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.
Experts predict reduced access to care, widening inequalities and increased private provision as the Health and Social Care Act 2012 and STPs lead to blurred distinctions between health and social care. The lack of consideration for different funding bases has led to concerns about equitable distribution of resources.
Researchers found ED opioid prescriptions were 44% less likely to exceed a three-day supply and 46% less likely to progress to long-term use. Patients in non-ED settings received higher doses, with one in five exceeding CDC guidelines, leading to a higher risk of long-term use.
Researchers developed an electronic triage tool to improve patient care in emergency departments, identifying critically ill patients and assigning priority treatment levels. The tool showed equal or improved identification of patient outcomes compared to the existing emergency severity index (ESI) based on a multi-site retrospective s...
The new Canadian guideline recommends one-time ultrasonography screening for abdominal aortic aneurysms in men aged 65-80, while not screening women or older men. The guideline is based on evidence from randomized controlled trials and aims to reduce mortality, rupture, and emergency procedures.
Patients in a collaborative care model received more substance abuse treatment and reported higher abstinence rates compared to those receiving usual primary care services. The study suggests that integrating treatment into primary medical care can increase access to evidence-based substance use treatment.
A new study by the University of Southampton found that hospitals with lower registered nursing staff levels have a higher risk of patient death. The study reveals that care left undone due to lack of time is the key factor in understanding variation in mortality rates in hospitals.
A nationwide program showed that telemedicine can deliver quality care to people with Parkinson's disease in their homes via video conferencing. The study found that virtual house calls were as effective as in-person visits, saving patients time and travel, while improving access to care for those with limited mobility.
PCORI's Board of Governors approved nearly $74 million for seven studies on palliative care. The projects will compare different strategies to deliver care and examine their impact on quality of life, hospitalizations, and caregiver burden.
A new study reveals a 34% increase in overdose-related ICU admissions between 2009 and 2015, with average cost of care rising by 58%. The opioid epidemic has made patients sicker and killed more people despite intensive care, researchers say.
A new healthcare delivery model proposes partnering ERs with primary care to address failing health in underserved areas. This approach aims to connect patients to other physicians and resources, improving overall rural population health.
A study published in JAMA Neurology found that individuals born in high stroke mortality states have a higher risk of developing dementia. Black participants had the highest risk, with cumulative 20-year dementia risks at age 65 being 30.13% compared to 21.8% for those not born in high stroke mortality states.
A Kaiser Permanente study implemented a decision support tool to reduce unnecessary CT scans for minor head injuries, resulting in a 5.3% decrease in CT use and an increase in identified injuries. Nearly all emergency departments participating in the intervention reduced head CT scans.
A cluster randomized factorial trial found that training and support have a lasting impact on primary care clinicians' delivery of screening and advice to heavy drinkers. The study suggests that repeated training and support can lead to an increase in the volume of brief interventions delivered to heavy drinking patients.
A recent study by CHLA found that caregivers are generally more satisfied with actual care than expected in pediatric emergency departments. Effective communication between physicians and families can improve expectations and health knowledge.
Germany's health system has proven remarkably resilient, but faces challenges such as overtreatment and continuity of care issues. The country has the potential to be a strong partner in global health research, but must increase its financial commitment and expertise.
A new paradigm of empathy-based medicine is needed to improve patient outcomes and reduce practitioner burnout. Technology can exploit available technologies to gather basic information prior to consultation and aid decision-making.
A study from Fred Hutchinson Cancer Center found that up to 53% of cancer patients' non-admission ED visits could be prevented with timely care in an outpatient setting. The most common reason for ED visits was pain, costing a median $1,127 per visit.
A new book by the World Health Organization provides a comprehensive guide to establishing and delivering palliative care services globally. The manual aims to integrate palliative care into mainstream healthcare systems, improving access for millions of people worldwide.
The American Sleep Medicine Foundation has selected researchers Dr. Emerson Wickwire, Dr. Jessica Levenson, Dr. Benjamin Pliska, and Dr. Allen Firestone to receive research awards for their projects aimed at improving sleep health and advancing the field of sleep medicine.
The Harvard Pilgrim Health Care Institute has awarded grant funding to 14 Massachusetts, Maine, and New Hampshire providers to improve care delivery and reduce costs. The grants focus on innovative practices in substance use management, medication adherence, and behavioral health integration.
