Ellen Rubinstein

Ellen Rubinstein
North Dakota State University | NDSU · Department of Sociology and Anthropology

PhD
Studying rural health through clinics and pharmacies.

About

29
Publications
7,570
Reads
How we measure 'reads'
A 'read' is counted each time someone views a publication summary (such as the title, abstract, and list of authors), clicks on a figure, or views or downloads the full-text. Learn more
328
Citations
Citations since 2017
23 Research Items
327 Citations
2017201820192020202120222023020406080
2017201820192020202120222023020406080
2017201820192020202120222023020406080
2017201820192020202120222023020406080
Introduction
I am a cultural and medical anthropologist with ethnographic research experience in Japan and the U.S. My research interests center around healthcare systems in local contexts, whether in urban Japan or rural North Dakota. I work on both academic and applied projects and am currently collaborating with NDSU's Center for Immunization Research and Education (CIRE) to study vaccine hesitancy in North Dakota.

Publications

Publications (29)
Article
Full-text available
Hikikomori, often glossed as “social withdrawal,” emerged as a sociomedical condition among Japanese youth at the end of the twentieth century, and it continues to fascinate and concern the public. Explanatory frameworks for hikikomori abound, with different stakeholders attributing it to individual psychopathology, poor parenting, and/or a lack of...
Article
Importance: Despite a decade of effort by national stakeholders to bring cancer survivorship to the forefront of primary care, there is little evidence to suggest that primary care has begun to integrate comprehensive services to manage the care of long-term cancer survivors. Objective: To explain why primary care has not begun to integrate compre...
Article
Full-text available
In 2006, the Institute of Medicine released a report detailing how cancer survivors in the United States were “lost in transition” from specialty to primary care. Here, I address a different problem: that of being “lost in translation.” Interviews with cancer survivors in communitybased primary care practices across the United States revealed a fun...
Article
Full-text available
This article presents an account of how Japanese parents in a family support group for mental illness constructed understandings of care for adult children with serious mental illness, primarily schizophrenia. I build from Janis H. Jenkins’s research on the “extraordinary condition” of schizophrenia to discuss “extraordinary care,” which parents pr...
Article
Full-text available
Hikikomori (‘social withdrawal’) appeared in Japan at the end of the twentieth century, inciting public panic about a generation of Japanese youth who shun social contact and fail to engage in the age-appropriate activities of young adulthood. Widely cited as a ‘condition’ rather than a psychiatric symptom or disorder, hikikomori has functioned var...
Article
Full-text available
Background While dementia is a common problem in Japan and the US, primary care physicians' practices and perspectives about diagnosing dementia in these different healthcare systems are unknown. Methods Qualitative research was conducted in an ethnographic tradition using semi-structured interviews and thematic analysis in primary care settings a...
Article
Background Over the last decade, primary care clinics in the United States have responded both to national policies encouraging clinics to support substance use disorders (SUD) service expansion and to regulations aiming to curb the opioid epidemic. Objective To characterize approaches to SUD service expansion in primary care clinics with national...
Article
Full-text available
Background: Mild behavioral impairment (MBI) is associated with accelerated cognitive decline and greater risk of dementia. However, the neural correlates of MBI have not been completely elucidated. Objective: The study aimed to investigate the correlation between cognitively normal participants and participants with amnestic mild cognitive impa...
Article
Japan in Western popular imagination has long been associated with healthy eating habits, although anyone who has read the nutritional information on a convenience store obentō would be quick to revise their opinion. While Japan may not (yet) lay claim to the obesity epidemic that plagues the US, it has seen a sharp increase in cases of type 2 diab...
Preprint
Full-text available
Background: To explore the perspectives and approaches of primary care physicians in Japan and the US on diagnosing dementia. Methods: Qualitative comparison conducted in ethnographic tradition using semi-structured interviews and thematic analysis. Primary care settings across Japan and in the Midwest State of Michigan, US. Participants were a tot...
Article
Multilevel perspectives across communities, medical systems and policy environments are needed, but few methods are available for health services researchers with limited resources. We developed a mixed methods health policy approach, the focused Rapid Assessment Process (fRAP), that is designed to uncover multilevel modifiable barriers and facilit...
Article
