Jennifer Elston Lafata, PhD

Text messaging shows promise for assessing smoking status and identifying lung cancer screening eligibility, particularly among middle-aged, educated individuals with medium or high income. However, a multimodal approach is crucial for equitable implementation of such a program.

We found race and age disparities not only in who adopted patient portal technology but also in which features were accessed by those who were adopters.

Physician- and nursing staff–reported team functioning was associated with patient satisfaction but not with clinical quality or patient portal implementation.

Among patients likely needing mental health care, two-thirds had no discussion or perfunctory discussion of mental health during periodic health exams.

CRC screening rates in a large managed care organization were low. Among those screened, use was associated more with physicians' recommendations than with patient preferences.

More comprehensive discussion of colorectal screening by primary care physicians was associated with higher screening rates among adults aged 51 to 80 years who were overdue for screening.

African Americans with diabetes are less likely than whites to be treated with lipid-lowering agents, have their medication altered, or reach LDL-C goal.

Colorectal cancer screening use was similar in 2 divergent primary care populations. Colonoscopy was the most frequently used modality; FOBT was used inconsistently.