A novel tablet, OPTILOGG, is helping heart failure patients to manage their condition by providing education, registering body weight, and titrating diuretics. Patients' self-care behaviors improved significantly, with a median score decrease of 10.5 points or 37%.
Michigan Medicine researchers explored best practices in EMS oversight to improve pre-hospital care. They identified seven key factors for high-quality EMS oversight: competition and collaboration, leadership, organizational structure, quality improvement culture and practice, relationships and communication, resources, and community-s...
A patient-centered medical home model successfully treated 66 patients with HCV, demonstrating that general internists can deliver effective care. The multidisciplinary team approach and enhanced social work services show promise for broader implementation of HCV treatment in primary care settings.
The Teaching Health Centers (THC) program, created under the Affordable Care Act, funds 700 primary care residents to serve in 28 states, helping 500,000 people living below poverty line, most with public insurance or none.
The American Sleep Medicine Foundation has selected three researchers to receive Strategic Research Awards for their projects on telemedicine and cognitive behavioral therapy for insomnia (CBT-I). The studies aim to compare the effectiveness of CBT-I delivered through telemedicine versus in-person sessions. One project will evaluate th...
A study published in Health Affairs found that Partners Pioneer ACO's care management program reduced avoidable hospitalizations and emergency department visits among patients with elevated but modifiable risks. The program achieved a $101 per participant monthly reduction in Medicare spending, a 6% decline.
Dr. Sei Lee is recognized for his groundbreaking contributions to individualized care for older adults, including the development of the Lee Index mortality prediction index. He will deliver a plenary presentation on preventive care at the AGS 2017 Annual Scientific Meeting.
Dr. Maura Brennan is being honored by the American Geriatrics Society (AGS) for her dedication to education and training future leaders in geriatrics. Her work has helped bridge empathy between students and educators, inspiring interest in geriatrics across diverse professions.
Dr. Fatima Sheikh, MD, CMD, MPH, is recognized for her outstanding work in post-acute and long-term care, as well as her dedication to mentoring a diverse team. She has championed programs to manage chronic conditions and advance care planning for older adults.
The AGS Annual Scientific Meeting will showcase novel approaches to goals-oriented care, explore the future of Advance Care Planning, and highlight innovative dementia care models. The meeting will also feature renowned speakers, awards ceremonies, and expert discussions on policy priorities.
A study found that less than 50% of eligible women in India take up the Janani Suraksha Yojana scheme due to obstacles such as poor care quality and transport challenges. Community health workers, known as ASHAs, were identified as major enabling factors in accessing delivery care.
The study found that 1.5 million more low-income adults reported having a dental visit in 2014 than in 2010, with improved access among childless adults. However, poor parents saw a decline in dental visits, suggesting strain on the limited capacity of dental providers.
A new study found that a videoconferencing educational program equips rural primary care providers with the confidence to manage patients with complex diabetes. The program, called Endo ECHO, improves access to specialized care for large numbers of patients through weekly virtual clinics.
A three-year research collaboration aims to create more accurate ways of measuring cancer progression. The project uses digital images from completed clinical trials to develop drug response metrics, with the goal of identifying optimal tumor burden measurement methods.
A special issue of the Journal of General Internal Medicine reviews primary care innovation and suggests new models that prioritize population health and cost control. Experts highlight the importance of preserving trusting relationships between patients and primary care physicians to achieve better outcomes.
A mobile app reduced the number of in-person follow-up visits for patients after surgery, with no impact on complication rates or patient satisfaction. The study found that patients using the app attended fewer visits and sent more emails to their healthcare professionals.
A review of 270 studies found that supported self-management helps people with asthma take control of their own illness, reducing symptoms and hospital admissions. Tailored support can improve quality of life and prevent deaths, experts say.
A recent study by researchers at Columbia University Medical Center found that only 16 percent of heart attack survivors meet the recommended amount of physical activity in the weeks following hospitalization. Clinician-supervised exercise programs have shown promise in encouraging more physical activity, but participation remains poor.
A recent study published in Medical Care found that nurse practitioners and physician assistants deliver care comparable to physicians in community health centers. The research has implications for healthcare systems, particularly in underserved areas where non-physician clinicians are increasingly relied upon for primary care.
A new study from the University of Pennsylvania School of Medicine found that the Affordable Care Act improved primary care access for Medicaid patients, increasing appointment availability from 57.9% to 63.2% between 2012 and 2016.
