Kevin Grumbach
Dados Biográficos
| ID | 5534873 |
|---|---|
| NOME | Kevin Grumbach |
| PRENOMES | Kevin |
| SOBRENOME | Grumbach |
| ASSINATURA | GRUMBACH K |
| AFILIAÇÕES | University of California, San Francisco |
| ORCID | 0000-0002-7809-214X |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 27 |
| TOTAL DE CITAÇÕES | 54 |
| TOTAL COMO AUTOR | 27 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 1984 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2023 |
| ÍNDICE H | 3 |
A Call to Improve Health by Achieving the Learning Health Care System
The learning health care system is an aspirational operational model for improving health care by learning from the care being delivered. The model, which has been endorsed by the National Academy of Medicine, aligns naturally with academic health systems, which have a mission to improve care for their communities through research and education. In this scholarly perspective, the authors define the learning health care system concept and its hist…
The Value of Funding a Primary Care Extension Program in the United States
This Viewpoint discusses the potential of the Primary Care Extension Program to ensure access to high-quality primary care in the US
Covid-19 Vaccination Perceptions Among Young Adults of Color in the San Francisco Bay Area
Background: COVID-19 vaccination rates among U.S. young adults, particularly in communities of color, remain lower than other age groups. We conducted a qualitative, community-based participatory study to explore beliefs and attitudes about COVID-19 vaccines among young adults in Black/African American, Latinx, and Asian American or Pacific Islander (AAPI) communities in the San Francisco Bay Area. Methods: =12) participants between 18 and 30 yea…
Achieving Racial and Ethnic Equity in Covid-19 Vaccination
This Viewpoint discusses the stages of vaccine readiness at the individual and health system levels and, based on the US experience with COVID-19, proposes a more racially and ethnically equitable approach to vaccination efforts
Quality and Content of Patient–Provider Communication About Contraception
Women's preferences for contraceptive counseling and decision making
Patient perceptions of integrated care
Patients may not understand the term integrated care but are relatively clear on what the concept of integrated care entails and support its successful implementation. Patients and their families are at the center of integrated care, and health systems need to support and empower them to successfully navigate the medical neighborhood
A Study of Physician Recommendations for Reversible Contraceptive Methods Using Standardized Patients
The advice women receive about contraception may vary according to the characteristics of their provider. Research on the reasons for these differences is needed
Recommendations for intrauterine contraception
Dehlendorf and Grumbach Respond
We appreciate the comments made by Johnson, and agree that family physicians have the potential to improve access to abortion services for women. As stated in our article, medical liability insurers are inappropriately limiting the ability of trained and willing providers to offer this important service by both refusing to provide coverage for abortion care and by charging inordinately high premiums for this coverage. Medical professional organiz…
Medical Liability Insurance as a Barrier to the Provision of Abortion Services in Family Medicine
Family physicians who wish to provide abortions have been subject to both denial of coverage by medical liability insurers and the imposition of large premium increases. These policy decisions by insurance companies raise questions about the role of family physicians in abortion care and about the autonomy of medical specialties in defining their scope of practice. We review the issues specific to abortion services in the primary care setting and…
Physician Perceptions of Practice Environment and Professional Satisfaction in California
Context : Few studies have systematically examined the experience of rural practice from the physician's perspective or included physicians from an array of specialties, particularly non‐primary care. Purpose: To better understand differences between rural and urban physicians in perceptions of their practice environment. Methods: In 2001‐2002, self‐administered questionnaires were sent to a probability sample of primary care and specialist physi…
Effects of limited English proficiency and physician language on health care comprehension
Understanding health policy
Closing the Loop
BACKGROUND: Patients recall or comprehend as little as half of what physicians convey during an outpatient encounter. To enhance recall, comprehension, and adherence, it is recommended that physicians elicit patients' comprehension of new concepts and tailor subsequent information, particularly for patients with low functional health literacy. It is not known how frequently physicians apply this interactive educational strategy, or whether it is …
Improving Primary Care for Patients With Chronic Illness
