Mitesh S. Patel, MD, MBA, MS; Dylan S. Small, PhD; Joseph D. Harrison, BS; et al.
free access
JAMA Intern Med. 2019;179(12):1624-1632. doi:10.1001/jamainternmed.2019.3505
This randomized clinical trial assesses the effectiveness of support, collaboration, and competition within a behaviorally designed gamification intervention to increase physical activity among overweight and obese adults.
Jonathan Z. Weiner, MD, MPH; Anjali Gopalan, MD, MS; Pranita Mishra, MPP; et al.
free access
JAMA Intern Med. 2019;179(12):1633-1641. doi:10.1001/jamainternmed.2019.3759
This cohort study of 21鈥�531 adults examines whether insulin treatment is used less frequently and discontinued more often among older individuals with poor health compared with those in good health.
Nancy L. Schoenborn, MD, MHS; Norah L. Crossnohere, MHS; John F. P. Bridges, PhD; et al.
free access
JAMA Intern Med. 2019;179(12):1642-1649. doi:10.1001/jamainternmed.2019.3806
This survey study examines how older adults perceive factors used in diabetes guidelines for individualizing glycemic targets.
Joshua Demb, PhD, MPH; Philip Chu, MS; Sophronia Yu, MPH; et al.
free access
JAMA Intern Med. 2019;179(12):1650-1657. doi:10.1001/jamainternmed.2019.3893
This study identifies factors associated with radiation dose variation occuring during computed tomography screening scans for lung cancer.
Health Care Reform
Katherine L. Possin, PhD; Jennifer J. Merrilees, RN, PhD; Sarah Dulaney, RN, MS, CNS; et al.
free access
has audio
JAMA Intern Med. 2019;179(12):1658-1667. doi:10.1001/jamainternmed.2019.4101
This randomized clinical trial assesses the effects of dementia care provision via telephone and internet on key outcomes for persons with dementia and their caregivers in rural and urban regions of 3 states compared with usual care.
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Podcast:
Effect of Collaborative Dementia Care on Quality of Life, Caregiver Well-being, and Health Care Use
Alexandra M. Hajduk, PhD, MPH; Terrence E. Murphy, PhD; Mary E. Geda, BSN, MSN; et al.
free access
JAMA Intern Med. 2019;179(12):1669-1677. doi:10.1001/jamainternmed.2019.4114
This cohort study examines the association of mobility impairment, measured during hospitalization, as a risk marker for functional decline among older patients with acute myocardial infarction.
Physician Work Environment and Well-Being
Margaret Wheeler, MD; Shalila de Bourmont, BS; Kimani Paul-Emile, JD, PhD; et al.
free access
has audio
JAMA Intern Med. 2019;179(12):1678-1685. doi:10.1001/jamainternmed.2019.4122
This qualitative study assesses how a convenience sample of physicians and trainees perceived and responded to encounters with biased patients and the barriers and facilitators to effective responses.
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Podcast:
Physician and Trainee Experiences With Patient Bias
Mary E. Tinetti, MD; Aanand D. Naik, MD; Lilian Dindo, PhD; et al.
free access
JAMA Intern Med. 2019;179(12):1688-1697. doi:10.1001/jamainternmed.2019.4235
This nonrandomized clinical trial compares self-reported patient outcomes and burden of unwanted care among older adults with multiple chronic conditions who received either patient priorities鈥揵ased care or usual care at a Connecticut primary care site.
Frederick A. Masoudi, MD, MSPH; Timea Viragh, MA; David J. Magid, MD, MPH; et al.
free access
JAMA Intern Med. 2019;179(12):1699-1706. doi:10.1001/jamainternmed.2019.4269
This study using Medicare claims data examines trends in differential Medicare fee-for-service payments for noninvasive cardiac tests performed in hospital- and provider-based settings.