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.
Research finds that comprehensive care services delivered by Canadian family physicians have decreased over 20 years, with no difference in decline between early-career and experienced physicians. This suggests that factors other than training or interest are driving the decrease.
The COVID-19 pandemic significantly declined tobacco assessment rates in community health centers between March and May 2020. Assessments remained 33.5% lower than pre-pandemic levels, highlighting the need for adapted procedures to support tobacco cessation efforts.
Researchers investigated perspectives of Black patients on shared decision making (SDM) during medical appointments. They identified preferences for humanistic communication, the need for doctors to account for family members' roles in decision-making, and a growing mistrust in doctors. The study's findings offer insights for adapting ...
The HOPE Note Toolkit is being adopted by primary care clinics in the US to improve whole person integrative health visits. The toolkit assesses patients' physical, environmental, lifestyle, social, emotional, mental, and spiritual experiences with healthcare teams.
A primary care program promoting health in older adults was successfully implemented but lacked significant clinical benefits. The Health Teams Advancing Patient Experience: Strengthening Quality (TAPESTRY) trial found no impact on hospitalizations or physical activity, despite positive effects in a previous study.
A recent study of 95,000 U.S. physicians found that female physicians work significantly fewer hours than their male counterparts, resulting in a substantial earnings penalty. This disparity is attributed to societal and institutional barriers that discourage women from working long hours.
A US analysis of perinatal care found that discretionary care varied by patient race, with Non-Hispanic Black women being 20% less likely to receive a prenatal depression screen and 60% more likely to have a urine drug test when denying drug use. Hispanic and Non-Hispanic Asian women were also less likely to receive similar tests.
A real-world analysis found that high-risk Americans who fail to reach guideline-recommended LDL-C levels experience a 44% higher rate of cardiovascular events. The study, presented at the AMCP Conference, used data from over 300 million Americans and compared those who met and maintained recommended targets with those who did not.
A recent survey found that patients overwhelmingly support receiving test results immediately, even if their provider has not yet reviewed them. Most respondents (90%) preferred receiving results through the patient portal as soon as they were available, and nearly all (96%) indicated a preference for timely release.
A systematic review of 156 trials found that physical exercise improved motor symptoms and quality of life in people with Parkinson's Disease. Most types of structured exercise, including dance, water-based exercise, and endurance training, showed clinically meaningful benefits.
A study by Texas A&M University researchers found that state policies improving data protection led to increased adoption of health information exchanges (HIEs) and health IT usage. States with favorable legal environments for HIEs saw a rise in HIE adoption, while those with restrictive laws experienced limited growth.
A systematic review of 33 randomized controlled trials found that yoga improved gait speed and lower extremity strength in inactive older people. However, it did not offer a benefit for frailty markers compared to exercise or tai chi.
A remote hypertension program, operated by Mass General Brigham, successfully supported patients through the COVID-19 pandemic in achieving their blood pressure goals. Participants who enrolled during the pandemic reached and maintained their goal blood pressures an average of two months earlier than in the pre-pandemic period.
A population data linkage study found fewer people in Wales diagnosed with long-term conditions in 2020 and 2021 than expected, indicating a potential backlog of undiagnosed patients. This disparity affects chronic obstructive pulmonary disease (COPD) and anxiety disorders, corresponding to over 30 and 80 missing diagnoses respectively.
A study found that telemedicine visits did not adversely affect the quality of care for patients with major depression, and even improved some aspects of care. The transition to virtual visits also led to increased adherence to measurement-based care practices.
A survey of over 1000 patients found that two thirds prefer a urologist of their own gender, but in certain situations, both men and women choose a female doctor. Patients with painful conditions are more likely to opt for a female urologist.
A Cochrane review found that eliminating hazards around the home, such as clutter and poor lighting, can reduce the risk of falls for older people by around a quarter. Decluttering and reducing hazards had the most benefit for those at high risk of falls.
Dr. Natasha Kekre, a University of Ottawa associate professor and hematologist, has secured millions in funding and published numerous peer-reviewed papers on CAR-T cellular therapies for cancer treatment. Her work has advanced the immunotherapy field in Canada and made her an expert in cancer immunotherapies.
The Patient-Centered Outcomes Research Institute (PCORI) has selected Cleveland Clinic for a nationwide initiative to improve how healthcare systems translate research findings to clinical practice. The initiative aims to reduce the time it takes to move discovery in research to new treatments, with an estimated lag of 17 years.