This article reviews research evidence showing to what extent the chronic care model can improve the management of chronic conditions (using diabetes as an example) and reduce health care costs. Thirty-two of 39 studies found that interventions based on chronic care model components improved at least 1 process or outcome measure for diabetic patients. Regarding whether chronic care model interventions can reduce costs, 18 of 27 studies concerned …
Identifying Communities with Low Dentist Supply in California
Geographic maldistribution of dentists may contribute to poor access to dental care in many communities, especially in rural, low-income, and minority communities. Minority dentists are more likely to practice in minority communities, but are a small portion of the dental workforce
Racial and Ethnic Differences in a Patient Survey
BACKGROUND: Few studies have investigated the influence of race and/or ethnicity on patients' ratings of quality of care. None have incorporated patients' values and beliefs regarding medical care in assessing these possible differences. OBJECTIVES: We explored whether patients' values, ratings, and reports regarding physicians' primary care performance differed by race and/or ethnicity. RESEARCH DESIGN: This was a cross-sectional, mailed patient…
Screening and Intervention for Intimate Partner Abuse
CONTEXT: Although practice guidelines encouraging the screening of patients for intimate partner abuse have been available for several years, it is unclear how well and in which circumstances physicians adhere to them. OBJECTIVE: To describe the practices and perceptions of primary care physicians regarding intimate partner abuse screening and interventions. DESIGN, SETTING, AND PARTICIPANTS: Cross-sectional survey of a stratified probability sam…
Mandatory reporting of intimate partner violence to police
OBJECTIVES: This study examined physicians' perspectives on mandatory reporting of intimate partner violence to police. METHODS: We surveyed a stratified random sample of California physicians practicing emergency, family, and internal medicine and obstetrics/gynecology. RESULTS: An estimated 59% of California primary care and emergency physicians (n = 508, 71% response rate) reported that they might not comply with the reporting law if a patient…
Continuity of insurance coverage--a precondition for continuity of primary care
Continuity of insurance coverage--a precondition for continuity of primary care. K GrumbachCopyRight https://doi.org/10.2105/AJPH.88.3.348 Published Online: August 30, 2011
The Role of Black and Hispanic Physicians in Providing Health Care for Underserved Populations
BACKGROUND: Patients who are members of minority groups may be more likely than others to consult physicians of the same race or ethnic group, but little is known about the relation between patients' race or ethnic group and the supply of physicians or the likelihood that minority-group physicians will care for poor or black and Hispanic patients. METHODS: We analyzed data on physicians' practice locations and the racial and ethnic makeup and soc…
Grumbach and Bindman Respond
Grumbach and Bindman Respond Kevin Grumbach, and Andrew B. Bindman K KenwardCopyRight https://doi.org/10.2105/AJPH.86.10.1482 Published Online: October 07, 2011
The challenge of defining and counting generalist physicians
OBJECTIVES. The study reviewed methods for measuring the specialty distribution of the US physician workforce. It was hypothesized that current databases and measurement conventions overestimate the number of generalist physicians. METHODS. A descriptive analysis of the American Medical Association (AMA) Physician Masterfile for California was done with different assumptions about the definition of generalists based on primary and secondary speci…
Grumbach and Colleagues Respond
Grumbach and Colleagues Respond Kevin Grumbach, Dennis Keane, and Andrew B. Bindman CopyRight https://doi.org/10.2105/AJPH.84.1.124 Published Online: October 07, 2011
Primary care and public emergency department overcrowding
OBJECTIVES. Our objective was to evaluate whether referral to primary care settings would be clinically appropriate for and acceptable to patients waiting for emergency department care for nonemergency conditions. METHODS. We studied 700 patients waiting for emergency department care at a public hospital. Access to alternative sources of medical care, clinical appropriateness of emergency department use, and patients' willingness to use nonemerge…
The challenge of defining and counting generalist physicians
OBJECTIVES. The study reviewed methods for measuring the specialty distribution of the US physician workforce. It was hypothesized that current databases and measurement conventions overestimate the number of generalist physicians. METHODS. A descriptive analysis of the American Medical Association (AMA) Physician Masterfile for California was done with different assumptions about the definition of generalists based on primary and secondary speci…
Patient perceptions of integrated care
