Articles related toPublic Health and Primary Care

Use of a community care coordination team to reduce emergency department utilization and hospital readmissions for the highest utilizers

Stacia Shipman, DO; Kelly Painter, MD; Lindsey Claire Epperson, DO; and Keri Smith, DO
A small percentage of patients comprise a high proportion of healthcare utilization, particularly the costs associated with Emergency Department (ED) visits and inpatient hospitalization readmissions. The purpose of this study was to demonstrate a decrease in ED utilization and hospital readmissions in a selected group of super-utilizers post-intervention by a Community Care Coordination team and to determine cost avoidance.
Advance Article

Impact of a clinician-directed educational program on communicating with patients regarding gun violence at two community urban healthcare centers

Erik Langenau, DO, MS, MAPP; Alexa M. Kaminsky, BS; and Michael B. Roberts, PsyD
In this quality-improvement study, the authors investigated an educational program designed to help clinicians talk to their patients about gun violence, prevention, and available resources to support and treat those impacted by gun violence.
Advance Article

Improving vascular access knowledge and assessment skill of hemodialysis staff

Kyle Smith, DO, EdD, FACP, FASDIN; and Candace Ayars, PhD
The study’s purpose is to determine the effect of an advanced vascular access educational module presented to hemodialysis nurses and technicians, focusing on physical examination findings to identify a dialysis access at risk for malfunction.
Advance Article

Modeling the importance of physician training in practice location for Ohio otolaryngologists

Samuel Borgemenke, BS; D’Nair Newsom, BS; Patrick Scheatzle, BA; Nicholas Durstock, BS; and Elizabeth A. Beverly, PhD
This analysis aims to identify factors that lead otolaryngologists to a respective practice location, and if any of that influence comes from where otolaryngologists completed their medical education.
J Osteopath Med; 125(4): 213-223

The rise of advanced practice provider independence bills: a misguided attempt to address the physician shortage

Forrest Bohler, BS; Garrett Peters, BS; Nikhil Aggarwal, BS; Kyle Harvey, BS; and J. David Bohler, MD
In this commentary, the authors outline the ramifications that are likely to occur in states such as Montana that enact legislation that expands the scope of practice for nonphysicians.
J Osteopath Med; 124(12): 555-558

Alcohol consumption among older adults in the United States amidst the COVID-19 pandemic: an analysis of the 2017–2021 Behavioral Risk Factor Surveillance System

Macy Haight, BS; Parker Smith, BS; Natasha Bray, DO; Douglas Nolan, DO; and Micah Hartwell, PhD
The objective of this study is to determine whether heavy alcohol consumption and binge drinking increased during the COVID-19 pandemic in older adults in the United States.
J Osteopath Med; 125(2): 95-100

Feasibility of a cinematic-virtual reality training program about opioid use disorder for osteopathic medical students: a single-arm pre–post study

Dominique Rehl, BS; Mason Mangapora, BS; Matthew Love, MFA; Carrie Love, MFA; Kerri Shaw, MSW; John McCarthy, PhD; and Elizabeth A. Beverly, PhD
The aim of this study was to assess changes in stigma toward opioid use disorder (OUD) and empathy before and after an online cinematic virtual reality training program on OUD.
J Osteopath Med; 124(11): 509-516

Associations of clinical personnel characteristics and telemedicine practices

Gunnar Phillips, BS; Robert Millhollon, BS; Covenant Elenwo, MPH; Alicia Ito Ford, PhD; Natasha Bray, DO; and Micah Hartwell, PhD
This study aims to assess the use of telemedicine by physicians in 2021, based on four demographics utilizing the National Electronic Health Record Survey (NEHRS): physician age, sex, specialty, and training.
J Osteopath Med; 124(10): 455-462

The establishment of conscientious monopolies in rural communities

Forrest Bohler, BS; and Allison Garden, BS
The authors discuss some of the unique ramifications that are likely to occur when rural providers invoke conscientious objection in their medical practice and how this can in turn establish conscientious monopolies for the members of their communities.
J Osteopath Med; 124(8): 377-378

Comorbidities associated with symptoms of subjective cognitive decline in individuals aged 45–64

Zach Monahan, BS; Jacob Heath, BS; Alexis Ditren Santos, BS; Alicia Ford, PhD; and Micah Hartwell, PhD
This study examined correlations between identified dementia comorbidities and subjective cognitive decline (the self-reported presence of worsening memory loss or confusion) in individuals ages 45–64 years.
J Osteopath Med; 124(6): 277-283