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  • 1
    Language: English
    In: Annals of internal medicine, 19 August 2014, Vol.161(4), pp.307
    Keywords: Health Policy ; Physician'S Role ; Prescription Drug Misuse -- Prevention & Control ; Substance-Related Disorders -- Prevention & Control
    ISSN: 00034819
    E-ISSN: 1539-3704
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  • 2
    In: The American Journal of Gastroenterology, 2017, Vol.112(6), p.968
    Keywords: Colonoscopy ; Health Resources;
    ISSN: 0002-9270
    E-ISSN: 1572-0241
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  • 3
    In: American Journal of Gastroenterology, 2016, Vol.111(11), pp.1559-1563
    Description: OBJECTIVES:: METHODS:: RESULTS:: A total of 969 EGD, colonoscopy, and EGD+colonoscopy performed by 6 endoscopists were reviewed, 456 procedures in phase 1 and 513 procedures in phase 2. There was no significant difference between phases 1 and 2 in total device and pathology cost in dollars (188.8±151.4 vs. 188.9±151.8, P=0.99), total device cost (36.2±107.9 vs. 39.0±95.96, P=0.67) and total pathology cost (152.6±101.3 vs. 149.9±112.5, P=0.70). There was not a significant difference in total device and pathology cost when examined by specific procedures performed, or for any of the endoscopists between phases 1 and 2. CONCLUSIONS::
    Keywords: Medicine;
    ISSN: 0002-9270
    E-ISSN: 15720241
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  • 4
    In: AIDS, 2018, Vol.32 Suppl 1, pp.S107-S113
    Description: OBJECTIVE:: The remarkable progress made in confronting the global HIV epidemic offers a unique opportunity to address the increasing threat of noncommunicable diseases (NCDs). However, questions remain about how to enhance the HIV platforms to deliver integrated HIV and NCD care to people living with HIV (PLHIV) in sub-Saharan Africa (SSA). We aimed to develop a priority research agenda to advance this effort. METHODS:: Researchers, policymakers, and implementers from the United States and SSA conducted three scoping reviews on HIV/NCD prevention and care focused on clinical, health system, and community levels. Based on the review findings and expert inputs, we conducted iterative consensus-development activities to generate a prioritized research agenda. RESULTS:: Population-level data on NCD prevalence among PLHIV in SSA are sparse. The review identified NCD screening and management approaches that could be integrated into HIV programs in SSA. However, few studies focused on the effectiveness, cost, and best practices for integrated chronic care platforms, making it difficult to derive policy recommendations. To address these gaps, we propose a prioritized research agenda focused on developing evidence-based service delivery models, increasing human capacity through workforce education, generating data through informatics platforms and research, managing the medication supply chain, developing new financing and sustainability models, advancing research-informed policy, and addressing other crosscutting health system issues. CONCLUSION:: Based on collaborative, interdisciplinary efforts, a research agenda was developed to provide guidance that advances efforts to adapt the current health system to deliver integrated chronic care for PLHIV and the population at large.
    Keywords: Disease Management ; Health Services Administration ; Delivery of Health Care, Integrated -- Organization & Administration ; HIV Infections -- Complications ; Noncommunicable Diseases -- Epidemiology;
    ISSN: 0269-9370
    E-ISSN: 14735571
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  • 5
    Language: English
    In: Gastroenterology, May 2015, Vol.148(5), pp.892-894
    Description: To link to full-text access for this article, visit this link: http://dx.doi.org/10.1053/j.gastro.2015.03.020 Byline: William M. Tierney Author Affiliation: Section of Digestive Diseases, Department of Internal Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma Article Note: (footnote) Conflict of interest William M. Tierney, MD, has no financial conflicts of interests relevant to the topic of this editorial.
