Full Text Journal Articles by
Author Bijal A Balasubramanian

Advertisement

Find full text journal articles






Financial Incentives to Promote Colorectal Cancer Screening: A Longitudinal Randomized Control Trial.

Alicea Lieberman, Ayelet Gneezy, Emily Berry, Stacie Miller, Mark Koch, Chul Ahn, Bijal A Balasubramanian, Keith E Argenbright, Samir Gupta,

BACKGROUND:Financial incentives may improve health behaviors. We tested the impact of offering financial incentives for mailed fecal immunochemical test (FIT) completion annually for three years. METHODS:Patients, aged 50-64 years, not up-to-date with screening were randomized to receive either a mailed FIT outreach (n=6,565), outreach plus $5 (n=1,000), or $10 (n=1,000) ... Read more >>

Cancer Epidemiol. Biomarkers Prev. (Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology)
[2019, :]

Cited: 0 times

View full text PDF listing >>



Implications for patient-provider communication and health self-efficacy among cancer survivors with multiple chronic conditions: results from the Health Information National Trends Survey.

Jessica D Austin, Michael C Robertson, L Aubree Shay, Bijal A Balasubramanian,

PURPOSE:Cancer survivors with multiple chronic conditions experience significant challenges managing their health. The six core functions of patient-centered communication (PCC)-fostering healing relationships, exchanging information, responding to emotions, managing uncertainty, making decisions, and enabling patient self-management-represent a central component to facilitating a survivor's confidence to manage their health that has not ... Read more >>

J Cancer Surviv (Journal of cancer survivorship : research and practice)
[2019, :]

Cited: 0 times

View full text PDF listing >>



Advertisement

Evaluating screening participation, follow-up and outcomes for breast, cervical and colorectal cancer in the PROSPR consortium.

William E Barlow, Elisabeth F Beaber, Berta M Geller, Aruna Kamineni, Yingye Zheng, Jennifer S Haas, Chun R Chao, Carolyn M Rutter, Ann G Zauber, Brian L Sprague, Ethan A Halm, Donald L Weaver, Jessica Chubak, V Paul Doria-Rose, Sarah Kobrin, Tracy Onega, Virginia P Quinn, Marilyn M Schapira, Anna N A Tosteson, Douglas A Corley, Celette Sugg Skinner, Mitchell D Schnall, Katrina Armstrong, Cosette M Wheeler, Michael J Silverberg, Bijal A Balasubramanian, Chyke A Doubeni, Dale McLerran, Jasmin A Tiro,

BACKGROUND:Cancer screening is a complex process encompassing risk assessment, the initial screening examination, diagnostic evaluation, and treatment of cancer precursors or early cancers. Metrics that enable comparisons across different screening targets are needed. We present population-based screening metrics for breast, cervical, and colorectal cancers for nine sites participating in the ... Read more >>

J. Natl. Cancer Inst. (Journal of the National Cancer Institute)
[2019, :]

Cited: 0 times

View full text PDF listing >>



Patient-Reported Barriers to Completing a Diagnostic Colonoscopy Following Abnormal Fecal Immunochemical Test Among Uninsured Patients.

Katelyn K Jetelina, Joshua S Yudkin, Stacie Miller, Emily Berry, Alicea Lieberman, Samir Gupta, Bijal A Balasubramanian,

BACKGROUND:For colorectal cancer (CRC) screening to improve survival, patients with an abnormal fecal immunochemical test (FIT) must follow-up with a diagnostic colonoscopy. Adherence to follow-up is low and patient-level barriers for suboptimal adherence have yet to be explored. OBJECTIVE:To characterize barriers for non-completion of diagnostic colonoscopy after an abnormal FIT ... Read more >>

J Gen Intern Med (Journal of general internal medicine)
[2019, :]

Cited: 0 times

View full text PDF listing >>



Does Ownership Make a Difference in Primary Care Practice?