High-dose anticoagulation reduces intubations and deaths by 30% in hospitalized COVID-19 patients, especially those with ARDS. The study found a significant reduction in mortality and need for ICU care among patients treated with therapeutic anticoagulation.
A new study shows that transcatheter mitral valve repair significantly reduces hospitalizations by almost 50 percent and death by nearly 30 percent in heart failure patients with severe mitral regurgitation. The procedure, using Abbott's MitraClip system, improves symptoms, reduces hospitalizations, and leads to longer survival.
The NCCN Annual Conference will debut a new hybrid format featuring in-person events at a new venue, allowing for hallway conversations and networking opportunities. The conference will also showcase more than 100 abstract poster presentations on various oncology-related categories.
A study published in the American Journal of Critical Care found that a single trained observer serving as a checklist prompter can accurately assess whether multidisciplinary rounds addressed key elements of the ABCDEF bundle. This approach enables customized, shorter checklists to streamline workflows and improve patient care.
This special supplement from Annals of Family Medicine highlights the work of six HRSA-funded academic units focused on advancing health care equity and improving primary care practices. The articles cover topics such as workforce training, mental health care seeking, socioeconomic issues, and whole-person oriented healthcare.
A school-based wellness initiative led by MUSC's Boeing Center for Children's Wellness has been shown to reduce the average student BMI over time. The program, which targets policy, systems and environmental change, uses evidence-based strategies such as physical activity, nutrition and social-emotional wellness.
A study found that over 80% of American adults with type 2 diabetes meet the criteria to use GLP-1 RAs or SGLT2is, but only a small percentage are using them. The medications have a substantially higher cost than current first-line treatments, making it difficult for patients to access them.
A recent BC study found that midwifery care is safe and effective for clients with varying levels of medical risk. Midwife-led care resulted in lower rates of preterm births and low-birth-weight babies, as well as increased cesarean delivery rates at higher medical risks.
A smartphone app-based cognitive behavioral therapy program lowered blood sugar levels and improved health behaviors in patients with diabetes. The study found a clear 'dose effect,' where participants completing more lessons saw greater benefits.
A global study found that almost half of newborns were separated from their mother, leading to low breastfeeding and skin-to-skin contact rates. Despite rare transmission and mild cases, the pandemic's impact on family-centred care was significant.
A culturally appropriate model of end-of-life care is being developed in Ghana to address the scarcity of palliative care in low-resource communities. COMPASS Ghana aims to provide universal end-of-life care by the end of the decade, utilizing a compassionate community approach that involves patients and caregivers in care provision.
Current state reporting methods may be inadequate, as not all individuals experiencing an overdose connect with medical services or community programs. This study highlights the need for more comprehensive reporting of nonfatal drug overdoses across US states.
Experts warn that scrapping England's long term plan for cancer will lead to wide variations in access to effective treatments and quality of care. The current proposal jettisons decades of global consensus on the need for dedicated cancer plans.
An investigation by The BMJ found that only 30 of 200 private hospitals treated COVID-19 patients in April 2020. Meanwhile, some private hospitals devoted 60% or more of their capacity to treating private patients during the pandemic.
Targeted RNA therapy aims to treat pre-eclampsia by delivering mRNA to placental cells, reducing maternal blood pressure and restoring fetal circulation. The treatment has shown promising results in mice, paving the way for potential treatments for human patients.
A single prior paid claim increases future claim risk, regardless of specialty or state disclosure. Timely education and intervention have the potential to mitigate future claims.
A novel study found a direct relationship between belief in race as a cultural phenomenon driving health disparities and the use of race in care among family physicians. The study suggests that using race without recognizing social, political, and economic factors can stigmatize racially minoritized people and worsen health disparities.
A new review suggests that remote symptom reporting systems can significantly reduce outpatient waiting lists by enabling patients to monitor and report their symptoms digitally. This allows clinicians to make informed decisions in near real-time, reducing the need for unnecessary clinic appointments.
A UK government program aimed at tackling childhood obesity may be having negative effects on children's mental health and relationships with food. The study found that some families expressed concerns about the potential for weight-related teasing and stigma, which can lead to poorer self-perceptions and unhealthy dieting behaviors.
A new economic model estimates the health benefits and budget impact of Fracture Liaison Services, showing significant reductions in fragility fractures, hospital bed days, and social care costs. The model suggests that FLS implementation would lead to improved patient outcomes and cost-effectiveness.
