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Department of Family and Community Medicine

Department of Family and Community Medicine

Family & Community Medicine Research

Research efforts in the Department of Family and Community Medicine (FCM) are led by a highly accomplished and nationally recognized team of faculty.  With an average of $1.5 million in external funding per year, our faculty conducts research aimed at providing health care providers, consumers and policymakers with the information they need for informed decision making.  Areas of expertise include: physician-patient communication, health care disparities, culture in medicine, information technology in health care delivery, comparative effectiveness research, chronic illness care (collaborative /participatory care), and cancer screening and treatment.  FCM researchers have a long-history of collaboration with UC Davis faculty from such programs as: Internal Medicine, Pediatrics, Center for Healthcare Policy and ResearchCenter for Reducing Health Disparities, Radiology, and the Clinical and Translational Science Center, as well as numerous academic institutions and research organizations throughout the country.

Research Announcements

2011 North American Primary Care Research Group Annual Meeting
Accepted Presentations
 

• Limited Public Health Impacts of 2011 Health Benefit Mandates in California
Joy Melnikow, MD, MPH; Stephen McCurdy, MD, MPH; Diana Cassady, DrPH; Meghan Soulsby, MPH; Dominique Ritley, MPH; Susan Philip, MPP
• Patient-centered Care: The Influence of Patient and Physician Gender and Gender Concordance in Primary Care
Klea Bertakis, MD, MPH; Davis; Rahman Azari, PhD
• Healthcare Utilization, Expenditures, and Mortality Among More and Less Satisfied Patients
Joshua Fenton, MD, MPH; Anthony Jerant, MD; Klea Bertakis, MD, MPH; Peter Franks, MD
• High-cost Health Care Expenditure and Utilization Prediction Using Self-reported Health Measures
Jeanette Berrong, DO, MPH; Klea Bertakis, MD, MPH; Anthony Jerant, MD; Peter Franks, MD, MPH
• Patient-centered Medical Home Attributes and Mortality: A National Study
Anthony Jerant, MD; Joshua Fenton, MD, MPH; Peter Franks, MD

 

Research News

Patient-centered care lowers health-care costs

For non-whites, geography plays key role in colon cancer screening rates

Use of unproven mammography tool soars with Medicare coverage 

Software program aims to boost colorectal cancer screening rates among Latinos

  

Recent Publications

Fenton JJ. Lung Cancer Screening with Chest Radiography Has No Effect on Lung Cancer Incidence or Mortality. Evid Based Med, Oct 17 2012:17(5): 149-150. 

Jerant A, Bertakis KD, Fenton JJ, Franks P. Extended Office Hours and Health Care Expenditures: A National Study. Ann Fam Med, Sept. – Oct. 2012:10(5): 388-95. 

Jerant A, Kravitz RL, Fiscella K, Sohler N, Romero RL, Parnes B, Aguilar-Gaxiola S, Turner C, Dvorak S, Franks P. Effects of Tailored Knowledge Enhancement on Colorectal Cancer Screening Preference across Ethnic and Language Groups. Patient Educ and Couns. Sep 14 2012. 

Jerant A, Griffin E, Rainwater J, Henderson M, Sousa F, Bertakis KD, Fenton JJ, Franks P. Does Applicant Personality Influence Multiple Mini-Interview Performance and Medical School Acceptance Offers?. Acad Med. September 2012;87:1250-59. 

Fenton JJ, Zhu W, Balch S, Smith-Bindman R, Fishman P, Hubbard RA. Distinguishing Screening from Diagnostic Mammograms Using Medicare Claims Data. Med Care, Aug 23 2012. 

Fenton JJ, Zhu W, Balch S, Smith-Bindman R, Lindfors KK, Hubbard RA. External Validation of Medicare Claims Codes for Digital Mammography and Computer-aided Detection. Cancer Epidemiology, Biomarkers & Prevention: A Publication of the American Association for Cancer Research, Cosponsored by the American Society of Preventative Oncology, Aug 21 2012:21(8): 1344-47. 

Jerant A, Franks P. Body Mass Index, Diabetes, Hypertension, and Short-Term Mortality: A Population-Based Observational Study, 2000-2006. J Am Board Fam Med. July-August 2012;25(4):422-431. Fenton JJ, Miglioretti D. Why We Need More Breast Cancer Screening Trials. Evid Based Med. Jul 31 2012. 

Bertakis KD, Azari R. Patient-Centered Care: The Influence of Patient and Resident Physician Gender and Gender Concordance in Primary Care. J Women's Health. March 2012;21(3):326-333. 

Fenton JJ, Jerant AF, Bertakis KD, Franks P. The Cost of Satisfaction: A National Study of Patient Satisfaction, Health Care Utilization, Expenditures, and Mortality. Arch Intern Med. March 2012:172(5): 405-411. 

Jerant A, Fiscella K, Franks P. Health Characteristics Associated with Gaining and Losing Private and Public Health Insurance: A National Study. Med Care, Feb 2012:50(2): 145-151. 