    Keywords: Medicine
    ISSN: 0016-5085
    E-ISSN: 1528-0012
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  • 6
    Article
    Article
    Language: English
    In: Annals of internal medicine, 01 November 2011, Vol.155(9), pp.644
    Keywords: Physician-Patient Relations ; Students, Medical -- Psychology ; Terminal Care -- Psychology
    ISSN: 00034819
    E-ISSN: 1539-3704
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  • 7
    Language: English
    In: The American Journal of the Medical Sciences, January 2016, Vol.351(1), pp.59-68
    Description: Healthcare is an information business with expanding use of information and communication technologies (ICTs). Current ICT tools are immature, but a brighter future looms. We examine 7 areas of ICT in healthcare: electronic health records (EHRs), health information exchange (HIE), patient portals, telemedicine, social media, mobile devices and wearable sensors and monitors, and privacy and security. In each of these areas, we examine the current status and future promise, highlighting how each might reach its promise. Steps to better EHRs include a universal programming interface, universal patient identifiers, improved documentation and improved data analysis. HIEs require federal subsidies for sustainability and support from EHR vendors, targeting seamless sharing of EHR data. Patient portals must bring patients into the EHR with better design and training, greater provider engagement and leveraging HIEs. Telemedicine needs sustainable payment models, clear rules of engagement, quality measures and monitoring. Social media needs consensus on rules of engagement for providers, better data mining tools and approaches to counter disinformation. Mobile and wearable devices benefit from a universal programming interface, improved infrastructure, more rigorous research and integration with EHRs and HIEs. Laws for privacy and security need updating to match current technologies, and data stewards should share information on breaches and standardize best practices. ICT tools are evolving quickly in healthcare and require a rational and well-funded national agenda for development, use and assessment.
    Keywords: Health Information Technologies ; Electronic Medical Records ; Telemedicine ; Information Management ; Medicine
    ISSN: 0002-9629
    E-ISSN: 1538-2990
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  • 8
    Article
    Article
    In: Medical Care, 2001, Vol.39(12), pp.1269-1269
    Keywords: Medicine ; Public Health;
    ISSN: 0025-7079
    E-ISSN: 15371948
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  • 9
    Language: English
    In: Journal of General Internal Medicine, 2018, Vol.33(7), pp.1069-1076
    Description: To access, purchase, authenticate, or subscribe to the full-text of this article, please visit this link: http://dx.doi.org/10.1007/s11606-018-4403-0 Byline: William M. Tierney (1) Abstract: Background The focus and funding of US healthcare is evolving from volume to value-based, and healthcare leaders, managers, payers, and researchers are increasingly focusing on managing populations of patients. Simultaneously, there is increasing interest in getting "upstream" from disease management to promote health and prevent disease. Hence, the term "population health" has both clinical and community-based connotations relevant to the tripartite mission of US medical schools. Objective To seek broad input for the strategic development of the Department of Population Health in a new medical school at a tier 1 research university. Design Focus groups with facilitated consensus development. Participants Eighty-one persons representing the Dell Medical School and other schools at the University of Texas at Austin, city/county government, community nonprofit organizations, and faculty from other local university schools along with selected national academic leaders. Approach Focus groups with subsequent consensus development of emphases identified premeeting by participants by e-mail exchanges. Key Results The resulting departmental strategic plan included scope of work, desired characteristics of leaders, and early impact activities in seven areas of interest: community engagement and health equity, primary care and value-based health, occupational and environment medicine, medical education, health services and community-based research, health informatics and data analysis, and global health. Conclusions Medical schools should have a primary focus in population, most effectively at the departmental level. Engaging relevant academic and community stakeholders is an effective model for developing this emerging discipline in US medical schools. Author Affiliation: (1) 0000 0004 1936 9924, grid.89336.37, Department of Population Health, Dell Medical School, University of Texas at Austin, Austin, TX, USA Article History: Registration Date: 08/03/2018 Received Date: 31/10/2017 Accepted Date: 07/03/2018 Online Date: 09/04/2018
    Keywords: Medical Schools – Usage ; Medical Schools – Analysis ; Nonprofit Organizations – Usage ; Nonprofit Organizations – Analysis;
    ISSN: 0884-8734
    E-ISSN: 1525-1497
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  • 10
    Language: English
    In: Journal of General Internal Medicine, 2018, Vol.33(9), pp.1415-1416
    Description: To access, purchase, authenticate, or subscribe to the full-text of this article, please visit this link: http://dx.doi.org/10.1007/s11606-018-4538-z Byline: William M. Tierney (1) Author Affiliation: (1) 0000 0004 1936 9924, grid.89336.37, Department of Population Health, Dell Medical School, University of Texas at Austin, Austin, TX, USA Article History: Registration Date: 13/06/2018 Online Date: 25/06/2018
    Keywords: Hospital Patients;
    ISSN: 0884-8734
    E-ISSN: 1525-1497
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