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.
The study analyzed changes in outpatient mental health care services among children and adolescents during the pandemic. The results showed a significant increase in mental health care use among this age group.
A study found that many big box retailers lack Spanish language COVID-19 vaccine resources, hindering access for Hispanic populations. The researchers recommend increasing the visibility of these resources and incorporating non-English materials into public health strategies.
The IU-led AMPATH Global network is expanding to Ghana and Mexico, building on a successful collaboration that has played a crucial role in combating HIV, social determinants of health, and COVID-19. The partnership aims to improve public-sector healthcare systems and promote well-being in underserved communities.
A new study published in JAMA Health Forum found significant variations in care delivery among physicians with the same specialty and city, despite delivering care in the same clinical scenarios. The researchers analyzed medical insurance records from 2016 to 2019 and found that top-performing physicians were five to 10 times more like...
In Bangladesh, cesarean sections have increased significantly from 3.88% in 2004 to 33% in 2017/18, but the disparity in access between wealthy and poorer women has grown. The study highlights the need for targeted interventions to address this issue.
A new study from Regenstrief Institute identifies divergent priorities among cancer patients and their caregivers during active treatment, with patients focusing on physical issues like pain and caregivers prioritizing social support. The research emphasizes the need for enhanced whole-family approaches to supportive oncology care deli...
The ESMO-WHO collaboration developed an evidence-based methodology for evaluating national medication formularies, helping Kazakhstan update its list of essential cancer medicines and treatment protocols. The approach resulted in increased budget allocation to cancer care and improved access to high-quality treatments.
The US healthcare system is failing to provide adequate care for traumatic brain injury (TBI) survivors, experts warn. A recent report recommends using a comprehensive classification system that incorporates the Glasgow Coma Scale score, CT scans, and blood tests to better assess the severity of TBI.
A Dartmouth study reveals that consumers using at-home COVID-19 self tests may misinterpret the implications of their test results, leading to either unnecessary or inadequate quarantine. The study suggests that individuals at high risk for infection should still quarantine after a negative test result.
The study examines changes in mental health care and telemedicine use among over 650,000 Medicare patients with severe mental illness during the pandemic. The findings highlight significant disruptions in care, leading to reduced access to essential services.
Researchers evaluated reimbursement fund distribution to healthcare professionals and facilities for uninsured patients with COVID-19, highlighting key disparities. The study found significant variations in funding allocation across different regions and provider types, affecting treatment access for vulnerable populations.
A study by RAND Corporation researchers found that most physicians in group practices owned by health systems are paid primarily based on the volume of care they provide, rather than quality and value. Only a small fraction of total physician compensation is tied to performance-based financial incentives.
A study by Michigan Medicine reveals that 25% of young American men experience both delivering and receiving technology-facilitated abuse. Healthcare providers should consider addressing this issue, as men who have mental health care visits are more likely to be involved in abusive relationships.
Technology-facilitated abuse is common among young men in the US, with 38% reporting experiences in the last year. Primary care doctors are urged to adapt intimate partner violence screening tools for male patients, including technology-facilitated abuse assessment.
The COVID-19 pandemic significantly increased job demands on primary care teams, but new skill development opportunities and sense of purpose boosted staff morale. Management support played a crucial role in mitigating burnout, with participants reporting greater support and patience within their practices.
A mixed-method review and meta-analysis found that integrated palliative care in ambulatory settings has limited effect on reducing symptom burden, but improves health care utilization for U.S. adults with non-cancer related chronic illnesses. The models were also effective in increasing advanced directive documentation.
A multilevel program improved the awareness and adoption of buprenorphine treatment for opioid use disorder in rural Colorado. The program increased the proportion of practices providing or referring patients for treatment from 18.8% to 74.4%, with a significant increase in buprenorphine prescriptions over four years.
A study found that team-based primary care, coupled with payment reform, can reduce emergency department use among patients. The analysis showed lower rates of increase in ED visits among those transitioning to a team-based capitated practice compared to non-team-based capitated practices.
A new study reveals that over 85% of primary care practices face difficulties in obtaining evidence-based pediatric behavioral health care, including medication advice and family-based therapy. Policy changes are necessary to address these barriers and ensure comprehensive care for children's growing behavioral health needs.
A national study by Boston Children's Hospital found that primary care practices caring for children reported significant difficulties in obtaining behavioral health services. The study, published in Annals of Family Medicine, highlights the pressing need for mental health support in children and adolescents.
