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 Northwestern University study found ChatGPT's responses to radiation oncology patient questions were on par or exceeded professional society answers. The AI technology aims to empower patients before and after seeing physicians, while also reducing clinician burnout.
A new study by Boston University School of Public Health reveals that nearly half of Las Vegas concertgoers who survived the 2017 mass shooting experienced major depressive episodes within the past year. The study also found that over 63% of survivors reported post-traumatic stress disorder (PTSD) symptoms during the same time period.
A trio of studies show increased diagnosis and treatment of anxiety, depression, and PTSD in pregnant and new mothers with private insurance, but disparities persist. The findings suggest that policy changes and increased awareness have contributed to the rise in diagnoses and treatments.
A new telerehabilitation program has shown promising results in improving lower extremity recovery post-stroke. Participants experienced improvements in mobility and strength, as well as gained self-management skills to empower themselves and maintain their achievements.
The study found that neoadjuvant chemotherapy increased median overall survival to 37 months and progression-free survival to 26 months. 57.2% of patients showed an objective response, with nearly one-fourth experiencing lymph-node pathologic complete response.
The report highlights key challenges and priorities in ensuring the NHS vision is realized, including improving workplace conditions, effective people management, and workforce planning. The authors emphasize the importance of operational management and new technologies to support the effective running of the NHS.
An investigation by The BMJ found that most NHS trusts in England did not make derogation requests due to concerns around patient safety. However, some trusts warned of potential harm to patients from cancelling operations at the last minute and short staffing, leading to rejected requests.
A retrospective cohort study found that PERT significantly reduced the incidence of acute pancreatitis episodes among children with recurrent or chronic pancreatitis. The study also identified genetic markers, such as SPINK1 mutation, that influence treatment outcomes and suggest a tailored approach to patient care.
A new study by the University of Southampton found that a commonly used questionnaire for monitoring depression treatment in primary care does not provide immediate benefits. However, patients who tracked their scores reported improved overall wellbeing and quality of life after six months.
A new study by Staffordshire University found that community mental health nurses integrated into primary care teams significantly improved patient outcomes. The research showed that shared IT systems and training sessions for mental health professionals contributed to the effectiveness of this model.
Patients with multimorbidity and limited life expectancy are often unaware of the potential harms of lung cancer screening. Despite this, many agree to undergo screening due to personal health goals, trust in their clinician, and anticipation of regret over not getting screened. Discussions between patients and clinicians about the ben...
The EvidenceNOW initiative, launched by AHRQ in 2015, aimed to improve cardiovascular care in small and medium-sized primary care practices. The program provided external quality improvement support and funding to seven regions across the US, resulting in improved quality of care and heart health outcomes.
Black and Hispanic individuals received fewer telemedicine visits than white individuals after controlling for geographic region, contrary to national trends. The study suggests systemic inequalities in access to telemedicine care exist despite increased use during the pandemic.
A study of 5,437 US adults found that many patients with varying socioeconomic status chose telemedicine over in-person visits. The results support the use of telemedicine as a valued care delivery approach, and continued monitoring is needed to ensure equitable access.
Medicare expenditures were higher for Black and Hispanic individuals compared to whites, with average total costs ranging from $136,326 to $165,730. The analysis attributed these differences to greater use of high-cost care during the last year of life.
A new commentary from Boston University School of Public Health emphasizes the need to address digital redlining, which disproportionately affects people of color, low-income communities, and rural populations. The authors propose standardizing social determinants of health screenings to include questions about broadband access.
A study by Washington State University researchers found that people living outside urban areas and those of Native American and Hispanic descent face longer travel distances to see neurologists. This can result in delayed diagnoses, higher costs, and reduced quality of life for dementia patients.
A new study by Harvard Pilgrim Health Care Institute reveals that nearly one-quarter of US counties had high heat-related emergency activation rates, with the South, Midwest, and Southwest being most affected. Vulnerable communities already at risk for cardiovascular disease were found to be particularly hard hit.
A new policy analysis from Harvard Pilgrim Health Care Institute identifies the intensive care crisis in rural America and proposes comprehensive solutions. The study suggests policies like reducing uninsured populations through ACA Medicaid expansion and increasing healthcare workforce can strengthen rural intensive care capacity.
Research from the University of Pittsburgh and UPMC found that primary care telemedicine visits are associated with lower antibiotic prescription rates for children compared to virtual-only direct-to-consumer providers. The study highlights the importance of integrated telemedicine within primary care settings.
