Work Address:
David Geffen School of Medicine at UCLA Department of Family Medicine 924 Westwood Boulevard Suite 650 Los Angeles, CA 90024 UNITED STATES
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Quality of Care and Quality of Life in Underserved Breast Cancer Patients
Special populations, such as low-income, ethnic minority, or older breast cancer patients are vulnerable to receiving suboptimal breast cancer care, which may in turn impact on their quality of life and survival. This work examines what factors, at the patient-physician and health care system levels, are important to receiving the best available breast cancer treatment in these women. In addition, to studying what can be done at both these levels to improve care, we are studying what can be done to improve these patients' quality of life during and after treatment. This research will include the design and testing of interventions to improve quality of care and quality of life.
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Dr. Maly is a board-certified famiy physician and geriatrician, who is also Associate Professor of Family Medicine in the School of Medicine. In addition to her MD, she holds a Master's degree in Public Health. Dr. Maly has enjoyed mentoring medical students on a yearly basis since 1996. All of her students have successfully presented papers on their research at national or state medical meetings, and some have first- or co-authored mansuscripts for publication in national, peer-reviewed medical journals.
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Naeim A, Hurria A, Leake B, Maly RC Do age and ethnicity predict breast cancer treatment received? A cross-sectional urban population based study.
Critical Reviews in Oncology/Hematology, In Press
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Maly RC, Umezawa Y, Ratliff CT, Leake B. Racial/ethnic group differences in treatment decision-making and treatment received among older breast carcinoma patients.
Cancer, 106(4):957-965, 2006
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Thind AS, Maly RC The surgeon-patient interaction in older women with breast cancer: What are the determinants of a helpful discussion?.
Annals of Surgical Oncology
2006; 13(6):
788-793.
Feher S, Maly RC Coping with breast cancer in later life: The role of religious faith.
Psycho-oncology .
1999; 8(5):
408-16.
Maly RC, Umezawa Y, Leake B, Silliman RA Mental health outcomes in older women with breast cancer: Impact of perceived family support and adjustment.
Psycho-oncology .
2005; 14(7):
535-45.
Ferrer RL, Hambidge SJ, Maly RC The essential role of generalists in health care systems.
Annals of Internal Medicine .
2005; 142(8):
691-9.
Maly RC, Umezawa Y, Leake B, Silliman RA Determinants of participation in treatment decision-making by older breast cancer patients.
Breast Cancer Research and Treatment.
2004; 85(3):
201-9.
Maly RC, Leake B, Silliman RA Health care disparities in older patients with breast carcinoma: Informational support from physicians.
Cancer .
2003; 97(6):
1517-27.
Maly RC, Leake B, Frank JC, DiMatteo MR, Reuben DB Implementation of consultative geriatric recommendations: the role of patient-primary care physician concordance.
Journal of the American Geriatrics Society.
2002; 50(8):
1372-80.
Keeler EB, Robalino DA, Frank JC, Hirsch SH, Maly RC, Reuben DB Cost-effectiveness of outpatient geriatric assessment with an intervention to increase adherence.
Medical Care .
1999; 37(12):
1199-206.
Maly RC, Bourque LB, Engelhardt RF A randomized controlled trial of facilitating information giving to patients with chronic medical conditions: effects on outcomes of care.
The Journal of Family Practice.
1999; 48(5):
356-63.
Reuben DB, Frank JC, Hirsch SH, McGuigan KA, Maly RC A randomized clinical trial of outpatient comprehensive geriatric assessment coupled with an intervention to increase adherence to recommendations.
Journal of the American Geriatrics Society.
1999; 47(3):
269-76.
Maly RC, Frank JC, Marshall GN, DiMatteo MR, Reuben DB Perceived efficacy in patient-physician interactions (PEPPI): validation of an instrument in older persons.
Journal of the American Geriatrics Society.
1998; 46(7):
889-94.
Maly RC, Hirsch SH, Reuben DB The performance of simple instruments in detecting geriatric conditions and selecting community-dwelling older people for geriatric assessment.
Age and Ageing.
1997; 26(3):
223-31.
Shah PN, Maly RC, Frank JC, Hirsch SH, Reuben DB Managing geriatric syndromes: what geriatric assessment teams recommend, what primary care physicians implement, what patients adhere to.
Journal of the American Geriatrics Society.
1997; 45(4):
413-9.
Reuben DB, Hirsch SH, Frank JC, Maly RC, Schlesinger MS, Weintraub N, Yancey S The Prevention for Elderly Persons (PEP) Program: a model of municipal and academic partnership to meet the needs of older persons for preventive services.
Journal of the American Geriatrics Society.
1996; 44(11):
1394-8.
Maly RC, Abrahamse AF, Hirsch SH, Frank JC, Reuben DB What influences physician practice behavior? An interview study of physicians who received consultative geriatric assessment recommendations.
Archives of Family Medicine.
1996; 5(8):
448-54.
Reuben DB, Maly RC, Hirsch SH, Frank JC, Oakes AM, Siu AL, Hays RD Physician implementation of and patient adherence to recommendations from comprehensive geriatric assessment.
The American Journal of Medicine.
1996; 100(4):
444-51.
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