Articles tagged with Health Care Delivery
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.
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 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 ...
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 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 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 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.
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.
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.
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.
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.
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.
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.
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 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 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.
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 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 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 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.
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.
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.
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.
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.
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.
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.
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.
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.