A special section of The Permanente Journal explores the correlation between early-life trauma and poor health outcomes. The collection features 13 articles on innovation in trauma-informed health care, including research on adverse childhood experiences and the importance of clinical practice stepping up to meet growing demand.
The Lancet Public Health paper emphasizes the need for a paradigm shift in bereavement care, with researchers advocating for transitional care models that integrate hospital and community-based support. The proposed model aims to bolster community capacity to support grievers and prioritize bereavement as a vital part of ethical health...
A new study challenges the prevailing view on maternal mortality rates in the US, finding stable rates between 1999-2002 and 2018-2021. The researchers used a more accurate approach to identify and classify maternal deaths, refuting the idea of dramatic increases.
A new analysis found that nearly all involuntary care home closures in England since 2011 were run for-profit. This raises questions about the role of private providers in exacerbating the sector's crisis. The study suggests that systematic reasons may exist for why enforcement occurs mainly in private for-profit provision.
Researchers at UTEP are developing a movement-based training program to help healthcare providers manage burnout and improve patient outcomes. The program combines elements of art and science, using exercises like breathing techniques and somatic strategies to promote mindful movement and holistic wellbeing.
A recent study found that many people with type 2 diabetes know little about their condition, highlighting the need to improve communication and disease knowledge. The study revealed significant gaps in knowledge, particularly regarding blood sugar monitoring and late-stage complications like ketoacidosis.
A qualitative study of 25 Black patient interviews reveals significant medical mistrust and anticipation of racism in emergency care. The study suggests system improvements are needed to address these issues and improve health outcomes for Black patients.
Patients living in areas with severe primary care shortages have a higher risk of emergency surgery, complications after surgery, and readmission. The study highlights the need for efforts to increase training and geographic distribution of primary care providers.
A new treatment has been shown to reduce mental health difficulties in children with epilepsy compared to standard care. The Mental Health Intervention for Children with Epilepsy (MICE) treatment uses a modular approach to treat multiple conditions simultaneously, reducing the likelihood of psychiatric disorders by 40%.
A new study examines the impact of the Dobbs decision on healthcare delivery, revealing a two-tiered system that worsens disparities for marginalized communities. Providers in restrictive and protective states report reduced quality of care, increased training gaps, and fewer trained healthcare providers.
A comprehensive study found pulse oximeters significantly overestimated oxygen saturation readings in individuals with darker skin tones. This could lead to missed treatments and incorrect diagnoses, as devices may not accurately reflect critical oxygen levels.
New Flinders University research reveals that health economists can play a key role in improving hospital efficiency and decision-making in Australia. By analyzing data and engaging with clinicians, health economists can inform budget decisions and prioritize areas of greatest improvement. The study's findings provide a basis for the b...
A new study by University of Gothenburg researchers shows that non-profit organizations provide the highest-quality elderly care in Swedish residential care homes. These homes have the highest staff density, most competent care staff, and highest resident satisfaction compared to homes run by profit-making companies.
A new review of 13 studies found that hospitals privatised deliver worse quality care after conversion from public ownership. This challenges the theory that privatisation improves healthcare quality through increased market competition.
The American Gastroenterological Association has proposed a 12-point plan to enhance IBD care in the US, focusing on insurer-mandated barriers such as prior authorization and step therapy. The plan aims to improve treatment access and quality for over three million Americans living with IBD.
A study by the University of Tsukuba found that keratin microsphere gel enhanced cell proliferation and gene expression related to hair growth. The gel's stimulatory impact on papilla cells was validated through genetic analysis, demonstrating its potential as a safe and effective hair growth agent.
A new American Heart Association scientific statement highlights the value of AI technology in improving cardiovascular disease patient outcomes. Despite its potential, AI applications face gaps and challenges, including robust clinical validation and addressing biases.
A recent study found that quality-based incentives increase the quality of medical treatment, particularly for severe illnesses. However, financial incentives do not necessarily lead to better patient outcomes. The study's results suggest that doctors' altruistic motivations play a crucial role in providing high-quality care.
A recent Mayo Clinic study found that daylight saving time has a minimal impact on heart health. Researchers analyzed data from 36 million adults and found a slight increase in cardiovascular events during the spring and fall transitions, but this was deemed clinically insignificant.
The COVID-19 pandemic has widened socioeconomic disparities in death at home and access to specialized palliative care for cancer patients. The study found that these disparities were amplified, highlighting the need for equitable and consistent care access.
