J Lee Hargraves
Datos Biográficos
| ID | 5141130 |
|---|---|
| NOMBRE | J Lee Hargraves |
| NOMBRES | J Lee |
| APELLIDO | Hargraves |
| FIRMA | HARGRAVES J L |
| AFILIACIONES | University of Massachusetts Boston |
| ORCID | 0000-0003-2699-4405 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 21 |
| TOTAL DE CITAS | 29 |
| TOTAL COMO AUTOR | 21 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 1985 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2025 |
| ÍNDICE H | 2 |
Diminished mental well-being in the Covid-19 pandemic
Self-reported decline in mental well-being during the pandemic was associated with less social connection. • Residents in neighborhoods with a faster return to physical mobility experienced less decline in mental well-being. • Decline in mental well-being was not independently related to income decline. • Decline in mental well-being was not related to neighborhood-level risk of COVID-19 infection. • Persons of color reported less decline in ment…
Measuring Access to Mental Health Services Among Primary Care Patients
BACKGROUND: The lifetime risk of mental health disorders is almost 50% and, in any year, about 25% of the population have a psychiatric disorder. Many of those people are cared for in primary care settings. RESEARCH OBJECTIVE: Measure access to mental health services, such as getting counselling or prescription mental health medications, using new patient survey questions that can be added to Consumer Assessment of Healthcare Providers and System…
A Systematic Review of Strategies to Enhance Response Rates and Representativeness of Patient Experience Surveys
Comparing Web and Mail Protocols for Administering Hospital Consumer Assessment of Healthcare Providers and Systems Surveys
OBJECTIVE: The objective of this study was to compare results of using web-based and mail (postal) Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) data collection protocols. RESEARCH DESIGN: Patients who had been hospitalized in a New England Hospital were surveyed about their hospital experience. Patients who provided email addresses were randomized to 1 of 3 data collection protocols: web-alone, web with postal mail fo…
Does Home Remedy Use Contribute to Medication Nonadherence Among Blacks with Hypertension
The use of HR and the number of HRs used may be associated with medication nonadherence, and higher systolic and diastolic blood pressure among Blacks with hypertension. Medication nonadherence is of critical importance for individuals with hypertension, and it is essential that health care providers be aware of health behaviors that may serve as barriers to medication adherence, such as use of home remedies
Reported Racial Discrimination, Trust in Physicians, and Medication Adherence Among Inner-City African Americans With Hypertension
Within our sample of inner city African Americans with hypertension, racial discrimination was associated with lower medication adherence, and this association was partially mediated by trust in physicians. Patient, physician and system approaches to increase "earned" trust may enhance existing interventions for promoting medication adherence
Community Health Worker Encounter Forms
Objectives. We explored the benefits of using community health worker (CHW) encounter forms to collect data on patient interactions and assessed the effectiveness of these forms in guiding and directing interactions. Methods. A 1-page standardized encounter form was developed to document topics discussed during visits with diabetes patients. A portion of the form was designed to be used as a script to guide the interaction and assist patients in …
Satisfaction With Surgical Outcomes and the Phenomenology of Embodiment
From the Department of Family Medicine and Community Health, University of Massachusetts Medical School, Worcester, Massachusetts. Reprints: J. Lee Hargraves, PhD, Department of Family Medicine and Community Health, University of Massachusetts Medical School, 55 Lake Avenue North, Worcester, MA 01655. E-mail [email protected]
The Contribution of Insurance Coverage and Community Resources to Reducing Racial/Ethnic Disparities in Access to Care
Objective. To examine the extent to which health insurance coverage and available safety net resources reduced racial and ethnic disparities in access to care. Data Sources. Nationally representative sample of 11,692 African American, 10,325 Hispanic, and 74,397 white persons. Nonelderly persons with public or private health insurance and those who were uninsured. Study Design. Two cross‐sectional surveys of households conducted during 1996–1997 …
Adjusting for Patient Characteristics When Analyzing Reports From Patients About Hospital Care
OBJECTIVES: To determine which patient characteristics are associated with reports and ratings of hospital care, and to evaluate how adjusting reports and ratings for hospital differences in such variables affects comparisons among hospitals. DESIGN: A telephone survey of a sample of patients hospitalized in 22 hospitals in a single city and a statewide mail survey of hospitalized patients. MEASURES: The surveys assessed: respect for patients' pr…
Making survey results easy to report to consumers
