MARC details
| 000 -LEADER |
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| fixed length control field |
04395nam a22007337a 4500 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION |
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| fixed length control field |
230628s20232023 xxu||||| |||| 00| 0 eng d |
| 022 ## - INTERNATIONAL STANDARD SERIAL NUMBER |
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| International Standard Serial Number |
0885-3924 |
| 024 ## - OTHER STANDARD IDENTIFIER |
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| Standard number or code |
10.1016/j.jpainsymman.2023.04.014 [doi] |
| 024 ## - OTHER STANDARD IDENTIFIER |
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| Standard number or code |
S0885-3924(23)00463-3 [pii] |
| 040 ## - CATALOGING SOURCE |
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| Original cataloging agency |
Ovid MEDLINE(R) |
| 099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC) |
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| PMID |
37100306 |
| 245 ## - TITLE STATEMENT |
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| Title |
SHARING Choices: Lessons Learned from a Primary-Care Focused Advance Care Planning Intervention. |
| 251 ## - Source |
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| Source |
Journal of Pain & Symptom Management. 66(2):e255-e264, 2023 Aug. |
| 252 ## - Abbreviated Source |
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| Abbreviated source |
J Pain Symptom Manage. 66(2):e255-e264, 2023 Aug. |
| 253 ## - Journal Name |
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| Journal name |
Journal of pain and symptom management |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
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| Year |
2023 |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
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| Publication date |
2023 Aug |
| 265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE] |
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| Publication status |
ppublish |
| 265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE] |
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| Medline status |
MEDLINE |
| 267 ## - Original year |
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| Original year |
2023 |
| 268 ## - Previous citation |
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| Original Source |
Journal of Pain & Symptom Management. 2023 Apr 24 |
| 268 ## - Previous citation |
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| -- |
2023-06-28 |
| 268 ## - Previous citation |
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| Original abbreviated source |
J Pain Symptom Manage. 2023 Apr 24 |
| 268 ## - Previous citation |
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| Original publication status |
aheadofprint |
| 268 ## - Previous citation |
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| Original Medline status |
Publisher |
| 269 ## - Original dates |
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| Original fiscal year |
FY2023 |
| 501 ## - WITH NOTE |
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| Local holdings |
Available online from MWHC library: 1995 - present, Available in print through MWHC library:1999-2007 |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
BACKGROUND: Few advance care planning (ACP) interventions have been scaled in primary care. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
INTERVENTION: SHARING Choices (NCT#04819191) is a multicomponent cluster-randomized pragmatic trial conducted at 55 primary care practices from two care delivery systems in the Mid-Atlantic region of the U.S. We describe the process of implementing SHARING Choices within 19 practices randomized to the intervention, summarize fidelity to planned implementation, and discuss lessons learned. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
KEY MESSAGE: Implementing a multicomponent, primary-care focused ACP intervention across two health systems requires adaptability, alignment with operational priorities, and workflow re-design to match the organizational structure of health systems. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
LESSONS LEARNED: Study findings reinforce the value of adaptable study design; co-designing workflow adaptations with practice staff; adapting implementation processes to fit the unique needs of two health systems; and modifying efforts to meet health system goals and priorities. Copyright 2023. Published by Elsevier Inc. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
OUTCOMES: Embedding SHARING Choices involved engagement with organizational and clinic-level partners. Of 23,220 candidate patients, 17,931 outreach attempts by phone (77.9%) and the patient portal (22.1%) were made by ACP facilitators and 1,215 conversations occurred. Most conversations (94.8%) were less than 45 minutes duration. Just 13.1% of ACP conversations included family. Patients with ADRD comprised a small proportion of patients who engaged in ACP. Implementation adaptations included transitioning to remote modalities, aligning ACP outreach with the Medicare Annual Wellness Visit, accommodating primary care practice flexibility. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
PROBLEM: Best practices for delivering ACP at scale in primary care do not exist and prior efforts have excluded older adults with Alzheimer's Disease and Related Dementias (ADRD). |
| 546 ## - LANGUAGE NOTE |
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| Language note |
English |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
*Advance Care Planning |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
*Alzheimer Disease |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
Aged |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
Communication |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
Humans |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
Medicare |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
Research Design |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
United States |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Indexing |
Automated |
| 651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME |
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| Institution |
MedStar Health Research Instite |
| 651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME |
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| Institution |
MedStar Institute for Quality and Safety |
| 651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME |
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| Institution |
Palliative Care |
| 656 ## - INDEX TERM--OCCUPATION |
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| Department |
AVP, Palliative Care |
| 656 ## - INDEX TERM--OCCUPATION |
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| Department |
Clinical Care Transformation |
| 656 ## - INDEX TERM--OCCUPATION |
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| Department |
MedStar Health |
| 656 ## - INDEX TERM--OCCUPATION |
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| Department |
MedStar Health Performance Improvement |
| 657 ## - INDEX TERM--FUNCTION |
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| Medline publication type |
Journal Article |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Anderson, Ryan E |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Cockey, Kimberly |
| Name of part/section of a work |
MSH |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Dy, Sydney M |
| Institution Code |
MSH |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Giovannetti, Erin R |
| Institution Code |
MHRI |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Rebala, Sri |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Sharma, Neha |
| Name of part/section of a work |
SH |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Smith, Kelly M |
| Institution Code |
MIQS |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Walker, Kathryn A |
| Institution Code |
MSH |
| 790 ## - Authors |
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| All authors |
Anderson RE, Boyd CM, Chapin M, Cockey K, Colburn JL, Cotter V, Dy SM, Echavarria D, Giovannetti ER, Hussain N, McGuire M, Nicholson KLC, Rawlinson C, Rebala S, Roth DL, Sancho MB, Saylor MA, Scerpella DL, Sharma N, Smith KM, Walker KA, Wolff JL |
| 856 ## - ELECTRONIC LOCATION AND ACCESS |
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| DOI |
<a href="https://dx.doi.org/10.1016/j.jpainsymman.2023.04.014">https://dx.doi.org/10.1016/j.jpainsymman.2023.04.014</a> |
| Public note |
https://dx.doi.org/10.1016/j.jpainsymman.2023.04.014 |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) |
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| Koha item type |
Journal Article |
| Item type description |
Article |
