Bradley N Doebbeling
Dados Biográficos
| ID | 5536112 |
|---|---|
| NOME | Bradley N Doebbeling |
| PRENOMES | Bradley N |
| SOBRENOME | Doebbeling |
| ASSINATURA | DOEBBELING B N |
| AFILIAÇÕES | University of Iowa |
| ORCID | 0000-0003-3504-3468 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 22 |
| TOTAL DE CITAÇÕES | 0 |
| TOTAL COMO AUTOR | 22 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 1993 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2024 |
| ÍNDICE H | 0 |
Who’s ideating, prototyping, and evaluating? A case study of resource-limited participatory design for health and aging
While participatory design approaches aim to include stakeholders in all design activities, in resource-limited situations, participation is challenging. Participatory designers often make decisions dealing with the tension between the agency of stakeholder participants and the project’s viability. In designing health services, care professionals have limited availability, and patients, such as low-income older adults, have limitations such as la…
It’s Also Pushed People to a New Level of Desperation
The purpose of this qualitative study is to characterize the impacts of the COVID-19 pandemic on drug use experiences among persons who use illicit opioids (PWUO) in Arizona. Between 12/2020 and 05/2021, interviews were conducted via Zoom with 22 PWUO from across Arizona. Participants were recruited through Craigslist and social media ads, referrals by a local harm reduction organization, and other participants. The interviews were transcribed an…
Emerging Perspectives on Transforming the Healthcare System
VA Health Services Research and Development (HSR&D) Center on Implementing Evidence-based Practice (CIEBP), Roudebush Veterans Affairs Medical Center (VAMC) †Indiana University (IU) Center for Implementing Evidence-based Practice (CHSOR), Regenstrief Institute, Inc. ‡Department of Medicine, Indiana University School of Medicine (IUSM), Division of General Medicine and Geriatrics, Indianapolis, IN The authors declare no conflict of interest. The R…
Lessons From the Field
BACKGROUND: The challenges facing healthcare in the 21st century frequently seem intractable and insurmountable. Systemic problems impair the quality and continuity of care and caregivers' quality of life. For over 25 years, the Clinical Practice Model Resource Center (CPMRC) in Grand Rapids, MI, has focused on transforming healthcare at the point of care to achieve its mission to co-create and sustain the best places to work and to receive care.…
Emerging Perspectives on Transforming the Healthcare System
HSR&D Center on Implementing Evidence-based Practice, Indianapolis VAMC †Indiana University Center for Health Services & Outcomes Research Regenstrief Institute, Inc. Indiana University School of Medicine Indianapolis, Indiana
Emerging Perspectives on Transforming the Healthcare System
BACKGROUND: U.S. healthcare requires major redesign of its delivery systems, finances, and incentives. Healthcare operations, leadership, and payors are increasingly recognizing the need for community-business-research partnerships to transform healthcare. New models of continuous learning, research, and development should help focus and sustain redesign efforts. PURPOSE: This study summarizes suggested strategies for transformational change in h…
Emerging Perspectives on Transforming the Healthcare System
BACKGROUND: Despite reform efforts, today's healthcare system faces multiple challenges. Limitations of the current system result in major gaps between evidence and practice, suboptimal quality, inequitable patterns of utilization, inadequate safety and reliability, and unsustainable cost increases. Furthermore, there are major problems of overuse, underuse, and misuse of healthcare. Beyond the healthcare reform legislation passed in 2010 mandate…
Quality Measurement and System Change of Cancer Care Delivery
Cancer care quality measurement and system change may serve as a case example for larger possibilities in the health care system related to other diseases. Cancer care quality gaps and variation exist across both technical and patient-centered cancer quality measures, especially among vulnerable populations. There is a need to develop measures that address the following dimensions of quality and its context: disparities, overuse, patient-centered…
Health Services Use Among Gulf War Veterans and Gulf War–Era Nondeployed Veterans
We sought to analyze the self-reported hospitalization, emergency department visits, and outpatient visits of Persian Gulf War (deployed; n=1896) and Persian Gulf War–era (nondeployed; n=1799) military personnel 5 years postconflict to determine whether these groups had different rates of health care use. Compared with personnel who had not been deployed, personnel who had been deployed were more likely to have visited an emergency department (25…
Development and Validation of Measures to Assess Prevention and Control of AMR in Hospitals
BACKGROUND: The rapid spread of antimicrobial resistance (AMR) in the US hospitals poses serious quality and safety problems. Expert panels, identifying strategies for optimizing antibiotic use and preventing AMR spread, have recommended hospitals undertake efforts to implement specific evidence-based practices. OBJECTIVE: To develop and validate a measurement scale for assessing hospitals' efforts to implement recommended AMR prevention and cont…
Facility-Level Factors Influencing Chronic Heart Failure Care Process Performance in a National Integrated Health Delivery System
