Research and Scholarship

Understanding and transforming health care through innovation

The collaborative research section nurtures innovative ideas for study and translates them into primary care practice.

Meet our Chair, Jennifer DeVoe, M.D., D.Phil., and learn more about our research

Publications

Shaw, R. , Baker, E. , Jie, C. , Adamian, S. , Andres, S. , Bachelor, B. , Hodges, F. , Mittra, T. and Viloria, A. R. (2019). Zika virus knowledge, contraception use, and lessons learned from a Dominican Republic pilot study. Int J Gynecol Obstet. doi:  Cmd+Click to follow link">10.1002/ijgo.12957. Full article

Holderness H, Angier H, Huguet N, O'Malley J, Marino M, Springer R, DeVoe J. Where Do Oregon Medicaid Enrollees Seek Outpatient Care Post-Affordable Care Act Medicaid Expansion?  Med Care. 2019 Oct;57(10):788-794. doi: 10.1097/MLR.0000000000001189. PMID:31513138

Herrera-Perez D, Haslam A, Crain T, Gill J, Livingston CJ, Kaestner V, Hayes M, Morgan D, Cifu A, Prasad V.  A comprehensive review of randomized clinical trials in three medical journals reveals 396 medical reversals. eLife. 2019 June 11;8:e45183.  Available at: https://elifesciences.org/articles/45183.

Presentations

Stilp, C. E. Wiser. How Team-Based Are We? An Assessment of “Teamness” in Rural and Underserved Clinics. Oregon Rural Health Conference. Bend, OR October 2019

Felzien, E. S. Hays, W. Hockett, S. Liang, A. Stading, D. Stone, E. Wiser. AHEC Scholars Community Projects: Learning by Doing. Oregon Rural Health Conference. Bend, OR. October, 2019.

Publications

Wirsing N, Pierce C, Nashelsky J. Can unintended pregnancies be reduced by dispensing a year’s worth of hormonal contraception? Journal of Family Practice. 2019 Jul/Aug;68(6):E15-E16.

Davis MM, Gunn R, Pham R, Wiser A, Hassmiller Lich K, Wheeler SB, Coronado GD. Key collaborative factors when Medicaid Accountable Care Organizations work with primary care practice clinics to improve colorectal cancer screening: relationships, data, and quality improvement infrastructure. Preventing Chronic Disease. 2019 Aug;16:E107. doi: 10.5888/pcd16.180395.

Flocke, SA, Vanderpool, R, Birkby, G, Gullett, H, Seaman, EL, Land, S, Zeliadt, S. Addressing tobacco cessation at federally qualified health centers: current practices & resources. Journal of Healthcare for the Poor and Underserved. 2019;30(3):1024-1036. doi: 10.1353/hpu.2019.0071.

Park B, Frank B, Likumahuwa-Ackman S, Brodt E, Gibbs BK, Hofkamp H, DeVoe JE. Health equity and the tripartite mission: moving from academic health centers to academic-community health systems. Academic Medicine. 2019 Sep;94(9):1276-1282. doi: 10.1097/ACM.0000000000002833.

Springer R, Marino M, Bailey SR, Angier H, O’Malley JP, Hoopes M, Lindner S, DeVoe JE, Huguet N. Prescription opioid use patterns, use disorder diagnoses, and addiction treatment receipt after the 2014 Medicaid expansion in Oregon. Addiction. 2019 Oct;114(10):1775-1784. doi: 10.1111/add.14667.

Holderness H, Angier H, Huguet N, O’Malley J, Marino M, Springer R, DeVoe JE. Where do Oregon Medicaid enrollees seek outpatient care post-Affordable Care Act Medicaid expansion [published online ahead of print August 27, 2019]. Medical Care. doi: 10.1097/MLR.0000000000001189.

Foster BA, Weinstein K, Mojica CM, Davis MM. Parental mental health associated with child overweight and obesity, examined within rural and urban settings, stratified by income [published online ahead of print September 11, 2019]. Journal of Rural Health. doi: 10.1111/jrh.12395.

George RM, Gunn R, Wiggins N, Rowland R, Davis MM, Maes K, Kuzma A, McConnell KJ. Early lessons and strategies from statewide efforts to integrate community health workers into Medicaid. Journal of Health Care for the Poor and Underserved. [In press].

