Research reveals diverse impacts of anxiety, depression, and discrimination on substance use among young adults, with varying effects by race or ethnicity. The study suggests that everyday discrimination is associated with increased likelihood of substance use in all product forms.
A new study has identified disparities in liver transplant referral and evaluation that occur before waitlisting for patients with early-stage liver cancer. These disparities affect older, poorer, Black, and Medicaid beneficiaries, highlighting the need for targeted interventions to improve equity in access to liver transplantation.
A new study found that almost two-thirds of prescribed tricyclic antidepressants were above the safe dosage threshold, with Black patients more likely to receive these high-dose medications. The research highlights the need for routine evaluation of drug efficacy in clinical care environments.
Expert Insight provides a guide for transplant centers to monitor and address health disparities, including measures of socioeconomic status. The authors emphasize the need for transparency in the transplant process and equitable outcomes. By implementing these measures, transplant centers can improve patient access and quality of care.
Neighborhoods of high need offer opportunities to improve health through social care integration, which requires infrastructure development and financial investment. Building and maintaining this infrastructure will cost $1-3 million per year for 5-10 years, according to a case study by Eskenazi Health.
A commentary highlights the importance of including nursing home residents in clinical trials to address health equity concerns. The authors propose key elements for successful nursing home clinical trials and emphasize the benefits of conducting research in this setting.
A recent study found that nearly one-in-five chlamydia patients and one-in-four gonorrhea patients did not receive CDC-recommended treatment. Treatment rates were higher for individuals seen in public health clinics, particularly males, younger patients, and those identifying as Black or multiracial.
A significant gap exists in the colorectal screening process, particularly after a positive stool-based test, where timely follow-up with colonoscopy is often lacking. This can lead to reduced incidence and mortality rates from colorectal cancer if addressed through education and quality measures.
The COVID-19 pandemic highlighted the need for high-quality dementia care in nursing homes, where residents face social isolation and staff challenges. Experts emphasize person-centered care, resident involvement, and community connections to improve outcomes.
A large multi-state study found COVID-19 vaccines are as effective for adults with anxiety or depression as for those without these conditions. Unvaccinated individuals with mental illness had a higher rate of hospitalization for COVID-19 than those without a psychiatric diagnosis.
A new study suggests that loneliness is comparable in harm to smoking over 15 cigarettes a day and has negative effects on physical and mental health. Primary care clinicians can play an important role in developing and maintaining social connections for patients experiencing loneliness.
A new study published in New England Journal of Medicine found that a next generation multi-target stool DNA colorectal cancer screening test detects 94 percent of colorectal cancers, outperforming other noninvasive tests. The test has the best detection rate for both colorectal cancer and advanced precancerous polyps.
A new study found that dialysis facilities serving high-risk populations are more likely to receive lower reimbursement under the End-Stage Renal Disease Treatment Choices Model. The rate of home dialysis and transplant waitlisting is also lower among these facilities.
A recent study found that the latest COVID-19 booster shot significantly reduces adults' risk of moderate or severe disease. The study analyzed data from September 2023 to January 2024 and showed that the updated vaccine provided protection against emergency department visits and hospitalizations, with a reduction of over half.
A recent study reveals the lack of colorectal cancer screening programs in low-middle-income countries, but successful implementation in high-middle-income Latin American nations. High-middle-income countries achieved high uptake of screening, with over 75% receiving colonoscopies following positive stool test results.
Flu vaccines significantly reduced the risk of both moderate and severe disease for children and adults in the US during the 2022-2023 flu season. Vaccination effectiveness was found to be around 40-45% for all age groups, with greater reductions in younger populations.
A new study suggests that including socioeconomic status in the calculation of Medicare readmission penalties would reduce penalty amounts for 38% of safety-net hospitals compared to 17% of non-safety net hospitals. This adjustment could help alleviate financial pressure on these hospitals, which often care for sicker patients with lim...
A new study suggests that early conversations about brain health between clinicians and patients are rare due to stigma around Alzheimer's diagnoses. Tailored approaches, such as culturally relevant messaging and the Agile Diffusion Process, can facilitate these conversations.
Researchers developed a population risk prediction model to identify groups of patients at risk of ICU admission and potential outcomes. The model harnesses information from electronic health records and can be used to predict ICU survivorship and mortality in older adults as young as age 50.
Clinicians use specific cues to detect and address drug-drug interactions, which can be addressed by investigating alternative treatments, altering dosage, or stopping a medication. The study provides recommendations for EHR system alert design to improve clinician decision-making and patient safety.
A new app aims to improve information exchange between hospitals and nursing homes, reducing adverse events. The app provides a seamless transition of care for patients, enabling nurses to access up-to-date information at their fingertips.
A new study highlights the experiences and needs of LGBTQ+ older adults living in nursing homes, outlining best facility practices for a welcoming environment. The research emphasizes the importance of respecting residents' autonomy and providing valuable resources for care.
The initiative aims to standardize social risk factors data in EHRs, enabling clinicians to monitor and address patients' social and clinical needs comprehensively. This will positively impact individual patients and support efforts to track health inequities at the population level.
A new study provides practical guidance for implementing governance for sharing EHR data for chronic disease surveillance, which could reduce delays and provide more accurate metrics. The approach has already shown success in the Multi-State EHR-Based Network for Disease Surveillance.
A recent study found that older adults with dementia who are transferred to another hospital are less likely to receive intensive care or medical procedures within the first two days of transfer. This highlights the need for closer patient and family involvement in determining whether transfer provides optimal care.