Stephan Lindner, Leif I Solberg, William L Miller, Bijal A Balasubramanian, Miguel Marino, K John McConnell, Samuel T Edwards, Kurt C Stange, Rachel J Springer, Deborah J Cohen,

PURPOSE:We assessed differences in structural characteristics, quality improvement processes, and cardiovascular preventive care by ownership type among 989 small to medium primary care practices. METHODS:This cross-sectional analysis used electronic health record and survey data collected between September 2015 and April 2017 as part of an evaluation of the EvidenceNOW: Advancing ... Read more >>

J Am Board Fam Med (Journal of the American Board of Family Medicine : JABFM)
[2019, 32(3):398-407]

Cited: 0 times

View full text PDF listing >>



Cervical cancer screening research in the PROSPR I consortium: Rationale, methods and baseline findings from a US cohort.

Aruna Kamineni, Jasmin A Tiro, Elisabeth F Beaber, Michael J Silverberg, Cosette M Wheeler, Chun R Chao, Jessica Chubak, Celette Sugg Skinner, Douglas A Corley, Jane J Kim, Bijal A Balasubramanian, V Paul Doria-Rose, ,

Little is known about the effect of evolving risk-based cervical cancer screening and management guidelines on United States (US) clinical practice and patient outcomes. We describe the National Cancer Institute's Population-based Research Optimizing Screening through Personalized Regimens (PROSPR I) consortium, methods and baseline findings from its cervical sites: Kaiser Permanente ... Read more >>

Int. J. Cancer (International journal of cancer)
[2019, 144(6):1460-1473]

Cited: 0 times

View full text PDF listing >>



Care coordination for complex cancer survivors in an integrated safety-net system: a study protocol.

Simon J Craddock Lee, Katelyn K Jetelina, Emily Marks, Eric Shaw, Kevin Oeffinger, Deborah Cohen, Noel O Santini, John V Cox, Bijal A Balasubramanian,

BACKGROUND:The growing numbers of cancer survivors challenge delivery of high-quality survivorship care by healthcare systems. Innovative ways to improve care coordination for patients with cancer and multiple chronic conditions ("complex cancer survivors") are needed to achieve better care outcomes, improve patient experience of care, and lower cost. Our study, Project ... Read more >>

BMC Cancer (BMC cancer)
[2018, 18(1):1204]

Cited: 1 time

View full text PDF listing >>



Designing health information technology tools for behavioral health clinicians integrated within a primary care team.

Tanisha Tate Woodson, Rose Gunn, Khaya D Clark, Bijal A Balasubramanian, Katelyn K Jetelina, Brianna Muller, Benjamin F Miller, Timothy E Burdick, Deborah J Cohen,

BACKGROUND:Electronic health records (EHRs) are a key tool for primary care practice. However, EHR functionality is not keeping pace with the evolving informational and decision-support needs of behavioral health clinicians (BHCs) working on integrated teams. OBJECTIVE:Describe workflows and tasks of BHCs working with integrated teams, identify their health information technology ... Read more >>

J Innov Health Inform (Journal of innovation in health informatics)
[2018, 25(3):158-168]

Cited: 0 times

View full text PDF listing >>



Burnout Among Physicians, Advanced Practice Clinicians and Staff in Smaller Primary Care Practices.

Samuel T Edwards, Miguel Marino, Bijal A Balasubramanian, Leif I Solberg, Steele Valenzuela, Rachel Springer, Kurt C Stange, William L Miller, Thomas E Kottke, Cynthia K Perry, Sarah Ono, Deborah J Cohen,

BACKGROUND:Burnout among primary care physicians, advanced practice clinicians (nurse practitioners and physician assistants [APCs]), and staff is common and associated with negative consequences for patient care, but the association of burnout with characteristics of primary care practices is unknown. OBJECTIVE:To examine the association between physician-, APC- and staff-reported burnout and ... Read more >>

J Gen Intern Med (Journal of general internal medicine)
[2018, 33(12):2138-2146]

Cited: 1 time

View full text PDF listing >>



Cervical Cancer Burden and Opportunities for Prevention in a Safety-Net Healthcare System.