Canadian healthcare leaders call for re-establishment of a national hypertension control program to reduce deaths and disabilities. The program aims to provide population-scale prevention methods, proven to save lives and reduce healthcare costs. Experts highlight the need for collaboration with governments and healthcare providers.
A survey study reveals primary care pediatricians lack preparedness in managing adolescent OUD, with a notable gap compared to other substance use disorders. The results underscore the importance of workforce training programs to address this critical healthcare issue.
Researchers from the University of Cambridge found that patients who see their regular doctor wait longer between visits, but this is offset by improved productivity. The study suggests a 5% reduction in consultations if all practices provide continuity of care, which could benefit both patients and the NHS.
A statewide genomic screening program enrolls first 20,000 participants, providing information on genetic risk factors for diseases such as hereditary breast and ovarian cancer. The program aims to empower communities to understand the value of research and increase participation rates among underrepresented groups.
A new study from Stanford University evaluates the effectiveness of patient mindset training on provider learning and behavior. The training aimed to improve care teams' ability to shape patients' mindsets about their treatment, care team, body, and illness. Participants reported a better understanding of mindset and increased apprecia...
A new review of research evidence suggests that having fewer nurses on shift in emergency departments is associated with longer waits, patients leaving without being seen, and a higher number of cardiac arrests. This is linked to increased pressure on the healthcare system due to increasing demand and complex health problems.
A bilingual healthcare app is being launched to assist Canadians in maintaining their health during the current healthcare crisis. The app aims to encourage users to take proactive steps towards preventative care, providing them with personalized recommendations and resources.
Healthcare providers must prioritize patient experience to improve diabetes care. This includes explaining treatment options and considering each patient's level of health literacy and cultural background.
Using intravascular imaging to guide stent implantation significantly improves survival and reduces adverse cardiovascular events compared to angiography-guided PCI. The study found a 25% reduction in all-cause death, 45% reduction in cardiac death, and improved outcomes for patients with coronary artery disease.
A new study published in eClinicalMedicine found that the iTalkBetter app significantly improved patients' ability to talk after six weeks of use. The app provided digital speech therapy for over 200 commonly used words, with a 13% increase in naming items and improvements in spontaneous speech.
A study published in European Geriatric Medicine found that self-monitoring with an accelerometer and feedback significantly improved physical activity among elderly individuals requiring long-term care. The intervention group took more steps, spent less time sitting, and engaged in light physical activity compared to the control group.
A new study found that Hispanic patients with moderate to severe ARDS were more likely to be deeply sedated while on a ventilator, spending nearly 75% of their days in deep sedation. This disparity may be driven by factors such as language barriers, cultural differences, and implicit bias in clinical decision making.
A new study found that 17% of young mothers in Wales experienced at least one child being taken into care between 2014 and 2021. The study also revealed that many care-experienced mothers experience early motherhood and placement instability, leading to concerns about family separation.
Researchers at Mount Sinai Health System developed a novel protocol for rapid diagnosis of eye stroke, improving outcomes and preserving vision. The protocol uses high-resolution retinal imaging in emergency rooms, along with remote consultation, to confirm diagnosis and expedite care.
A new study from the Icahn School of Medicine of Mount Sinai reveals significant variations in emergency medical service (EMS) performance across the United States. The research found that EMS agencies in rural areas were less likely to provide optimal care, including treating low blood sugar and pain for trauma patients.
Youth with intellectual and developmental disabilities face higher risk for foster care involvement, particularly among Black and female populations. The study highlights the urgent need for system-level interventions to address these disparities.
A new American Heart Association scientific statement emphasizes the need for increased awareness of heart disease as a major health risk for women, particularly those with pregnancy complications. Early detection and treatment of risk factors may help prevent future heart attack, heart failure, and stroke.
A study of 202,000 veterans found that outpatient healthcare use increased significantly in the month following COVID-19 infection before attenuating but remaining greater than uninfected cohorts through 12 months. This suggests ongoing effects of COVID-19 on healthcare utilization.
A new study found that healthcare provider perceptions of patient preferences are the biggest barrier to prescribing oral rehydration salts (ORS), which costs only a few cents. Patients expressing a preference for ORS increased prescribing by 27 percentage points, making it an effective intervention.
A clinical trial found that patients who received care recommendations from an AI-based system had fewer recurrent strokes, heart attacks, or vascular death within three months. The study suggests that this technology can improve patient outcomes and aid neurologists in making informed decisions.