Presentations

Dr. Brian Park spoke about the Relational Leadership Institute at the American Board of Internal Medicine Foundation Forum on Trust; a synopsis can be found here.

Pierce C. Advanced Concepts: First Trimester Pregnancy Complications – Managing Ectopics, Gestational Trophoblastic Disease, and Spontaneous Abortion Diagnostic Challenges. Presentation at the AAFP Family Medicine Experience Conference; September 27-28, 2019; Philadelphia, PA.

Pierce C. First Trimester Pregnancy Complications. Presentation at the AAFP Family Medicine Experience Conference; September 27-28, 2019; Philadelphia, PA.

McKeag D. Toward a More Perfect Sports Medicine System. Keynote address at the South African Sports Medicine Association International Conference; October 10-13, 2019; Capetown, South Africa.

McKeag D. Preventive Sports Medicine Ethics. Keynote address at the South African Sports Medicine Association International Conference; October 10-13, 2019; Capetown, South Africa.

Grant awards

ANTECEDENT (pArtNerships To Enhance alCohol scrEening, treatment, anD intErveNTion): 3-year study funded by the Agency for Healthcare Research and Quality (AHRQ) to address unhealthy alcohol use in primary care. ANTECEDENT is aligned with the Oregon Health Authority (OHA) Coordinated Care Organization incentive metric for Screening, Brief Intervention, and Referral to Treatment (SBIRT) for unhealthy alcohol and drug use. ANTECEDENT is led by Dr. John Muench (SBIRT Oregon & Family Medicine) and Dr. Melinda Davis (ORPRN) in partnership with the OHA Transformation Center. This study will work with 150 clinics across Oregon. By partnering with primary care clinics to implement screening and brief intervention, medication assisted treatment, and referral to treatment as part of routine care, this project assesses the impact of these efforts on clinical Quality Improvement measures by implementing SBIRT workflows.

Publications

Davis MM, Gunn R, Cifuentes M, Khatri P, Hall J, Gilchrist E, Peek CJ, Klowden M, Lazarus JA, Miller BF, Cohen DJ. Clinical workflows and the associated tasks and behaviors to support delivery of integrated behavioral health and primary care. The Journal of Ambulatory Care Management. 2019 Jan/Mar;42(1):51-65. doi: 10.1097/JAC.0000000000000257.

Baillieu R, Kidd M, Phillips R, Roland M, Mueller M, Morgan D, Landon B, DeVoe JE, Martinez-Bianchi V, Wang H, Etz R, Koller C, Sachdev N, Jackson H, Jabbarpour Y, Bazemore A. The Primary Care Spend Model: a systems approach to measuring investment in primary care. BMJ Global Health. 2019 Jul;4(4):e001601. doi: 10.1136/bmjgh-2019-001601.

Huguet N, Valenzuela S, Marino M, Angier H, Hatch B, Hoopes M, DeVoe J. Following uninsured patients through Medicaid Expansion: ambulatory care use and diagnosed conditions. Annals of Family Medicine 2019 Jul;17(4):336-344. doi: 10.1370/afm.2385.

Heintzman J, Cottrell E, Angier H, O’Malley J, Bailey S, Jacob L, DeVoe JE, Ukhanova M, Thayer E, Marino M. Impact of alternative payment methodology on primary care visits and scheduling. Journal of the American Board of Family Medicine. 2019 Jul-Aug;32(4):539-549. doi: 10.3122/jabfm.2019.04.180368.

Hatch BA, Tillotson CJ, Huguet N, Hoopes M, Marino M, DeVoe JE. Use of a preventive index to examine clinic-level factors associated with delivery of preventive care. American Journal of Preventive Medicine. 2019 Aug;57(2):241-249. doi: 10.1016/j.amepre.2019.03.016.

Foster BA, Weinstein K, Mojica CM, Davis MM. Parental mental health associated with child overweight and obesity, examined within rural and urban settings, stratified by income. Journal of Rural Health. [In press].

McConnell KJ, Charlesworth CJ, Zhu J, Meath TH, George RM, Davis MM, Saha SS, Kim H. Access to primary, mental health, and specialty care: a comparison of Medicaid and commercial insured populations in Oregon. Journal of General Internal Medicine. [In press.]

