Research on how health care reaches patients. Covers online screening programs, care delays, regional cardiology, and surgical treatment access.
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.
A new study finds that online physician rating platforms can help disseminate important quality information to patients and direct them to higher-quality physicians. The research examines the impact of user-generated online ratings on healthcare choices and highlights their positive association with conventional measurements of physici...
Researchers developed an eight-point framework to assess the validity and performance of patient matching tools. The framework provides a standardized approach to evaluate patient matching algorithms, covering technical areas such as data preprocessing and record adjudication.
A new study from Flinders University found that a telehealth program delivering individualized coaching improves self-management and reduces suffering for people with chronic pain. The program, called Rethinking Pain, provides access to care and support for those living in rural areas who face long wait times for specialist care.
A large randomized study found that machine learning-triggered reminders significantly increased rates of advanced care planning conversations, reducing potentially harmful therapies at end of life. The intervention also improved patient education and early palliative care referrals.
A recent study found that patients treated at centers that don't perform transplants have a 79% higher odds of being denied bridge-to-transplant designation. This change could exacerbate existing disparities in access to heart transplantation, according to the research team.
The SafeCare study found that adverse events occur in 23.6% of hospital admissions, with medication-related harm being the leading cause. The study recommends improved tracking of adverse drug effects, reliable data collection, and a culture prioritizing safe care.
Internet-delivered parent-child interaction therapy shows promise in expanding care for underserved children with developmental delay. The study found significant improvements in child behavior that were maintained across follow-up visits.
Researchers developed a framework to address women's reproductive needs holistically, combining family planning, contraception, and preconception care. The model suggests teaching children about reproductive health in school and using social media campaigns to raise awareness of reproductive preferences.
Research reveals private equity firms experience greater replacement of the workforce and rely on physician assistants and nurse practitioners. A more stable workforce is associated with better health outcomes for patients.
A study of 5.1 million commercially insured adults found a rapid increase in telehealth services for mental health conditions during the pandemic. The COVID-19 pandemic led to higher service utilization rates for several mental health conditions compared to pre-pandemic levels.
Researchers developed a blood test using circulating microparticle proteins to predict placenta accreta spectrum (PAS) cases as early as the second trimester. The study found five unique proteins that can distinguish PAS patients from control patients, enabling safe predication before delivery.
The study found that ransomware attacks on healthcare organizations have more than doubled, exposing personal health information of nearly 42 million patients. The attacks grew larger in quantity and likelihood to affect large organizations with multiple facilities.
Pediatric mental health emergency department visits are rising, driven by markers of disease severity and healthcare access issues. Targeted hospital and community interventions can help mitigate recurrent visits and improve mental health care delivery.
A new study found that unionized health care workers received better pay and non-cash benefits, but not more work hours, compared to their non-unionized counterparts. Labor unionization was associated with improved worker conditions, including higher earnings and better employer-provided insurance.
A UC Riverside study found that farmworkers in the Eastern Coachella Valley lack information and means to advocate for better public health due to language barriers, job insecurity, and limited access to healthcare. The study highlights disproportionate respiratory illness affecting Latinx children living near the Salton Sea.
A randomized trial found that non-invasive interventions for treating spine pain improved disability and quality of life but did not decrease healthcare spending. Both treatments provided a small but significant reduction in pain-related disability at 12 months.
A new study found that Black patients have lower odds of undergoing minimally invasive mitral valve surgery and higher odds of serious complications or death compared to white patients. This inequity is linked to factors such as Medicaid insurance, hospital resource, and surgeon experience.
A new study found that prioritizing part-time employees can significantly improve the consistency of care in long-term care facilities. By consistently assigning part-time workers and having flexible full-time workers, facilities can reduce the average number of different nursing assistants a resident interacts with by 20-30% each month.
The NIH has established a research network to test community-based harm reduction strategies, including naloxone distribution and fentanyl test strips, to reduce overdose deaths. The network aims to save lives by connecting people who use drugs with services and treatments.
A national survey of healthcare providers reveals that nearly 60% believe telehealth is 'dangerous' for older adults, while another 60% say it's an unrealistic option. However, 68% of clinicians report often or always working to prepare and account for older adults' physical and cognitive differences.