Making Survey Results Easy to Report to Consumers
OBJECTIVES: CAHPS is designed to report information about health care quality from the consumer perspective. Enrollees are surveyed about their experiences with their health plan and medical care, and results are reported to other consumers choosing among health plans. Based on survey instruments designed to elicit reliable and valid information about health plan experiences from plan enrollees, the aim of the CAHPS team was to design a series of…
The Ambulatory Care Medical Audit Demonstration Project
The authors describe the design of and statistical analyses involved in the Ambulatory Care Medical Audit Demonstration Project, which tested feasibility, cost, and effectiveness of cycles that met quality assurance requirements in eight pediatric and eight general medicine group practices at four teaching hospitals and six health centers. The authors used a concurrent crossover design using randomized cycles of quality assurance so that a practi…
Consistency in Performance Among Primary Care Practitioners
OBJECTIVES: The authors studied the consistency of performance of individual physicians to evaluate the identification of outlier practitioners as a strategy for improving patient care. METHODS: The authors used a data base containing information on 430 practitioners caring for 6,090 patients in 16 group practices. The authors analyzed inter- and intraphysician differences in performance on the basis of review criteria for 8 patient care guidelin…
Practice Characteristics and Performance of Primary Care Practitioners
OBJECTIVES: The authors examined organizational characteristics of 16 primary care group practices to determine their influence on quality or quality improvement. METHODS: The authors used a data base compiled during a randomized, controlled trial of quality assurance interventions consisting of measures of guideline-related performance for 630 practitioners. The authors distinguished performance under practitioners' control from performance dete…
Leadership for Quality Improvement in Group Practices
OBJECTIVES: The authors studied influence of physician leaders on their colleagues' performance using data from a randomized, controlled trial of quality assurance interventions in 16 primary care practices. METHODS: The authors examined whether leaders performed better than their colleagues and looked for evidence of leaders' influence on their colleagues before intervention. As behavioral indicators of each leader's influence for improvement in…
Are Differences in Practitioners' Acceptance of a Quality Assurance Intervention Related to Their Performance
OBJECTIVES: The authors assessed whether practitioners' attitudes toward quality assurance after the intervention are related to their performance before and after the intervention. METHODS: A data base was compiled including a survey of practitioners participating in a randomized, controlled trial of externally coordinated quality assurance in 16 practices. The survey evaluated whether practitioners noticed changes in their performance or improv…
Quality Improvement Among Primary Care Practitioners
OBJECTIVES: The authors appraised the overall conclusions of a randomized, controlled trial of quality assurance in 16 primary care group practices, addressing the relevance of findings to health maintenance organizations in the 1990s. METHODS: The framework was the analogy of opening the "black box" of quality assurance interventions to examine circumstances in which interventions worked. RESULTS: External pressures for quality improvement were …
Issues of Variability and Bias Affecting Multisite Measurement of Quality of Care
OBJECTIVES: Using data from a randomized trial to improve the quality of ambulatory care, the authors quantify the various sources of variability and bias that affect measures of quality of care and suggest experimental designs and analyses that reduce both bias and variability. METHODS: There is a growing desire among health care researchers and government agencies to profile and compare practitioner performance. Such efforts are complicated by …
Performance Quality, Gender, and Professional Role
The quality of medical care has rarely been evaluated in relation to practitioner or patient gender. Moreover, comparisons between physicians and nonphysicians typically are confounded by practitioner gender. In this study gender and professional role effects were analyzed separately for 162 male and female staff physicians, 191 male and female residents, and 73 female nonphysicians delivering adult and pediatric primary care in 16 ambulatory car…
Intergenerational Transmission of Values
William H. McBroom, Fred W. Reed, Clarence E. Burns, J. Lee Hargraves, Mary A. Trankel, Intergenerational Transmission of Values: A Data-Based Reassessment, Social Psychology Quarterly, Vol. 48, No. 2 (Jun., 1985), pp. 150-163
Reported Racial Discrimination, Trust in Physicians, and Medication Adherence Among Inner-City African Americans With Hypertension
