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.
A new study found that nearly one in five babies in Brazil were born 'small' and at increased risk of mortality. The researchers identified six 'small vulnerable newborn' phenotypes, which showed the highest mortality risk was 62 times greater than full-term babies.
A Mount Sinai study found significant inequalities among low-risk births, with Black and Hispanic infants experiencing higher rates of unexpected complications. Hospital quality was identified as a key contributor to these disparities, with lower-quality hospitals serving more Black and Hispanic women.
A survey of mostly African American adults found that vaccine hesitancy was greatest among those aged 18-29, with COVID-related housing insecurity increasing the odds by sevenfold. Younger individuals and those experiencing housing insecurity were more likely to be resistant to vaccination.
The Telehealth Service Implementation Model (TSIM) offers a comprehensive approach to developing and sustaining successful telehealth programs. TSIM addresses key challenges such as provider and patient engagement, technical, financial, regulatory, and administrative burdens.
A new strategy to improve viral suppression among people living with HIV in NYC has been awarded a 5-year, $3.3 million grant. The D2S intervention aims to bolster medication adherence by delivering client-level viral suppression status reports and targeted capacity-building.
A new UBCO study determines that wearable technology and telehealth can tailor treatment plans for Parkinson's disease by identifying peak times of symptoms. The research found positive experiences and health outcomes for patients using wearable devices in combination with telehealth appointments.
Long-term kidney transplant survival rates in the US have increased significantly over the last three decades, with five-year survival rates for deceased and living donors rising from 66.2% and 79.5%, respectively, in 1996-1999 to 78.2% and 88.1% in 2012-2015.
A survey study found significant racial and ethnic differences in self-reported measures of health status, healthcare access, and affordability. The study analyzed data from 20 years, revealing persistent disparities across various racial and ethnic groups.
A Korean population-based cohort study found that cancer, particularly multiple myeloma and leukemia, is associated with an increased risk of kidney failure. The study included approximately 825,000 patients with cancer compared to twice as many without cancer, matched on other characteristics.
Researchers found that states have implemented new autism-specific Medicaid programs, with the most common type being the 1915(c) waiver authority, providing home and community-based services. The study suggests that further replication of successful efforts is needed to improve access to services for individuals on the autism spectrum.
More than 100 resolutions have been passed naming racism a public health crisis, with less than 1 in 5 explicitly mentioning funding for initiatives. The surge is linked to greater national attention brought by the COVID-19 pandemic and social justice movements.
A research team from Brigham and Women's Hospital found that delivering acute care at home for non-COVID patients freed up substantial inpatient capacity during the COVID-19 surge. The Home Hospital program provided care for 65 acutely ill patients, amounting to 419 bed-days, over a 3-month period.
A study of 7,400 emergency department physicians found that those who recently saw patients with a pulmonary embolism were 15% more likely to test subsequent patients for the condition. The 'availability heuristic' may influence physicians' care decisions.
Rates of emergency department visits and hospitalizations for assault increased significantly during the COVID-19 pandemic in Ontario, Canada. Researchers attribute the rise to increased domestic violence due to lockdowns and social distancing measures.
A Kaiser Permanente study published in JAMA Health Forum found that 83% of primary care patients and 92% of mental health clinic patients answered the question about their access to firearms. The study suggests that asking about firearm access could support suicide prevention by creating opportunities to discuss safety planning, includ...
A review by RCSI University of Medicine and Health Sciences found that QI studies in Ireland enhanced multiple elements of healthcare quality, including effectiveness, efficiency, timeliness, and safety. The studies primarily focused on improving patient care and hospital operations.
A Dartmouth research team led by Glyn Elwyn is testing interactive educational approaches to boost vaccine confidence among unvaccinated long-term care workers. The study aims to measure vaccine confidence, knowledge, and trust in the COVID-19 vaccines.
A study examined the association between COVID-19 and prescription medication changes among nursing home residents in Ontario, Canada. The researchers found significant changes in medication prescribing patterns before and after the pandemic onset.
A new intervention program, First 1,000 Days, has been shown to decrease excess weight gain in infants. The program combines individualized health coaching for pregnant women with changes in clinical care, resulting in lower odds of being overweight at six months and one year.
The Patient-Centered Outcomes Research Institute (PCORI) has awarded $254 million to fund 28 new research studies aimed at reducing health disparities in maternal morbidity, preventing youth suicide, and improving behavioral health outcomes. Four studies will assess interventions to improve prenatal care for Black women and their child...
