information about it. The purpose of this study was to measure the attitudes, activities, and organizational cultures concerning Continuous Quality Improvement in a group of Midwestern primary care clinics. METHODS: Three surveys of the clinicians, nurses, and other staff in 44 primary care clinics in the metropolitan area of …
Incentivising, facilitating, and implementing an office tobacco cessation system
Although the development and publication of a national evidence based clinical guideline for smoking cessation from the Agency for Health Care Policy and Research (AHCPR)1 has clarified the approach that should be used in medical practice settings, clinicians are still a long way from following it consistently.2-7 Cromwell et al have studied the cost effectiveness of applying the recommendations in the AHCPR guideline and concluded that at $1915 …
Nonresponse Bias
BACKGROUND: Previous studies of nonresponders have not assessed the effects of nonresponse on the accuracy of clinician behavior measurements. Knowledge of these effects is critical to both research and quality improvement. OBJECTIVE: To evaluate the hypothesis that nonresponders to a survey would not adversely affect the ability to measure rates of preventive services. RESEARCH DESIGN: Four primary-care medical practices participating in a rando…
Smoking and Cessation Behaviors Among Young Adults of Various Educational Backgrounds
Objectives. We sought to determine whether the educational backgrounds of young adult smokers (aged 18 to 24 years) affect their cessation attitudes or behaviors in ways that could be used to improve smoking interventions. Methods. We surveyed 5580 members of the HealthPartners health plan and conducted a follow-up survey 12 months later of current and former smokers. Respondents were divided into subgroups according to educational level. Results…
Partnership Research
BACKGROUND: Translational research is increasingly important as academic health centers transform themselves to meet new requirements of National Institutes of Health funding. Most attention has focused on T1 translation studies (bench to bedside) with considerable uncertainty about how to enhance T2 (effectiveness trials) and especially T3 (implementation studies). OBJECTIVE: To describe an innovative example of a T3 study, conducted as partners…
Are Characteristics of the Medical Home Associated With Diabetes Care Costs
OBJECTIVE: To examine the relationship between primary care medical home clinical practice systems corresponding to the domains of the Chronic Care Model and annual diabetes-related health care costs incurred by members of a health plan with type-2 diabetes and receiving care at one of 27 Minnesota-based medical groups. STUDY DESIGN: Cross-sectional analysis of the relation between patient-level costs and Patient-Centered Medical Home (PCMH) prac…
Designing and Implementing Research on a Statewide Quality Improvement Initiative
OBJECTIVE: To demonstrate a rigorous methodology that optimally balanced internal validity with generalizability to evaluate a statewide collaborative that implemented an evidence-based, collaborative care model for depression management in primary care. STUDY DESIGN AND SETTING: Several operational features of the DIAMOND (Depression Improvement Across Minnesota, Offering a New Direction) Initiative suggested that the DIAMOND Study use a stagger…
Barriers to Improving Primary Care of Depression
Using clinical trials, researchers have demonstrated effective methods for treating depression in primary care, but improvements based on these trials are not being implemented. This might be because these improvements require more systematic organizational changes than can be made by individual physicians. We interviewed 82 physicians and administrative leaders of 41 medical groups to learn what is preventing those organizational changes. The id…
A Framework for Describing Health Care Delivery Organizations and Systems
Describing, evaluating, and conducting research on the questions raised by comparative effectiveness research and characterizing care delivery organizations of all kinds, from independent individual provider units to large integrated health systems, has become imperative. Recognizing this challenge, the Delivery Systems Committee, a subgroup of the Agency for Healthcare Research and Quality’s Effective Health Care Stakeholders Group, which repres…
Racial/Ethnic Differences in Health Care Visits Made Before Suicide Attempt Across the United States
BACKGROUND: Suicide is a public health concern, but little is known about the patterns of health care visits made before a suicide attempt, and whether those patterns differ by race/ethnicity. OBJECTIVES: To examine racial/ethnic variation in the types of health care visits made before a suicide attempt, when those visits occur, and whether mental health or substance use diagnoses were documented. RESEARCH DESIGN: Retrospective, longitudinal stud…
A Statewide Effort to Implement Collaborative Care for Depression
BACKGROUND: Little is known about the reach and impact of collaborative care for depression outside of clinical trials. OBJECTIVE: The objective of this study was to examine the effect of a collaborative care intervention for depression on the rates of depression diagnosis, use of specific depression codes, and treatment intensification. RESEARCH DESIGN: Evaluation of a staggered, multiple baseline implementation initiative. SUBJECTS: Patients re…
Medicine (12 obras) · Health care (8 obras) · Business (6 obras) · Family medicine (6 obras) · Political science (6 obras) · Health Policy Implementation Science (5 obras) · Mental Health Treatment and Access (5 obras) · Nursing (5 obras) · Primary Care and Health Outcomes (5 obras) · Smoking Behavior and Cessation (4 obras)