Within our sample of inner city African Americans with hypertension, racial discrimination was associated with lower medication adherence, and this association was partially mediated by trust in physicians. Patient, physician and system approaches to increase "earned" trust may enhance existing interventions for promoting medication adherence
Intergenerational Transmission of Values
William H. McBroom, Fred W. Reed, Clarence E. Burns, J. Lee Hargraves, Mary A. Trankel, Intergenerational Transmission of Values: A Data-Based Reassessment, Social Psychology Quarterly, Vol. 48, No. 2 (Jun., 1985), pp. 150-163
Intergenerational Transmission of Values
William H. McBroom, Fred W. Reed, Clarence E. Burns, J. Lee Hargraves, Mary A. Trankel, Intergenerational Transmission of Values: A Data-Based Reassessment, Social Psychology Quarterly, Vol. 48, No. 2 (Jun., 1985), pp. 150-163
Performance Quality, Gender, and Professional Role
The quality of medical care has rarely been evaluated in relation to practitioner or patient gender. Moreover, comparisons between physicians and nonphysicians typically are confounded by practitioner gender. In this study gender and professional role effects were analyzed separately for 162 male and female staff physicians, 191 male and female residents, and 73 female nonphysicians delivering adult and pediatric primary care in 16 ambulatory car…
The Ambulatory Care Medical Audit Demonstration Project
The authors describe the design of and statistical analyses involved in the Ambulatory Care Medical Audit Demonstration Project, which tested feasibility, cost, and effectiveness of cycles that met quality assurance requirements in eight pediatric and eight general medicine group practices at four teaching hospitals and six health centers. The authors used a concurrent crossover design using randomized cycles of quality assurance so that a practi…
Consistency in Performance Among Primary Care Practitioners
OBJECTIVES: The authors studied the consistency of performance of individual physicians to evaluate the identification of outlier practitioners as a strategy for improving patient care. METHODS: The authors used a data base containing information on 430 practitioners caring for 6,090 patients in 16 group practices. The authors analyzed inter- and intraphysician differences in performance on the basis of review criteria for 8 patient care guidelin…
Practice Characteristics and Performance of Primary Care Practitioners
OBJECTIVES: The authors examined organizational characteristics of 16 primary care group practices to determine their influence on quality or quality improvement. METHODS: The authors used a data base compiled during a randomized, controlled trial of quality assurance interventions consisting of measures of guideline-related performance for 630 practitioners. The authors distinguished performance under practitioners' control from performance dete…
Leadership for Quality Improvement in Group Practices
OBJECTIVES: The authors studied influence of physician leaders on their colleagues' performance using data from a randomized, controlled trial of quality assurance interventions in 16 primary care practices. METHODS: The authors examined whether leaders performed better than their colleagues and looked for evidence of leaders' influence on their colleagues before intervention. As behavioral indicators of each leader's influence for improvement in…
Are Differences in Practitioners' Acceptance of a Quality Assurance Intervention Related to Their Performance
OBJECTIVES: The authors assessed whether practitioners' attitudes toward quality assurance after the intervention are related to their performance before and after the intervention. METHODS: A data base was compiled including a survey of practitioners participating in a randomized, controlled trial of externally coordinated quality assurance in 16 practices. The survey evaluated whether practitioners noticed changes in their performance or improv…
Quality Improvement Among Primary Care Practitioners
OBJECTIVES: The authors appraised the overall conclusions of a randomized, controlled trial of quality assurance in 16 primary care group practices, addressing the relevance of findings to health maintenance organizations in the 1990s. METHODS: The framework was the analogy of opening the "black box" of quality assurance interventions to examine circumstances in which interventions worked. RESULTS: External pressures for quality improvement were …
Issues of Variability and Bias Affecting Multisite Measurement of Quality of Care
OBJECTIVES: Using data from a randomized trial to improve the quality of ambulatory care, the authors quantify the various sources of variability and bias that affect measures of quality of care and suggest experimental designs and analyses that reduce both bias and variability. METHODS: There is a growing desire among health care researchers and government agencies to profile and compare practitioner performance. Such efforts are complicated by …
Making survey results easy to report to consumers
Making Survey Results Easy to Report to Consumers
OBJECTIVES: CAHPS is designed to report information about health care quality from the consumer perspective. Enrollees are surveyed about their experiences with their health plan and medical care, and results are reported to other consumers choosing among health plans. Based on survey instruments designed to elicit reliable and valid information about health plan experiences from plan enrollees, the aim of the CAHPS team was to design a series of…