A new study found that staff assumptions about minoritized groups contribute to variability in nursing home care for residents with advanced dementia. Remedies include addressing staff biases, increasing funding, and standardizing advance-care planning.
During the first wave of the COVID-19 pandemic in Canada, researchers found increased health service use and higher death rates among adults with dementia and Parkinson disease. The study examined changes in these populations compared to older adults without neurodegenerative diseases.
Researchers found that telemedicine improved access to primary care services for Black patients, reducing the historical racial gap in follow-up appointment attendance. Completion rates rose from 52% to 70%, while overall benefits included shorter wait times and higher completion rates via telemedicine.
The Massachusetts General Hospital team implemented three strategies to increase access and address concerns of immigrant patients, including offering patient education in multiple languages and integrating medical interpreters into virtual visits. These efforts aim to reduce disparities and improve care for all patients.
A study analyzing 676 US health care systems found features associated with overuse of health care include having fewer primary care physicians and being investor owned. These factors were less likely to include a major teaching hospital, contributing to the overuse of healthcare within US health systems.
A study found that telemedicine increased access to surgical care, but disparities persisted among low-income and older Americans. Virtual consultations were more common among white patients than Latinx and Hispanic patients, while Black patients were more likely to use video conferencing.
A successful intervention combining education and workflow increased primary care screenings for geriatric conditions, improving attitudes towards older adults. The program leveraged teamwork to integrate these important screenings into care delivery, resulting in significantly higher screening rates.
A CHOP study found that infants born via uncomplicated cesarean delivery have a low risk of early-onset sepsis and should not receive antibiotics at birth. The study's findings could help clinicians tailor antibiotic use in newborns, reducing complications and unnecessary treatment.
A cross-sectional survey of 21,027 women from 12 European countries found that half experienced negatively affected maternal and newborn care due to the pandemic. Sweden reported serious quality shortcomings, including insufficient protective equipment and inadequate consent procedures.
A new study found high rates of trauma for mothers and babies from forceps and vacuum deliveries, with over 25% of forceps deliveries resulting in severe perineal tears. Researchers call for a reassessment of the safety of these birthing practices.
A study identified 17 military medical treatment facilities that can provide high-quality obstetric care, including emergency cesarean delivery. This collaboration could reduce preventable maternal mortality and improve care for pregnant patients in rural communities.
Rural home health care agencies initiate care more quickly and consistently perform better on care process measures. In contrast, urban agencies excel in preventing hospitalization and emergency room visits during home care over time.
Researchers at Boston Medical Center created a new resource to manage long-term heart disease risk after specific pregnancy complications. The review synthesizes recommendations for primary care clinicians to assess and manage risk, focusing on preeclampsia, gestational diabetes, and preterm delivery.
A randomized controlled trial involving 51 GP practices and 404 patients found a significant reduction in the number of medicines prescribed for older people with multimorbidity. The intervention group experienced over 800 medicines being stopped, with only mild adverse reactions reported.
A study by Massachusetts General Hospital researchers found that over 30 years after the Americans with Disabilities Act's passage, many physicians still don't understand their legal obligations to provide accessible care. The lack of knowledge raises concerns about healthcare quality and equity.
A survey of 17,302 healthcare workers in 57 countries found that male participants and nurses had higher preparedness scores than women and doctors. Preparedness varied across national wealth and sociodemographic characteristics, with East Asia and the Pacific having significantly higher scores.
A clinical trial found that remote monitoring of medication's potential arrhythmic side effects is feasible and safe for patients with mild COVID-19. The study used handheld devices to transmit digital ECGs, suggesting a potential expansion of clinical research to broader populations and reducing participants' burdens.
A recent study found that a substantial decline in lung cancer deaths is associated with earlier diagnosis of lung cancer through increased screening via computed tomography (CT) and follow-up scans. This approach can lead to surgical interventions, which can often be curative for precancerous nodules.
A new study warns that Omicron could lead to 100,273 fewer elective operations performed over the three winter months due to increased hospital admissions and COVID-19 patients. The model used NHS England data from September 2020 to July 2021 to project elective surgery activity based on the number of COVID-19 patients in hospital.
A new study reveals that poor women in rural India are more likely to die during childbirth due to lack of access to safe hospital births. The research found that only 26% of women in low-performing states deliver in hospitals, compared to 87% of those exposed to mass media.
A Trinity College study found that severe COVID-19 patients who received care outside of an ICU had a higher mortality rate compared to those in the ICU. The study highlights Ireland's shortage of ICU beds and emphasizes the need for increased critical care capacity.
