Articles tagged with Health Care Delivery
The VA healthcare system generally delivers safe and effective care similar to other health systems, with some exceptions. However, studies on timeliness, equity, efficiency, and patient-centeredness show mixed results.
A new study describes a scalable solution for transforming health-care delivery in primary care into the PCMH model. A simplified form of cognitive task analysis (CTA) was used to analyze how doctors' office staff thought about and delivered care, advising them on improvements.
The grant will support Columbia University's Precision Medicine Initiative and integrate special populations into translational research efforts. The Irving Institute aims to increase focus on precision medicine, develop translational therapeutics, and nurture a cadre of junior scientists with diverse backgrounds.
A systematic literature review by The Dartmouth Institute found that multicomponent strategies targeting both patient and clinician involvement are effective in reducing low-value care. These interventions include providing feedback to physicians and medical staff on their use of low-value services.
A review article argues that telehealth will transform healthcare delivery, providing access to care at a lower cost. The authors identify three trends reshaping telehealth: making care more accessible, expanding its application beyond acute conditions, and migrating from hospitals to home and mobile devices.
The UC Riverside School of Medicine has received a $2.3 million grant to integrate medical student education, resident training, and faculty development in primary care specialties. The goal is to address health disparities and improve healthcare delivery in low-income areas of inland Southern California.
Researchers identified innovative strategies to overcome barriers to integrating mind-body medicine into primary care, including group patient visits and stress management conversations. The study aims to increase the integration of mindfulness, hypnosis, and biofeedback techniques into mainstream medical practice.
The WHO has developed an Emergency Medical Teams concept to provide surge support to national health systems in disaster situations. The United States has not adopted this concept, despite over 64 countries launching or developing teams.
Four NYC medical centers, including Columbia and Weill Cornell Medicine, will collaborate on a $46.5 million NIH grant to enroll 1 million+ US volunteers in the Precision Medicine Initiative Cohort Program. The program aims to improve health outcomes by understanding individual differences in lifestyle, environment, and genetics.
Researchers from GW University developed a conceptual model for acute, unscheduled care, identifying issues with current care delivery and proposing ways to improve it. The model incorporates social determinants and care-seeking decisions to optimize outcomes and reduce costs.
The NY State Dept of Health AIDS Institute has funded $3.75 million in grants to support HIV/AIDS prevention among at-risk youth in NYC. Project STAY, a comprehensive health program, aims to provide education, screenings, and linkages to care for young people engaged in risk-taking behaviors.
A study published in The BMJ found that less than 60% of premature babies born in 11 European countries received a package of four simple, widely available care measures known to improve survival. Receiving full evidence-based care was associated with improved survival rates.
A new German research project will examine migrant care workers' arrangements, comparing Germany's family-responsibility model with the Netherlands' state-framed system. The study aims to assess care quality in private households and its socio-political significance.
Studies show that e-consults can decrease wait times, improve clinical care, and reduce the need for face-to-face appointments. The use of electronic consultations increases access to specialists' care for patients who often have difficulty getting a specialist, including the uninsured and underinsured.
A new study by the Dartmouth Institute found that Medicare Accountable Care Organizations (ACOs) are making modest gains in reducing high-cost care settings. For patients with multiple conditions, ACOs saved an estimated $136 per patient annually, while clinically vulnerable patients saw savings of $456 per year.
A new study by Dr. Joel Ray found that women born in the Caribbean or Africa are two times more likely to be admitted to an intensive care unit at the time of their delivery than Canadian-born women. The risk is higher for mothers from Jamaica and Ghana, with rates up to 2.7 times higher than Canadian-born women.
A new study by Rice University health economists aims to understand the association between physician-hospital integration and healthcare quality and price. The project will analyze data from 2008-2013 to examine the effects of integration on patient outcomes, readmission rates, and hospital finances.
Allina Health's LifeCourse approach demonstrates significantly better quality of life scores for patients with chronic illness compared to usual care. The program employs a patient-centered experience tool to understand and support the needs of complex patients.
A recent study by Indiana University researchers found that young African-American adults are less susceptible to delirium in the ICU compared to Caucasians of the same age group. The study, which analyzed data from over 2,000 adults, also revealed differences in medication use and disease severity between racial groups.
Penn State College of Medicine faculty define health systems science and its curriculum, complementing basic and clinical sciences. They identified 12 core domains and cross-cutting domains to be included in medical school curricula.
