Research on how health care reaches patients. Covers online screening programs, care delays, regional cardiology, and surgical treatment access.
A new study published in Journal of Palliative Medicine shows that inpatient palliative care can significantly lower hospitalization costs and the rate of readmissions. By providing expert care to seriously ill patients, hospitals can improve patient outcomes while reducing healthcare expenses.
A study analyzed data from over 100,000 deliveries and found that quality indicators were not correlated with hospital-level obstetric quality of care. Maternal and neonatal complications still varied significantly between hospitals, highlighting the need for improved care measures.
A new study from BIDMC found that while patients didn't message doctors more over time, the overall number of messages per doctor increased as more patients enrolled in secure patient web portals. Primary care doctors received 85% of email traffic, despite representing only 40% of the system.
Dr. Leana Wen calls for standardized medical training curriculum to address inadequate care for patients with disabilities. She emphasizes the importance of provider awareness and advocacy to counter prevalent stigma.
A new patient management system at Kelowna General Hospital has reduced stroke bed days by over 25% and saved the hospital up to $800,000 per year. The program, called Proprietary Physician, involves coordinating care between doctors, nurses, and family members.
The September issue of Health Affairs explores accountable care systems worldwide, suggesting five international framework components. The article also examines the effectiveness of social networking in reducing body mass index and highlights the potential for hospital transition interventions to reduce readmissions.
A University of Alberta researcher has found that frailty among critically ill adults is surprisingly common and associated with higher mortality rates and poorer quality of life. The study aims to provide clinicians with a bedside tool to assess frailty and improve patient care.
Researchers found that coordinated patient care can reduce hospital admissions among seniors and people with chronic conditions by 20% and emergency department use by 31%. Empowering patients through education and tools also improves care outcomes.
University of Leeds researchers found that a single missed care step can lead to a 46% increased chance of death within a month of discharge and a 74% increased chance of dying within one year. The nine identified pathways of care include pre-hospital electrocardiogram, aspirin prescription, and cardiac rehabilitation referral.
The Illinois Medicaid primary care case management program, implemented in 2006, was associated with substantial savings, reductions in inpatient and emergency care, and improvements in quality measures. The programs promoted preventive care, reduced redundancy of services, and improved chronic disease management.
A new study suggests that focusing on improving utilization rates and quality outcomes could help reduce US healthcare expenditures. Researchers analyzed Medicaid and commercial insurance claims in Vermont to evaluate the impact of patient-centered medical homes on inpatient services and cost of care.
China's rapid emergence as a global power has coincided with unprecedented challenges to its people's health, including rising chronic disease burdens and inefficient healthcare delivery. China must act now to tackle these time-bombs of illnesses or face the huge toll of largely preventable health loss suffered by high-income countries.
The pilot program aims to increase colorectal cancer screening rates and follow-up care for patients served by community health centers. Nine national medical professional societies will join forces with the National Association of Community Health Centers and other organizations to support the effort.
Researchers found that giving a prescription to stroke patients before discharge increases short- and long-term stroke prevention by 70% and 40% respectively. The study suggests simple interventions like handing over prescriptions can improve patient care.
A new commentary suggests China's high caesarean section rate is driven by factors such as provider incentives, cultural preferences, and the healthcare system's structure. The current rate of over 50% may be revised with the relaxation of the One Child Policy and an increase in repeat caesarean sections.
The study highlights the potential of increased adoption of complex care management to reduce healthcare costs and improve patient outcomes. However, several barriers, including fee-for-service payment systems and lack of resources in small practices, must be addressed.
A nationwide study published in Health Affairs reveals that for-profit home health agencies are significantly more expensive for Medicare than nonprofit agencies, with operating costs accounting for $752 of the difference. Despite their higher costs, for-profits delivered lower-quality care, with patients experiencing more repeat hospi...
A large UK study found that telephone triage systems do not reduce overall practice workload, despite increasing patient contacts. Patients who receive over-the-phone support are more likely to seek follow-up advice, with no cost savings or efficiency gains reported.
A Rutgers study found that household income is the primary factor influencing avoidable hospital visits in New Jersey, with higher incomes associated with lower rates of hospitalizations. The research also identified some low-income areas where hospital systems perform better than expected, suggesting that social determinants such as a...
