Articles tagged with Health Care Delivery
A new poll found that only 7.5% of people between 50-80 have used at least one direct-to-consumer health care service, with most receiving prescriptions for a one-time treatment. Many users didn't inform their regular providers about the prescriptions.
A study of nearly 15,000 adults with non–small cell lung cancer found that Medicaid expansion decreased postoperative mortality within 30 and 90 days after hospital discharge. This suggests that expanded Medicaid coverage may improve cancer outcomes and access to care for this population.
A commonly used cognitive screening tool, MoCA, is found to be inaccurately assessing cognitive impairment in ethnically and linguistically diverse older adults. The study's findings underscore the importance of considering cultural factors when evaluating cognitive performance in traditionally underserved communities.
No significant disparities in receipt of general anesthesia were found among laboring patients who had labor epidural catheters in situ across different racial and ethnic groups. The study suggests that prior care disparities may contribute to higher rates of general anesthesia among minority groups.
A study found that patients with breast cancer are more likely to choose distant hospitals for surgery based on factors such as age, ethnicity, and living location. The investigation highlights the potential for healthcare inequalities to worsen if policies do not address these disparities.
A national study by Mass General Brigham researchers found that patients treated at home had a 0.5% mortality rate, compared to those in traditional hospitals. Home hospital care also resulted in fewer readmissions and adverse events, with consistent outcomes across diverse demographic groups.
A recent study reveals that two-thirds of babies born with sickle cell disease are born in areas scoring high or very high on the scale of social vulnerability. This highlights the need for targeted efforts to support families affected by this genetic blood disease.
The UC San Diego Center for Learning Health Systems Science will provide training for clinicians and researchers in the emerging field of learning health systems science. The center aims to improve patient outcomes, enhance healthcare efficiency, and increase diversity in the workforce.
A new study published in JAMA Network Open found that patients who received virtual care from their own family doctor were less likely to visit the emergency department within seven days. In contrast, those receiving virtual care from an outside physician were 66% more likely to do so.
A recent study by Harvard Medical School researchers found that hospitals acquired by private equity firms experience a decline in clinical quality of care. Patient falls and new infections were among the measures of safety that worsened after buyouts. The findings suggest that financial pressures from private equity may overshadow pat...
Researchers found that nurse practitioner placement in Miyagi Prefecture, Japan, resulted in reduced emergency visits and optimized care for residents with higher care needs. The study suggests a paradigm shift in elder care, highlighting the pivotal role of NPs in delivering quality healthcare.
Private equity acquisition of hospitals was associated with increased hospital-acquired adverse events, suggesting poorer quality of inpatient care. These findings highlight concerns about the implications of private equity on healthcare delivery, particularly among Medicare beneficiaries.
The American College of Physicians (ACP) recommends removing barriers to participating in the electoral process to advance health equity. ACP supports policies ensuring safe and equitable access to voting, opposes partisan gerrymandering, and encourages civic participation among healthcare professionals.
A Learning Health System model is being developed to increase organ donation and reduce disparities in access to transplantation. The project, led by Hennepin Healthcare Research Institute, will use data tools to track progress and improve equity in organ donation across the US.
A new report by UCLA neurologist Dr. Indu Subramanian recommends that doctors delivering Parkinson's diagnoses use correct terminology and provide guidance on treatment options, lifestyle choices, and coping strategies to give patients hope and agency.
A digital training program improved the lives of people with dementia in UK care homes, reducing sedative medication and increasing social interactions. The iWHELD programme delivered personalized care and encouraged meaningful connections, even amidst the COVID-19 pandemic.
A new study examines the impact of public benefit programs on child maltreatment rates across different racial and ethnic groups. The research suggests that these programs may exacerbate existing disparities, with white children facing lower rates of investigation compared to their Black and Hispanic counterparts.
A new study by NYU Langone Health found that patients from lower socioeconomic areas were less likely to fill their heart-failure medications, highlighting the importance of neighborhood-level interventions to improve access to lifesaving drugs. The research team plans to explore additional barriers, such as cost and language barriers,...
A new study found that senior physicians in cognitive and procedural specialties see fewer Medicaid patients and those from racial/ethnic minorities compared to junior physicians. This raises concerns about a two-tiered healthcare system and disparities in patient access.
The National DigiFoundry aims to establish global standards for digital asset use and exchange through blockchain technologies. The consortium will develop a resilient framework to address cybersecurity challenges in digital asset management.
