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 European Union and European Economic Area saw a significant decline in antibiotic consumption in 2020, with a 18% decrease compared to 2019. This decline was largely attributed to the COVID-19 pandemic, which led to reduced primary care consultations for mild infections.
A Dartmouth study found that the stratified approach to statistical modeling in health services research can lead to inaccurate conclusions about disparities and inequities in healthcare. Joint modeling, on the other hand, provides a more accurate estimate of physician treatment patterns across different patient types.
Researchers developed a novel model to identify specific genes and genetic alterations in multiple myeloma, stratifying the cancer's severity via DNA and RNA sequencing. This model revealed diverse subtypes and high-risk patients beyond current classifications.
A new study of family doctors' views and experiences reveals that a software tool meant to reduce emergency hospital admissions is of limited use and benefit. The researchers found mixed views and experiences among GPs and practice managers about the tool, which was used in Wales as part of an earlier trial.
A new risk score developed by Mount Sinai researchers can help predict possible contrast-associated acute kidney injury among patients undergoing PCI. The 'Mehran-2 CA-AKI Risk Score' enhances management of high-risk patients before, during, and after the procedure.
A new study by NYU School of Global Public Health found that telephone visits accounted for a larger proportion of telemedicine care than video visits, highlighting their role in addressing the 'digital divide'. Despite challenges, providers reported positive experiences delivering care remotely using both phone and video, and emphasiz...
A nationwide study found that patients who reported their symptoms weekly using a digital tool received more timely treatment, leading to improved physical function, symptom control, and quality of life. The PRO-TECT trial showed statistically significant improvements over the current standard of care.
A new trial shows that the novel surgical device venous external support (VEST) may improve outcomes of coronary bypass grafting using leg veins by preventing intimal hyperplasia, a key factor in vein graft failure.
In a large commercially insured population, overall outpatient care usage didn't change significantly despite increased telemedicine use. Telemedicine appeared to substitute for in-person visits, suggesting its potential as a convenient alternative.
A KU study reveals that individuals' political ideologies play a crucial role in shaping their health behaviors during the COVID-19 pandemic. The research, conducted using two surveys and a review of existing data, found that ideology was a significant predictor of health behavior, especially when compared to other factors such as age,...
The USPSTF has developed strategies to address systemic racism in its recommendations, aiming to promote health equity in preventive services. The new approaches focus on eliminating disparities in healthcare access and outcomes.
A new study found that healthcare providers hold less favorable judgments about patients who inject drugs, leading to potential lack of access to preventive HIV medication. The study highlights the importance of raising awareness and standardizing access to PrEP for all people, regardless of their risk factors.
Mount Sinai joins a nationwide network of medical centers specializing in rare disorders to foster knowledge-sharing, connect patients with specialists, and improve treatment and research. The designation aims to establish a standard of care for rare diseases.
A new study found that QFR-guided PCI resulted in lower one-year rates of heart attack and a lesser chance of needing additional PCI, with a 35% reduction in mortality. The technology helped eliminate unnecessary stents and identified more obstructive lesions.
COVID-19 vaccinations have been shown to be safe for advanced breast cancer patients, with no notable differences between vaccine brands. The second dose is crucial to induce an immune response, which has been found in 80% of patients with solid tumours.
Defects in surgical care cost the American health care system over $12 billion annually. A holistic approach through Centers of Excellence can address these defects, increasing quality, patient experience, and reducing costs.
Researchers found that certain urinary biomarkers, including neutrophil gelatinase-associated lipocalin and kidney injury molecule-1, were associated with increased risk of severe acute kidney injury or death in patients hospitalized with COVID-19. These biomarkers may help identify patients at high risk for adverse kidney outcomes.
The Comparing Outcomes of antibiotic Drugs and Appendectomy (CODA) trial found that nearly 7 in 10 patients with antibiotics avoided an appendectomy within three months. By four years, just under 50% had the surgery, suggesting both treatments are safe and valuable to patients differently based on unique symptoms and circumstances.
A new study found that Long COVID can cause symptoms such as fatigue, brain fog, and cognitive impairment lasting over a year. The study also showed that more than 60% of patients experienced some level of cognitive impairment, with significant impacts on employment and quality of life.
A new study revealed that global guidance for preventing Surgical Site Infections (SSI) is not effective and needs revision. The FALCON trial found no superiority of interventions like alcoholic chlorhexidine skin preparation and triclosan coated sutures over lower-cost alternatives.