Jerant A, Fenton JJ, Franks P. Primary Care Attributes and Mortality: A National Person-level Study. Ann Fam Med. Jan-Feb 2012:10(1): 34-41. 

Jerant A, Griffin E, Rainwater J, Henderson M, Sousa F, Bertakis KD, Fenton JJ, Franks P. Does Applicant Personality Influence Multiple Mini-Interview Performance and Medical School Acceptance Offers?. Acad Med. September 2012;87:1250-59. 

Jerant A, Franks P. Body Mass Index, Diabetes, Hypertension, and Short-Term Mortality: A Population-Based Observational Study, 2000-2006. J Am Board Fam Med. July-August 2012;25(4):422-431. 

Fenton JJ, Miglioretti D. Why We Need More Breast Cancer Screening Trials. Evid Based Med. Jul 31 2012.

Bertakis KD, Azari R. Patient-Centered Care: The Influence of Patient and Resident Physician Gender and Gender Concordance in Primary Care. J Women's Health. March 2012;21(3):326-333.

Bell RA, Franks P, Duberstein PR, et al. Suffering in Silence: Reasons for Not Disclosing Depression in Primary Care. Ann Fam Med. September-October 2011;9(5):439-446.

Bertakis KD, Azari R. Determinants and outcomes of patient-centered care. Patient Educ Couns. Oct 2011;85(1):46-52.

Fenton JJ, Abraham L, Taplin SH, et al. Effectiveness of Computer-Aided Detection in Community Mammography Practice. J Natl Cancer Inst. Aug 3 2011;103(15):1152-1161.

Fenton JJ, Khan KS. The intuitive appeal of case series thinking: a challenge for evidence-based teaching and practice. Evid Based Med. Jul 7 2011.

Kravitz RL, Tancredi DJ, Grennan T, et al. Cancer Health Empowerment for Living without Pain (Ca-HELP): effects of a tailored education and coaching intervention on pain and impairment. Pain. Jul 2011;152(7):1572-1582.

Leigh JP, Tancredi D, Jerant A, Kravitz RL. Annual Work Hours across Physician Specialties. Arch Intern Med. Jul 11 2011;171(13):1211-1213. 

Franks P, Winters PC, Tancredi DJ, Fiscella KA. Do Changes in Traditional Coronary Heart Disease Risk Factors over Time Explain the Association between Socio-Economic Status and Coronary Heart Disease? BMC Cardiovasc Disord. 2011;11:28.  PMC3130693

Duberstein PR, Chapman BP, Tindle HA, et al. Personality and risk for Alzheimer's disease in adults 72 years of age and older: a 6-year follow-up. Psychol Aging. Jun 2011;26(2):351-362.

Bertakis KD, Azari R. Patient-Centered Care Is Associated with Decreased Health Care Utilization. J Am Board Fam Med. May-Jun 2011;24(3):229-239. 

Fiscella K, Winters P, Tancredi D, Franks P. Racial Disparity in Blood Pressure: Is Vitamin D a Factor? J Gen Intern Med. Apr 21 2011.

Feng B, Bell RA, Jerant AF, Kravitz RL. What Do Doctors Say When Prescribing Medications?: An Examination of Medical Recommendations from a Communication Perspective. Health Commun. Apr 2011;26(3):286-296.

Kravitz RL, Tancredi DJ, Grennan T, et al. Cancer Health Empowerment for Living without Pain (Ca-Help): Effects of a Tailored Education and Coaching Intervention on Pain and Impairment. Pain. Mar 23 2011.

Jerant A, Tancredi DJ, Franks P. Mortality Prediction by Quality-Adjusted Life Year Compatible Health Measures: Findings in a Nationally Representative US Sample. Med Care. Mar 1 2011.

Fiscella K, Winters P, Tancredi D, Hendren S, Franks P. Racial Disparity in Death from Colorectal Cancer: Does Vitamin D Deficiency Contribute? Cancer. Mar 1 2011;117(5):1061-1069.

Jerant A, Chapman B, Duberstein P, Robbins J, Franks P. Personality and Medication Non-Adherence among Older Adults Enrolled in a Six-Year Trial. Br J Health Psychol. Feb 2011;16(Pt 1):151-169.

Jerant A, Franks P, Tancredi DJ, Saito N, Kravitz RL. Tendency to Adhere to Provider-Recommended Treatments and Subsequent Pain Severity among Individuals with Cancer. Patient Prefer Adherence. 2011;5:23-31.  PMC3034299

Fenton JJ. A Decision Aid to Enhance Informed Decision Making About Bowel Cancer Screening Improved Knowledge but Reduced Screening Uptake. Evid Based Med. Jan 19 2011.

Semrad TJ, Tancredi DJ, Baldwin LM, Green P, Fenton JJ. Geographic Variation of Racial/Ethnic Disparities in Colorectal Cancer Testing Among Medicare Enrollees. Cancer. Jan 10 2011.