Recent Mayo Clinic research reveals a significant increase in opioid overdose-related emergency department visits during the COVID-19 pandemic. Opioid overdoses accounted for 1 in every 313 visits, up from 1 in every 400 visits in previous years.
A new Dartmouth-led study found that white patients receive higher annual doses of prescription pain medicine than Black patients, even when treated by the same health system and team of clinicians. The researchers suggest that systematic racial bias is a major contributor to these disparities.
Primary care physicians provide the largest share of services for vaccinations and majority of clinical visits for vaccination, making them well-positioned to administer COVID-19 vaccines. They can also answer vaccine questions and provide clinical guidance on interpreting results from COVID-19 testing and immunity determinations.
The article synthesizes lessons from primary care and behavioral health integration to inform organizing principles for advancing social care integration practices. This approach aims to improve the health of patients and communities by identifying and addressing their social and economic needs.
The study highlights three key themes in transitional care research: delineating function versus form of interventions, evaluating implementation processes, and engaging stakeholders. These findings aim to improve decision-making and patient-centered outcomes, despite challenges in comparing results between studies.
A phase 3 trial found that Lu-PSMA-617 significantly improved survival and progression-free survival of patients with metastatic castration-resistant prostate cancer. The treatment delivered beta radiation directly to tumour cells, keeping them alive for longer than standard care.
Researchers characterized clinical content of ambulatory care among office-based and telemedicine visits before and during the COVID-19 pandemic. The study found significant changes in care delivery, with a shift towards telemedicine visits during the pandemic.
An international research team has mapped the current global landscape for musculoskeletal health and developed an action plan to address the growing global burden of disability. The blueprint prioritizes eight key areas, including community education, leadership, and research, to guide health systems reform and promote integrated care.
The UK HealthCare team has been awarded a prestigious CDC grant to optimize stroke prevention and care in Kentucky. The three-year grant will focus on implementing comprehensive stroke systems for those at high risk and stroke patients, with the goal of reducing mortality rates and addressing disparities.
A team-based model assists primary care physicians in managing specific health conditions through a care manager with advanced expertise. This helps patients process information, review treatment options, and receive needed support between physician visits.
A new study by NYU Rory Meyers College of Nursing found that continuity of nursing care improves patient outcomes for people with dementia. The research showed that increased continuity of care leads to a lower risk of rehospitalization, even after controlling for other clinical risk factors and the intensity of home health care.
A new special issue of The Gerontologist explores strategies to improve the long-term care workforce, including diverse approaches to care and flexible models. The collection aims to provide positive guidance for future research and policy, particularly in response to the COVID-19 pandemic.
A new study found that 1 in 6 privately insured families spent more than $5,000 on maternal and newborn hospitalizations, with some exceeding $10,000 if neonatal intensive care was required. Researchers analyzed data from 12 million enrollees and identified significant cost-sharing driven by deductibles and co-insurance.
Dr. Sarah Goff's study examines the effects of Medicaid ACOs on asthma outcomes for children, aiming to improve pediatric asthma care and address social determinants of health. The research may inform other states considering ACO models for their Medicaid programs.
A community health worker intervention has been shown to reduce hospital readmissions among patients discharged to short-term rehabilitation. The study, published in JAMA Network Open, found a 32.3% reduction in readmissions for this population compared to those discharged home.
A global study found that nearly half a billion people with diabetes are not receiving comprehensive care, which can reduce health risks such as heart attacks, strokes, and nerve damage. The study highlights major gaps in specific care, including low cholesterol-lowering medication use.
A review of virtual reality training programs found that they can elicit empathetic behavior in medical radiation technologists, improving patient-centered care. The study suggests VR may be an effective tool for learning care recipients' perspectives and controlling biases in future research.
UVA Children's is part of a national network aiming to improve autism care by quickly applying the latest research and best practices. The network focuses on managing common symptoms like hyperactivity, irritability, and anxiety in children with autism.
Research presented at ATS 2021 International Conference found that seniors eligible for Medicaid have 60% more disabilities compared to those without Medicaid. Dual Medicare-Medicaid status is associated with a 30% increase in post-ICU disabilities after adjusting for variables such as age and education.
A new benefit has been implemented, allowing eligible Veterans to receive urgent care from community providers. The study found that most Veterans who used the service lived within 30 minutes of a VA primary care site and had no copays for urgent care visits.
A study by Kaiser Permanente found that insured patients with cancer had better survival rates, especially among Black and Latino patients. The researchers analyzed data from the California Cancer Registry and found lower mortality rates among Kaiser Permanente members in Southern California.