The Icahn School of Medicine at Mount Sinai has received a five-year, $16 million grant from the National Institutes of Health (NIH) to foster inclusive excellence in the biomedical sciences. The grant aims to recruit and hire faculty members from underrepresented groups across four research areas.
The University of Ottawa has launched the Interdisciplinary Centre for Black Health (ICBH), a leading research center examining biological, social, economic, and cultural determinants of Black health. The ICBH aims to identify priorities in research on physical and mental health disparities among Canada's Black communities.
A recent study published in Nature Machine Intelligence challenges the long-held assumption that accuracy and fairness are mutually exclusive in machine learning. Researchers found that optimizing models for accuracy does not necessarily compromise fairness, particularly when adjustments are made to data, labels, and scoring systems.
A recent study published in the journal Birth found that family physicians deliver babies in 67% of rural hospitals and are the only physicians who deliver babies in 27% of them. If they stopped, patients would have to drive an average of 86 miles round-trip to access maternal care.
A study published in JNCCN found that 45% of people with cancer prefer telemedicine over in-person visits, while general patient satisfaction scores are equally high. The research also revealed that patients preferred video conferencing over audio-only appointments and that telemedicine can reduce treatment-related costs.
A new study by E. Paige Lloyd found that medical providers are better at discerning real from fake pain expressions for White people than Black people. This disparity in pain detection could contribute to racial disparities in pain care and treatment recommendations.
A study of emergency department residents reveals a lack of emphasis on understanding and caring for diverse populations. Residents reported gaining cultural competency through modeling senior residents or faculty and the importance of community-based partnerships.
There was significant growth in telemedicine use among rural Medicare beneficiaries between 2010 and 2019. The majority of this growth was attributed to care delivered by nurse practitioners and other non-physician clinicians.
A systematic review found that brief alcohol-targeted interventions delivered in doctors' offices reduce drinking by small but useful amounts. The study analyzed data from 116 trials involving 64,439 participants and found a reduction of approximately one drinking day per month.
A new study found that the COVID-19 pandemic led to a 30% decline in patients seeking treatment for kidney failure, with Black patients experiencing significantly worse kidney function. The decline was attributed to changes in healthcare delivery and may reflect delays in treatment due to fear of infection or logistical barriers.
The CUNY Graduate School of Public Health and Health Policy has received a nearly $2 million NIH grant to develop a multisectoral coalition to implement a community-wide collaborative care model to address mental health and socio-economic risks in Harlem. The initiative aims to close the mental health treatment gap for ethnic minoritie...
A plasma biomarker panel identified a combination of sTNFR1, sTNFR2, cystatin C, and eGFR that discriminated between patients with worsening or low risk of chronic kidney disease after three years. This combination was particularly effective at identifying those with very low risk of subsequent kidney dysfunction.
A Kaiser Permanente study found that the 2021 USPSTF guidelines will likely increase lung cancer screening of women, racial and ethnic minority groups, and individuals with lower socioeconomic status. This is expected to lead to an estimated 30% increase in lung cancer diagnoses compared to the 2013 recommendations.
A Children's Hospital of Philadelphia-led study found that most US obstetric hospitals deliver fewer than 500 babies per year, with approximately 2.5 million infants born at low-volume hospitals between 2010 and 2018. Nearly a fifth of these low-volume hospitals are isolated from other obstetric hospitals, with over half located in rur...
A new study reveals that higher levels of education and income are associated with better health outcomes for older adults in Ireland, England, the US, and Canada. The study found that socio-economic disparities exist across countries, with those having higher education and income experiencing lower disease burdens.
The National Kidney Foundation has released a research roadmap to accelerate innovations in treatment and increase understanding of kidney disease. The report calls for increased funding in preclinical science, genetics, health equity, and implementation science to tackle the most vexing challenges in kidney disease.
The Charles Lazarus Children’s Abilities Center at Mount Sinai offers cutting-edge treatments for children with disabilities, including physical, occupational, and speech therapy. The center features state-of-the-art equipment and a multidisciplinary team of experts providing comprehensive care to children from birth to age 21.
A 'think-twice' campaign for GPs has been found effective in reducing opioid prescribing in primary care, resulting in a net saving to the NHS of £700,000. The campaign led to a reduction of 15,000 fewer patients being given opioids over a year-long trial.
Researchers at UIC will evaluate the effectiveness of integrated behavioral health care coordination on mental health outcomes for teens with intellectual and developmental disabilities. The study aims to identify better care coordination models to reduce barriers to access to behavioral health care for this vulnerable population.
