Browsing by Author "Rollins, Lisa K"
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- ItemBeyond the horizon: the role of academic health centers in improving the health of rural communities.(2006-08-28) Gazewood, John D; Rollins, Lisa K; Galazka, Sim SAcademic health centers AHCs face increasing pressures from federal state and community stakeholders to fulfill their social missions to the communities they serve Yet in the 21st century rural communities in the United States face an array of health care problems including a shortage of physicians health problems that disproportionately affect rural populations a need to improve quality of care and health disparities related to disproportionate levels of poverty and shifting demographics AHCs have a key role to play in addressing these issues AHCs can increase physician supply by targeting their admissions policies and educational programs Specific health concerns of rural populations can be further addressed through increased use of telemedicine consultations By partnering with providers in rural areas and through the use of innovative technologies AHCs can help rural providers increase the quality of care Partnerships with rural communities provide opportunities for participatory research to address health disparities In addition collaboration between AHCs regional planning agencies and rural communities can lead to mutually beneficial outcomes At a time when many AHCs are operating in an environment with dwindling resources it is even more critical for AHCs to build creative partnerships to help meet the needs of their regional communities
- ItemA handheld computer smoking intervention tool and its effects on physician smoking cessation counseling.(2006-06-30) Strayer, Scott M; Rollins, Lisa K; Martindale, James ROBJECTIVE The objective of this study was to evaluate a handheld computer smoking cessation intervention tool designed to assist physicians in their smoking cessation counseling with patients METHODS This study used a pre post survey design with a 4 month trial period for the software Study participants included 22 faculty and resident physicians from the University of Virginia Paired samples t tests were used to assess mean differences in the 4 main subscales physician behavior attitudes comfort related to counseling patients about smoking cessation and knowledge RESULTS No statistically significant mean differences were found for physician behavior mean increase 0 44 P 55 or physician attitude mean increase 0 44 P 16 A statistically significant mean increase of 2 29 was observed for the physician comfort subscale t 3 87 df 16 P 001 Physicians indicated improved comfort in counseling patients about smoking cessation P 007 and improved comfort in using the Public Health Service Clinical Practice Guidelines P 012 CONCLUSION Physician comfort level in counseling patients about smoking cessation can be improved through handheld computer software When used in conjunction with other practice modifications this tool has the potential to improve physician smoking cessation intervention practices
- ItemImproving smoking cessation counseling using a point-of-care health intervention tool (IT): from the Virginia Practice Support and Research Network (VaPSRN).(2013-03-08) Strayer, Scott M; Heim, Steven W; Rollins, Lisa K; Bovbjerg, Marit L; Nadkarni, Mohan; Waters, David B; Hauck, Fern R; Schorling, John BPURPOSE Primary care practices are an ideal setting for reducing national smoking rates because 70 of smokers visit their physician annually yet smoking cessation counseling is inconsistently delivered to patients We designed and created a novel software program for handheld computers and hypothesized that it would improve clinicians ability to provide patient tailored smoking cessation counseling at the point of care METHODS A handheld computer software program was created based on smoking cessation guidelines and an adaptation of widely accepted behavioral change theories The tool was evaluated using a validated before after survey to measure physician smoking cessation counseling behaviors knowledge and comfort self efficacy RESULTS Participants included 17 physicians mean age 41 years 71 male 5 resident physicians from a practice based research network After 4 months of use in direct patient care physicians were more likely to advise patients to stop smoking P 049 and reported an increase in use of the 5 As P 03 Improved self efficacy in counseling patients regarding smoking cessation P 006 was seen as was increased comfort in providing follow up to patients P 04 CONCLUSIONS Use of a handheld computer software tool improved smoking cessation counseling among physicians and shows promise for translating evidence about smoking cessation counseling into practice and educational settings