Articles tagged with Health Care Delivery
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.
Despite COVID-19, Nemours Children's Health System increased patient immunizations by 4.6% through a hybrid approach combining in-person and telemedicine, with over 36,000 primary care telemedicine visits and nearly 10,000 'tele-well' visits.
A RAND Corporation study finds that health systems need better mechanisms for creating and disseminating best practices to leverage technology effectively. The study suggests that payment reform may not be sufficient to drive change and that significant investments in hardware and software are needed.
The COVID-19 pandemic has accelerated adoption of innovative diabetes care models, including telehealth, to improve medical outcomes and patient experience. Despite challenges such as lack of insurance coverage and workforce shortages, these models have the potential to transform diabetes care for millions worldwide.
A new US study found that hospital-based waterbirths have no higher risk of NICU admission compared to control group births. Waterbirth was also associated with reduced perineal lacerations and improved patient satisfaction.
A new online programme will improve and personalize care for people with dementia in care homes, which were severely impacted by the COVID-19 pandemic. The programme aims to support care staff and residents through peer networking and solution sharing.
A uOttawa-led research project aims to examine how primary care providers can offer better healthcare for people living with serious mental illness. The study will analyze the primary health care experience of this population group and identify ways to improve the system.
The study found that COVID-19 pandemic led to a significant increase in telemedicine encounters and a decrease in office-based visits for primary care. The shift allowed for increased access to healthcare services while minimizing the risk of in-person transmission.
Historical racial & ethnic health inequities significantly contribute to the disproportionate COVID-19 impact, particularly among African American, Latinx, and Navajo Nation communities. Baseline inequalities in healthcare are exacerbated by the pandemic.
Researchers analyzed data to find that preventive measures like prenatal care and hospital births can significantly decrease the occurrence of fistulas. The study highlights the need for a multi-faceted approach to address this significant public health issue in Uganda.
A study found that rural counties with obstetrical care have better infant birth outcomes, including lower mortality rates and fewer underweight babies. Telehealth can also support collaborative mental health care in rural clinics, enabling primary care physicians to work proficiently with patients.
A 12-year study in Alabama found that rural counties with in-county obstetrical care had significantly better infant birth outcomes, including lower infant mortality rates and fewer underweight deliveries. The lack of access to obstetrical care was also associated with higher percentages of underrepresented minority residents.
This study analyzed CCM claims from 2015 to 2018, showing a significant increase in usage driven by primary care physicians. The majority of claims were billed under the original general CCM code, with newer codes accounting for a small portion.
A qualitative study found that telepsychiatric collaboration improved the ability of primary care physicians to serve patients with mental health needs. Rural clinics adopted telehealth methods, enabling all staff members to better diagnose and assess mental health issues.
Out-of-pocket and total visit expenditures for primary care physicians have shifted towards private insurance and Medicare, impacting access. The study suggests that continued trends may lead to increased difficulty in accessing primary care services, particularly for Medicaid patients.
The virtual ACS Clinical Congress 2020 features hundreds of new research findings, contemporary topics in surgery, and a digital approach with live and on-demand sessions. Journalists can apply for press credentials to cover the event from remote locations.
Researchers used modest data and basic engineering AI to solve complex MRI appointment no-shows. The study found a 17.2% improvement in no-show rates after implementing phone call reminders for high-risk patients.
Patients with the highest obesity risk who received a tailored coaching program lost 5% of their body weight, compared to 0.5% in usual care group. The study demonstrates the importance of convenient and accessible interventions in overcoming barriers to weight loss.
A new study from Boston Medical Center highlights the benefits of using health technology to engage African American and Black women earlier in preconception care. The online system Gabby increases the rate of maintaining and acting on identified preconception care risks by 16 percent, with results maintained after 12 months.
A new palliative care model will be implemented in eight Indiana and eight Maryland nursing homes to enhance quality of life for patients with Alzheimer's disease. The UPLIFT-AD trial aims to build capacity for palliative care within facilities and provide external support.
Karen Giuliano, AACN Distinguished Research Lecturer, shares her journey from bedside care to challenging critical care and medical device innovation. She emphasizes the importance of interdisciplinary collaborations in developing person-centered, humanistic patient care.