Full-text available
PURPOSE Despite a burgeoning population of cancer survivors and pending shortages of oncology services, clear definitions and systematic approaches for engaging primary care in cancer survivorship are lacking. We sought to understand how primary care clinicians perceive their role in delivering care to cancer survivors. METHODS We conducted digita...
Article
Full-text available
Background: Management of care transitions from primary care into and out of oncology is critical for optimal care of cancer patients and cancer survivors. There is limited understanding of existing primary care-oncology relationships within the context of the changing health care environment. Methods: Through a comparative case study of 14 inno...
Article
Full-text available
Most primary care researchers lack a practical approach for including field observations in their studies, even though observations can offer important qualitative insights and provide a mechanism for documenting behaviors, events, and unexpected occurrences. We present an overview of unstructured field observations as a qualitative research method...
Article
Observers of the past 10 to 15 years have witnessed the simultaneous growth of dramatic changes in the practice of primary care and the emergence of a new field of dissemination and implementation science (D&I). Most current implementation science research in primary care assumes practices are not meeting externally derived standards and need exter...
Article
Full-text available
The overall nutritional quality of foods/drinks available at urban food pantries is not well established. In a study of 50 pantries listed as operating in the Bronx, NY, data on food/drink type (fresh, shelf-stable, refrigerated/frozen) came from direct observation. Data on food/drink sourcing (food bank or other) and distribution (prefilled bag vs...
Article
Full-text available
For individuals who are food insecure, food pantries can be a vital resource to improve access to adequate food. Access to adequate food may be conceptualized within five dimensions: availability (item variety), accessibility (e.g., hours of operation), accommodation (e.g., cultural sensitivity), affordability (costs, monetary or otherwise), and ac...
Article
Objective: The impact of subjective vs. objective illness severity on subjective cognitive impairment in patients with depression has not been addressed. Methods: This study is a post-hoc analysis of our cross-sectional study in Japanese outpatients with depressive disorder (ICD-10) (Ozawa et al., 2017). The participants received assessments with t...
Article
80 Background: Improvements in the management of care transitions between primary care and oncology are critical for achieving optimal care quality and outcomes for cancer patients and survivors. We examine relationships between innovative PC practices and oncologists to inform and strengthen PC-oncology interfaces in diverse healthcare settings. M...
Article
Full-text available
Aubrey M Moe,1 Ellen B Rubinstein,2 Colin J Gallagher,3 David M Weiss,4 Amanda Stewart,1 Nicholas JK Breitborde1 1Department of Psychiatry and Behavioral Health, The Ohio State University, Columbus, OH, USA; 2Department of Family Medicine, University of Michigan, Ann Arbor, MI, USA; 3Department of Psychological Sciences, Kent State University, Kent...
Article
There are currently 15.5 million cancer survivors in USA who are increasingly relying on primary care providers for their care. Patient-Centered Medical Homes (PCMHs) have the potential to meet the unique needs of cancer survivors; but, few studies have examined PCMH attributes as potential resources for delivering survivorship care. This study ass...
Article
Objective: The degree and quality of resilience in patients with depression have never been investigated in the context of remission status, spirituality/religiosity, and family members' resilience levels, which was addressed in this study. Methods: This cross-sectional study recruited Japanese outpatients with depressive disorder according to I...
Article
Full-text available
Purpose This study describes the experiences of early implementers of primary care-focused cancer survivorship delivery models. Methods Snowball sampling was used to identify innovators. Twelve participants (five cancer survivorship primary care innovators and seven content experts) attended a working conference focused on cancer survivorship popul...
Article
Full-text available
Growing research has highlighted that the first few years of psychotic illnesses constitute a “critical period” in which (i) the majority of the functional deterioration that accompanies these illnesses occurs, and (ii) individuals are most responsive to both pharmacological and psychosocial treatments for psychosis and its deleterious sequelae. Cl...
Article
Full-text available
Nature is the international weekly journal of science: a magazine style journal that publishes full-length research papers in all disciplines of science, as well as News and Views, reviews, news, features, commentaries, web focuses and more, covering all branches of science and how science impacts upon all aspects of society and life.

Network

Cited By