A Dartmouth Institute study found that regions with high specialist to primary care ratios have more overuse of low-value services, and the use of these services remained relatively consistent over time. The study also highlighted a concerning 'potential for double jeopardy in health services receipt among black Americans'.
A study of nearly 12,000 records found that community-based palliative care reduced emergency department visits for dying patients by an average of two times per year. Patients receiving palliative care were more likely to live in urban areas and have a partner, leading to significant reductions in ER visits.
A new study reveals barriers and facilitators to implementing a digital health programme in the UK, highlighting challenges such as lack of IT infrastructure and trust in security. The researchers provide ten key recommendations to aid adoption, including investment in digital healthcare and upskilling efforts.
Experts suggest taking social risk factors into account to deliver high-quality care to vulnerable populations. The Medicare system can start using existing data on factors like dual eligibility, rural/urban residence, and birthplace to adjust payments and quality measurements.
Leaders of seven major US academic medical centers warn that travel restrictions from Muslim-majority countries are harming patient care and biomedical research. The restrictions have led to delays in visa processing, affecting over 100 personnel at Boston-based Partners HealthCare.
Researchers analyzed over 45 million pregnancies to find an association between day of delivery and maternal-fetal mortality. Maternal deaths were found to be significantly higher on weekends than weekdays, suggesting a 'spill-over' effect that is present on both weekend and weekday deliveries.
A new study found that providing medical assistance in dying in Canada may not increase healthcare costs and could even reduce spending by up to $138.8 million. The researchers used data from the Netherlands and Belgium, where medically assisted dying is legal, to estimate the impact on Canadian healthcare spending.
Two new articles emphasize the need for comprehensive approach to geriatric care, focusing on person-centered care and evidence-based changes. AGS prioritizes programs supporting high-quality care for older Americans, aiming to improve clinical care and workforce skills.
The American Geriatrics Society has emphasized the importance of strengthening clinical care and workforce development to support older Americans. The society outlines its vision for person-centered care, focusing on expanding healthcare options, ensuring quality in healthcare, and addressing geriatrician shortages.
The US has shifted from institutional to community-based long-term care, allowing individuals to choose services at home and in the community. Self-directed care programs improve participant well-being and cost containment, according to The Gerontological Society of America's Public Policy & Aging Report.
Researchers at Columbia University Medical Center found that transfusing older blood (over 5 weeks) can lead to excessive iron release, potentially harming patients. The study suggests reducing the maximum storage limit of red blood cells from 6 weeks to 5 weeks.
Researchers at the University Health Network found that a single fecal transplant is not more effective than the standard of care in treating recurrent C. difficile infection. The study's results suggest that more research is needed to determine the effectiveness and long-term implications of fecal transplantation.
Recent years have seen a substantial increase in articles within radiology journals addressing patient-centered care, with only a limited number of journals publishing multiple original research articles. The study identified four journals that had published more than one original research article on the topic.
A population-based cohort study found that primary care physicians with higher ambulatory volumes deliver lower-quality diabetes care, while those with higher diabetes-specific volumes provide better care. The study's results suggest a clear association between physician volume and quality of diabetes management.
A Cardiff University study found that home-based rehabilitation significantly improves visual function and daily life for people with low vision. Home visits by visual rehabilitation officers led to a greater improvement in visual function compared to standard hospital appointments.
The Practical Approach to Care Kit (PACK) provides a generic framework for customizing healthcare solutions in individual countries or states. By empowering health workers, PACK aims to improve primary care and address the growing burden of non-communicable diseases in low-income countries.
A combination therapy of thioguanine and decitabine has shown promising results in a small Phase I clinical trial for patients with relapsed or refractory acute myeloid leukemia. Eight out of 12 patients responded to the treatment, including six who achieved complete remission.
The integration of EMRs and patient portals is changing healthcare delivery by providing actionable data for doctors to make informed decisions. This shift towards a more patient-centered approach enables personalized care, improved health outcomes, and enhanced patient engagement.
Research suggests direct costs for select orthopaedic procedures at ambulatory surgical centers (ASCs) could be significantly less than university hospitals. ASCs offer convenient and potentially cost-effective care options with streamlined processes.
A Mayo Clinic study comparing thousands of overlapping and non-overlapping surgeries found no difference in postoperative complications or deaths within a month. Overlapping surgeries provide greater access to qualified surgeons and more efficient use of operating rooms.