Articles tagged with Health Care Delivery
Comprehensive exploration of living organisms, biological systems, and life processes across all scales from molecules to ecosystems. Encompasses cutting-edge research in biology, genetics, molecular biology, ecology, biochemistry, microbiology, botany, zoology, evolutionary biology, genomics, and biotechnology. Investigates cellular mechanisms, organism development, genetic inheritance, biodiversity conservation, metabolic processes, protein synthesis, DNA sequencing, CRISPR gene editing, stem cell research, and the fundamental principles governing all forms of life on Earth.
Comprehensive medical research, clinical studies, and healthcare sciences focused on disease prevention, diagnosis, and treatment. Encompasses clinical medicine, public health, pharmacology, epidemiology, medical specialties, disease mechanisms, therapeutic interventions, healthcare innovation, precision medicine, telemedicine, medical devices, drug development, clinical trials, patient care, mental health, nutrition science, health policy, and the application of medical science to improve human health, wellbeing, and quality of life across diverse populations.
Comprehensive investigation of human society, behavior, relationships, and social structures through systematic research and analysis. Encompasses psychology, sociology, anthropology, economics, political science, linguistics, education, demography, communications, and social research methodologies. Examines human cognition, social interactions, cultural phenomena, economic systems, political institutions, language and communication, educational processes, population dynamics, and the complex social, cultural, economic, and political forces shaping human societies, communities, and civilizations throughout history and across the contemporary world.
Fundamental study of the non-living natural world, matter, energy, and physical phenomena governing the universe. Encompasses physics, chemistry, earth sciences, atmospheric sciences, oceanography, materials science, and the investigation of physical laws, chemical reactions, geological processes, climate systems, and planetary dynamics. Explores everything from subatomic particles and quantum mechanics to planetary systems and cosmic phenomena, including energy transformations, molecular interactions, elemental properties, weather patterns, tectonic activity, and the fundamental forces and principles underlying the physical nature of reality.
Practical application of scientific knowledge and engineering principles to solve real-world problems and develop innovative technologies. Encompasses all engineering disciplines, technology development, computer science, artificial intelligence, environmental sciences, agriculture, materials applications, energy systems, and industrial innovation. Bridges theoretical research with tangible solutions for infrastructure, manufacturing, computing, communications, transportation, construction, sustainable development, and emerging technologies that advance human capabilities, improve quality of life, and address societal challenges through scientific innovation and technological progress.
Study of the practice, culture, infrastructure, and social dimensions of science itself. Addresses how science is conducted, organized, communicated, and integrated into society. Encompasses research funding mechanisms, scientific publishing systems, peer review processes, academic ethics, science policy, research institutions, scientific collaboration networks, science education, career development, research programs, scientific methods, science communication, and the sociology of scientific discovery. Examines the human, institutional, and cultural aspects of scientific enterprise, knowledge production, and the translation of research into societal benefit.
Comprehensive study of the universe beyond Earth, encompassing celestial objects, cosmic phenomena, and space exploration. Includes astronomy, astrophysics, planetary science, cosmology, space physics, astrobiology, and space technology. Investigates stars, galaxies, planets, moons, asteroids, comets, black holes, nebulae, exoplanets, dark matter, dark energy, cosmic microwave background, stellar evolution, planetary formation, space weather, solar system dynamics, the search for extraterrestrial life, and humanity's efforts to explore, understand, and unlock the mysteries of the cosmos through observation, theory, and space missions.
Comprehensive examination of tools, techniques, methodologies, and approaches used across scientific disciplines to conduct research, collect data, and analyze results. Encompasses experimental procedures, analytical methods, measurement techniques, instrumentation, imaging technologies, spectroscopic methods, laboratory protocols, observational studies, statistical analysis, computational methods, data visualization, quality control, and methodological innovations. Addresses the practical techniques and theoretical frameworks enabling scientists to investigate phenomena, test hypotheses, gather evidence, ensure reproducibility, and generate reliable knowledge through systematic, rigorous investigation across all areas of scientific inquiry.
Study of abstract structures, patterns, quantities, relationships, and logical reasoning through pure and applied mathematical disciplines. Encompasses algebra, calculus, geometry, topology, number theory, analysis, discrete mathematics, mathematical logic, set theory, probability, statistics, and computational mathematics. Investigates mathematical structures, theorems, proofs, algorithms, functions, equations, and the rigorous logical frameworks underlying quantitative reasoning. Provides the foundational language and tools for all scientific fields, enabling precise description of natural phenomena, modeling of complex systems, and the development of technologies across physics, engineering, computer science, economics, and all quantitative sciences.
