Reetu Grewal
· ProfessorVerifiedUniversity of Florida · Family Medicine and Community Health
Active 2009–2026
About
Reetu Grewal, MD, is a professor in the Department of Community Health and Family Medicine at the University of Florida College of Medicine – Jacksonville. She is a fellow of the American Academy of Family Physicians (AAFP) and has received the AAFP Award for Excellence in Graduate Medical Education as well as the Arnold P. Gold Foundation Humanism and Excellence in Teaching Award. Dr. Grewal serves as the family medicine Clerkship Director at her institution, focusing on teaching medical students, performing office procedures, and promoting wellness. Her academic career includes promotion to Professor in 2025 and prior roles as Associate Professor from 2018 to 2025 and Assistant Professor from 2009 to 2018 at the University of Florida College of Medicine – Jacksonville. Her educational background includes a Doctor of Medicine degree from the University of Medicine and Dentistry of New Jersey, a Family Medicine Residency at Spartanburg Regional Healthcare System, and a Hospice and Palliative Medicine Fellowship at Mayo Graduate School of Medicine. Dr. Grewal's clinical interests encompass family medicine and hospice and palliative medicine. She has been involved in various research projects, including colorectal cancer screening quality improvement and telemedicine programs for HIV care, serving as principal investigator and co-investigator on multiple grants funded by the Florida Department of Health and other organizations.
Research topics
- Political Science
- Sociology
- Computer Science
- World Wide Web
- Family medicine
- Emergency medicine
- Medicine
- Geography
- Internet privacy
- Internal medicine
- Oncology
- Psychology
- Pedagogy
- Nursing
Selected publications
Ready for Downtime: Preparing for Unexpected Internet and Power Outages.
PubMed · 2026-03-01
articleHealth Policy and Technology · 2024-02-16
articleOpen access1st authorCorrespondingAIDS Care · 2023-04-03 · 5 citations
article1st authorCorrespondingAlthough HIV incidence and mortality rates have declined over the past 20 years, HIV health disparities continue to persist among patients living in urban communities. Barriers to proficient health outcomes for persons with HIV (PWH) in urban communities include lack of access to care, resulting from limited transportation or clinic availability. While healthcare systems in rural communities provide telemedicine (TM) services to PWH to eliminate transportation and accessibility barriers, few examples exist regarding TM use for PWH in urban communities. This project's goal was to increase the provision of healthcare services in an urban setting to PWH, using TM. As guided by "Integration of Healthcare Delivery Service" theories and key principles, we created an integration framework comprised of several simultaneous, overlapping activities to include: (1) capacity building (2) clinical standardization (3) community and patient engagement and (4) evaluation performance and measurements. This paper describes major activities involved with developing, implementing and evaluating a TM program for PWH. We discuss results, challenges, and lessons learned from integrating this program into our existing healthcare system.
Multiple Adverse Outcomes of Intrauterine Devices in One Patient: A Case Report
Cureus · 2023-10-28
articleOpen accessSenior authorIntrauterine devices (IUDs) are commonly used, effective forms of long-acting removable contraceptives that may be inserted by primary care providers. Adverse outcomes with copper IUDs specifically have been extensively documented; however, there is little guidance on whether to offer an IUD to a patient who has already experienced adverse outcomes related to IUDs. In this case report, our patient experienced three complications with three different copper IUDs, including a spontaneous expulsion, a fragmented device, and a retained device in addition to two unintended pregnancies. In our view, a different form of contraception should be offered for a patient that has already experienced multiple adverse outcomes related to IUDs.
Comparative study of different SES neighborhood clinics for health literacy and internet access
Digital Health · 2022 · 19 citations
- Computer Science
- Sociology
- Political Science
Background: As healthcare services are increasingly dependent on patient utilization of technology to effectively deliver services, the digital divide has the potential to exacerbate health disparities if health literacy and internet access present formidable barriers to patient use of technology. Methods: We examined the differences in health literacy and internet access between lower and upper SES neighborhood primary-care clinics in Northeast Florida. The REALM-SF for health literacy was used to assess health literacy and census survey questions were used to assess internet and technology access, during the Fall, 2020. The clinics were affiliated with a safety-net hospital in a major city in Southeastern U.S. Results: Analysis of key demographic data confirmed that the responding patients from economically disadvantaged neighborhood clinics resided in economically disadvantaged zip codes (307 responding patients lived in lower SES neighborhoods) and did have lower education levels (3% of the patients from Upper SES clinics had 11 grade or lower education, compared to 21%-29% of patients from Lower SES clinics). Patient health literacy significantly differed between clinics located in economically disadvantaged neighborhoods and clinics located in more affluent neighborhoods, with Upper SES clinics being 2.4 times more likely to have 9th grade or higher reading level. Access to internet technology was also higher in the Upper SES clinics, with 59% of respondents from Upper SES clinics versus 32%-40% from Lower SES clinics owning a computer or an IPAD. Conclusion: Results of this study have important implications for patient-engaged use of digital technology for health. Healthcare and public health clinics should be aware of the difference in health literacy and internet access when implementing technology-based services, so that advances in medicine, including precision medicine and telehealth, can be disseminated and implemented with broad populations, including disadvantaged groups.
