Michael H. Farrell
University of Wisconsin-Madison
Risk assessmentPsychosocialPsychologyNursingHealth careIntensive care medicinePediatricsQualitative researchNewborn screeningCystic fibrosisHarmHeart failureDiseaseMEDLINEHemoglobinopathyGenetic testingPopulationFamily medicineClinical psychologyQuality managementMedicineGenetic counseling
Publications 47
#1Thomas MayH-Index: 13
#2James P. Evans (UNC: University of North Carolina at Chapel Hill)H-Index: 55
Last. Harold D. GrotevantH-Index: 57
view all 9 authors...
5 CitationsSource
#1Thomas May (UCSF: University of California, San Francisco)H-Index: 13
#2Kimberly A. StrongH-Index: 11
Last. Harold D. GrotevantH-Index: 57
view all 9 authors...
Many adoptees face a number of challenges relating to separation from biological parents during the adoption process, including issues concerning identity, intimacy, attachment, and trust, as well as (for older adopted children) language and other cultural challenges. One common health challenge faced by adoptees involves lack of access to genetic-relative family health history (GRFHx). Lack of GRFHx represents a disadvantage due to a reduced capacity to identify diseases and recommend appropria...
19 CitationsSource
#1Michael H. Farrell (UW: University of Wisconsin-Madison)H-Index: 19
#2Clair R SprengerH-Index: 1
Last. Erin K RuppelH-Index: 1
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Purpose: Communication is crucial for patient experience and biomedical outcomes. Training programs improve communication but are too resource-intensive for sustained use across an entire health care organization. This study demonstrates in a heterogeneous set of encounters the efficacy of quantitative feedback on two groups of physician communication behaviors: 1) jargon explanation, and 2) assessment of patient understanding. Methods: We used a secure Internet application to audio-record conve...
1 CitationsSource
#1R. Ryanne Wu (Duke University)H-Index: 14
#2Rachel A. Myers (Duke University)H-Index: 19
Last. Lori A. Orlando (Duke University)H-Index: 23
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Background Risk assessment with a thorough family health history is recommended by numerous organizations and is now a required component of the annual physical for Medicare beneficiaries under the Affordable Care Act. However, there are several barriers to incorporating robust risk assessments into routine care. MeTree, a web-based patient-facing health risk assessment tool, was developed with the aim of overcoming these barriers. In order to better understand what factors will be instrumental ...
17 CitationsSource
#1Rachel P. Patterson (UCI: University of California, Irvine)H-Index: 1
#2Sara J. Roedl (National Marrow Donor Program)H-Index: 1
Last. Michael H. Farrell (MCW: Medical College of Wisconsin)H-Index: 19
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Many parents experience confusion and anxiety when their infant has an abnormal newborn screening result, especially for the heterozygous ‘carrier’ results that are typically communicated by primary care providers. The Internet is an important media source for health information, so many organizations have developed websites for parents after newborn screening. Surprisingly, little research has been done on the role that the Internet plays for parents after newborn screening. This qualitative st...
5 CitationsSource
#1JoAnne M. FoodyH-Index: 34
#2Michael H. FarrellH-Index: 19
Last. Harlan M. KrumholzH-Index: 215
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Context Care of patients with heart failure has been revolutionized throughout the past decade. A paradigm shift in the strategy for treating heart failure caused by systolic dysfunction is in progress. Despite the initial perception about -blockers’ safety, they are now the most extensively studied class of agents in the treatment of heart failure and have emerged as an important intervention to improve the clinical outcomes of heart failure patients. Objective To provide scientific rationale f...
12 Citations
#1Michael H. FarrellH-Index: 19
#2JoAnne M. FoodyH-Index: 34
Last. Harlan M. Krumholz (Yale University)H-Index: 215
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-Blockers reduce morbidity and mortality in heart failure patients with left ventricular systolic dysfunction and stable fluid status. The successful adoption of -blocker guidelines for these patients requires an understanding of the value of this therapy and effective systems to maintain safety and ensure high quality of care. This article distills scientific evidence and consensus guidelines into a series of cases and practical answers about patient selection, discussions with patients, manage...
1 Citations
#1Michael H. FarrellH-Index: 19
#2Stephanie Christopher (MCW: Medical College of Wisconsin)H-Index: 12
Last. Philip M. Farrell (UW: University of Wisconsin-Madison)H-Index: 80
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Abstract Objective Problems with clinician–patient communication negatively impact newborn screening, genetics, and all of healthcare. Training programs teach communication, but educational methods are not feasible for entire populations of clinicians. To address this healthcare quality gap, we developed a Communication Quality Assurance intervention. Methods Child health providers volunteered for a randomized controlled trial of assessment and a report card. Participants provided telephone coun...
14 CitationsSource
#1Thomas May (MCW: Medical College of Wisconsin)H-Index: 13
#2Kaija L. Zusevics (MCW: Medical College of Wisconsin)H-Index: 6
Last. Ryan Spellecy (MCW: Medical College of Wisconsin)H-Index: 6
view all 8 authors...
This paper argues that it will be important for new genomic technologies to recognize the limits of traditional approaches to informed consent, so that other-regarding implications of genomic information can be properly contextualized and individual rights respected. Respect for individual autonomy will increasingly require dynamic consideration of the interrelated dimensions of individual and broader community interests, so that the interests of one do not undermine fundamental interests of the...
5 CitationsSource
#1Kaija L. Zusevics (MCW: Medical College of Wisconsin)H-Index: 6
#2Kimberly A. Strong (MCW: Medical College of Wisconsin)H-Index: 11
Last. Mary Shimoyama (MCW: Medical College of Wisconsin)H-Index: 25
view all 4 authors...
1 CitationsSource