Presentations

Davis MM, Brantley S, Conway C, Zittleman L, Nagykaldi Z. Plenary III: Reframing Primary Care Transformation through Practice Facilitation. Invited talk for the NAPCRG PBRN Conference, Bethesda, MD, June 2019.

Events

Dr. Melinda Davis, Associate Professor of Family Medicine and Associate Director of Research for the Oregon Rural Practice-based Research Network (ORPRN), and Dr. Zsolt Nagykaldi co-led the 2019 NAPCRG The International Conference on Practice Facilitation (ICPF) in Bethesda, MD this June. The 2019 conference theme was “Practice Facilitation in the Context of Community.” The annual ICPF meeting is designed to bring together practice facilitators, program leaders, and researchers in order to advance the science and profession of practice facilitation. The 2019 meeting highlighted quality improvement, research, and training initiatives and drew participants from across the US and Canada. In addition to presentations, the ICPF provides an opportunity for networking and professional development – such as through this interactive icebreaker led by Dr. Davis (see photo). In addition to Dr. Davis’ leadership, Steven Brantley, MPH (ORPRN Practice Facilitator) led a plenary on screening for social determinants of health as part of Oregon’s Accountable Health Communities Program and Martha Snow, MPH (ORPRN project manager) led an interactive session on hot topics in practice facilitation using the World Café Model. Additional information about the ICPF is available here: https://www.napcrg.org/ICPF

Publications

Yau JH, Chilcote D, Eppes C. Hepatocellular carcinoma during pregnancy: a case report. Journal of Reproductive Medicine. 2019 Feb;64(1):67-70.

Saultz J. Choosing Faith. Eugene, OR: Wipf and Stock Publishers; 2019. https://wipfandstock.com/choosing-faith.html.

Najibi S, Carney PA, Thayer EK, Deiorio NM. Differences in coaching needs among underrepresented minority medical students. Family Medicine. 2019 Jun;51(6):516-522. doi: 10.22454/FamMed.2019.100305.

Olaisen RH, Flocke SA, Smyth KA, Schluchter, MD, Koroukian SM, Stange KC. Developing a new measure of primary care using the Medical Expenditure Panel Survey. Med Care. 2019 Jun;57(6):475-481. doi: 10.1097/MLR.0000000000001125.

Huguet N, Angier H, Rdesinski R, Hoopes M, Marino M, Holderness H, DeVoe JE. Cervical and colorectal cancer screening prevalence before and after Affordable Care Act Medicaid expansion. Preventive Medicine. 2019 Jul;124:91-97. doi: 10.1016/j.ypmed.2019.05.003.

Antognoli E, Ishler KJ, Trapl E, Flocke SA. A comparison of methods to measure daily cigarillo consumption among adolescents and young adults [published online ahead of print Jan 29, 2019]. Tobacco Control. doi: 10.1136/tobaccocontrol-2018-054745.

Springer R, Marino M, Bailey SR, Angier H, O’Malley JP, Hoopes M, Lindner S, DeVoe JE, Huguet N. Prescription opioid use patterns, use disorder diagnoses, and addiction treatment receipt after the 2014 Medicaid expansion in Oregon [published online ahead of print May 20, 2019]. Addiction. doi: 10.1111/add.14667.

Mayhew M, DeBar LL, Deyo RA, Kerns RD, Goulet JL, Brandt CA, Von Korff M. Development and assessment of a crosswalk between ICD-9-CM and ICD-10-CM to identify patients with common pain conditions [published online ahead of print May 23, 2019]. The Journal of Pain. doi: 10.1016/j.jpain.2019.05.006.

Bailey SR, Marino M, Ezekiel-Herrera D, Schmidt T, Angier H, Hoopes MJ, DeVoe JE, Heintzman J, Huguet N. Tobacco cessation in Affordable Care Act Medicaid Expansion states versus non-expansion states [published online ahead of print May 23, 2019]. Nicotine & Tobacco Research. doi: 10.1093/ntr/ntz087.

Hoopes M, Schmidt T, Huguet N, Winters-Stone K, Angier H, Marino M, Shannon J, DeVoe JE. Identifying and characterizing cancer survivors in the US primary care safety net [published online ahead of print June 7, 2019]. Cancer. doi: 10.1002/cncr.32295.