Sandi L Pruitt, Claudia L Werner, Eric K Borton, Joanne M Sanders, Bijal A Balasubramanian, Arti Barnes, Andrea C Betts, Celette Sugg Skinner, Jasmin A Tiro,

BACKGROUND:The high prevalence of cervical cancer at safety-net health systems requires careful analysis to best inform prevention and quality improvement efforts. We characterized cervical cancer burden and identified opportunities for prevention in a U.S. safety-net system. METHODS:We reviewed tumor registry and electronic health record (EHR) data of women with invasive ... Read more >>

Cancer Epidemiol. Biomarkers Prev. (Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology)
[2018, 27(12):1398-1406]

Cited: 0 times

View full text PDF listing >>



Evaluation of an Electronic Health Record (EHR) Tool for Integrated Behavioral Health in Primary Care.

Katelyn K Jetelina, Tanisha Tate Woodson, Rose Gunn, Brianna Muller, Khaya D Clark, Jennifer E DeVoe, Bijal A Balasubramanian, Deborah J Cohen,

BACKGROUND:Integrating behavioral health into primary care can improve care quality; however, most electronic health records are not designed to meet the needs of integrated teams. We worked with practices and behavioral health (BH) clinicians to design a suite of electronic health record tools to address these needs ("BH e-Suite"). The ... Read more >>

J Am Board Fam Med (Journal of the American Board of Family Medicine : JABFM)
[2018, 31(5):712-723]

Cited: 1 time

View full text PDF listing >>



Social Disadvantage, Healthcare Utilization, and Colorectal Cancer Screening: Leveraging Longitudinal Patient Address and Health Records Data.

Amy E Hughes, Jasmin A Tiro, Bijal A Balasubramanian, Celette Sugg Skinner, Sandi L Pruitt,

BACKGROUND:Social disadvantage predicts colorectal cancer outcomes across the cancer care continuum for many populations and places. For medically underserved populations, social disadvantage is likely intersectional-affecting individuals at multiple levels and through membership in multiple disadvantaged groups. However, most measures of social disadvantage are cross-sectional and limited to race, ethnicity, and ... Read more >>

Cancer Epidemiol. Biomarkers Prev. (Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology)
[2018, 27(12):1424-1432]

Cited: 0 times

View full text PDF listing >>



Cervical cancer screening among HIV-infected women in an urban, United States safety-net healthcare system.

Arti Barnes, Andrea C Betts, Eric K Borton, Joanne M Sanders, Sandi L Pruitt, Claudia Werner, Andres Bran, Carolee D Estelle, Bijal A Balasubramanian, Stephen J Inrig, Ethan A Halm, Celette Sugg Skinner, Jasmin A Tiro,

OBJECTIVE:Little is known about cervical cancer screening and results patterns among HIV-infected (HIV+) women in real-world healthcare settings. We characterized two periods of screening opportunity. DESIGN:Retrospective cohort. SETTING:US safety-net healthcare system in Dallas County, Texas. PARTICIPANTS:We analyzed data from electronic medical records (EMR) of 1490 HIV+ women receiving care 2010-2014. ... Read more >>

AIDS (AIDS (London, England))
[2018, 32(13):1861-1870]

Cited: 0 times

View full text PDF listing >>



Surveillance for colorectal cancer survivors in an integrated safety-net health system in the United States.

Bijal A Balasubramanian, Katelyn K Jetelina, Michael Bowen, Noel O Santini, Simon Craddock Lee,

Introduction:Guideline-recommended surveillance reduces likelihood of colorectal cancer (CRC) recurrence, yet surveillance rates are low in the United States (US). Little is known about CRC surveillance rates among patients without health insurance and their primary care clinicians/oncologists' attitudes towards surveillance care. Methods:A retrospective study of 205 patients diagnosed with Stage I-III ... Read more >>

Int J Care Coord (International journal of care coordination)
[2018, 21(1-2):26-35]

Cited: 0 times

View full text PDF listing >>



Primary Care Practices' Abilities And Challenges In Using Electronic Health Record Data For Quality Improvement.

Deborah J Cohen, David A Dorr, Kyle Knierim, C Annette DuBard, Jennifer R Hemler, Jennifer D Hall, Miguel Marino, Leif I Solberg, K John McConnell, Len M Nichols, Donald E Nease, Samuel T Edwards, Winfred Y Wu, Hang Pham-Singer, Abel N Kho, Robert L Phillips, Luke V Rasmussen, F Daniel Duffy, Bijal A Balasubramanian,

Federal value-based payment programs require primary care practices to conduct quality improvement activities, informed by the electronic reports on clinical quality measures that their electronic health records (EHRs) generate. To determine whether EHRs produce reports adequate to the task, we examined survey responses from 1,492 practices across twelve states, supplemented ... Read more >>

Health Aff (Millwood) (Health affairs (Project Hope))
[2018, 37(4):635-643]

Cited: 1 time

View full text PDF listing >>



Use of Quality Improvement Strategies Among Small to Medium-Size US Primary Care Practices.