A study by Kaiser Permanente found that physically active individuals had a lower risk of severe COVID-19 outcomes. The research showed an association between physical activity and improved COVID-19 outcomes across major demographic groups, including black, Hispanic, and Asian patients.
Researchers found that high-performing practices used proactive approaches to organize staff and manage patient interactions, leading to comprehensive addressing of patient care needs during in-person visits. The study suggests incorporating proactive patient care processes into primary care delivery to improve diabetes outcomes.
A University of Cincinnati clinical research study found that participants who received on-site individualized nutrition education and shopping practice had a greater increase in adherence to a heart-healthy diet than the control group. The study, called SuperWIN, was conducted in partnership with Kroger Health.
A new study calls for anti-racist and holistic models of care to address ethnic inequalities in mental healthcare. The research highlights the need to consider social factors, racism, and cultural aspects of illness to produce equitable care.
A new poll finds that most older Americans (84%) have religious and/or spiritual beliefs important to them, with 71% citing religious beliefs. Many believe health care providers should respect their personal beliefs, but want them to discuss their faith with providers when needed.
A recent study by City of Hope found that only 30% of patients with advanced neuroendocrine tumors prioritize living longer as their top goal. Instead, 70% focus on addressing pain, fatigue, and losing function. The research highlights the need for better communication between care providers and patients to develop personalized treatme...
A web-based multicomponent intervention has been shown to improve blood pressure control and lower blood pressure levels in patients with hypertension. The study included 4,100 patients and found that such an intervention can provide a new, effective way to treat hypertension in the community.
A recent report highlights gaps in telehealth guidelines for UK Allied Health Professionals, leading to unequal access to care. The study calls for uniform guidelines and training to ensure a successful digital transformation and address widening health inequalities.
A self-driven healthcare ecosystem supports individuals in managing their own health and wellbeing by recording and uploading data through a secure online portal. This approach aims to improve health outcomes while controlling costs and addressing social determinants of health.
The prevalence of methamphetamine-associated heart failure is rising worldwide, affecting a wide range of socio-economic and racial groups. Meth users are more likely to develop severe disease, with longer hospital stays and readmissions, compared to non-users.
A new study found that 1 in 10 women without pre-existing hypertension may develop it up to a year after childbirth, highlighting the need for extended blood pressure monitoring. Mothers at highest risk include those over 35, current or former smokers, and C-section deliveries.
Researchers developed an approach to connect Spanish-speaking smokers with tobacco treatment delivered by state Quitlines, leading to improved treatment enrollment and smoking cessation outcomes. Patients who received treatment in Spanish completed more counseling calls and were more likely to report abstinence from smoking than those ...
Researchers propose six competency domains for AI use in primary care: foundational knowledge, critical appraisal, medical decision making, technical use, patient communication, and awareness of unintended consequences. These competencies aim to harness AI's potential for patient and societal benefit.
Black patients were more likely to experience cognitive impairments, mobility issues, and vision problems after a heart attack. Functional impairments disproportionately affected Black patients and were associated with higher mortality rates.
US adults with mental health and substance use disorders saw significant reductions in smoking, while those without MH/SUD did not experience comparable changes. The study attributed these disparities to increased health insurance coverage under the ACA.
A study of 2,400 women found nearly a quarter developed high blood pressure more than six weeks after delivery. The research suggests monitoring during this period could mitigate severe cardiovascular complications.
A recent study by Washington State University found that rural public schools are less likely to provide mental health services compared to urban schools, with only 38.3% offering treatment. Rural schools also reported lower funding and lack of access to qualified professionals as barriers to providing these services.
A novel surgical procedure has shown promising results in addressing incontinence in children with Hirschsprung disease who underwent the pull-through operation. Four of six patients have achieved normal bowel function, reporting improved quality of life and increased freedom.
The American Heart Association statement highlights telehealth's benefits in managing cardiovascular disease, including cost-effectiveness and improved rehabilitation. However, challenges like access to broadband internet and privacy security concerns hinder widespread adoption.
A University of Massachusetts Amherst study found that over 37% of insured Massachusetts residents experienced an insurance transition during the perinatal period. Individuals with Medicaid and Medicaid managed care were more likely to have a transition than those covered by private insurance, suggesting disruptions in continuity of care.