Research on how health care reaches patients. Covers online screening programs, care delays, regional cardiology, and surgical treatment access.
A new study comparing outcomes between Ontario and New York State found patients in Ontario more likely to die within a month of procedure due to inadequate availability and long wait times. The study suggests that improved access to TAVR may lead to better post-procedural outcomes.
The US military medical system is not ready to handle major conflicts with near-peer adversaries, who possess similar military capabilities. Prolonged field care training and strong patient data are crucial to address the challenges of evacuating wounded soldiers and providing specialized surgical care.
The University of Huddersfield is offering two bespoke apprenticeship programmes for health and social care leaders, tailored to their needs. The programmes will last 13 months and are fully funded by the Apprenticeship Levy.
The study reveals COVID-19 worsened existing inequities in food security and rental struggles based on race and ethnicity and maternal origins. Equity-focused policy changes are necessary to ensure all US children and families can afford basic needs for optimal health.
Dae Kim, MD, MPH, ScD, will receive the 2023 Thomas and Catherine Yoshikawa Outstanding Scientific Achievement in Clinical Investigation Award for his work on frailty research. His contributions have significantly impacted clinical care, particularly in primary care groups using the claims-based frailty index to risk stratify patients.
Researchers developed a dual-modality imaging technique combining photoacoustic and super-resolution ultrasound imaging to detect physiological and biochemical abnormalities. The new method provides comprehensive diagnostic information at a lower cost than traditional techniques.
A new study found that quality of heart failure care is equitable for 11 of 14 evidence-based clinical care measures, with no disparities in care between Black and white patients. However, the study highlights areas for improvement, including gaps in care quality and social determinants of health.
A recent Mayo Clinic study found that prescription opioid use is associated with declines in cognitive performance, particularly in memory and attention. Older adults who received at least one opioid prescription over 7.5 years had a 20% higher chance of developing mild cognitive impairment.
Dr. Kathryn Denson is recognized for her lasting innovation and exceptional teaching expertise, developing innovative approaches to educating the healthcare workforce. She has disseminated these approaches widely through publications and presentations, creating an internationally accessed online resource.
The American College of Medical Genetics and Genomics (ACMG) has published a statement addressing factors that contribute to bias in clinical genetic testing. The statement highlights three main areas: environmental, clinical, and technical biases, which affect health equity for individuals from historically marginalized populations.
Dr. Debra Saliba will deliver the Henderson State-of-the-Art Lecture at AGS23, focusing on improving care for frail older adults by targeting their needs and goals. Dr. Saliba has over 25 years of experience leading geriatrics research across the continuum of care.
A nationwide study found that more experienced resident physicians are at risk of medical errors when working extended-duration shifts or long weekly hours, similar to first-year residents. The study calls for policy changes to limit work hours and extend safer training periods in the US.
Medical University of South Carolina researchers streamlined kidney transplant evaluations to increase access for African Americans. They used telehealth and partnerships with local providers to help patients complete the evaluation process, resulting in higher numbers of African Americans beginning and completing the evaluation.
A survey study of 9,400 adults found that those with post-COVID-19 condition were more likely to forgo needed healthcare due to cost and access challenges. The study suggests developing clinical protocols and addressing insurance-related barriers can improve healthcare access for these individuals
A new international study has revealed significant potential for digital technology to improve asthma control for patients. The study found that combining information from a digital device in a digital platform led to improved medication adherence and reduced healthcare costs.
Researchers found decreased lung injury, coughing up blood, and mortality rates after balloon pulmonary angioplasty between 2013 and 2022. The minimally invasive procedure is now considered a safer option for inoperable CTEPH patients.
A national survey by Brigham researchers identified high levels of burnout, intent to leave the profession, and work overload among healthcare workers. Burnout was most prevalent among nurses (56%) and other clinical staff (54.1%), with 41% of nurses reporting intent to leave.
A study found racial and ethnic differences in insurance coverage after job loss during COVID-19. Newly unemployed Black and Hispanic adults saw no increase in Medicaid coverage, unlike their white peers.
A recent study found that hospitals serving more vulnerable childbearing populations tend to have inadequate nurse staffing levels, which can lead to poor maternal health outcomes. The researchers surveyed 3,471 registered nurses from 271 hospitals and discovered inconsistencies in nurse-to-patient ratios with national staffing standards.
The American Thoracic Society has issued a statement recommending the elimination of race and ethnicity in the interpretation of pulmonary function test (PFT) results. The new approach uses an average reference equation, which shows superiority over race-specific equations for assessing overall prognosis and impact of tobacco smoke exp...
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 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 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 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.
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.
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.
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.
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.
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.
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 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 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 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 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.
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.
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.
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.
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.
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 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.
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.
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.