Patients may not understand the term integrated care but are relatively clear on what the concept of integrated care entails and support its successful implementation. Patients and their families are at the center of integrated care, and health systems need to support and empower them to successfully navigate the medical neighborhood
A Study of Physician Recommendations for Reversible Contraceptive Methods Using Standardized Patients
The advice women receive about contraception may vary according to the characteristics of their provider. Research on the reasons for these differences is needed
Medical Liability Insurance as a Barrier to the Provision of Abortion Services in Family Medicine
Family physicians who wish to provide abortions have been subject to both denial of coverage by medical liability insurers and the imposition of large premium increases. These policy decisions by insurance companies raise questions about the role of family physicians in abortion care and about the autonomy of medical specialties in defining their scope of practice. We review the issues specific to abortion services in the primary care setting and…
And the Old Men Play Dominoes
Ill And The Old Men Play Dominoes Kevin Grumbach Sitting under the trees on park benches their hands finger the inverted brail of the ivory tablets. They lay down their bony hopes end to end, stealing now and then from a neighbor's unminded hand a vibrant eyeful of ever-optimistic polka dots. Even so the chances fail us. To the boneyard we go. To the Boneyard! Shuffle and pick, shovel and pick, picking luckless life again and again, walled eventu…
Primary care and public emergency department overcrowding
OBJECTIVES. Our objective was to evaluate whether referral to primary care settings would be clinically appropriate for and acceptable to patients waiting for emergency department care for nonemergency conditions. METHODS. We studied 700 patients waiting for emergency department care at a public hospital. Access to alternative sources of medical care, clinical appropriateness of emergency department use, and patients' willingness to use nonemerge…
Grumbach and Colleagues Respond
Grumbach and Colleagues Respond Kevin Grumbach, Dennis Keane, and Andrew B. Bindman CopyRight https://doi.org/10.2105/AJPH.84.1.124 Published Online: October 07, 2011
The challenge of defining and counting generalist physicians
OBJECTIVES. The study reviewed methods for measuring the specialty distribution of the US physician workforce. It was hypothesized that current databases and measurement conventions overestimate the number of generalist physicians. METHODS. A descriptive analysis of the American Medical Association (AMA) Physician Masterfile for California was done with different assumptions about the definition of generalists based on primary and secondary speci…
The Role of Black and Hispanic Physicians in Providing Health Care for Underserved Populations
BACKGROUND: Patients who are members of minority groups may be more likely than others to consult physicians of the same race or ethnic group, but little is known about the relation between patients' race or ethnic group and the supply of physicians or the likelihood that minority-group physicians will care for poor or black and Hispanic patients. METHODS: We analyzed data on physicians' practice locations and the racial and ethnic makeup and soc…
Grumbach and Bindman Respond
Grumbach and Bindman Respond Kevin Grumbach, and Andrew B. Bindman K KenwardCopyRight https://doi.org/10.2105/AJPH.86.10.1482 Published Online: October 07, 2011
Continuity of insurance coverage--a precondition for continuity of primary care
Continuity of insurance coverage--a precondition for continuity of primary care. K GrumbachCopyRight https://doi.org/10.2105/AJPH.88.3.348 Published Online: August 30, 2011
Screening and Intervention for Intimate Partner Abuse
CONTEXT: Although practice guidelines encouraging the screening of patients for intimate partner abuse have been available for several years, it is unclear how well and in which circumstances physicians adhere to them. OBJECTIVE: To describe the practices and perceptions of primary care physicians regarding intimate partner abuse screening and interventions. DESIGN, SETTING, AND PARTICIPANTS: Cross-sectional survey of a stratified probability sam…
Mandatory reporting of intimate partner violence to police
OBJECTIVES: This study examined physicians' perspectives on mandatory reporting of intimate partner violence to police. METHODS: We surveyed a stratified random sample of California physicians practicing emergency, family, and internal medicine and obstetrics/gynecology. RESULTS: An estimated 59% of California primary care and emergency physicians (n = 508, 71% response rate) reported that they might not comply with the reporting law if a patient…
Racial and Ethnic Differences in a Patient Survey
BACKGROUND: Few studies have investigated the influence of race and/or ethnicity on patients' ratings of quality of care. None have incorporated patients' values and beliefs regarding medical care in assessing these possible differences. OBJECTIVES: We explored whether patients' values, ratings, and reports regarding physicians' primary care performance differed by race and/or ethnicity. RESEARCH DESIGN: This was a cross-sectional, mailed patient…