A new study shows that the innovative OnTouch Via patch enabled over 50% of diabetes patients to report improved insulin dose compliance. The wearable patch allows for discreet delivery of rapid-acting insulin at mealtimes, reducing stress and anxiety associated with dosing.
A panel of international experts has published a Consensus Statement recommending how to deliver cardiac rehab components at low cost in developing countries. The statement recommends leveraging affordable technologies and community health workers to increase access to life-saving programs.
Researchers found that men with localized prostate cancer often underestimate their life expectancy without treatment and overestimate the benefits of surgery or radiation. This can lead to overtreatment, decisional regret, and decreased post-treatment quality of life. A recent study published in the Annals of Family Medicine suggests ...
A new study suggests that lowering blood pressure goals for adults at high risk of cardiovascular disease could prevent up to 43,000 additional deaths from cardiovascular disease each year. The simulation also found that intensive blood pressure treatment would be cost-effective and improve treatment outcomes for men.
Two new studies published in The Lancet find no association between weekend senior doctor staffing levels and mortality, instead highlighting variations in quality of care throughout the week. Researchers suggest that policies to address weekend quality of care alone represent a major oversimplification of the problem.
Researchers from NewYork-Presbyterian and Weill Cornell Medicine found that the landmark national study's methodology was flawed, leading to misinterpreted results that questioned the effectiveness of PSA testing. They suggest reconsidering prostate cancer screening guidelines.
Outpatient oral antibiotic prescriptions were estimated to be 30% inappropriate in the US, with an annual impact of 34 million unnecessary prescriptions. A 15% reduction in overall antibiotic use is necessary to meet the White House National Action Plan goal by 2020.
A new study reveals substantial disparities in healthcare quality experienced by Hispanic Puerto Rican residents in Medicare Advantage plans. Despite making up nearly a quarter of enrolled residents, Puerto Ricans received significantly worse care on 15 of 17 quality indicators, with gaps exceeding 5 percentage points.
A study at Columbia University Irving Medical Center found that using a hearing aid significantly improves cognitive test scores in older adults with hearing loss. The researchers suggest that this may help prevent or slow the development of dementia.
Researchers have discovered a new neurodevelopmental syndrome caused by GNB1 gene mutations, leading to severe developmental delays and seizures. Whole-exome sequencing of patients revealed the genetic mutations, paving the way for targeted therapies.
Programs to prevent inappropriate medication use, reduce unnecessary medical procedures, and link vulnerable adults to Medicare are highlighted at the AGS16 meeting. These initiatives aim to improve quality of care and address population growth needs for older adults.
Experts estimate that expanding proven interventions in pregnancy care, infectious disease treatment, and childhood nutrition could avert millions of maternal, newborn, and child deaths annually. The estimated investment required is approximately $6-12 billion per year, equivalent to just $4.7-$6.7 per person.
The National Academies of Sciences, Engineering, and Medicine has identified six promising practices to improve healthcare for individuals with social risk factors. These practices include commitment to health equity, data and measurement, comprehensive needs assessment, collaborative partnerships, care continuity, and engaging patient...
The University of Stirling has developed an innovative activity toolkit to support people living with dementia. The 'gardens' themed kit provides a group activity pack to prompt conversation and reminiscence, aiming to bring benefits such as constructive conversations, social connections, and engagement with personal histories.
A study published in JAMA Internal Medicine found that quality of care varied significantly among eight commercial virtual visit companies, with differences in diagnosis accuracy and adherence to guidelines. The variation was greater for certain conditions, such as viral pharyngitis and acute rhinosinusitis.
A new genetic urine test has been developed to predict high-grade prostate cancer, identifying 92 percent of men with elevated PSA levels who had high-grade cancers. The test could spare hundreds of thousands of men from unnecessary biopsies and reduce the risks associated with the procedure.
Researchers found that charges are inflated by a factor of three to one, disproportionately affecting the underinsured and uninsured. The study suggests targeting office-based events and procedures rather than operating room interventions for improved value within surgical care.
Paul Lee examines the USPSTF's latest report on vision screening for asymptomatic older adults. The study highlights strengths and challenges in the current recommendation process, emphasizing the need for more rigorous clinical trials to inform treatment decisions.
A University of Michigan team proposes customer loyalty programs in healthcare to enhance both health and financial benefits. They suggest perks for patients based on how long they've stayed with the same doctors or received care from network sites.
A University of Leicester study finds that GPs and hypertension detection are associated with lower premature mortality in England. In less deprived practices, continuity of care was also linked to lower mortality rates.