BACKGROUND: Gaps between evidence and practice in the care of patients with chronic heart failure (CHF) in the United States suggest major opportunities for improvement. However, the organizational factors and implementation approaches that influence adherence to national guidelines are poorly understood. OBJECTIVES: The objectives of this study were to explore the degree to which providers in the Veterans Health Administration system adhere to C…
Mental Health Comorbidity Patterns and Impact on Quality of Life Among Veterans Serving During the First Gulf War
Occurrence of Cancer Among People With Mental Health Claims in an Insured Population
OBJECTIVE: The objective of this research is to determine whether people with mental disorders are at increased risk for the subsequent development of malignancies compared with people without mental disorders. METHODS: This is a retrospective cohort study of administrative claims data. The study population included 722,139 adults who filed at least one medical claim from 1989 to 1993. The mental disorder cohort included people with a) one psychi…
Physician Process and Patient Outcome Measures for Diabetes Care
BACKGROUND: Optimal diabetes management relies on providers adhering to evidence-based practice guidelines in the processes of care delivery and patients adhering to self-management recommendations to maximize patient outcomes. PURPOSE: To explore: (1) the degree to which providers adhere to the guidelines; (2) the extent of glycemic, lipid, and blood pressure control in patients with diabetes; and (3) the roles of organizational and patient popu…
Relationship Between Depression and Pancreatic Cancer in the General Population
OBJECTIVE: Prior research suggesting a relationship between pancreatic cancer and depression conducted on clinical populations has been subject to recall bias. We reexamined this association using longitudinal population-based data. METHODS: This was a retrospective cohort study using longitudinal insurance claims data. RESULTS: Men with mental disorders were more likely to develop pancreatic cancer than those without psychiatric claims (odds rat…
Benchmarking Veterans Affairs Medical Centers in the Delivery of Preventive Health Services
OBJECTIVE: To identify consistent provision of clinical preventive services, we sought to benchmark all acute care Veterans Affairs Medical Centers (VAMCs) against each other nationally on the basis of multiple evidence-based, performance measures to identify facilities performing consistently higher and lower than expected. METHODS: The 1998 Veterans Health Survey assessed the self-reported delivery of evidence-based clinical preventive services…
Organizational Predictors of Adherence to Ambulatory Care Screening Guidelines
OBJECTIVE: The purpose of this study was to identify hospital organizational characteristics consistently associated with adherence to multiple clinical practice guidelines (CPGs). We examined the relationship between organizational and patient population characteristics and adherence to three screening CPGs implemented throughout the Veterans Health Administration (VHA). MATERIALS AND METHODS: The study included 114 acute care facilities. Three …
Influenza and Pneumococcal Vaccine Receipt in Older Persons With Chronic Disease
OBJECTIVE: To identify factors associated with receipt of the pneumococcal and influenza vaccines among community-dwelling older persons with chronic disease. METHODS: A population-based sample of urban and rural Iowa adults age 65 years and older with one or more self-reported target medical conditions were interviewed by telephone. Information was obtained on aspects of health care access, which were examined as potential determinants of receip…
Linked Insurance-Tumor Registry Database for Health Services Research
OBJECTIVE: Breast cancer screening and treatment data are often limited to restricted populations, including women older than 65 years old. The goal of this project was to develop procedures to link tumor registry and insurance claims databases on women younger than 65 years old with breast cancer and to assess the accuracy and validity of the linked dataset. METHODS: Iowa Cancer Registry (ICR) and Wellmark Blue Cross/Blue Shield of Iowa (BC/BS) …
Variation in Tertiary Prevention and Health Service Utilization Among the Elderly
OBJECTIVES: Tertiary prevention seeks to reduce chronic disease progression and illness-related dysfunction. Using the Aday-Andersen model, we evaluated the impact of predisposing, need, and enabling factors on tertiary prevention, hypothesizing that urban-rural geographic differences in delivery would be detected. METHODS: A population-based telephone survey was conducted evaluating six common chronic indicator conditions: arthritis (n = 488), h…
Predictors of Hepatitis B Vaccine Acceptance in Health Care Workers
This article examines the relative importance of occupational, epidemiologic, and attitudinal factors in hepatitis B vaccine acceptance. A stratified random sample of 1,018 health care workers at risk for occupational blood exposure at our university hospital were contacted in 1992 and 919 (90%) participated. Potential reasons for vaccine acceptance or refusal were evaluated with factor analysis. Logistic regression models were calibrated on a st…
An outbreak of hepatitis A among health care workers
OBJECTIVES. The purpose of this study was to investigate a nosocomial outbreak of hepatitis A that occurred in the burn treatment center of a referral hospital. METHODS. Retrospective cohort and case-control studies were performed to determine acquisition rates and risk factors for transmission. Adjusted infection rates were calculated by week of exposure. A case-control study was conducted to determine potential mechanisms for nosocomial acquisi…