A pilot study found that virtually guided prolonged exposure therapy reduced PTSD symptoms more effectively than traditional exposure alone, using real-time psychophysiology to tailor stress levels. Most patients saw a clinically significant reduction in their PTSD Checklist score after 10-12 sessions.
Researchers found alarmingly high attendance rates at hospital emergency departments for children, teens, and adult victims of child abuse and neglect. Children exposed to child maltreatment have substantially increased risk of attending emergency departments during childhood and early adulthood.
A new study by Kaiser Permanente researchers has found that people with HIV are at higher risk of developing heart failure than those without the condition. The study identified significant differences in heart failure risk among various demographics, including age, sex, and ethnicity.
A study found that the percentage of psychiatrist visits involving psychotherapy dropped to 21.6% between 1996 and 2016, with rural and Black/Hispanic patients experiencing significant declines. The shift towards medication management is attributed to economic factors and a national shortage in psychiatric services.
A Rutgers-led study found that racial biases among health care providers may limit the number of Black women taking a daily pill to prevent HIV infection. The study also highlights how providers' racist beliefs can disadvantage Black women's access to PrEP, a medication up to 92% effective when taken correctly.
A new approach to fall prevention in care homes, called the 'Guide to Action to prevent Falls in Care Home' programme, has been shown to significantly reduce falls among residents. The study found that this intervention reduced falls by over 43%, while also being cost-effective and improving quality of life.
The 2022 Pharmacy Forecast Report notes that COVID-19 disruptions have led to increased roles for pharmacists in patient care, emergency preparedness, and technology. The report also emphasizes the need for equitable access to digital tools and explores strategies to mitigate supply chain issues.
A Norwegian study reveals that out-of-hours emergency doctors with higher admission rates inflict significant unnecessary costs on hospitals. The study found that patients seen by these doctors have a greater chance of hospital stays, particularly those over 69 years old.
The $4.6 million NIH grant will help implement a telehealth-enabled audit and feedback process to monitor adherence to recognized standards of care in 14 Intermountain Healthcare ICUs. This study aims to reduce the time patients spend on mechanical ventilators, improving lung protective mechanical ventilation best practices.
A team of nurse-scientists at Beth Israel Deaconess Medical Center doubled the hospital's ICU capacity by 93% to care for critically-ill patients. They developed a proning team, redeployed staff, and implemented modifications to hospital rooms to minimize staff exposure to the virus.
A large-scale study of over 1.2 million people found breakthrough COVID-19 infections are rare but more frequent and severe in those with weakened immune systems. The study supports the introduction of a third vaccine dose for immunocompromised individuals to increase protection.
A multi-state study shows that family medicine physicians are crucial in rural maternity care, delivering babies in 67% of hospitals and being the only doctors in 27%. The loss of obstetrical services poses a significant burden to pregnant people and infants, with patients facing long distances for care.
A Kaiser Permanente study found the Moderna COVID-19 vaccine to be 87% effective in preventing COVID-19 infection and 96% effective in preventing hospitalization. The vaccine's effectiveness persisted even among those with underlying conditions, providing reassurance about its durability.
Pharmacy standing orders led to a significant increase in naloxone dispensing in Massachusetts, but gaps in access persist in rural communities and Hispanic neighborhoods. Communities with higher rates of opioid overdose deaths and buprenorphine treatment also dispensed more naloxone.
A new study published in PLOS Global Public Health has mapped the distance to HIV care services in sub-Saharan Africa, highlighting that 7 million people live more than 10 minutes away and 3 million people live more than 30 minutes away. The research aims to develop cost-effective policies for HIV interventions in underserved areas.
A new project aims to provide peer support and research opportunities for students with caring responsibilities. The study reveals that without adequate support, caring can negatively impact physical and mental health, university performance, and social life.
Researchers found no significant difference in mortality rates between rural and urban emergency departments for life-threatening conditions like stroke and heart attack. Despite facing funding challenges, rural ERs have proven lifesaving for patients treated at these facilities.
A recent study of 9,900 US nursing homes found that private equity acquisition was associated with higher Medicare costs and increased emergency department visits and hospitalizations for preventable conditions. The study highlights concerns about the impact of corporate ownership on nursing home quality and cost.
A University at Buffalo study explores how social and economic characteristics influence hospital readmissions and health inequity in the US. The research found that patients with lower household income, male gender, or treated in urban hospitals have a higher risk of being readmitted within a month of discharge.