Abstract

: The goal of this career development program is to facilitate the candidate's development as a leader in health services research and health policy focused on disparities in healthcare quality and patient-centeredness for vulnerable populations. Building on her background in internal medicine, bioethics and health policy, the candidate proposes to develop additional skills over the course of the award period through: 1) coursework designed to expand her methodological skills; 2) interaction with a multidisciplinary sponsorship team, including experts in health services research (Dr. Daniel Ford), patient-physician communication (Dr. Debra Roter), cross-cultural communication (Dr. Lisa Cooper) and bioethics (Dr. Ruth Faden); and 3) a series of supervised research projects.
The specific aims of these research projects are: 1) to evaluate the impact of patient literacy on patient participation in care and patient-physician communication; 2) to test a multidimensional model of vulnerability to poor interpersonal treatment and to evaluate health care system features that moderate the relationship between vulnerability and poor interpersonal treatment; and 3) to develop an instrument measuring cultural competence from the patient's perspective. The research projects were chosen so that she would become proficient with a variety of methodologies, including the conduct and analysis of a randomized controlled trial, analysis of the Medical Expenditure Panel Survey (MEPS), and instrument development/psychometric testing. In the final stages of the award period, the candidate plans to develop a grant proposal to evaluate the relationship between cultural competence, the quality of healthcare, and health outcomes for ethnic minorities. As Assistant Professor of Medicine, she will conduct this research within the Johns Hopkins Schools of Medicine and Public Health which offer extensive resources for health services research and provide a rich intellectual environment for learning.

  Funding Agency

Agency
National Institute of Health (NIH)
Institute
Agency for Healthcare Research and Quality (AHRQ)
Type
Clinical Investigator Award (CIA) (K08)
Project #
5K08HS013903-02
Application #
6796204
Study Section
HSR Health Care Research Training SS (HCRT)
Program Officer
Anderson, Kay
Project Start
2003-09-01
Project End
2008-08-31
Budget Start
2004-09-01
Budget End
2005-08-31
Support Year
2
Fiscal Year
2004
Total Cost
Indirect Cost

  Institution

Name
Johns Hopkins University
Department
Internal Medicine/Medicine
Type
Schools of Medicine
DUNS #
001910777
City
Baltimore
State
MD
Country
United States
Zip Code
21218

  Publications

Flickinger, Tabor E; Saha, Somnath; Roter, Debra et al. (2016) Respecting patients is associated with more patient-centered communication behaviors in clinical encounters. Patient Educ Couns 99:250-5
Flickinger, Tabor E; Saha, Somnath; Roter, Debra et al. (2016) Clinician empathy is associated with differences in patient-clinician communication behaviors and higher medication self-efficacy in HIV care. Patient Educ Couns 99:220-6
Hughes, Helen Kinsman; Korthuis, Philip Todd; Saha, Somnath et al. (2015) A mixed methods study of patient-provider communication about opioid analgesics. Patient Educ Couns 98:453-61
Beach, Mary Catherine; Roter, Debra L; Saha, Somnath et al. (2015) Impact of a brief patient and provider intervention to improve the quality of communication about medication adherence among HIV patients. Patient Educ Couns 98:1078-83
Ray, Moira K; Beach, Mary Catherine; Nicolaidis, Christina et al. (2013) Patient and provider comfort discussing substance use. Fam Med 45:109-17
Laws, M Barton; Beach, Mary Catherine; Lee, Yoojin et al. (2013) Provider-patient adherence dialogue in HIV care: results of a multisite study. AIDS Behav 17:148-59
Beach, Mary Catherine; Roter, Debra; Korthuis, P Todd et al. (2013) A multicenter study of physician mindfulness and health care quality. Ann Fam Med 11:421-8
Flickinger, Tabor E; Saha, Somnath; Moore, Richard D et al. (2013) Higher quality communication and relationships are associated with improved patient engagement in HIV care. J Acquir Immune Defic Syndr 63:362-6
Flickinger, Tabor E; Rose, Gary; Wilson, Ira B et al. (2013) Motivational interviewing by HIV care providers is associated with patient intentions to reduce unsafe sexual behavior. Patient Educ Couns 93:122-9
Marshall, Rebecca; Beach, Mary Catherine; Saha, Somnath et al. (2013) Patient activation and improved outcomes in HIV-infected patients. J Gen Intern Med 28:668-74

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