Fernandez YGE, Franks P, Jerant A, Bell RA, Kravitz RL. Depression Treatment Preferences of Hispanic Individuals: Exploring the Influence of Ethnicity, Language, and Explanatory Models. J Am Board Fam Med. Jan-Feb 2011;24(1):39-50.

Jerant A, Franks P, Kravitz RL. Associations between Pain Control Self-Efficacy, Self-Efficacy for Communicating with Physicians, and Subsequent Pain Severity among Cancer Patients. Patient Educ Couns. Dec 13 2010.

Jerant A, Sohler N, Fiscella K, Franks B, Franks P. Tailored Interactive Multimedia Computer Programs to Reduce Health Disparities: Opportunities and Challenges. Patient Educ Couns. Dec 10 2010

Baker DL, Melnikow J, Ly MY, Shoultz J, Niederhauser V, Diaz-Escamilla R. Translation of Health Surveys Using Mixed Methods. J Nurs Scholarsh. Dec 2010;42(4):430-438.

Bertakis KD, Azari R. Patient Gender Differences in the Prediction of Medical Expenditures. J Womens Health (Larchmt). 2010;19(10):1925-32.

Fenton JJ, Elmore JG, Buist DS, Reid RJ, Tancredi DJ, Baldwin LM. Longitudinal Adherence with Fecal Occult Blood Test Screening in Community Practice. Ann Fam Med. 2010;8(5):397-401.

Franks P, Tancredi DJ, Winters P, Fiscella K. Including Socioeconomic Status in Coronary Heart Disease Risk Estimation. Ann Fam Med. 2010;8(5):447-53.

Muennig P, Fiscella K, Tancredi D, Franks P. The relative health burden of selected social and behavioral risk factors in the United States: implications for policy. Am J Public Health. Sep 2010;100(9):1758-1764

LeFevre ML, Calonge N, Dietrich AJ, Melnikow J. Mammography Screening for Breast Cancer: Recommendation of the U.S. Preventive Services Task Force. Am Fam Physician. 2010;82(6):602, 9.

Bertakis KD, Azari R. Determinants and Outcomes of Patient-Centered Care. Patient Educ Couns. 2010.

Jerant A, Chapman B, Duberstein P, Robbins J, Franks P. Personality and Medication Non-Adherence among Older Adults Enrolled in a Six-Year Trial. Br J Health Psychol. 2010.

Kuppermann M, Melnikow J, Slee C, Tancredi DJ, Kulasingam S, Birch S, et al. Preferences for Surveillance Strategies for Women Treated for High-Grade Precancerous Cervical Lesions. Gynecol Oncol. 2010;118(2):108-15.

Fenton JJ, Foote SB, Green P, Baldwin LM. Diffusion of Computer-Aided Mammography after Mandated Medicare Coverage. Arch Intern Med. 2010;170(11):987-9.

Jerant A, Chapman B, Duberstein P, Franks P. Effects of Personality on Self-Rated Health in a 1-Year Randomized Controlled Trial of Chronic Illness Self-Management. Br J Health Psychol. 2010;15(Pt 2):321-35.

Nuovo J. Systematic Review: Adverse Effects of Treatment in Randomised Controlled Trials Are Variably and Inconsistently Reported. Evid Based Med. Apr 2010;15(2):60.

Jerant A, Srinivasan M, Bertakis KD, Azari R, Pan RJ, Kravitz RL. Attributes Affecting the Medical School Primary Care Experience. Acad Med. 2010;85(4):605-13.

Kravitz RL, Franks P, Feldman MD, Gerrity M, Byrne C, Tierney WM. Editorial Peer Reviewers' Recommendations at a General Medical Journal: Are They Reliable and Do Editors Care? PLoS One. 2010;5(4):e10072.

Hade EM, Murray DM, Pennell ML, Rhoda D, Paskett ED, Champion VL, Fenton JJ, et al. Intraclass Correlation Estimates for Cancer Screening Outcomes: Estimates and Applications in the Design of Group-Randomized Cancer Screening Studies. J Natl Cancer Inst Monogr. 2010;2010(40):97-103.

Melnikow J. ACP Journal Club. Review: Tamoxifen, Raloxifene, and Tibolone Prevent Primary Invasive Breast Cancer but Increase Risk for Adverse Outcomes. Ann Intern Med. 2010;152(6):JC3-4.

Franks P, Tancredi D, Winters P, Fiscella K. Cholesterol Treatment with Statins: Who Is Left out and Who Makes It to Goal? BMC Health Serv Res. 2010;10:68.

Geraghty EM, Balsbaugh T, Nuovo J, Tandon S. Using Geographic Information Systems (GIS) to Assess Outcome Disparities in Patients with Type 2 Diabetes and Hyperlipidemia. J Am Board Fam Med. 2010;23(1):88-96.

Fiscella K, Franks P. Vitamin D, Race, and Cardiovascular Mortality: Findings from a National US Sample. Ann Fam Med. 2010;8(1):11-8.