The new report presents a roadmap to achieving equity, inclusion, and belonging among cardiovascular professionals, calling for continual assessment of professional culture and climate. It also proposes continuous trainings to address individual, structural, and systemic racism and sexism.
A retrospective study found that most COVID-19 patients in a home-based hospital care program did not require care escalation to traditional hospitals. The study suggests that physician hesitation may play a role in deciding which patients are enrolled in such programs.
The American Geriatrics Society has welcomed 15 new fellows who demonstrate a deep commitment to advancing high-quality, person-centered care for older adults. The new fellows have made significant contributions to education, clinical care, and research in the field of geriatrics.
A new study has identified 16 quality measures for end-of-life care in children with cancer, covering topics such as avoiding medically intensive care and assessing sibling needs. The measures aim to standardize care and identify disparities in quality of care received by different groups of children.
A study found that social factors like household income, language, and insurance did not impact families' acceptance of telehealth for their children's cardiac care during the pandemic. The study suggests telehealth is a feasible option for families, with higher acceptance rates among patients with certain diagnoses or Hispanic ethnicity.
Dr. Lindsay Hampson, a UCSF researcher, has received the AGS' Jeffrey H. Silverstein Memorial Award for her work on improving patient-centered decision-making for older adults with urologic conditions. Her study found that multimorbidity, frailty, and mortality risk are common among older men with stress urinary incontinence.
The American Roentgen Ray Society (ARRS) honors all members with the 2021 ARRS Gold Medal for their selfless service on the frontlines of the COVID-19 pandemic. The award recognizes their distinguished contributions to radiology and its impact on patient care.
A Kaiser Permanente study found that regular physical activity significantly reduced the risk of severe COVID-19 outcomes, including hospitalization, ICU admission, and death. Even inconsistent exercise provided some protection against poor outcomes.
Research highlights pharmacists contribute meaningfully to primary health care through comprehensive medication management services. Pharmacists support and align with foundational elements of primary care, improving patient care and advancing the mission of primary care.
Dr. Atai, a skilled clinician and medical administrator, has been recognized by the American Geriatrics Society for her exceptional work in teaching geriatrics trainees and providing high-quality patient care. Her empathetic listening skills and compassionate bedside manner have earned her the respect of her colleagues and patients.
Dr. Helen Fernandez will receive the 2021 Dennis W. Jahnigen Award for her commitment to building the geriatrics health workforce and improving care of older adults through innovative education programs and pathways.
A recent update from the American Academy of Sleep Medicine highlights the benefits of telemedicine in providing safe and effective sleep care. The use of telemedicine has improved adherence to CPAP therapy for obstructive sleep apnea patients, while cognitive behavioral therapy for insomnia shows similar results to in-person treatment.
The COVID-19 pandemic has worsened pregnancy and chronic disease-related inequities, researchers argue. Primary care clinicians must adopt holistic approaches to address interconnected health risks, including virtual medicine and self-monitoring tools.
The REMi system, featuring innovative sensor tech developed by RMIT University, has been launched to deliver real-time and non-invasive resident monitoring and alerts. It enables the aged care workforce to non-intrusively monitor residents during the night and receive alerts at critical moments.
A study conducted in KwaZulu Natal, South Africa among 162 people living with HIV found that home delivery of antiretroviral therapy (ART) significantly increased viral suppression compared to clinic care. The paid home delivery model improved health outcomes, particularly for men who struggle with clinic-based services.
Youth Medicaid enrollment in managed care increased from 65% in 2000 to 94% in 2017, but preventive care coverage fell short of the 80% goal. The study found significant increases in preventive care services in 17 states and decreases in six states, with Tennessee seeing the largest increase and North Carolina the largest decrease.
A new commission report calls for eye care to be included in mainstream health services and development policies to achieve Universal Health Coverage and the 2030 SDGs. Improving eye health can have immediate benefits for individuals and nations, including economic gains of $AUD 530 billion a year.
A new Geisel-led study found substantial regional variation in the intensity of fracture-associated drug (FAD) use among long-term care facility residents, with areas experiencing higher FAD use having higher hip fracture rates. The study analyzed Medicare data and prescription records, revealing a 12% difference in FAD prescribing ran...
A new study by RAND Corporation found that low-value healthcare spending among Medicare recipients decreased marginally from 2014 to 2018, but three services - opioid prescriptions for back pain, preoperative laboratory testing, and antibiotic use for upper respiratory infections - accounted for two-thirds of the wasteful care. The fin...