Nancy Morioka-Douglas

Journal Articles

• No papanicolaou tests in women younger than 21 years or after hysterectomy for benign disease. JAMA internal medicine Morioka-Douglas, N., Adams Hillard, P. J. 2013; 173 (10): 855-856

  View details for DOI 10.1001/jamainternmed.2013.316

  View details for PubMedID 23568165

• The "Top 5" Lists in Primary Care Meeting the Responsibility of Professionalism ARCHIVES OF INTERNAL MEDICINE Aguilar, I., Berger, Z. D., Casher, D., Choi, R. Y., Green, J. B., Harding, E. G., Jaeger, J. R., Lavin, A., Martin, R., Montgomery, L. G., Morioka-Douglas, N., Murphy, J. A., Oshman, L., Picker, B., Smith, S. R., Venkatesh, S., Williams, M., Wright, G. M. 2011; 171 (15): 1385-1390

  Abstract

  Physicians can adhere to the principles of professionalism by practicing high-quality, evidence-based care and advocating for just and cost-effective distribution of finite clinical resources. To promote these principles, the National Physicians Alliance (NPA) initiated a project titled "Promoting Good Stewardship in Clinical Practice" that aimed to develop a list of the top 5 activities in family medicine, internal medicine, and pediatrics where the quality of care could be improved.Working groups of NPA members in each of the 3 primary care specialties agreed that an ideal activity would be one that was common in primary care practice, that was strongly supported by the evidence, and that would lead to significant health benefits and reduce risks, harms, and costs. A modification of nominal group process was used to generate a preliminary list of activities. A first round of field testing was conducted with 83 primary care physicians, and a second round of field testing with an additional 172 physicians.The first round of field testing resulted in 1 activity being deleted from the family medicine list. Support for the remaining activities was strong. The second round of field testing showed strong support for all activities. The family medicine and internal medicine groups independently selected 3 activities that were the same, so the final lists reflect 12 unique activities that could improve clinical care.Physician panels in the primary care specialties of family medicine, internal medicine, and pediatrics identified common clinical activities that could lead to higher quality care and better use of finite clinical resources. Field testing showed support among physicians for the evidence supporting the activities, the potential positive impact on medical care quality and cost, and the ease with which the activities could be performed. We recommend that these "Top 5" lists of activities be implemented in primary care practice across the United States.

  View details for DOI 10.1001/archinternmed.2011.231

  View details for Web of Science ID 000293642800016

  View details for PubMedID 21606090

• Learning from Clinical Uncertainty Best Poster award at the 2011 Dartmouth Cooperative Research Network Annual Meeting Tina M. Kenyon, ACSW, Lucia Sommers, DrPH, Claudia Allen, PhD, Michael Potter, MD, Nancy Morioka-Douglas, MD, MPH, Alan Siegel, MD 2011
• Empowering Youth as Self-Management Coaches for Diabetic Family Members California HealthCare Foundation Issue Brief Nancy Morioka-Douglas 2011; February
• Developing Curricula in Cultural Competence: An iterative, medical student driven process 32nd Annual STFM Predoctoral Education Conference, February 2006 Margaret Kirkegaard, N. 2006
• "Ethnogeriatrics: Taking Care of Ethnic Elders in America" Faces and Masks of Aging: Implications from the lives of Japanese elderly", conference, May 2005 Nancy Morioka-Douglas 2005
• Medical education and chronic disease JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION Morioka-Douglas, N. 2004; 292 (24): 2975-2975

  View details for Web of Science ID 000225841900029

  View details for PubMedID 15613663

• Issues in caring for Afghan American elders: insights from literature and a focus group. Journal of cross-cultural gerontology Morioka-Douglas, N., Sacks, T., Yeo, G. 2004; 19 (1): 27-40

  Abstract

  To increase the information available for clinicians and educators to care for, and educate others to care for, elders from Afghan backgrounds more effectively.Focus group methodology.Community senior center in Fremont, CA, United States.Nine leaders of an Afghan elders group.Content analysis of translated proceedings of focus group.The two most important themes were: 1) Participants identified their health status and effective treatments with their faith in, and practice of, Islam. 2) They also emphasized the importance of care given by same-sex providers.Clinicians providing care for older Afghan refugees need to be aware of the importance of respecting the practices of Islam, especially using same sex providers. Allowing for Muslim practices in the hospital is also important, such as washing before daily prayers, not serving pork products (e.g. gelatin), and having the bed face Mecca (Southeast) for prayers, especially for a dying patient.

  View details for PubMedID 14767176