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An outbreak of hepatitis A among health care workers
OBJECTIVES. The purpose of this study was to investigate a nosocomial outbreak of hepatitis A that occurred in the burn treatment center of a referral hospital. METHODS. Retrospective cohort and case-control studies were performed to determine acquisition rates and risk factors for transmission. Adjusted infection rates were calculated by week of exposure. A case-control study was conducted to determine potential mechanisms for nosocomial acquisi…
Predictors of Hepatitis B Vaccine Acceptance in Health Care Workers
This article examines the relative importance of occupational, epidemiologic, and attitudinal factors in hepatitis B vaccine acceptance. A stratified random sample of 1,018 health care workers at risk for occupational blood exposure at our university hospital were contacted in 1992 and 919 (90%) participated. Potential reasons for vaccine acceptance or refusal were evaluated with factor analysis. Logistic regression models were calibrated on a st…
Variation in Tertiary Prevention and Health Service Utilization Among the Elderly
OBJECTIVES: Tertiary prevention seeks to reduce chronic disease progression and illness-related dysfunction. Using the Aday-Andersen model, we evaluated the impact of predisposing, need, and enabling factors on tertiary prevention, hypothesizing that urban-rural geographic differences in delivery would be detected. METHODS: A population-based telephone survey was conducted evaluating six common chronic indicator conditions: arthritis (n = 488), h…
Influenza and Pneumococcal Vaccine Receipt in Older Persons With Chronic Disease
OBJECTIVE: To identify factors associated with receipt of the pneumococcal and influenza vaccines among community-dwelling older persons with chronic disease. METHODS: A population-based sample of urban and rural Iowa adults age 65 years and older with one or more self-reported target medical conditions were interviewed by telephone. Information was obtained on aspects of health care access, which were examined as potential determinants of receip…
Linked Insurance-Tumor Registry Database for Health Services Research
OBJECTIVE: Breast cancer screening and treatment data are often limited to restricted populations, including women older than 65 years old. The goal of this project was to develop procedures to link tumor registry and insurance claims databases on women younger than 65 years old with breast cancer and to assess the accuracy and validity of the linked dataset. METHODS: Iowa Cancer Registry (ICR) and Wellmark Blue Cross/Blue Shield of Iowa (BC/BS) …
Benchmarking Veterans Affairs Medical Centers in the Delivery of Preventive Health Services
OBJECTIVE: To identify consistent provision of clinical preventive services, we sought to benchmark all acute care Veterans Affairs Medical Centers (VAMCs) against each other nationally on the basis of multiple evidence-based, performance measures to identify facilities performing consistently higher and lower than expected. METHODS: The 1998 Veterans Health Survey assessed the self-reported delivery of evidence-based clinical preventive services…
Organizational Predictors of Adherence to Ambulatory Care Screening Guidelines
OBJECTIVE: The purpose of this study was to identify hospital organizational characteristics consistently associated with adherence to multiple clinical practice guidelines (CPGs). We examined the relationship between organizational and patient population characteristics and adherence to three screening CPGs implemented throughout the Veterans Health Administration (VHA). MATERIALS AND METHODS: The study included 114 acute care facilities. Three …
Relationship Between Depression and Pancreatic Cancer in the General Population
OBJECTIVE: Prior research suggesting a relationship between pancreatic cancer and depression conducted on clinical populations has been subject to recall bias. We reexamined this association using longitudinal population-based data. METHODS: This was a retrospective cohort study using longitudinal insurance claims data. RESULTS: Men with mental disorders were more likely to develop pancreatic cancer than those without psychiatric claims (odds rat…
Occurrence of Cancer Among People With Mental Health Claims in an Insured Population
OBJECTIVE: The objective of this research is to determine whether people with mental disorders are at increased risk for the subsequent development of malignancies compared with people without mental disorders. METHODS: This is a retrospective cohort study of administrative claims data. The study population included 722,139 adults who filed at least one medical claim from 1989 to 1993. The mental disorder cohort included people with a) one psychi…
Physician Process and Patient Outcome Measures for Diabetes Care
BACKGROUND: Optimal diabetes management relies on providers adhering to evidence-based practice guidelines in the processes of care delivery and patients adhering to self-management recommendations to maximize patient outcomes. PURPOSE: To explore: (1) the degree to which providers adhere to the guidelines; (2) the extent of glycemic, lipid, and blood pressure control in patients with diabetes; and (3) the roles of organizational and patient popu…
Mental Health Comorbidity Patterns and Impact on Quality of Life Among Veterans Serving During the First Gulf War
Health Services Use Among Gulf War Veterans and Gulf War–Era Nondeployed Veterans