Park B, Frank B, Likumahuwa-Ackman S, Brodt E, Gibbs BK, Hofkamp H, DeVoe JE. Health equity and the tripartite mission: moving from academic health centers to academic-community health systems [published online ahead of print June 11, 2019]. Academic Medicine. doi: 10.1097/ACM.0000000000002833.

Davis MM, Gunn R, Pham R, Wiser A, Hassmiller Lich K, Wheeler SB, Coronado GD. Key collaborative factors when Medicaid Accountable Care Organizations work with primary care practice clinics to improve colorectal cancer screening: relationships, data, and quality improvement infrastructure. Preventing Chronic Disease [In press].

Flocke, SA, Vanderpool, R, Birkby, G, Gullett, H, Seaman, EL, Land, S, Zeliadt, S. Addressing tobacco cessation at federally qualified health centers: current practices & resources. Journal of Healthcare for the Poor and Underserved [In press].

Cavallo D, Lim R, Ishler K, Pagano M, Perovsek R, Albert E, Koopman-Gonzalez S, Trapl E, Flocke SA. Effectiveness of social media approaches to recruiting young adult cigarillo smokers. Journal of Medical Internet Research [In press].

Witt AM, Witt R, Lasko L, Flocke SA. Translating team-based breastfeeding support into primary care practice. The Journal of the American Board of Family Practice [In press].

Huguet N, Valenzuela S, Marino M, Angier H, Hatch B, Hoopes M, DeVoe J. Following uninsured patients through Medicaid Expansion: healthcare utilization and diagnosed conditions. Annals of Family Medicine [In press].

Presentations

On April 8, 2019, Erik Brodt was invited to present on the Northwest Native American Center of Excellence at the Skoll World Forum in Oxford, England. The Skoll World Forum is a multi-day, international, event that aims to gather “the world’s most influential social entrepreneurs, key thought leaders, and strategic partners…to exchange ideas and activate solutions to global challenges.”

Zahnd, WE, Davis MM, Rotter JS, Vanderpool RC, Perry CK, Shannon J, Ko LK, Wheeler SB, Odahowski CL, Farris PE, Eberth JE. Financial Problems Among Rural and Urban Cancer Survivors. Presentation at the National Rural Health Association, Atlanta, GA, May 2019.

Davis, MM. “Headaches and Heartburn:” Visioning a Research, Technical Assistance, and Education Agenda for ORPRN that Matters to You. Presentation and facilitated discussion at the Annual ORPRN Convocation, Stevenson, WA, May 2, 2019.

Casari A, McNamara A, Averick M, Marino M. Fireside Chat. Panel session at the American Statistical Association Symposium on Data Science & Statistics, Bellevue, WA, June 1, 2019.

Events

The International Conference on Practice Facilitation was held June 26-27, 2019 in Bethesda, MD. Melinda Davis co-chaired this conference!

Steve Wahls, Cat Livingston, and Jim Chesnutt, among others, helped put on the continuing professional development course, Is there a Doctor on the Plane: When Medical Professionals are Asked to Help In-Flight, held June 28, 2019 at the McMenamin’s Kennedy School in Portland, OR.

Publications

Hester CM, Jiang V, Bartlett-Esquilant G, Bazemore A, Carroll JK, DeVoe JE, Dickinson WP, Krist AH, Liaw W, New RD, Vansaghi T. Supporting family medicine research capacity: the critical role and current contributions of US family medicine organizations. Family Medicine. 2019 Feb;51(2):120-128. doi: 10.22454/FamMed.2019.318583.

Parsons TD, Duffield T. National Institutes of Health initiatives for advancing scientific developments in clinical neuropsychology. The Clinical Neuropsychologist. 2019 Feb;33(2):246-270. doi: 10.1080/13854046.2018.1523465.

Heintzman J, Marino M. Race and ethnicity data in research. JAMA. 2019 Mar;321(12):1217-1218. doi:10.1001/jama.2018.21947.

Boone-Heinonen J, Tillotson CJ, O’Malley JP, Marino M, Andrea SB, Brickman A, DeVoe JE, Puro J. Not so implausible: impact of longitudinal assessment of implausible anthropometric measures on obesity prevalence and weight change in children and adolescents. Annals of Epidemiology. 2019 Mar;31:69-74. doi: 10.1016/j.annepidem.2019.01.006.