Researchers found that uninsured children have the lowest and most unstable medical home experiences, despite being in greatest need of constant, quality care. The study emphasizes the need for extra efforts to ensure all children have access to quality healthcare, even with the implementation of the Affordable Care Act.
A Kaiser Permanente study shows that patients who accessed their online health information and received timely alerts about potential gaps in care were more likely to receive preventive tests and screenings. The online tool enhanced the rate of preventive care by 9% for mammograms, 6% for Pap smears, and 12% for diabetes testing.
Demand for VA services is expected to increase until the end of the decade, driven by an aging veteran population and higher reliance on VA health services. The system faces challenges in providing care to veterans outside its facilities, with long waits and limited access to specialty care in rural areas.
A multicenter trial found that corticosteroids significantly reduced severe respiratory complications and hospital stays in late preterm babies. The study's lead investigator believes this will transform the way healthcare is delivered to mothers at risk of late preterm delivery.
A survey of 276 chief nurse executives found that many hospitals struggle with implementing evidence-based practice, leading to poor scores on key performance measures. The researchers emphasize the need for leadership support and education to create a culture of evidence-based care.
Researchers found that blacks, Latinos and Asians had lower risk of coronary heart disease compared to whites without diabetes or prior history of heart disease. The study suggests systematic efforts by Kaiser Permanente may help reduce racial disparities in health care.
The American Geriatrics Society has established a coordinating center to provide strategic resources for 44 HRSA awardees working on projects to increase geriatric training in primary care. The program aims to develop a healthcare workforce that improves health outcomes for older adults by integrating geriatrics into primary care.
The Association for Cancer Physicians has released a new strategy to improve cancer patient services and outcomes in the UK. The comprehensive plan focuses on delivering excellent and safe medical oncology care, contributing to NHS development, and providing innovative approaches to cancer care.
The Robert Wood Johnson Foundation has awarded a grant to Stevens Institute and Penn Nursing to use policy flight simulators to determine the usability and effectiveness of the Transitional Care Model. The goal is to accelerate decisions to implement the TCM, which addresses negative effects associated with common breakdowns in care.
A Kaiser Permanente study found that exchanging secure emails with doctors improved overall health for 32% of patients with chronic conditions. Patients who used email as their first method of contact reported reduced phone contacts and in-person visits.
A new paper calls for a radical shift in India's healthcare delivery system, prioritizing primary care and strengthening the public sector. The authors identify structural problems with the current system, including high healthcare costs driving millions into poverty, poor quality of care, and inadequate human resources.
The inaugural issue of Healthcare Transformation features provocative conversations with thought leaders and decision makers, including Aneesh Chopra and Jack and Suzy Welch. The journal aims to reimagine healthcare delivery, education, and technology, predicting a Blockbuster-to-Netflix paradigm shift in the healthcare industry.
Researchers discovered a single genetic mutation responsible for 20% of severe congenital heart disease cases accompanied by neurodevelopmental disorders. The study used genomic sequencing to analyze 1,213 children with congenital heart disease and identified a subset of genes that act as conductors in organ formation.
A multidisciplinary accountable care team model has been shown to decrease hospital stays and lower costs by $649 per stay. The ACT model, implemented across an urban hospital, has also improved communication with patients and families, as well as employee engagement and job satisfaction.
A Mayo Clinic study reveals that adults with type 2 diabetes are often tested more frequently than needed, resulting in unnecessary costs and time burden. The researchers found that excessive testing increases the odds of overtreatment with hypoglycemic drugs.
Two studies found that higher cesarean delivery rates were not correlated with maternal or neonatal mortality, but rather inversely correlated with certain health problems in childhood. The researchers suggest that the optimal level of cesarean delivery may be higher than previously recommended.
A new study from NYU Langone found that reducing post-surgery care referrals to facilities did not increase readmission rates, while improving patient recovery and reducing costs. The hospital implemented a program to discharge more patients home for recovery, with significant drops in facility referrals.
A Canadian study found significant disparities in obstetric care between First Nations and non-First Nations women, with First Nations mothers being less likely to undergo labour induction, epidural, or cesarean delivery. These differences may contribute to higher infant mortality rates among First Nations populations.
The American Society of Nephrology (ASN) has released a report outlining current and future challenges to the specialty of nephrology. Key findings include the increasing fragmentation of kidney care, uneven distribution of nephrologists across the US, and declining interest among residents choosing nephrology fellowships.
A team-based, coordinated specialty care approach produces better clinical and functional outcomes than typical community care for people with first episode psychosis. Treatment is most effective when provided soon after psychotic symptoms begin.