Adjusting for Patient Characteristics When Analyzing Reports From Patients About Hospital Care
OBJECTIVES: To determine which patient characteristics are associated with reports and ratings of hospital care, and to evaluate how adjusting reports and ratings for hospital differences in such variables affects comparisons among hospitals. DESIGN: A telephone survey of a sample of patients hospitalized in 22 hospitals in a single city and a statewide mail survey of hospitalized patients. MEASURES: The surveys assessed: respect for patients' pr…
The Contribution of Insurance Coverage and Community Resources to Reducing Racial/Ethnic Disparities in Access to Care
Objective. To examine the extent to which health insurance coverage and available safety net resources reduced racial and ethnic disparities in access to care. Data Sources. Nationally representative sample of 11,692 African American, 10,325 Hispanic, and 74,397 white persons. Nonelderly persons with public or private health insurance and those who were uninsured. Study Design. Two cross‐sectional surveys of households conducted during 1996–1997 …
Satisfaction With Surgical Outcomes and the Phenomenology of Embodiment
From the Department of Family Medicine and Community Health, University of Massachusetts Medical School, Worcester, Massachusetts. Reprints: J. Lee Hargraves, PhD, Department of Family Medicine and Community Health, University of Massachusetts Medical School, 55 Lake Avenue North, Worcester, MA 01655. E-mail [email protected]
Community Health Worker Encounter Forms
Objectives. We explored the benefits of using community health worker (CHW) encounter forms to collect data on patient interactions and assessed the effectiveness of these forms in guiding and directing interactions. Methods. A 1-page standardized encounter form was developed to document topics discussed during visits with diabetes patients. A portion of the form was designed to be used as a script to guide the interaction and assist patients in …
Reported Racial Discrimination, Trust in Physicians, and Medication Adherence Among Inner-City African Americans With Hypertension
Within our sample of inner city African Americans with hypertension, racial discrimination was associated with lower medication adherence, and this association was partially mediated by trust in physicians. Patient, physician and system approaches to increase "earned" trust may enhance existing interventions for promoting medication adherence
Does Home Remedy Use Contribute to Medication Nonadherence Among Blacks with Hypertension
The use of HR and the number of HRs used may be associated with medication nonadherence, and higher systolic and diastolic blood pressure among Blacks with hypertension. Medication nonadherence is of critical importance for individuals with hypertension, and it is essential that health care providers be aware of health behaviors that may serve as barriers to medication adherence, such as use of home remedies
Comparing Web and Mail Protocols for Administering Hospital Consumer Assessment of Healthcare Providers and Systems Surveys
OBJECTIVE: The objective of this study was to compare results of using web-based and mail (postal) Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) data collection protocols. RESEARCH DESIGN: Patients who had been hospitalized in a New England Hospital were surveyed about their hospital experience. Patients who provided email addresses were randomized to 1 of 3 data collection protocols: web-alone, web with postal mail fo…
A Systematic Review of Strategies to Enhance Response Rates and Representativeness of Patient Experience Surveys
Measuring Access to Mental Health Services Among Primary Care Patients
BACKGROUND: The lifetime risk of mental health disorders is almost 50% and, in any year, about 25% of the population have a psychiatric disorder. Many of those people are cared for in primary care settings. RESEARCH OBJECTIVE: Measure access to mental health services, such as getting counselling or prescription mental health medications, using new patient survey questions that can be added to Consumer Assessment of Healthcare Providers and System…
Diminished mental well-being in the Covid-19 pandemic
Self-reported decline in mental well-being during the pandemic was associated with less social connection. • Residents in neighborhoods with a faster return to physical mobility experienced less decline in mental well-being. • Decline in mental well-being was not independently related to income decline. • Decline in mental well-being was not related to neighborhood-level risk of COVID-19 infection. • Persons of color reported less decline in ment…
Medicine (16 obras) · Family medicine (12 obras) · Nursing (11 obras) · Patient Satisfaction in Healthcare (10 obras) · Health care (9 obras) · Primary Care and Health Outcomes (9 obras) · Health Policy Implementation Science (6 obras) · Psychological intervention (6 obras) · Psychology (6 obras) · Quality (philosophy) (6 obras)