Experts from Regenstrief Institute, IMIA, IAHSI and AMIA will address the role of health informatics in resolving climate-related health issues. The mini-summit aims to bring together national and international experts to form an informatics infrastructure that highlights climate change's effects on health.
Regenstrief researchers and experts will address key issues in medical informatics at the 2023 AMIA Annual Symposium. The event features a wide range of scientific sessions on topics such as translational bioinformatics, clinical research informatics, and public health informatics.
Regenstrief Institute researchers are sharing their work on aging research at the Gerontological Society of America's annual meeting. This platform enables them to disseminate high-level scholarship that will shape future research and policy. Regenstrief Institute, founded in 1969, is a leader in healthcare innovations and studies.
A new study will test a two-step music therapy intervention to reduce pain, anxiety, and depression in veteran patients. The research aims to assess the cost-effectiveness of step 1 music listening and step 2 music imagery interventions.
A $4.7 million NIH grant will be used to train dental students and faculty, enhance mentoring, and conduct a clinical research study on Sjögren's disease. The grant aims to find an early biomarker for the chronic autoimmune disorder affecting four million Americans.
The special supplement examines the impacts of EHR transitions on patient care, data integrity, and security. It highlights the need for medical institutions to understand the difficulties of transitioning to new systems to maximize success and inform decisions.
A recent study compared using health information exchange (HIE) data with patient self-reported data as a means of gathering intelligence on cancer screening uptake. HIE data provided more information about laboratory screening tests, while patient self-reports offered more details about cancer screening procedures.
A new study, COOPERATE, provides tools to facilitate autonomy and control over individual’s own healthcare, resulting in improved patient activation, increased confidence in expressing pain-related goals, and better quality of life. The coaching program also showed a positive impact on depression and anxiety.
A study found that negative childhood experiences can lead to lower levels of social support and relationships, increasing the likelihood of physical frailty. Adults with negative childhood experiences who maintained strong social relationships were less likely to develop severe frailty.
A 10-state study from the CDC's VISION Network identified risk factors for critical COVID-19 outcomes in adults hospitalized with the virus. Adults with four or more underlying disease risk factors, including hypertension, diabetes, heart disease, and obesity, are at higher risk of ICU admission and death.
A pilot study shows significant improvements in self-reported mental health and depression among racially and ethnically minoritized veterans who received peer-led patient navigation. The program, developed by the Regenstrief Institute, supports patients in identifying their healthcare priorities and communicating with clinicians.
A multi-state study confirmed that COVID-19 mRNA vaccination protects babies and young children against COVID-19-associated emergency department/urgent care visits. The study found that even one dose of the two-dose vaccine series provided some protection for this age group.
The Regenstrief Institute has introduced an innovative mentorship model called Agile Mentorship, which fosters personalized relationships between mentors and mentees. This approach aims to create a psychosocial safety net for mentee success and promote career growth across generations.
Researchers at Regenstrief Institute and Indiana University School of Dentistry linked electronic dental and health records to provide better care for individuals with Sjögren's disease. This can lead to earlier diagnosis and treatment, reducing the impact of tooth decay and improving overall health.
A new study developed a natural language processing system to extract social risk factors, such as financial instability and housing insecurity, from clinical notes. The system showed excellent performance when ported to a new health system and tested on over six million clinical notes.
Researchers developed two versions of a survey to measure the experience of communication between families of inpatients unable to make decisions for themselves. The five-question survey provides a brief snapshot of the experience, while the 10-item survey adds questions about information and emotional support.
Chronic pain is often accompanied by depression and anxiety, with a feedback loop creating a bi-directional linkage between the two. Successful treatment of depression and anxiety improves pain outcomes, but neglecting psychological symptoms can lead to long-term suffering.
The CMS Innovation Center has launched a new dementia care and payment model that provides comprehensive support for patients with dementia and their unpaid caregivers. The Guiding an Improved Dementia Experience model aims to improve quality of life, reduce caregiver strain, and delay nursing home placement.
The study found shorter wait times for telehealth appointments compared to in-person visits and no increase in community care requests after program implementation. The program improved access to timely neurological assessment and treatment for rural veterans, overcoming physical, geographical, and financial barriers.
A large study found that vaccination can prevent COVID-19 hospitalizations with 205 individuals needed to be vaccinated, while preventing ED visits requires fewer vaccinations. The study's findings provide valuable insights into the vaccine's effectiveness, especially in older populations.
The program found 1,695 persons in Indiana with sickle cell disease, with a median age of 21 and 87% Black. The data will inform clinical care, identify gaps in access to care, and guide lawmakers.
A new study sheds light on the intersection of Alzheimer's caregiving and the LGBT experience, highlighting common themes such as social isolation, financial security, and grief support. The research reveals that LGBT caregivers face unique challenges due to lack of family support and discrimination in care settings.
A new study applies natural language processing to extract information on housing challenges, financial stability, and employment status from unstructured patient data. The researchers developed three algorithms to successfully identify social determinants of health, which can help clinicians and healthcare systems provide better care.
The expert panel's recommendations aim to improve early detection of mild cognitive impairment in primary care, benefiting patients and caregivers. The work group advocates for the routine use of brief cognitive assessments to identify patients in need of full cognitive examination.
A study by Regenstrief Institute has identified seven risk factors for early onset colorectal cancer in males, providing a framework for clinicians to consider screening recommendations for younger men. The model may help estimate relative risk and identify individuals at higher risk for colorectal cancer.