Researchers found that patients who scheduled their own mammograms through an online patient portal had a 13 percentage point increase in screening completions. This simple intervention doubled the number of mammogram completions, resulting in approximately 4,500 more people getting screened.
The European Union has approved vaccines for pregnant women and monoclonal antibodies to prevent respiratory syncytial virus (RSV) among young children. New sequencing tools have also been developed to track the genetic diversity of RSV and inform vaccine effectiveness and treatment strategies.
The American Heart Association offers a new individual certification for healthcare professionals in tobacco cessation, aiming to standardize training and improve patient outcomes. The certification is based on evidence-based therapies and will help reduce the nation's dependence on tobacco.
A new study on wearable health monitors reveals that a failure to understand race leads to flawed technology, exacerbating existing racial health inequities. The researchers found significant challenges with 'race correction' in health technologies, which assumes biology over system racism.
A recent study published in the Journal of the American Geriatrics Society found that Veterans experiencing housing instability are 53% more likely to receive an Alzheimer's disease or dementia diagnosis. The study included over 44,000 participants and tracked their health outcomes from 2011 to 2019.
The UofL School of Nursing will develop an accelerated LPN-to-BSN pathway and increase nurse practitioner diversity to address Kentucky's healthcare shortage. The grants will support scholarships for up to 83 students and collaborate with health systems across the state.
The ASHP/ASHP Foundation Pharmacy Forecast Report identifies growing societal challenges that will alter healthcare delivery, including the impact of ultra-high-cost drugs on service lines. Pharmacists' engagement is crucial to ensuring safe care for all patients, particularly in addressing mental health and substance use disorders.
New HIV diagnoses rose by 31% in the EU/EEA in 2022, with migrants accounting for 49% of cases. Ukrainian refugees made up a significant proportion of new diagnoses, with women disproportionately affected. The increase highlights the need for tailored early testing and treatment approaches to address this growing public health threat.
Outdated medical tools cause delayed recognition and management of adverse reactions in patients of color, leading to significant distress. A more inclusive approach is urgently needed to address structural racism in radiotherapy treatment and education.
A nationwide study led by University of Colorado cardiologist Larry Allen will examine the effectiveness of electronic tools in improving heart-failure treatment. The five-year study will involve 2,000 patients and aim to address underutilization of treatments for this common chronic disease.
A new framework for using AI in healthcare considers medical knowledge, practices, and procedures to improve patient care. The proposed framework provides practical guidance for designers, funders, and users on how to integrate AI systems with the greatest potential to help patients.
A study by Karolinska Institutet found that drones equipped with automated external defibrillators (AED) can arrive at the scene before an ambulance in 67% of cases. This lead time enables people on site to use the AED, increasing the chances of survival for patients with cardiac arrest.
A study of Medicare claims data found that higher segregation of hospital care is associated with poorer health outcomes for both Black and white patients. Policymakers can address this issue through payment reform efforts and expansion of health insurance coverage to reduce racial disparities in healthcare.
The new law creates a provisional pathway for International Medical Graduates, reducing barriers to practice and potentially attracting more IMGs. To achieve maximum impact, policymakers must address existing gaps in ensuring IMGs work in physician shortage areas and providing adequate labor protections.
A new study has found that most patients with osteoporosis want to receive information on their fracture risk, but only half of them actually get it. Patients prefer visual representations, such as graphs with a colored traffic-light system, to communicate fracture risk and are more likely to take medication if presented in this way.
A study from the University of Illinois found a correlation between high obesity levels at hospitals and increased C-section rates in Mexico. The researchers analyzed patient data from 226 public hospitals across Mexico, finding that hospitals with higher obesity rates were more likely to perform C-sections.
A new pill-sized device has been developed to monitor vital signs like breathing and heart rate from inside humans. The device, known as the VM Pill, was tested in a clinical trial and showed accurate results in detecting breathing stops and monitoring respiration rates with high accuracy.
A Swedish study tracked millions of adults for thirteen years, revealing new trends on how income affects healthcare use. People with the lowest incomes utilized primary and outpatient care similarly to those with the highest incomes, yet had significantly higher mortality rates.
A new ASTRO clinical guideline recommends partial breast irradiation as a viable alternative to whole breast radiation for patients with early-stage invasive breast cancer or DCIS, based on evidence from large randomized trials. The guideline provides guidance on patient selection and best practices for delivering effective partial bre...
Researchers aim to optimize digital weight-loss programs for rural populations by adding human components, such as weekly group video sessions and individual coaching calls. The goal is to help residents manage their weight and fight the obesity epidemic in areas with limited access to in-person programs.