Researchers found inconsistencies in labor and delivery policies, causing vicarious trauma among nurses. Policy changes are proposed to improve emotional and mental health support for healthcare workers.
A new study found that primary care visits addressing mental health concerns rose by almost 50% over a decade, with Black and Hispanic patients facing barriers to access. Primary care physicians welcome the opportunity to address mental health concerns but need better support systems.
A new study finds that Mexican American stroke survivors are less likely to receive intensive rehabilitation services compared to non-Hispanic white peers. Nearly one-third of all stroke survivors in the study did not receive any rehabilitation within 90 days of their stroke.
People living with dementia are more likely to have cancer diagnosed at an advanced stage and receive less treatment, negatively affecting survival. Review authors provide pragmatic recommendations for clinicians treating cancer in patients with dementia.
A new study found that Black and Hispanic stroke survivors in the US are less likely to receive treatment for common complications, despite improved overall stroke survival rates. Researchers analyzed electronic health records from 2002 to 2022 and matched patients based on 41 factors to minimize biases.
A new study found that financial coaching for parents of infants in a pediatric primary care setting reduced missed well-child care visit rates by half and improved vaccination receipt. The intervention, which connected parents to public benefits and cost-saving services, also increased monthly household income.
A team of leading experts in reproductive biology, microbiome science, and immunology found that the concept of a foetal microbiome is inaccurate. The detection of microbiomes in foetal tissues was attributed to contamination during vaginal delivery, clinical procedures, or laboratory analysis.
A recent study published in Research in Social and Administrative Pharmacy found that about one-third of caregivers self-medicate. Carriers who reported unfavorable healthcare experiences were more likely to take personal care into their own hands. The research team recommends that healthcare professionals should interact with caregive...
A position paper highlights the intersection of structural racism and ageism in healthcare, highlighting delayed care, exclusion from medical research, and adverse health outcomes. The authors advocate for increasing representation of diverse voices in healthcare policy discussions to promote solutions to these barriers to quality care.
A recent study found that telemedicine use did not compromise the quality of opioid use disorder treatment during the COVID-19 pandemic. Clinical outcomes for patients treated by clinicians with high and low telemedicine use were similar, suggesting telemedicine as a comparable alternative to in-person care.
A nationwide study led by Harvard researchers found that patients in health systems receive marginally better care but report slightly better experiences, while care comes at a much higher price. The analysis suggests that health systems have not realized their potential for better care at equal or lower cost.
The Collaborative for Telehealth and Aging has published the first-ever guidelines for offering telehealth services to older patients. The principles provide general rules for behavior, while the guidelines offer specificity for each principle, aiming to achieve individual goals for programs and providers.
A study found that primary care clinics increased care management processes for chronic disease care from 2019 to 2021, with scores improving in organized and urban settings. However, performance and patient management areas saw a decline in 2021, with rural areas performing lower than urban ones.
Primary care physicians and patients expressed concerns about digital detection surveillance of infectious diseases, including ambiguity over consent and potential discrimination. High-quality primary care was associated with reduced hospitalizations during the COVID-19 pandemic.
Researchers found that primary care physicians using community health information exchanges (HIEs) reduced the likelihood of re-hospitalizations and follow-up emergency department visits. By accessing data about patient care transitions, doctors increased hospital admission lengths from 99 to 238 days.
The study provides insights into primary care's challenges and responses to the COVID-19 pandemic. The learning community of AHRQ identified promising solutions to improve primary care delivery.
Researchers analyzed data from Ontario, Canada and found no evidence that virtual care increased emergency department visits. The study controlled for various factors, including patient complexity and practitioner characteristics.
A nationwide study in Japan found that high-quality primary care attributes, including accessibility and continuity, significantly reduced hospitalizations. Researchers identified a reduction in total hospitalizations among participants with better primary care coordination and comprehensiveness.
A recent study found that patients who met with surgeons for first-time surgery consultations via telemedicine were satisfied with the quality of communication, comparable to in-person visits. The study suggests that either method is appropriate, depending on what the surgeon and patient prefer.
A study by Kennesaw State University researcher Weiwei Chen found that COVID surges led to poorer outcomes for non-COVID patients in hospitals overwhelmed with COVID cases. The odds of an in-hospital death were 1.2 times higher among non-COVID patients than before the pandemic.
Research finds that seniors living in R3 program sites have lower hospitalization rates, days, payments, and readmissions compared to control sites. The R3 initiative embeds wellness teams in senior housing, providing assessments, proactive check-in calls, risk stratification, and care coordination.