A new study finds that abortion care churn, including clinic-level instability and chronic uncertainty, creates barriers for patients and compromises access to abortion care in Ohio. The research highlights the need for policymakers to consider the multifaceted impacts of restrictions on abortion access.
A recent study found that larger, more integrated health systems do not generally deliver better quality of care. The research highlights the importance of enforcing antitrust guidelines and providing financial support for smaller healthcare organizations threatened by consolidation.
Scientists at the University of Warwick have developed a new technique that can spot potential preterm births in asymptomatic high-risk women with up to 73% accuracy. The technology uses volatile organic compound analysis to characterise airborne chemicals and is designed to be cost-effective and non-invasive.
A $204,000 grant from the NCI will support research on sustainability of telemedicine for rural cancer patients. The study aims to identify factors allowing telemedicine to be sustained over time and its impact on patients.
The study found that applicant practices were diverse but lacked representation from small, independent, rural, or inexperienced practices. Participating practices served healthier and more advantaged beneficiaries, highlighting the need for further engagement.
The COVID-19 pandemic is accelerating the adoption of innovative healthcare service delivery models. Healthcare providers are turning to digital platforms and remote care options to stay afloat.
A new ageing well initiative aims to bring together children with older people in a structured way, delivering health and wellbeing benefits for all. The Child Care in Aged Care project promotes meaningful community connections and challenges stereotypes through intergenerational activities.
Recent COVID-19 policy shifts have made it possible for more people to access addiction care via telemedicine, specifically video chats and telephone calls. Key treatments like medications, psychotherapy, and peer group support can now be delivered remotely, but sustaining this approach will require continued changes.
The COVID-19 pandemic has taken a significant toll on mental health, highlighting the need for online platforms to facilitate social support and continued mental health care delivery. The study discusses effective strategies for utilizing online platforms during the pandemic.
Canada's healthcare system faces high hospital occupancy rates and inefficiencies due to inadequate capital funding, which hinders the adoption of new technologies and infrastructure upgrades.
A recent study published in the American Heart Association found that rural stroke patients are more likely to die from stroke-related complications and receive inadequate treatment. Compared to urban patients, rural patients had lower rates of receiving clot-busting medication and undergoing endovascular thrombectomy, leading to highe...
Rural patients receive lower quality care and have higher mortality rates due to limited access to advanced stroke treatments. The analysis found that hospital capabilities for delivering advanced stroke care are lower in rural areas, resulting in substantially higher mortality rates.
A house call model using interventional radiology treatments in patients' homes improved access to care, reducing emergency department use by 77% and hospital readmissions by 50%. The model provides specialized care to elderly homebound patients with chronic illnesses, preventing complications and delaying urgent visits.
A new report published in the New England Journal of Medicine examines the limitations of COVID-19 diagnostic tests, highlighting concerns over false-negative results. The study emphasizes the need for highly sensitive and validated tests to accurately declare individuals uninfected, ensuring safe reopening of communities.
A new study published in the Journal of the American Heart Association finds that palliative care significantly lowers rehospitalization rates and improves patient outcomes for those with heart failure. Palliative care added to standard treatment plans can reduce hospital readmissions by up to 25%.
The American Geriatrics Society (AGS) has released a high-priority question guide for the 2020 elections, addressing eight policy issues important to older adults. The guide focuses on increasing access to geriatric health professionals, expanding Title VII training programs, and prioritizing aging research to address chronic diseases.
Primary care clinicians perceive their role in caring for cancer survivors, but approaches vary widely. Researchers recommend coordinating care between primary care and oncologists to address complex needs.
The article highlights Singapore's successful COVID-19 containment response in primary care, featuring triage, containment, and infection control measures. Additionally, it explores the benefits of routine lung cancer screenings and discusses the increasing use of artificial intelligence in primary care to improve diagnostic accuracy.
The COVID-19 pandemic has worsened health inequities among vulnerable populations, with increased racial and ethnic biases impacting healthcare decisions. Remote diagnosis and care technology access also affects patient outcomes.
A scoping review of 405 studies reveals that AI research in primary care is at an early stage, with unique challenges to applying AI in a person-centric approach. To mature, value must be placed on developing rigorous AI and identifying impacts on care delivery and health outcomes.
