Articles tagged with Health Care Delivery
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. 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.
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.
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.
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.
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 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.
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.
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.
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.
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.
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.
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.
A survey of primary care physicians reveals most would provide only partial disclosure of medical errors, falling short of patient expectations and national guidelines. The strongest predictors of disclosure were perceived personal responsibility, seriousness of the event, and value of patient-centered communication.
A systematic review and meta-analysis found that palliative care was associated with improvements in patient quality of life, symptom burden, and advance care planning. The findings suggest that palliative care can have a positive impact on patients' lives, but more research is needed to identify the most effective interventions.
Researchers found inconsistencies in patient care after ICU discharge, with factors like poor communication, lack of knowledge, and time pressures contributing to issues. Effective rehabilitation requires a comprehensive approach involving health professionals, patients, and families.
A recent study from Indiana University highlights the challenges of ensuring medical care is consistent with patient preferences. The authors propose practical recommendations to overcome barriers, including documenting specific treatment preferences and reviewing patient records regularly.
A new study found that heart surgery patients' chances of survival depend on the overall level of teamwork among all physicians who cared for them. Tight 'social networks' of physicians are linked to improved patient outcomes, including lower readmission rates and reduced mortality.
The Canadian Medical Association Journal argues that a new health accord for Canada should enable wholesale change in the federal-provincial relationship. The journal calls for flexible approach to allow for health system innovation and federal funding to improve the overall healthcare system without prespecified targets.
A recent study found that patients who continued with their prescribed medical therapy after stent or bypass surgery had significantly better outcomes than non-adherent patients. Adherence to antiplatelets and statins was a more powerful predictor of adverse event-free survival than the type of revascularization procedure.
A recent study published in JAMA Neurology found that pregnancy significantly increased the risk of stroke in women under 35, but not in those over 45. The researchers analyzed data from over 19,000 women hospitalized for stroke between 2003 and 2012.
A home-based palliative care (HBPC) program for individuals with advanced illnesses was associated with significant cost savings and improved quality of care. The study found a mean total cost of care per person reduced by $12,000, fewer hospital admissions, and greater use of hospice during the final three months of life.
The new opioid urgent care center provides a full continuum of treatment services, including detoxification and follow-up care, to patients with substance use disorders. Faster Paths integrates BMC's existing addiction services to streamline access to treatment.