Nancy S Weinfield
Biographic Data
| ID | 5537267 |
|---|---|
| NAME | Nancy S Weinfield |
| GIVEN NAMES | Nancy S |
| FAMILY NAME | Weinfield |
| SIGNATURE | WEINFIELD N S |
| AFFILIATIONS | Kaiser Permanente, Mid-Atlantic Permanente Research Institute, Rockville, MD |
| ORCID | 0000-0002-1417-2271 |
| VERIFIED | Yes |
| TOTAL WORKS | 12 |
| TOTAL CITATIONS | 34 |
| AUTHOR COUNT | 12 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1997 |
| LATEST PUBLICATION YEAR | 2023 |
| H-INDEX | 3 |
Management of Neck or Back Pain in Ambulatory Care
BACKGROUND/OBJECTIVE: In recent years, 2 circumstances have changed provider-patient interactions in ambulatory care: (1) the replacement of virtual for in-person visits and (2) the COVID-19 pandemic. We studied the potential impact of each event on provider practice and patient adherence by comparing the frequency of the association of provider orders, and patient fulfillment of those orders, by visit mode and pandemic period, for incident neck …
Did Access to Ambulatory Care Moderate the Associations Between Visit Mode and Ancillary Services Utilization Across the Covid-19 Pandemic Period
BACKGROUND/OBJECTIVE: In recent years, 2 circumstances changed provider-patient interactions in primary care: the substitution of virtual (eg, video) for in-person visits and the COVID-19 pandemic. We studied whether access to care might affect patient fulfillment of ancillary services orders for ambulatory diagnosis and management of incident neck or back pain (NBP) and incident urinary tract infection (UTI) for virtual versus in-person visits. …
Impact of Covid-19 on Trends in Outpatient Clinic Utilization
BACKGROUND: The COVID-19 pandemic forced many US health care organizations to shift from mostly in-person care to a hybrid of virtual visits (VV) and in-person visits (IPV). While there was an expected and immediate shift to virtual care (VC) early in the pandemic, little is known about trends in VC use after restrictions eased. METHODS: This is a retrospective study using data from 3 health care systems. All completed visits from adult primary c…
Health-care–Related Practices in Virtual Behavioral Health Treatment for Major Depression Before and During the Covid-19 Pandemic
BACKGROUND: The abrupt shift to virtual care at the onset of the COVID-19 pandemic had the potential to disrupt care practices in virtual behavioral health encounters. We examined changes over time in virtual behavioral health-care-related practices for patient encounters with diagnoses of major depression. METHODS: This retrospective cohort study utilized electronic health record data from 3 integrated health care systems. Inverse probability of…
Virtual Care and Urinary Tract Infection Management
BACKGROUND: During the COVID-19 pandemic, more health care issues were being managed remotely. Urinary tract infections (UTIs) are being managed more often using telehealth although few reports compare the rate of UTI ancillary service orders placed and fulfilled during these visits. OBJECTIVES: We aimed to evaluate and compare the rate of ancillary service orders and order fulfillments in incident UTI diagnoses between virtual and in-person enco…
Development of a Common Data Model for a Multisite and Multiyear Study of Virtual Visit Implementation
BACKGROUND/OBJECTIVE: In multisite studies, a common data model (CDM) standardizes dataset organization, variable definitions, and variable code structures and can support distributed data processing. We describe the development of a CDM for a study of virtual visit implementation in 3 Kaiser Permanente (KP) regions. METHODS: We conducted several scoping reviews to inform our study's CDM design: (1) virtual visit mode, implementation timing, and …
Patient Factors Associated With Use of Adult Primary Care and Virtual Visits During the Covid-19 Pandemic
BACKGROUND: The delivery of adult primary care (APC) shifted from predominately in-person to modes of virtual care during the COVID-19 pandemic. It is unclear how these shifts impacted the likelihood of APC use during the pandemic, or how patient characteristics may be associated with the use of virtual care. METHODS: A retrospective cohort study using person-month level datasets from 3 geographically disparate integrated health care systems was …
Longitudinal prediction of child outcomes from differing measures of parenting in a low-income sample
This study examined predictions from preschool parenting measures to middle childhood cognitive and socioemotional child outcomes to explore whether parenting assessment methodologies that require more time, training, and expense yield better predictions of child outcomes than less intensive methodologies. Mother-child dyads (N = 278) in low-income African American families were assessed when the child was in preschool, using maternal report, the…