We sought to analyze the self-reported hospitalization, emergency department visits, and outpatient visits of Persian Gulf War (deployed; n=1896) and Persian Gulf War–era (nondeployed; n=1799) military personnel 5 years postconflict to determine whether these groups had different rates of health care use. Compared with personnel who had not been deployed, personnel who had been deployed were more likely to have visited an emergency department (25…
Development and Validation of Measures to Assess Prevention and Control of AMR in Hospitals
BACKGROUND: The rapid spread of antimicrobial resistance (AMR) in the US hospitals poses serious quality and safety problems. Expert panels, identifying strategies for optimizing antibiotic use and preventing AMR spread, have recommended hospitals undertake efforts to implement specific evidence-based practices. OBJECTIVE: To develop and validate a measurement scale for assessing hospitals' efforts to implement recommended AMR prevention and cont…
Facility-Level Factors Influencing Chronic Heart Failure Care Process Performance in a National Integrated Health Delivery System
BACKGROUND: Gaps between evidence and practice in the care of patients with chronic heart failure (CHF) in the United States suggest major opportunities for improvement. However, the organizational factors and implementation approaches that influence adherence to national guidelines are poorly understood. OBJECTIVES: The objectives of this study were to explore the degree to which providers in the Veterans Health Administration system adhere to C…
Emerging Perspectives on Transforming the Healthcare System
VA Health Services Research and Development (HSR&D) Center on Implementing Evidence-based Practice (CIEBP), Roudebush Veterans Affairs Medical Center (VAMC) †Indiana University (IU) Center for Implementing Evidence-based Practice (CHSOR), Regenstrief Institute, Inc. ‡Department of Medicine, Indiana University School of Medicine (IUSM), Division of General Medicine and Geriatrics, Indianapolis, IN The authors declare no conflict of interest. The R…
Lessons From the Field
BACKGROUND: The challenges facing healthcare in the 21st century frequently seem intractable and insurmountable. Systemic problems impair the quality and continuity of care and caregivers' quality of life. For over 25 years, the Clinical Practice Model Resource Center (CPMRC) in Grand Rapids, MI, has focused on transforming healthcare at the point of care to achieve its mission to co-create and sustain the best places to work and to receive care.…
Emerging Perspectives on Transforming the Healthcare System
HSR&D Center on Implementing Evidence-based Practice, Indianapolis VAMC †Indiana University Center for Health Services & Outcomes Research Regenstrief Institute, Inc. Indiana University School of Medicine Indianapolis, Indiana
Emerging Perspectives on Transforming the Healthcare System
BACKGROUND: U.S. healthcare requires major redesign of its delivery systems, finances, and incentives. Healthcare operations, leadership, and payors are increasingly recognizing the need for community-business-research partnerships to transform healthcare. New models of continuous learning, research, and development should help focus and sustain redesign efforts. PURPOSE: This study summarizes suggested strategies for transformational change in h…
Emerging Perspectives on Transforming the Healthcare System
BACKGROUND: Despite reform efforts, today's healthcare system faces multiple challenges. Limitations of the current system result in major gaps between evidence and practice, suboptimal quality, inequitable patterns of utilization, inadequate safety and reliability, and unsustainable cost increases. Furthermore, there are major problems of overuse, underuse, and misuse of healthcare. Beyond the healthcare reform legislation passed in 2010 mandate…
Quality Measurement and System Change of Cancer Care Delivery
Cancer care quality measurement and system change may serve as a case example for larger possibilities in the health care system related to other diseases. Cancer care quality gaps and variation exist across both technical and patient-centered cancer quality measures, especially among vulnerable populations. There is a need to develop measures that address the following dimensions of quality and its context: disparities, overuse, patient-centered…
It’s Also Pushed People to a New Level of Desperation
The purpose of this qualitative study is to characterize the impacts of the COVID-19 pandemic on drug use experiences among persons who use illicit opioids (PWUO) in Arizona. Between 12/2020 and 05/2021, interviews were conducted via Zoom with 22 PWUO from across Arizona. Participants were recruited through Craigslist and social media ads, referrals by a local harm reduction organization, and other participants. The interviews were transcribed an…
Who’s ideating, prototyping, and evaluating? A case study of resource-limited participatory design for health and aging
While participatory design approaches aim to include stakeholders in all design activities, in resource-limited situations, participation is challenging. Participatory designers often make decisions dealing with the tension between the agency of stakeholder participants and the project’s viability. In designing health services, care professionals have limited availability, and patients, such as low-income older adults, have limitations such as la…
Medicine (20 obras) · Health care (12 obras) · Internal Medicine (11 obras) · Internal Medicine (11 obras) · Family medicine (9 obras) · Political science (9 obras) · Computer Science (7 obras) · Environmental health (7 obras) · Population (7 obras) · Business (6 obras)