2006
Case-Finding for Depression Among Medical Outpatients in the Veterans Health Administration
Desai MM, Rosenheck RA, Craig TJ. Case-Finding for Depression Among Medical Outpatients in the Veterans Health Administration. Medical Care 2006, 44: 175-181. PMID: 16434917, DOI: 10.1097/01.mlr.0000196962.97345.21.Peer-Reviewed Original ResearchConceptsMedical comorbiditiesMedical outpatientsExternal Peer Review ProgramGreater medical comorbidityPredictors of screeningMental health visitsChart review dataVeterans Health AdministrationCase-finding activitiesCross-sectional studyMental health careAdministrative dataEligible patientsHealth visitsMale patientsDepression screeningMale genderPositive screenDepressive disorderDecreased oddsDepression diagnosisSubsequent diagnosisMedical CenterHealth AdministrationPositive cases
2005
Screening for Alcohol Use Disorders Among Medical Outpatients: The Influence of Individual and Facility Characteristics
Desai MM, Rosenheck RA, Craig TJ. Screening for Alcohol Use Disorders Among Medical Outpatients: The Influence of Individual and Facility Characteristics. American Journal Of Psychiatry 2005, 162: 1521-1526. PMID: 16055775, DOI: 10.1176/appi.ajp.162.8.1521.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAlcohol-Related DisordersAmbulatory CareDiagnosis, Dual (Psychiatry)FemaleFollow-Up StudiesHealth Facility SizeHospitals, VeteransHumansMaleMass ScreeningMedical RecordsMental DisordersMiddle AgedPrevalenceRisk FactorsUnited StatesUnited States Department of Veterans AffairsVeteransConceptsAlcohol use disorderAlcohol screeningMedical outpatientsUse disordersExternal Peer Review ProgramRoutine alcohol screeningMultivariate logistic regressionCase-finding activitiesSystem-level barriersQuality improvement dataLarge medical centerEligible patientsPsychiatric comorbidityPrimary careMedical CenterPositive screeningVA facilitiesAlcohol misusePositive casesDecreased likelihoodGreater riskLogistic regressionFacility characteristicsOutpatientsPatients
2003
The effects of a targeted multicomponent delirium intervention on postdischarge outcomes for hospitalized older adults
Bogardus ST, Desai MM, Williams CS, Leo-Summers L, Acampora D, Inouye SK. The effects of a targeted multicomponent delirium intervention on postdischarge outcomes for hospitalized older adults. The American Journal Of Medicine 2003, 114: 383-390. PMID: 12714128, DOI: 10.1016/s0002-9343(02)01569-3.Peer-Reviewed Original ResearchConceptsSelf-rated healthFunctional statusIntervention groupMulticomponent interventionBetter functional statusHigh-risk patientsGood self-rated healthHospital-based interventionsHospitalized older adultsHealth care utilizationHigh-risk subgroupsHome health visitsOutcomes 6 monthsNursing home placementAcademic medical centerDelirium interventionPostdischarge outcomesHospital dischargeHealth visitsCare utilizationRisk factorsMedical CenterControl groupCognitive statusBeneficial effects
2002
Mental Disorders and Quality of Diabetes Care in the Veterans Health Administration
Desai MM, Rosenheck RA, Druss BG, Perlin JB. Mental Disorders and Quality of Diabetes Care in the Veterans Health Administration. American Journal Of Psychiatry 2002, 159: 1584-1590. PMID: 12202281, DOI: 10.1176/appi.ajp.159.9.1584.Peer-Reviewed Original ResearchMeSH KeywordsAgedAmbulatory CareComorbidityDiabetes MellitusFemaleHealth Care CostsHealth ServicesHospitalizationHospitals, VeteransHumansMaleMental DisordersMiddle AgedMultivariate AnalysisQuality Indicators, Health CareQuality of Health CareSubstance-Related DisordersUnited StatesUnited States Department of Veterans AffairsConceptsDiabetes careRetina examinationMental disordersSensory examinationFoot inspectionHealth statusVeterans Affairs Medical CenterHospital-level characteristicsVeterans Health AdministrationMental health diagnosesMental health statusSubstance use disordersSample of veteransPopulation of personsSecondary preventionOutpatient visitsPatient subgroupsMedical CenterChart documentationUse disordersHealth AdministrationMedical carePulse examinationHealth diagnosisDisordersReceipt of Nutrition and Exercise Counseling Among Medical Outpatients with Psychiatric and Substance Use Disorders
Desai MM, Rosenheck RA, Druss BG, Perlin JB. Receipt of Nutrition and Exercise Counseling Among Medical Outpatients with Psychiatric and Substance Use Disorders. Journal Of General Internal Medicine 2002, 17: 556-560. PMID: 12133146, PMCID: PMC1495079, DOI: 10.1046/j.1525-1497.2002.10660.x.Peer-Reviewed Original ResearchConceptsExercise counselingSubstance use disordersNutrition counselingMedical CenterUse disordersHealth statusMental disordersVeterans Affairs Medical CenterMedical outpatient visitsNon-VA settingsRates of counselingActive medical treatmentChart review dataCross-sectional studyVA Medical CenterMental health statusOutpatient administrative databasesOutcomes of interestMost patientsOutpatient visitsAdministrative databasesMedical outpatientsVA inpatientMedical treatmentMedical care
2001
What Does the Medical Record Reveal about Functional Status?
Bogardus S, Towle V, Williams C, Desai M, Inouye S. What Does the Medical Record Reveal about Functional Status? Journal Of General Internal Medicine 2001, 16: 728-736. PMID: 11722685, PMCID: PMC1495285, DOI: 10.1111/j.1525-1497.2001.00625.x.Peer-Reviewed Original ResearchConceptsFunctional status measuresMedical recordsFunctional statusStatus measuresIADL impairmentDaily livingHospitalized older patientsPotent independent predictorAcademic medical centerMost medical recordsHospital outcomesOlder patientsIndependent predictorsMedical patientsPrognostic importanceFunctional status informationImpairment prevalencePatient interviewsInstrumental activitiesMedical CenterBADLsIADLsBasic activitiesBADLPatients