Articles tagged with Health Care Delivery
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.
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.
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.
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...
A virtual post-sepsis recovery program developed by Atrium Health has shown promise in helping sepsis survivors and those who have recovered from COVID-19. The program, known as STAR, uses low-tech telehealth methods to provide best-practice care for high-risk patients.
A Kaiser Permanente study found racial and ethnic disparities in the likelihood of testing positive for COVID-19, with Latino patients nearly 4 times as likely to become infected as white patients. The study also found that Black patients were 2 times as likely to get COVID-19 as white patients.
A study by Indiana University researchers found that satisfied customers mean increased profits for public utilities, despite lack of competition. This is achieved through lower operating costs and increased trust from customers. The findings suggest that regulators should view investments in customer satisfaction as recoverable costs.
Research examines the role of transforming cardiovascular care in rural clinics, optimizing emergency room use, and successful adoption of virtual care. Studies show that hybrid models can provide more than 30% virtual care after COVID-19 restrictions lift, while also reducing unnecessary ER visits by 55.7%.
A retrospective analysis of cesarean deliveries found using a wound infusion pump with enhanced recovery efforts reduced opioid use by more than 80%. A third of patients never took narcotic pain pills after the procedure.
A researcher at the University of Tennessee Health Science Center is studying the impact of a poverty-focused model on health outcomes for low-income individuals. The Transition to Success model aims to address social determinants of health, reducing healthcare use and improving conditions.
A new study by George Mason University found that healthcare professionals with a greater ability to respond to change experienced lower rates of burnout when their work environments offered strong communication, teamwork, and leadership support. The study also found that practices with higher organizational capacity for change had low...
A survey of adults with kidney failure reveals that most own mobile devices and have intermediate or advanced mobile health proficiency. The main reasons for using mobile health include making appointments, communicating with healthcare personnel, and obtaining laboratory results.
Kaiser Permanente has found that patients are more receptive to using mental health and wellness apps when referred by a clinician. Digital therapeutics such as mental health apps can offer significant help for patients with mild-to-moderate anxiety or depression, reducing stress and anxiety, and improving sleep.
New study assesses association between clinical and financial integration, finding that financial integration has few positive effects on patient outcomes. Clinical integration, however, is associated with greater use of quality-focused care delivery processes and less spending.
A study found that telemedicine adoption in emergency rooms significantly shortened average length of stay and wait time. This is achieved through efficient information exchange, flexible resource allocation, and improved specialist consultations.
Researchers at UIC are studying the burden of tobacco use and developing a smoking cessation program for high-risk populations. The project, Mi Quit CARE, uses patient portals like MyChart to deliver interventions and aims to increase quit rates among low-income communities.
Researchers analyzed 16.7 million people's telemedicine and in-person visits during the 2020 COVID-19 pandemic to understand changes in outpatient care delivery. The study found that telemedicine compensated for declining volumes and geographic variation, suggesting a new model for healthcare delivery.
The Canadian Medical Association Journal published a new ALS guideline establishing a patient-focused approach to manage the disease. The guideline provides recommendations on communication, disease-modifying therapies, multidisciplinary care, and caregiver support.
Research finds that buprenorphine therapy in primary care can be financially sustainable, with rural practices and physician-led treatment generating the most revenue. Effective hearing loss screening also shows promise, with increased referral rates to audiology specialists leading to improved health outcomes.
A RAND Corporation study highlights the need for policies and approaches to overcome barriers in integrating family caregivers into healthcare teams. The report suggests investing in programs that provide supportive services for family caregivers and expanding access to care coordinators to facilitate effective communication and inform...
Treating opioid addiction with buprenorphine in primary care can be financially sustainable, according to a microsimulation model. Physician-led treatment and shared medical visits with nurse care managers yield the greatest net revenue gains.
A study by UMass Amherst researchers found that postpartum care visits often fall short, with women receiving only 91.1% of recommended blood pressure screenings and just 8.7% depression screenings. The researchers analyzed data from over 20 million visits and identified room for improvement in the delivery of postpartum care.