Hollander-Rodriguez J, DeVoe JE. Response to “’Family medicine’s task in population health: defining it and owning it’ begins with community” and “Family medicine and social determinants.” Family Medicine. 2019 May;51(5):446-447. doi: 10.22454/FamMed.2019.780575.

Thompson JH, Davis MM, Michaels L, Rivelli JS, Castillo ML, Younger BM, Castro M, Reich SL, Coronado GD. Developing patient-refined messaging for a mailed colorectal cancer screening program in a Latino-based community health center. Journal of the American Board of Family Medicine. 2019 May-Jun;32:307-317. doi:10.3122/jabfm.2019.03.180026.

Lindner S, Solberg LI, Miller WL, Balasubramanian BA, Marino M, McConnell KJ, Edwards ST, Stange KC, Springer RJ, Cohen DJ. Does ownership make a difference in primary care practice? Journal of the American Board of Family Medicine. 2019 May-Jun;32:398-407. doi:10.3122/jabfm.2019.03.180271.

Quiñones AR, Markwardt S, Botoseneanu A. Diabetes-multimorbidity combinations and disability among middle-aged and older adults. Journal of General Internal Medicine. 2019 Jun;34(6):944-951. doi: 10.1007/s11606-019-04896-w.

Huguet N, Angier H, Rdesinski R, Hoopes M, Marino M, Holderness H, DeVoe JE. Cervical and colorectal cancer screening prevalence before and after Affordable Care Act Medicaid expansion. Preventive Medicine. 2019 Jul;124:91-97. doi: 10.1016/j.ypmed.2019.05.003.

Springer R, Marino M, Bailey SR, Angier H, O’Malley JP, Hoopes M, Lindner S, DeVoe JE, Huguet N. Prescription opioid use patterns, use disorder diagnoses, and addiction treatment receipt after the 2014 Medicaid expansion in Oregon [published online ahead of print May 20, 2019]. Addiction. doi: 10.1111/add.14667.

Bailey SR, Marino M, Ezekiel-Herrera D, Schmidt T, Angier H, Hoopes MJ, DeVoe JE, Heintzman J, Huguet N. Tobacco cessation in Affordable Care Act Medicaid Expansion states versus non-expansion states [published online ahead of print May 23, 2019]. Nicotine & Tobacco Research. doi: 10.1093/ntr/ntz087.

Parsons TD, Duffield TC, Asbee J. A comparison of virtual reality classroom CPTs to traditional CPTs in delineating ADHD: a meta-analysis [published online ahead of print June 3, 2019]. Neuropsychology Review. doi: 10.1007/s11065-019-09407-6.

Presentations

Coleman C. Health Literacy: Better Outcomes through Clear Communication. Plenary for Pacific Northwest Mobile Health Care Association Annual Meeting, Portland, OR, May 17, 2019.

Coleman C. The Hidden Value of Culture in Communities with Less Visible Diversity – Achieving Better Health Outcomes through New Universal Practice Approaches. Community-wide training for Adapt Oregon, Umpqua Health Alliance, and Cow Creek Band of Umpqua Tribe of Indians, Roseburg, OR, May 8, 2019.

Coleman C. Culturally and Linguistically Appropriate Services (CLAS) for Healthcare Professionals: Workshop. Community-wide training for Adapt Oregon, Umpqua Health Alliance, and Cow Creek Band of Umpqua Tribe of Indians, Roseburg, OR, May 8, 2019.

Coleman C. Health Literacy and the Ethics of Clear Communication. Plenary talk for the 29th Annual Statewide Kinsman Bioethics Conference, Eugene, OR, April 12, 2019.

Events

ORPRN Convocation was held May 2, in conjunction with the OAFP Family Medicine Weekend.

The International Conference on Practice Facilitation will be held June 26-27, 2019 in Bethesda, MD.

Jennifer DeVoe, M.D., D.Phil., attended the following conferences and national meetings in April and May: 

The Healthcare Services Board of the Health and Medicine Division of the National Academies of Science, Engineering and Medicine (NASEM).