Assessment of Attachment in Middle Childhood
Attachment from Infancy to Early Adulthood in a High-Risk Sample
This study explores the stability of attachment security and representations from infancy to early adulthood in a sample chosen originally for poverty and high risk for poor developmental outcomes. Participants for this study were 57 young adults who are part of an ongoing prospective study of development and adaptation in a high-risk sample. Attachment was assessed during infancy by using the Ainsworth Strange Situation (Ainsworth & Wittig) and …
Early Environmental Support and Elementary School Adjustment as Predictors of School Adjustment in Middle Adolescence
Longitudinal data from a high-risk sample (N = 173, male: n = 93, female: n = 80) were used to examine socioemotional antecedents of school adjustment in adolescence. Parental problem-solving support in early childhood and early adolescence and measures of peer competence, externalizing behavior, and emotional health/self-esteem in early middle childhood were examined both independently and in relation to academic achievement in early middle chil…
Early Attachment as a Pathway to Adolescent Peer Competence
Forty-one adolescents ages 15-16, a subset of participants from an ongoing longitudinal study, were observed and interviewed during a 2-day-long camp reunion. Early attachment information was available for all participants. Counselors rated them on several personal and interpersonal characteristics after the reunion, including social competence. The participants were also interviewed regarding their experience and their thoughts about friendships…
Longitudinal prediction of child outcomes from differing measures of parenting in a low-income sample
This study examined predictions from preschool parenting measures to middle childhood cognitive and socioemotional child outcomes to explore whether parenting assessment methodologies that require more time, training, and expense yield better predictions of child outcomes than less intensive methodologies. Mother-child dyads (N = 278) in low-income African American families were assessed when the child was in preschool, using maternal report, the…
Early Environmental Support and Elementary School Adjustment as Predictors of School Adjustment in Middle Adolescence
Longitudinal data from a high-risk sample (N = 173, male: n = 93, female: n = 80) were used to examine socioemotional antecedents of school adjustment in adolescence. Parental problem-solving support in early childhood and early adolescence and measures of peer competence, externalizing behavior, and emotional health/self-esteem in early middle childhood were examined both independently and in relation to academic achievement in early middle chil…
Early Attachment as a Pathway to Adolescent Peer Competence
Forty-one adolescents ages 15-16, a subset of participants from an ongoing longitudinal study, were observed and interviewed during a 2-day-long camp reunion. Early attachment information was available for all participants. Counselors rated them on several personal and interpersonal characteristics after the reunion, including social competence. The participants were also interviewed regarding their experience and their thoughts about friendships…
Early Attachment as a Pathway to Adolescent Peer Competence
Forty-one adolescents ages 15-16, a subset of participants from an ongoing longitudinal study, were observed and interviewed during a 2-day-long camp reunion. Early attachment information was available for all participants. Counselors rated them on several personal and interpersonal characteristics after the reunion, including social competence. The participants were also interviewed regarding their experience and their thoughts about friendships…
Early Environmental Support and Elementary School Adjustment as Predictors of School Adjustment in Middle Adolescence
Longitudinal data from a high-risk sample (N = 173, male: n = 93, female: n = 80) were used to examine socioemotional antecedents of school adjustment in adolescence. Parental problem-solving support in early childhood and early adolescence and measures of peer competence, externalizing behavior, and emotional health/self-esteem in early middle childhood were examined both independently and in relation to academic achievement in early middle chil…
Attachment from Infancy to Early Adulthood in a High-Risk Sample
This study explores the stability of attachment security and representations from infancy to early adulthood in a sample chosen originally for poverty and high risk for poor developmental outcomes. Participants for this study were 57 young adults who are part of an ongoing prospective study of development and adaptation in a high-risk sample. Attachment was assessed during infancy by using the Ainsworth Strange Situation (Ainsworth & Wittig) and …