Dual-eligible cancer patients receive higher-quality end-of-life care at cancer centers with prioritized communication and decision planning. These facilities experience a significant jump in patients choosing hospice and dying outside of hospitals.
Researchers analyzed data from 556 health systems nationwide to find common forms of low-value care, such as unnecessary tests and treatments. Systems with smaller primary care physician shares, no teaching hospitals, and more minority patients were more likely to use these services.
A new study by The Ohio State University College of Nursing found that the COVID-19 pandemic exacerbated clinician burnout and mental health problems among nurses. The study suggests that effective interventions such as mindfulness, health coaching, and cognitive-behavioral therapy can improve mental/physical health and well-being.
Researchers found that shrinking waveforms on electrocardiograms can help identify high-risk patients with COVID-19 or influenza, allowing for more aggressive monitoring and treatment. The study also showed that this technique may be particularly useful in overwhelmed systems where timely intervention is crucial.
Researchers at Kaiser Permanente identified a blood cystatin C test as an alternative to estimate kidney function, eliminating the need for racial considerations. The study showed that this approach produces similarly accurate results and may promote equity for people of all racial and ethnic backgrounds.
Researchers discovered that new mutations in the BRAF gene can lead to gliomas growing back after treatment, suggesting personalized approaches to therapy. The study also explored potential impacts of COVID-19 vaccines on menstruation.
A serum biomarker, polyubiquitinated phosphatase and tensin homolog (PTEN), was associated with a four-fold higher risk of kidney function decline. This modified form of PTEN was linked to severity of lesions in kidney structure, indicating early manifestations of diabetic kidney disease.
Researchers propose a framework to clarify common terms used in population, community and public health, aiming to reduce confusion and ambiguity. The shared language framework enables effective collaboration among clinicians, public health professionals and policymakers.
The study found large reductions in uninsurance and improvements in blood pressure and blood sugar control among Hispanic and Black patients after Medicaid expansion. The first five years of expansion were associated with significant benefits for these populations.
A study analyzing Medicare data found that racial and ethnic minority groups received fewer opioid prescriptions for new low back pain compared to white patients. This disparity persisted during the first wave of the opioid epidemic, despite growing awareness of its adverse effects.
A survey of 147 medical professionals found that smaller endotracheal tube sizes reduce complications in professional voice users. The team hopes to establish evidence-based practices for managing the airways of these patients, who are particularly vulnerable to damage from intubation.
A Mount Sinai study found that polygenic risk scores were no better at predicting worsening symptoms than written reports in schizophrenia patients. The results raise questions about the use of polygenic risk scores in real-world situations, suggesting a doctor's report may be an untapped source of predictive information.
The study evaluated the impact of the program on patient engagement and clinical outcomes. Patient engagement rates reached 78.9%, highlighting the efficacy of virtual care at home during the pandemic.
A study developed by HSS experts shows improved patient outcomes, including reduced hospital stays and readmissions, after implementing an optimized recovery pathway for complex spine surgeries. The new approach also lowered complication rates and enabled patients to recover faster at home.
A new study by Spinal Cord Injury Model System investigators found that remote wheelchair-skills training increases clinician confidence in teaching peers. The training program improved trainees' ability to navigate real-world spaces, empowering them to engage with their communities. This innovative approach has the potential to expand...
A telephone-delivered nursing care strategy combining heart failure care management with depression treatment improved patients' clinical outcomes. Patients receiving 'blended' collaborative care showed better mental health-related quality of life, including improved mood and reduced limitations in social activities.
A survey of 11,000 health care workers found significant racial and ethnic disparities in COVID-19 vaccine hesitancy, with Black workers experiencing a nearly 5-fold increase compared to white workers.
A pan-Canadian randomized controlled trial is using digital communication to target common reasons for vaccine hesitancy, including age, language, and education level. Family physicians will receive tailored information to share with patients through email and text message, aiming to improve vaccine uptake.
A Kaiser Permanente study found strong adherence to HIV-prevention drug therapy soon after prescription, but inconsistent use among vulnerable groups. The study suggests that targeted strategies are needed to support the effective use of PrEP in high-risk populations.
A recent study found that telehealth medication abortions were safe and effective during the COVID-19 pandemic. The researchers examined data from patients who underwent telehealth abortion procedures and found that they had similar outcomes to in-person procedures.
Referral guidelines for nephrology care are shifting towards identifying patients at higher risk of kidney failure. A study using Veterans Health Administration data found that referring patients with a two-year risk of kidney failure above 1% would identify those at highest median risk.