This board meets twice per year. As a member of this board, Jen helps to advise the NASEM staff in shaping the direction of health care in the United States and abroad. The Board considers the entire health care system in order to ensure the best possible care for all patients. Its activities pertain to organization, financing, effectiveness, workforce, and delivery of health care. The Board places special emphasis on quality, costs, and accessibility of care and in 1996 launched a concerted effort to assess and improve the nation's quality of care. More info can be found here: http://nationalacademies.org/hmd/About-HMD/Leadership-Staff/HMD-Staff-Leadership-Boards/Board-on-Health-Care-Services.aspx

Family Medicine for America’s Health Board Meeting

This board was created to oversee the Family Medicine for America’s Health (FMAHealth) initiative.  Launched in October 2014, FMAHealth was tasked with supporting a strategic planning process and communication campaign (Health is Primary) for the discipline of family medicine.  More information about the progress of this initiative can be found here: https://journals.stfm.org/familymedicine/2019/february/

Patient-Centered Outcomes Research Institute Board of Governors Meeting

This board meets monthly to govern and oversee all activities of the Patient-Centered Outcomes Research Institute (PCORI). Members of the Board of Governors are appointed by the Comptroller General of the United States. Under PCORI’s authorizing law, board members represent "a broad range of perspectives and collectively have scientific expertise in clinical health sciences research, including epidemiology, decisions sciences, health economics, and statistics." More information about this Board and its activities can be found here: https://www.pcori.org/about-us/governance/board-governors

American Board of Family Medicine (ABFM) Certification Exam Item Writers Annual Conferences

This annual conferences brings together family physicians from across the country who write items for the ABFM certification exams in order to provide feedback on past items and further training on writing future items. More information about other ABFM activities can be found here: https://www.theabfm.org/about/connect-with-the-abfm

Publications

Thompson JH, Davis MM, Michaels L, Rivelli J, Castillo M, Younger B, Castro M, Reich S, Coronado G. Using Boot Camp Translation to Refine a System-based Intervention to Improve Rates of Colon Cancer Screening Among Latino Patients in Community Health Centers. Journal of the American Board of Family Medicine. In press.

Zahnd, WE; Davis, MM; Rotter, JS; Vanderpool, RC; Perry, CK; Shannon, J; Ko, LK; Wheeler, SB; Odahowski, CL; Farris, PE; Eberth, JM. Rural-Urban Differences in Financial Burden among Cancer Survivors: An Analysis of a Nationally Representative Survey. Supportive Care in Cancer. In Press.

Kohli R**, Howk S, Davis MM [senior author]. Barriers and Facilitators of Dental Care in African American Seniors: A Qualitative Study of Consumers' Perspective. Health Education & Care. In Press.

O’Leary MC, Hassmiller Lich K, Gu Y, Wheeler SB, Coronado GD, Bartelmann SE*, Lind BK, Mayorga ME, Davis MM [senior author]. Effects of National and State Policy Changes on Colorectal Cancer Screening Among Newly Age Eligible Medicaid Members, 2010 – 2014. BMC Health Services Research. In Press.

West, N. B., Powers, N., Hockett, W., Cantone, R. E., & Farley, M. (2019). Increasing Naloxone Availability in Rural Communities. The Annals of Family Medicine, 17(2), 178-178. doi:10.1370/afm.2374

Presentations

Odahowski C, Zahnd W, Perr C, Davis M, Edward J, Vanderpool R, Eberth J. Financial Hardship among Rural Cancer Survivors in the United States. Poster presentation at the American Society of Preventive Oncology. Tampa, FL. March 2019.

Gunn, R, Davis, MM, Dickinson, C, Stock, I, Ferrara, L, Hatch, B, Fagnan, LJ, Carney, P. The Rural Adolescent Vaccine Enterprise: Increasing HPV Immunization Rates in Rural Oregon. Oral presentation at the Society for Applied Anthropology 79th Annual Meeting. Portland, OR. March 2019.

Davis MM. Boundary Spanners and Participatory Implementation Science: Lessons Learned in Rural Oregon. Invited talk for the Human Nutrition, Foods, and Exercise Seminar at Virginia Tech. Blacksburg, VA. March 2019.

Bailey SR, Heintzman J, Jacob RL, Puro L, Marino M. Tobacco use assessment among adolescent primary care patients. Poster presented at the 2019 Society for Research on Nicotine & Tobacco 25th Annual Meeting, San Francisco, CA, February 22nd, 2019.

Coleman, C. Training Health Professionals for Clear Communication. Legacy’s 8th annual Oregon and Southwest Washington Health Literacy Conference, 3/22/19.