Articles tagged with Health Care Delivery
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.
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...
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.
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 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.
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.
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 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.
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 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.
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.
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 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.
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 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.
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 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 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 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 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 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.
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.
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.
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...
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 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.
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 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.
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 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 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.
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 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.
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 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 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.
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.
Researchers at Northwestern University found a significant decrease in screenings for prostate cancer and urinary tract infections after implementing point-of-care alerts. The study showed a 9% reduction in PSA screenings and a 5.5% reduction in urine testing, with minimal changes in overtreatment of blood sugar.
A study of 18,000 women found those diagnosed with polycystic ovary syndrome (PCOS) were 8 times more likely to attempt suicide compared to control group. This increased risk is attributed to higher likelihood of psychiatric conditions such as depressive disorders and anxiety disorders associated with PCOS. Researchers emphasize the ne...
A study of 215 veterans found that nearly half experienced significant depression score drops, while about one quarter saw a halving of their scores. About 15% achieved full remission after six weeks of ketamine infusions, suggesting the treatment can provide substantial relief for those with complex mental health needs.
A study published in the Journal of Investigative Dermatology found that patients with vitiligo incur significantly higher healthcare costs than those without the condition. The research analyzed direct and indirect healthcare costs associated with vitiligo, revealing an unmet need for cost-effective treatments.
A new RAND report suggests that engaging primary care providers in Alzheimer's disease screening and diagnosis could significantly reduce wait times and increase the number of people treated. Primary care practitioners are technically capable of performing cognitive assessments but often do not due to time constraints, researchers say.
A recent study published in BMC Medicine found that higher maternal body mass index (BMI) is associated with an increased risk of several pregnancy complications, including high blood pressure and pre-eclampsia. However, being overweight also has a lower risk of anaemia during pregnancy and low birthweight babies. The research used mul...
Researchers discovered that cisplatin chemotherapy enhances the immune system's ability to fight bladder cancer by modulating the immune response and damaging DNA in cancer cells. This approach may lead to durable disease control in a subset of patients with metastatic bladder cancer.
A new study funded by NIHR has led to the UK government approving digital pathology for cancer screening samples. This technology enables faster reporting and improved care for patients with bowel, breast, lung, and cervical cancers. The use of digital pathology will help reduce risk of sample loss or damage and allow pathologists to r...
A recent study published in the Journal of Clinical Gastroenterology found that liver biopsy was essential to making the correct diagnosis in over a third of cases. Biopsy was particularly valuable in diagnosing autoimmune hepatitis and was also used to diagnose liver fibrosis more than two-thirds of the time.
Researchers found that people with suicidal thoughts use closed peer groups on Danish social media to navigate the healthcare system and receive emotional support. These online communities provide a safe space for individuals to share their struggles and connect with others who understand their experiences.