A novel robotic system developed by USC researchers can help clinicians accurately assess a patient's rehabilitation progress. The method generates an 'arm nonuse' metric using machine learning and a socially assistive robot to track how much a patient is using their weaker arm spontaneously.
A hospital's portfolio strategy can shape patient preference in important ways, with a focus on depth of expertise leading to increased market share. Hospitals with a high related focus in a department also signal breadth of expertise, positively affecting market share.
A study found that pregnant women with high blood pressure who received tight blood pressure control immediately after pregnancy had lower blood pressure levels and improved cardiac function compared to those with usual care. This could lead to a reduced risk of cardiovascular disease, including heart attacks and strokes.
The International Liaison Committee on Resuscitation has identified 10 steps to improve in-hospital cardiac arrest outcomes, including planning and preparation, prevention, and delivering evidence-based resuscitation care. These steps aim to enhance survival outcomes and quality of care for patients experiencing IHCA.
The PhRMA Foundation awarded two $500,000 Frontier Awards to researchers William Padula and Surachat Ngorsuraches for their patient-centered value assessment models. Their studies will advance the field of value assessment by applying theoretical models in a real-world context and engaging with patients to ensure their voices are inclu...
The study aims to test two interventions to lower blood pressure in stroke survivors, including telehealth and in-person clinic management. Over 1,550 participants will be enrolled, with a focus on under-represented populations at higher risk for recurrent stroke.
A nationwide Medicare program aimed at promoting better healthcare and reducing costs by tying payments to quality and cost outcomes has shown no improvement in mental health care. The study found that patients with depression or anxiety received inadequate treatment, with those in accountable care organizations getting even less care.
A six-month produce prescription program improved hemoglobin A1c levels, indicating better blood sugar control. Participants also showed improved food security and nutrition security.
Researchers found restricted abortion access led to more children entering foster care, with a 15% increase for Black and racial minority children. The study used state-level data to evaluate the link between abortion restrictions and foster care entries.
Researchers found that a small fraction of eligible patients are being approached to consider eye donation, despite both healthcare professionals and patients having favorable views towards it. The study highlights the need for practice change to offer patients who wish to donate as part of routine end-of-life care.
The Journal of Pediatric Rehabilitation Medicine addresses the rising stressors causing mental health issues among healthcare professionals, including revenue generation, administrative issues, and patient satisfaction metrics. Physicians advocate for meaningful reforms, including adjustment of healthcare system expectations, cultural ...
A new Cochrane review has found that human insulin can be stored at room temperature for up to six months without losing potency. This breakthrough research offers hope to millions of people living with diabetes in low- and middle-income countries, particularly those with limited access to refrigeration or healthcare.
Dr. Schwamm, a neurologist at Yale School of Medicine, is recognized for his work on stroke systems of care and telestroke initiatives. He has improved patient outcomes and expanded access to care through his advocacy for telemedicine and digital health solutions.
A new study reveals that women with atrial fibrillation (AF) have comparable outcomes to men when undergoing pulsed field ablation (PFA), a safer and more precise procedure. The results show improved AF recurrence rates in women after PFA, making them an eligible candidate for this life-enhancing treatment.
Dr. Zainab Mahmoud received the 2023 Dr. Nanette K. Wenger Research Goes Red Award for her study identifying racial disparities in specific maternal cardiovascular outcomes. The analysis found higher rates of hospitalizations among Black women, highlighting the need for improved access to care and enhanced postpartum monitoring.
Researchers have successfully tested an MRI-equipped ambulance, enabling faster diagnosis of stroke patients and streamlining care. The device can provide diagnostic-quality images without radiation exposure, improving treatment outcomes.
Researchers at MIT and MGH have developed a closed-loop system that monitors brain state to tailor propofol dose and achieve exactly the desired level of unconsciousness. This technology enables more than 18 hours of fine-grained consciousness control, reducing postoperative cognitive side effects in vulnerable groups.
The Center for Innovation and Translation of POC Technologies for Equitable Cancer Care will prioritize development of POC tests for oral, cervical and gastrointestinal cancers. CITEC's goal is to identify needed technologies, accelerate their development, evaluate their performance in diverse settings.
A secondary analysis of the Women's Ischemia Syndrome Evaluation (WISE) cohort study found that black and non-black women with obstructive coronary artery disease had similar long-term cardiovascular outcomes. The study suggests that guideline-based treatment, including statins and ACE inhibitors, may reduce racial disparities in cardi...
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.