Rapid Development and Deployment of Respiratory Evaluation Clinics in Response to the COVID-19
Osteopathic Family Physician · 2021-02-25
articleThe world as we knew it changed at the beginning of 2020 with the explosion of the global pandemic caused by SARS-CoV-2, a.k.a. COVID-19. As of January 10, 2021, the novel coronavirus has infected over 89 million people worldwide and killed over 1.9 million. In the U.S., there have been 22 million people infected and 373,000 deaths. It has never been more important to protect our vulnerable patients and staff from infectious disease, especially during the time they spend in our offices and clinics. It quickly became apparent that there was a need for a dedicated location where patients could be seen that were too ill to be evaluated via telemedicine, but not ill enough to be sent to the Emergency Department (ED). To fill this need, our primary care network developed the Respiratory Evaluation Clinic (REC) concept. These were two geographical locations where the outlying clinics could send potentially infectious patients to evaluate and test COVID-19. Some recommendations, adaptations, lessons learned and the REC clinics' expansions to other locations throughout our network are discussed.
Indira Gandhi National Open University, New Delhi eBooks · 2020-01-01
book-chapterJCO Oncology Practice · 2020 · 22 citations
- Medicine
- Internal medicine
- Oncology
PURPOSE: ASCO recommends early integration of palliative care in treating patients diagnosed with metastatic lung cancer. Our study sought to examine utilization of timely specialty palliative care (SPC) and its association with survival and cost outcomes in patients diagnosed with metastatic non-small-cell lung cancer (NSCLC). METHODS: The 2001-2015 SEER-Medicare data were used to determine the baseline characteristics and outcomes of 79,253 patients with metastatic NSCLC. The predictors of early SPC use were examined using logistic regression. Mean and adjusted total and SPC-related costs were calculated using generalized linear regression. We used Cox regression model to determine the survival outcomes by SPC service settings. All statistical tests were two sided. RESULTS: < .001). CONCLUSION: Patients diagnosed with metastatic NSCLC now have more timely SPC service utilization, which was demonstrated to be a cost-saving treatment. Strategies to improve outpatient palliative care use might be associated with longer survival in patients with metastatic NSCLC.
Unit-8 Management processes in higher education institutions
Indira Gandhi National Open University, New Delhi eBooks · 2020-01-01
book-chapterSenior authorCancer · 2019-08-26 · 28 citations
articleOpen accessBACKGROUND: Although the benefits of palliative care for patients with cancer has been well established, the current utilization pattern remains largely unknown. The authors investigated the temporal trends and service settings of palliative care among Medicare beneficiaries with newly diagnosed, metastatic non-small cell lung cancer (NSCLC). METHODS: In total, 69,414 patients with NSCLC were identified between January 1, 2001 and December 31, 2013 from the Surveillance, Epidemiology, and End Results-Medicare-linked database. Temporal trends in palliative care use and the temporal shift in palliative care service settings were assessed using the Cochran-Armitage test. Multivariable logistic regression models were used to identify predictors for the receipt of palliative care, controlling for patients' sociodemographic and clinical characteristics. RESULTS: Fifteen percent (10,359) of patients with NSCLC received palliative care within 1 year of a diagnosis of metastatic NSCLC. The proportion of beneficiaries receiving palliative care increased from 3.6% in 2001 to 31.9% in 2013 (P for trend <.001). Multivariable analyses demonstrated that receipt of palliative care varied significantly by sex, race, and region. Most patients (53.5%) had their first receipt of palliative care in a hospital. Less than one-third of patients (27.6%) received palliative care in an outpatient setting or received palliative care in more than 1 service setting (26.3%) in 2013. CONCLUSIONS: The number of patients with metastatic NSCLC receiving palliative care has increased substantially. Although the hospital-based program is still the main form of palliative care delivery, more patients in recent years have received palliative care services in multiple locations.
Frequent coauthors
- 8 shared
Ross Jones
Diabetes UK
- 8 shared
Jessica Peters
University of Florida
- 8 shared
Fern J. Webb
University of Florida
- 6 shared
Carmen Smotherman
University of Florida
- 5 shared
Christopher Scuderi
University of Florida
- 5 shared
Kea Turner
- 4 shared
Young‐Rock Hong
University of Florida
- 4 shared
Jeremy S. Coleman
Vanderbilt University
Education
M.D.
University of Florida College of Medicine – Jacksonville
Awards & honors
- AAFP Award for Excellence in Graduate Medical Education
- Arnold P. Gold Foundation Humanism and Excellence in Teachin…
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