A new study found that long-term care residents who receive primary care from family physicians speaking their language have lower rates of emergency department visits, hospitalizations, and mortality. However, outcomes for Francophones were not impacted by language concordance.
A new study by UC San Francisco's ANSIRH program found that patients who received care remotely for medication abortion had similar outcomes to those who got ultrasounds and in-person care. The researchers analyzed the experiences of over 500 patients and found a high success rate for the
A Northwestern University study found that learning and practicing positive emotion skills like gratitude, mindful awareness, and self-compassion can improve health care workers' well-being and reduce stress and anxiety. However, the intervention only works for those who practice it regularly.
The HHS competition evaluated Ochsner Connected MOM's effectiveness in increasing blood pressure measurements among Black patients and rural populations. The program saw a statistically significant increase in blood pressure measurements, benefiting over 2,000 patients.
A new study from Oregon Health & Science University identifies 22 key measures of high-quality psilocybin services, including safety indicators and client outcomes. The study provides a harmonized set of measures for monitoring the safety and effectiveness of these services, as other states consider legalizing psychedelics.
The US healthcare system faces a growing imbalance in anesthesia care providers, with major implications for patient care. Short-term and long-term solutions are needed to address the crisis, including reassessing workforce strategies and optimizing perioperative performance.
A study by Boston University School of Public Health found that over 1 in 10 FQHC patients experience major social risk factors such as food insecurity, housing insecurity, and financial strain. These challenges are significantly higher among FQHCs serving historically disenfranchised groups.
The BMJ Commission outlines its vision for a healthier UK with recommendations to address the current NHS crisis, including an independent Office for NHS Policy and Budgetary Responsibility. The commission also prioritizes improving the workforce, addressing public health challenges, and investing in general practice.
Researchers estimate that 32% of memory clinic attendees and 14% of specialist cognitive service patients are eligible for disease-modifying therapies. Biomarker testing is crucial to identify suitable patients, but only a minority have undergone tests.
The new law recognizes personalized medicine as a fundamental patient right, emphasizing individualized treatment and care. It sets a precedent for future health care innovations worldwide, integrating genomics, proteomics, and AI technologies.
A new poll reveals that most older adults are unaware of available resources to help them navigate aging and caregiving. Only a small minority have used programs like Area Agencies on Aging, State Health Insurance Assistance Programs, and long-term services and supports. The findings highlight the need for more awareness about these se...
A recent study published in JAMA Cardiology found that dual direct-current cardioversion is significantly more effective than single cardioversion in restoring sinus rhythm in obese patients with atrial fibrillation. The study demonstrated a 98% success rate for dual cardioversion, compared to an 86% success rate for single cardioversion.
The new certification aims to standardize training and increase skills in telehealth stroke care delivery, ultimately improving stroke outcomes. Telehealth stroke care can expand access to rural areas and communities facing barriers to stroke care.
The American College of Physicians (ACP) recommends that artificial intelligence (AI) technology should augment physician decision-making, rather than replacing it. ACP advises that AI tools should be designed to enhance human intelligence, prioritize privacy and clinical safety, and reduce disparities in healthcare.
A cost-effectiveness analysis found that first-line MRI-based screening for prostate cancer is less effective and more costly than first-line PSA testing. Despite free MRI costs, the first-line approach resulted in increased false positives and overdiagnosis without substantial reductions in mortality.
A study found that telemedicine increased access to endocrinology care for adults with type 2 diabetes and cardiovascular disease, particularly those in rural areas and lower socioeconomic status. This enhancement of care access was primarily due to overcoming transportation barriers, mobility challenges, and long travel times.
The article discusses the need for better integration of clinical trials and health care delivery enterprises to improve patient safety and healthcare outcomes. The study highlights the benefits of integrating clinical trials with medical practice, including more accurate diagnosis and treatment of patients.
A stepped-care model integrating palliative care at key points in patients' cancer trajectories shows reduced palliative care visits without compromising quality of life. The approach enables more efficient delivery of early palliative care, enhancing patient-reported outcomes.
Researchers create standard yardstick to measure value in accountable care organizations (ACOs), finding average improvement potential of 24%. The proposed approach can also be applied to individual hospitals and other health care providers, pinningpointing areas for improvement.
Researchers from Flinders University tested on-site pathology testing and found it to be equivalent to laboratory tests in terms of quality and accuracy. The study was conducted across 100 remote Aboriginal and Torres Strait Islander communities in Australia.
Researchers found that 6% of patients with heart failure progressed to dialysis within a year, highlighting the need for integrating heart and kidney care. The study emphasizes prioritizing kidney function assessment in all patients with heart failure and promoting systemic changes to manage both conditions simultaneously.