Virtual rounds and intercom communication systems enable compassionate and reassuring encounters while preserving PPE, reducing exposure time, and delivering exceptional care during mass contagion. The COVID-19 pandemic may transform outdated healthcare delivery methods and reveal new ways to use virtual care to improve patient health.
A Viewpoint article explores challenges and solutions in palliative care during the pandemic. Key findings include strategies to optimize care delivery, address healthcare workforce shortages, and improve patient outcomes.
A new study found that Canadian patients can wait significantly longer for Transcatheter Aortic Valve Replacement (TAVR) procedures, with wait times varying greatly across provinces. The study highlights the need for improved access to TAVR care and calls for policy makers to re-evaluate funding mechanisms.
Researchers found that telehealth services using videoconferences can save travel time, equip families with strategies to promote independence, and reduce costs for non-pharmacologic interventions. The study provides evidence-based information and skills to support people with dementia and their care partners.
The USPSTF advises against routine screening for bacterial vaginosis in pregnant individuals without symptoms or increased risk of preterm delivery. However, it suggests caution for those at higher risk, with current recommendations dating back to 2008.
A team of international medical experts successfully delivered insulin via a drone to a patient living in a remote community in Ireland, addressing healthcare access issues. The project demonstrated the potential for autonomous drones to deliver life-saving medications and supplies in disaster scenarios.
Cities with strict early restrictions had lower disease and mortality rates compared to those with fewer and later restrictions. Cities that adopted broad isolation measures, including school closures, mask wearing, and case isolation, saw significant reductions in disease spread.
A new study by the University of Pennsylvania School of Nursing found that organizational supports for nurse practitioners enhance their ability to deliver patient-centered care. NPs working in good practice environments were more likely to integrate patient preferences into care compared to those in mixed or poor environments.
A large Kaiser Permanente study found that patients who underwent bariatric surgery maintained significantly more weight loss at 5 years compared to those who did not have surgery. Gastric bypass surgery showed better results than sleeve gastrectomy, with fewer participants regaining weight.
Researchers found that operational failures, particularly with electronic medical records, result in additional work for primary care physicians. This disparity highlights the need to address system-level errors to improve physician work efficiency.
The journal special issue examines how contemporary trends in immigration affect aging populations, with a focus on social ties, filial obligation, and culturally accessible services. Strongest common themes include the importance of social connections for promoting health and well-being.
A literature review by Loyola Medicine neurologist Antonio H. Iglesias highlights TMS efficacy in treating depression, OCD, and other neurological conditions, including stroke, acute migraines, and dementia. The treatment is well-tolerated with few side effects.
A new study highlights the potential need to standardize quality measurement for cardiovascular care. Hospitals recognized by the AHA and ACC for high-quality care were more likely to be financially penalized under value-based programs than other hospitals.
A study published in Circulation shows that declines in heart attacks are greatest among men, with a nearly 50% decrease between 2000 and 2014. While women also experienced a decline, their rate slowed in the last five years of the study.
A new PSU study found that decreasing out-of-network primary care across all Medicare ACOs could save the system $45 million a year. Higher specialty care leakage was associated with higher costs for ACOs, driven by outpatient care and emergency room visits.
A comprehensive evaluation of existing quality metrics for kidney disease reveals that less than half are highly valid, with nearly half related to dialysis management. The study proposes refinements and new metrics to better reflect the spectrum of kidney care delivery, aiming to improve the accuracy of quality measurement.
The Value Transformation Framework (VTF) provides a step-by-step guide for healthcare organizations to shift to value-based care, focusing on improving quality of care and outcomes. The framework addresses three domains: Infrastructure, Care Delivery, and People, with 15 Change Areas offering flexible steps toward improvement.
Despite initial efforts to improve patient outcomes through integrated care, a recent study found that Accountable Care Organizations (ACOs) face significant challenges in integrating social services into their medical practices. The researchers identified limitations in data collection and partnership development as major obstacles.
A new score, the Cambridge Multimorbidity Score, outperforms the Charlson Comorbidity Index in predicting healthcare outcomes for patients with multiple chronic illnesses. The score can help clinicians prioritize care and optimize health delivery to an aging population.