Bijal A Balasubramanian, Miguel Marino, Deborah J Cohen, Rikki L Ward, Alex Preston, Rachel J Springer, Stephan R Lindner, Samuel Edwards, K John McConnell, Benjamin F Crabtree, William L Miller, Kurt C Stange, Leif I Solberg,

PURPOSE:Improving primary care quality is a national priority, but little is known about the extent to which small to medium-size practices use quality improvement (QI) strategies to improve care. We examined variations in use of QI strategies among 1,181 small to medium-size primary care practices engaged in a national initiative ... Read more >>

Ann Fam Med (Annals of family medicine)
[2018, 16(Suppl 1):S35-S43]

Cited: 3 times

View full text PDF listing >>



Identifying quality improvement targets to facilitate colorectal cancer screening completion.

Simon J Craddock Lee, Stephen J Inrig, Bijal A Balasubramanian, Celette Sugg Skinner, Robin T Higashi, Katharine McCallister, Wendy Pechero Bishop, Noel O Santini, Jasmin A Tiro,

The colorectal cancer (CRC) screening process involves multiple interfaces (communication exchanges and transfers of responsibility for specific actions) among primary care and gastroenterology providers, laboratory, and administrative staff. After a retrospective electronic health record (EHR) analysis discovered substantial clinic variation and low CRC screening prevalence overall in an urban, integrated ... Read more >>

Prev Med Rep (Preventive medicine reports)
[2018, 9:138-143]

Cited: 1 time

View full text PDF listing >>



Taking Innovation To Scale In Primary Care Practices: The Functions Of Health Care Extension.

Sarah S Ono, Benjamin F Crabtree, Jennifer R Hemler, Bijal A Balasubramanian, Samuel T Edwards, Larry A Green, Arthur Kaufman, Leif I Solberg, William L Miller, Tanisha Tate Woodson, Shannon M Sweeney, Deborah J Cohen,

Health care extension is an approach to providing external support to primary care practices with the aim of diffusing innovation. EvidenceNOW was launched to rapidly disseminate and implement evidence-based guidelines for cardiovascular preventive care in the primary care setting. Seven regional grantee cooperatives provided the foundational elements of health care ... Read more >>

Health Aff (Millwood) (Health affairs (Project Hope))
[2018, 37(2):222-230]

Cited: 3 times

View full text PDF listing >>



Impact of Patient-Provider Race, Ethnicity, and Gender Concordance on Cancer Screening: Findings from Medical Expenditure Panel Survey.

Jyoti Malhotra, David Rotter, Jennifer Tsui, Adana A M Llanos, Bijal A Balasubramanian, Kitaw Demissie,

Background: Racial and ethnic minorities experience lower rates of cancer screening compared with non-Hispanic whites (NHWs). Previous studies evaluating the role of patient-provider race, ethnicity, or gender concordance in cancer screening have been inconclusive.Methods: In a cross-sectional analysis using the Medical Expenditure Panel Survey (MEPS), data from 2003 to 2010 ... Read more >>

Cancer Epidemiol. Biomarkers Prev. (Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology)
[2017, 26(12):1804-1811]

Cited: 1 time

View full text PDF listing >>



Factors Related to Implementation and Reach of a Pragmatic Multisite Trial: The My Own Health Report (MOHR) Study.

Bijal A Balasubramanian, Suzanne Heurtin-Roberts, Sarah Krasny, Catherine L Rohweder, Kayla Fair, Tanya T Olmos-Ochoa, Kurt C Stange, Sherri Sheinfeld Gorin, ,

Contextual factors relevant to translating healthcare improvement interventions to different settings are rarely collected systematically. This study articulates a prospective method for assessing and describing contextual factors related to implementation and patient reach of a pragmatic trial in primary care.In a qualitative case-series, contextual factors were assessed from the My ... Read more >>

J Am Board Fam Med (Journal of the American Board of Family Medicine : JABFM)
[2017, 30(3):337-349]

Cited: 0 times

View full text PDF listing >>



Outcomes of Integrated Behavioral Health with Primary Care.