Certified medical assistants distribute patient portal messages to the most appropriate physician, resulting in a 40% decrease in messages going directly to primary care physicians. This team-based care model improves both practice and clinician efficiency.
A study of community health clinic teams found that power imbalance between racial and role groups affects team dynamics and DEI efforts. The study highlights the need for leadership to invest time in developing relationships, recognizing staff contributions, and taking antiracist actions.
A study by Washington State University found that treating minor illnesses at pharmacies can be effective and cost-saving, with patients recovering from almost all their ailments after a single visit. The research suggests expanding pharmacists' clinical services could improve healthcare access and reduce costs.
A study reveals a decline in reported Medicare Part B procedures performed by family physicians between 2014 and 2021. This trend is concerning as it may reduce access and increase costs for patients, particularly among the aging population.
A study analyzing data from the National Cancer Database found that patients receiving care at minority-serving hospitals were 17% less likely to receive definitive treatment for breast cancer and up to 31% less likely for prostate, lung, and colon cancers. Improving treatment rates could lead to additional patient outcomes.
A breakthrough in trauma care has nearly quadrupled the 'golden hour' for treating large animals with internal bleeding during emergency ground and air transport. Researchers used a closed-loop, autonomous intervention system to resuscitate pigs with traumatic injuries, extending their survival time by several hours.
Researchers at Oregon Health & Science University have received a $16.4 million grant to advance mental health care for children, leveraging machine learning and novel clinical measures to improve prediction, diagnosis, and treatment of mental health conditions across childhood and adolescence. The project aims to create an actionable ...
The updated clinical guideline recommends multiple dose-fractionation schemes to relieve pain and symptoms of bone and spine lesions. Advanced radiation techniques like intensity-modulated radiation therapy (IMRT) and stereotactic body radiation therapy (SBRT) are now routine clinical care for many patients.
Researchers found that hospitals with stroke center certification and coordinators have substantially better door-to-needle times for stroke patients, improving outcomes. The study highlights the importance of foundational infrastructure in telestroke programs, particularly for smaller hospitals.
A new American Heart Association scientific statement reveals significant gaps in the application of obesity research to patient care, with widespread adoption varying by healthcare professional and institution. The statement emphasizes the need for better implementation of evidence-based treatments and strategies, such as lifestyle mo...
New studies by University of Michigan physicians highlight the need for improved diagnosis coding to target efforts to optimize antibiotic use and reduce risk. Inappropriate prescriptions occur in up to 35% of adults treated in emergency departments, with similar rates seen in clinics serving Medicaid patients.
Researchers at Ochsner Health have developed SRP-001, a novel medication that leverages unique biological mechanisms to alleviate pain without typical side effects. The first-in-human Phase 1 trial confirms SRP-001's safety and tolerability, paving the way for its progression to further clinical stages.
A Mayo Clinic study of 492,597 patients with melanoma found that Black men are more likely to be diagnosed at later stages and experience worse outcomes due to the disease. In contrast, Black female patients fared better, with a higher survival rate for stage 3 melanoma.
The Academic Payvider model enhances value-based care by fostering improved coordination, reduced insurance hassles, and increased staff attention. This joint approach between payers and providers aims to drive complex care down through innovative reimbursement structures.
Research suggests that labelling vulnerable patients in hospital as 'socially admitted' can lead to incorrect assumptions about their medical needs and hinder opportunities to identify treatable issues. The study highlights the need for reform of current structures and hierarchies to improve care for these patients.
A study by the Maine Cancer Genomics Initiative (MCGI) found that 17% of patients received genome-matched treatment, resulting in a 31% reduced mortality rate within one year. However, only 9% participated in clinical trials, highlighting the need to improve access and delivery of precision oncology care.
A large study found that people with opioid use disorder were less likely to receive palliative care and died at younger ages due to causes unrelated to their condition. The lack of access to palliative care was attributed to challenges in accessing social support, finances, and stable housing.
A University of California, Riverside study found that communities in unincorporated areas lack basic critical infrastructure, including healthcare access. Caregivers perceive U.S.-based physicians as not providing sufficient information, while Mexican-based physicians are seen as offering better care.
A recent study by Harvard Pilgrim Health Care Institute found that bisexual women died 37% sooner and lesbian women 20% sooner than heterosexual women. The study analyzed data from over 100,000 female nurses and highlighted the need for targeted interventions to reduce disparities among sexual minority groups.
A nationwide study in Japan found that the proportion of home deaths increased significantly during the COVID-19 pandemic, especially in areas with high population density and numerous enhanced home care clinics. The study suggests that these factors played a crucial role in meeting the increased demand for home care services.