Assessment of Attachment in Middle Childhood
Longitudinal prediction of child outcomes from differing measures of parenting in a low-income sample
This study examined predictions from preschool parenting measures to middle childhood cognitive and socioemotional child outcomes to explore whether parenting assessment methodologies that require more time, training, and expense yield better predictions of child outcomes than less intensive methodologies. Mother-child dyads (N = 278) in low-income African American families were assessed when the child was in preschool, using maternal report, the…
Management of Neck or Back Pain in Ambulatory Care
BACKGROUND/OBJECTIVE: In recent years, 2 circumstances have changed provider-patient interactions in ambulatory care: (1) the replacement of virtual for in-person visits and (2) the COVID-19 pandemic. We studied the potential impact of each event on provider practice and patient adherence by comparing the frequency of the association of provider orders, and patient fulfillment of those orders, by visit mode and pandemic period, for incident neck …
Did Access to Ambulatory Care Moderate the Associations Between Visit Mode and Ancillary Services Utilization Across the Covid-19 Pandemic Period
BACKGROUND/OBJECTIVE: In recent years, 2 circumstances changed provider-patient interactions in primary care: the substitution of virtual (eg, video) for in-person visits and the COVID-19 pandemic. We studied whether access to care might affect patient fulfillment of ancillary services orders for ambulatory diagnosis and management of incident neck or back pain (NBP) and incident urinary tract infection (UTI) for virtual versus in-person visits. …
Impact of Covid-19 on Trends in Outpatient Clinic Utilization
BACKGROUND: The COVID-19 pandemic forced many US health care organizations to shift from mostly in-person care to a hybrid of virtual visits (VV) and in-person visits (IPV). While there was an expected and immediate shift to virtual care (VC) early in the pandemic, little is known about trends in VC use after restrictions eased. METHODS: This is a retrospective study using data from 3 health care systems. All completed visits from adult primary c…
Health-care–Related Practices in Virtual Behavioral Health Treatment for Major Depression Before and During the Covid-19 Pandemic
BACKGROUND: The abrupt shift to virtual care at the onset of the COVID-19 pandemic had the potential to disrupt care practices in virtual behavioral health encounters. We examined changes over time in virtual behavioral health-care-related practices for patient encounters with diagnoses of major depression. METHODS: This retrospective cohort study utilized electronic health record data from 3 integrated health care systems. Inverse probability of…
Virtual Care and Urinary Tract Infection Management
BACKGROUND: During the COVID-19 pandemic, more health care issues were being managed remotely. Urinary tract infections (UTIs) are being managed more often using telehealth although few reports compare the rate of UTI ancillary service orders placed and fulfilled during these visits. OBJECTIVES: We aimed to evaluate and compare the rate of ancillary service orders and order fulfillments in incident UTI diagnoses between virtual and in-person enco…
Development of a Common Data Model for a Multisite and Multiyear Study of Virtual Visit Implementation
BACKGROUND/OBJECTIVE: In multisite studies, a common data model (CDM) standardizes dataset organization, variable definitions, and variable code structures and can support distributed data processing. We describe the development of a CDM for a study of virtual visit implementation in 3 Kaiser Permanente (KP) regions. METHODS: We conducted several scoping reviews to inform our study's CDM design: (1) virtual visit mode, implementation timing, and …
Patient Factors Associated With Use of Adult Primary Care and Virtual Visits During the Covid-19 Pandemic
BACKGROUND: The delivery of adult primary care (APC) shifted from predominately in-person to modes of virtual care during the COVID-19 pandemic. It is unclear how these shifts impacted the likelihood of APC use during the pandemic, or how patient characteristics may be associated with the use of virtual care. METHODS: A retrospective cohort study using person-month level datasets from 3 geographically disparate integrated health care systems was …
Family medicine (6 works) · Health care (6 works) · Medicine (6 works) · Telemedicine and Telehealth Implementation (6 works) · Coronavirus disease 2019 (COVID-19) (5 works) · Developmental psychology (5 works) · Emergency Medicine (5 works) · Emergency Medicine (5 works) · Internal Medicine (5 works) · Internal Medicine (5 works)