Bijal A Balasubramanian, Deborah J Cohen, Katelyn K Jetelina, L Miriam Dickinson, Melinda Davis, Rose Gunn, Kris Gowen, Frank V deGruy, Benjamin F Miller, Larry A Green,

Integrating behavioral health and primary care is beneficial to patients and health systems. However, for integration to be widely adopted, studies demonstrating its benefits in community practices are needed. The objective of this study was to evaluate effect of integrated care, adapted to local contexts, on depression severity and patients' ... Read more >>

J Am Board Fam Med (Journal of the American Board of Family Medicine : JABFM)
[2017, 30(2):130-139]

Cited: 7 times

View full text PDF listing >>



Racial/ethnic differences in obesity and comorbidities between safety-net- and non safety-net integrated health systems.

Bijal A Balasubramanian, Michael P Garcia, Douglas A Corley, Chyke A Doubeni, Jennifer S Haas, Aruna Kamineni, Virginia P Quinn, Karen Wernli, Yingye Zheng, Celette Sugg Skinner,

Previous research shows that patients in integrated health systems experience fewer racial disparities compared with more traditional healthcare systems. Little is known about patterns of racial/ethnic disparities between safety-net and non safety-net integrated health systems.We evaluated racial/ethnic differences in body mass index (BMI) and the Charlson comorbidity index from 3 ... Read more >>

Medicine (Baltimore) (Medicine)
[2017, 96(11):e6326]

Cited: 5 times

View full text PDF listing >>



Association Between Sitting Time and Cardiometabolic Risk Factors After Adjustment for Cardiorespiratory Fitness, Cooper Center Longitudinal Study, 2010-2013.

Carolyn E Barlow, Kerem Shuval, Bijal A Balasubramanian, Darla E Kendzor, Nina B Radford, Laura F DeFina, Kelley Pettee Gabriel,

Objective estimates, based on waist-worn accelerometers, indicate that adults spend over half their day (55%) in sedentary behaviors. Our study examined the association between sitting time and cardiometabolic risk factors after adjustment for cardiorespiratory fitness (CRF).A cross-sectional analysis was conducted with 4,486 men and 1,845 women who reported daily estimated ... Read more >>

Prev Chronic Dis (Preventing chronic disease)
[2016, 13:E181]

Cited: 2 times

View full text PDF listing >>



Achieving Coordinated Care for Patients With Complex Cases of Cancer: A Multiteam System Approach.

Simon J Craddock Lee, Mark A Clark, John V Cox, Burton M Needles, Carole Seigel, Bijal A Balasubramanian,

Patients with cancer with multiple chronic conditions pose a unique challenge to how primary care and specialty care teams provide well-coordinated, patient-centered care. Effectiveness of these care teams in providing optimal health care depends on the extent to which they coordinate their goals and knowledge as components of a multiteam ... Read more >>

J Oncol Pract (Journal of oncology practice)
[2016, 12(11):1029-1038]

Cited: 6 times

View full text PDF listing >>



Reasons for Lack of Diagnostic Colonoscopy After Positive Result on Fecal Immunochemical Test in a Safety-Net Health System.

Jason Martin, Ethan A Halm, Jasmin A Tiro, Zahra Merchant, Bijal A Balasubramanian, Katharine McCallister, Joanne M Sanders, Chul Ahn, Wendy Pechero Bishop, Amit G Singal,

Effective colorectal cancer screening depends on timely diagnostic evaluation in patients with abnormal results on fecal immunochemical tests (FITs). Although prior studies suggest low rates of follow-up colonoscopy, there is little information among patients in safety-net health systems and few data characterizing reasons for low follow-up rates. This study aimed ... Read more >>

Am. J. Med. (The American journal of medicine)
[2017, 130(1):93.e1-93.e7]

Cited: 12 times

View full text PDF listing >>



Advertisement

Disclaimer
1.961 s