A study by Mass General Brigham demonstrates that large language models can help reduce physician workload and improve patient education, but also identifies limitations that may affect patient safety. The researchers emphasize the need for vigilant oversight and a measured approach to LLM implementation.
A new study found that the elimination of a federal waiver requirement increased the number of clinicians prescribing buprenorphine, but didn't lead to a sharp rise in patient treatment. By December 2023, over 53,600 clinicians had prescribed buprenorphine, but numbers remained stable compared to 2022.
The innovative Integrated Virtual Care (IVC) program successfully connected residents with family physicians in Renfrew County, addressing the rural shortage of primary care providers. Over 2,800 unique patient appointments were conducted, with 70% done virtually, offering comprehensive team-based primary care.
A study led by the University of Cambridge found that AI models like GPT-4 outperformed doctors in diagnosing and treating eye problems. The researchers suggest using AI for triaging patients and providing advice in well-controlled contexts, where access to specialist healthcare professionals is limited.
The study found that staffing considerations such as stable and consistent staff, sufficient staff for family-like relationships, supporting staff, and key staff leading by example improve quality of care. Care homes with experienced care staff and higher staff-to-bed ratios are more likely to receive positive CQC ratings.
Qualitative research finds that locum doctors face significant patient safety challenges due to unfamiliar work environments, lack of support, and inadequate governance arrangements. The study calls on NHS leaders to rethink their approaches to engaging and supporting locums, and for locums themselves to reflect on their experiences.
A new study reveals that generative AI can draft empathetic responses to patient messages, reducing burnout among physicians. The tool provides a starting point for physicians to craft thoughtful responses, improving communication quality and efficiency.
The NCCN 2024 Annual Conference shared updates on improving cancer care worldwide, including plenary sessions on drug shortages and hereditary cancer risk. Key takeaways include the need for transparency around oncology supply chains and the importance of genetic testing to reduce cancer risk.
A new study shows that a massive effort to reduce the overuse of proton pump inhibitors (PPIs) led to a nearly 30% reduction in prescriptions, but also resulted in some veterans missing out on protective use. The intervention, which imposed limits on PPI prescription size and refills, was carried out in one region of the Veterans Healt...
A new American Heart Association Scientific Statement highlights the importance of patient-centered care in cardiovascular health, combining expert knowledge with consideration of patients' beliefs, preferences, and values. The statement provides practical guidance on incorporating person-centered care into routine clinical practice.
A new national poll finds that 60% of people aged 50-80 have visited urgent care clinics or retail clinics for medical care in the past two years. Many sought immediate attention, vaccinations, or tests, and 75% plan to use these sites again in the next two years.
A study by Michigan Medicine found that about 1% of older adults using traditional Medicare have used asynchronous patient portal messaging to prompt a bill from their doctor or other healthcare provider. Most e-visits were with primary care providers, mainly for managing high blood pressure and diabetes.
Researchers found that withdrawing aspirin one month after PCI significantly reduced major and minor bleeding incidents by 55% compared to dual antiplatelet therapy. The study, ULTIMATE-DAPT, showed no increase in adverse ischemic events, suggesting continuing aspirin may cause harm without benefit.
A telephone-based strategy improved guideline-directed medical therapy rates for outpatients with heart failure by 30 days, offering a low-cost solution for rural settings with limited access to care. This study suggests the potential for expanded remote healthcare initiatives to address health disparities.
A new study found that a remote team focused on education and medication management can improve guideline-directed-medical-therapy adherence in patients with type 2 diabetes. Patients who received education simultaneously with medication management demonstrated a higher rate of medication uptake.
A new study found that inter-atrial shunts improve symptoms and outcomes in heart failure patients with reduced left ventricular ejection fraction (LVEF), but worsen outcomes in those with preserved LVEF. The device reduces high pressures in the left atrium, causing shortness of breath and hospitalizations.
A novel acoustofluidic micropump has been developed to efficiently drive liquid in energy and space, providing robust technical support for portable systems. The micropump exhibits high volume efficiencies and superior energy efficiency, exceeding reported values.
A new study found that extending Medicaid eligibility for birthing people increases treatment for perinatal mood and anxiety disorder by 20.5 percentage points, compared to those with commercial insurance. Retaining postpartum Medicaid coverage also significantly lowers patients' out-of-pocket spending for mental healthcare.
A Rutgers Health study has found that mothers with mild and moderate to severe depressive symptoms have more emergency department visits for their infants. Infants of mothers with moderate to severe depression had 21% more visits than those without any symptoms, while those with mild symptoms had 10% more visits.