Identifying Communities with Low Dentist Supply in California
Geographic maldistribution of dentists may contribute to poor access to dental care in many communities, especially in rural, low-income, and minority communities. Minority dentists are more likely to practice in minority communities, but are a small portion of the dental workforce
Improving Primary Care for Patients With Chronic Illness
This article reviews research evidence showing to what extent the chronic care model can improve the management of chronic conditions (using diabetes as an example) and reduce health care costs. Thirty-two of 39 studies found that interventions based on chronic care model components improved at least 1 process or outcome measure for diabetic patients. Regarding whether chronic care model interventions can reduce costs, 18 of 27 studies concerned …
Closing the Loop
BACKGROUND: Patients recall or comprehend as little as half of what physicians convey during an outpatient encounter. To enhance recall, comprehension, and adherence, it is recommended that physicians elicit patients' comprehension of new concepts and tailor subsequent information, particularly for patients with low functional health literacy. It is not known how frequently physicians apply this interactive educational strategy, or whether it is …
Effects of limited English proficiency and physician language on health care comprehension
Understanding health policy
Physician Perceptions of Practice Environment and Professional Satisfaction in California
Context : Few studies have systematically examined the experience of rural practice from the physician's perspective or included physicians from an array of specialties, particularly non‐primary care. Purpose: To better understand differences between rural and urban physicians in perceptions of their practice environment. Methods: In 2001‐2002, self‐administered questionnaires were sent to a probability sample of primary care and specialist physi…
Medical Liability Insurance as a Barrier to the Provision of Abortion Services in Family Medicine
Family physicians who wish to provide abortions have been subject to both denial of coverage by medical liability insurers and the imposition of large premium increases. These policy decisions by insurance companies raise questions about the role of family physicians in abortion care and about the autonomy of medical specialties in defining their scope of practice. We review the issues specific to abortion services in the primary care setting and…
Dehlendorf and Grumbach Respond
We appreciate the comments made by Johnson, and agree that family physicians have the potential to improve access to abortion services for women. As stated in our article, medical liability insurers are inappropriately limiting the ability of trained and willing providers to offer this important service by both refusing to provide coverage for abortion care and by charging inordinately high premiums for this coverage. Medical professional organiz…
Recommendations for intrauterine contraception
A Study of Physician Recommendations for Reversible Contraceptive Methods Using Standardized Patients
The advice women receive about contraception may vary according to the characteristics of their provider. Research on the reasons for these differences is needed
Women's preferences for contraceptive counseling and decision making
Patient perceptions of integrated care
Patients may not understand the term integrated care but are relatively clear on what the concept of integrated care entails and support its successful implementation. Patients and their families are at the center of integrated care, and health systems need to support and empower them to successfully navigate the medical neighborhood
Quality and Content of Patient–Provider Communication About Contraception
Achieving Racial and Ethnic Equity in Covid-19 Vaccination
This Viewpoint discusses the stages of vaccine readiness at the individual and health system levels and, based on the US experience with COVID-19, proposes a more racially and ethnically equitable approach to vaccination efforts
Covid-19 Vaccination Perceptions Among Young Adults of Color in the San Francisco Bay Area
Background: COVID-19 vaccination rates among U.S. young adults, particularly in communities of color, remain lower than other age groups. We conducted a qualitative, community-based participatory study to explore beliefs and attitudes about COVID-19 vaccines among young adults in Black/African American, Latinx, and Asian American or Pacific Islander (AAPI) communities in the San Francisco Bay Area. Methods: =12) participants between 18 and 30 yea…
Medicine (26 obras) · Family medicine (17 obras) · Political science (10 obras) · Primary Care and Health Outcomes (10 obras) · Nursing (9 obras) · Environmental health (8 obras) · Health care (8 obras) · Psychology (8 obras) · Population (6 obras) · Reproductive Health and Contraception (6 obras)