A team of researchers will evaluate whether providing patients with COPD who experience rapid symptom deterioration with a care bundle improves hospital care and reduces readmission. The study aims to shape future health services to deliver better care for patients with chronic obstructive pulmonary disease (COPD) nationwide.
A recent study found that older registered nurses are working longer, accounting for a quarter of the surge in RNs in recent years. The trend extends nursing careers by 2.5 years after age 50, increasing the 2012 RN workforce by 136,000 people.
A new study published in BMJ Open found that premature newborns are 32% less likely to die if admitted to high volume neonatal units compared to low volume units. High volume units provide more experience and resources for clinicians, leading to better clinical outcomes for vulnerable infants.
A study published in BMJ Open found that preterm babies admitted to high volume neonatal units have a lower risk of dying compared to those admitted to low volume units. High volume units provide more care days, which may contribute to better clinical outcomes for vulnerable infants.
The Kaiser Permanente Southern California Outpatient Safety Net Program uses electronic health records to identify and address potential gaps in patient care, targeting issues such as medication interactions and follow-up tests. The program has shown promise in improving patient safety across various clinical conditions.
A 15-year study found that HIV-positive individuals with high CD4 cell counts had no excess risk of ischemic stroke compared to HIV-negative subjects. This suggests that maintaining immune function may protect against ischemic stroke.
The study found that hospitalizations for STEMI increased from 3.7 to 15.8 per 100,000 population over the decade, despite improvements in treatment intensity.
The Affordable Care Act (ACA) offers significant benefits for diabetes patients, including non-exclusion of pre-existing conditions and access to preventive services. The law also authorizes the creation of the National Diabetes Prevention Program, delivering evidence-based lifestyle change programs to prevent type 2 diabetes.
A NYU Langone expert suggests reforms to improve the VA health system's administration, staffing, and management. Key proposals include changing the culture, creating new scheduling systems, and hiring more primary care physicians to meet the growing demand.
The American Cancer Society has released guidelines to support primary care of estimated 2.8 million men with a history of prostate cancer in the US. The guidelines outline posttreatment clinical follow-up care for long-term and late effects, including health promotion, surveillance for recurrence, and management of physical and psycho...
The VA's decline in safe, effective patient-centered care can be fixed by refocusing on primary mission, ensuring quick screening of veterans on wait lists, and implementing a 'continuous healing relationship' strategy. Strong leadership and greater transparency are key to restoring trust in the system.
A study found that primary care physicians in team-based care models with electronic health records (EHRs) improved their quality of care more than those without EHRs. The patient-centered medical home (PCMH) model was associated with significant improvements in care, including better preventive screening and testing.
The study found that physician-led ACOs are more likely to have comprehensive care management programs and advanced IT capabilities. These organizations also tend to measure and report financial and quality performance at the clinician level.
The European Society of Anaesthesiology and Intensive Care invites speakers to challenge common assumptions about end-of-life care. Raanan Gillon presents a case for weighing individual patient circumstances over age when deciding on life-prolonging therapies.
The GME system faces transparency and accountability issues, with only 20.9% of residents practicing primary care. Recommendations propose fully funding the National Health Care Workforce Commission and requiring transparent spending of GME funds to support a more efficient physician workforce.
A study published in JAMA Surgery found that critical access hospitals have higher transfer rates after surgery compared to non-CAHs. However, the proportion of patients using post-acute care was similar between CAHs and non-CAHs, raising questions about the long-term implications for these facilities.
Practitioners can use shared decision making and motivational interviewing to adapt approaches for different clinical situations.
The Penn team advocates for adopting a four-stage design process to identify and solve healthcare issues, where in-house professionals combine passion and knowledge to drive change. This approach enables hospitals to create more effective solutions quickly and efficiently.
A new Center at Indiana University School of Medicine aims to equip the future health care workforce with tools of implementation science. This enables optimal care in a rapidly changing environment, focusing on patient-centered and cost-efficient care.
The Lancet Oncology publishes a major new Commission examining the challenges to effective cancer control in China, India, and Russia. The report highlights disparities in access to cancer care, poor quality of data collection, and barriers to improving cancer care related to social, economic, and environmental factors.
Two new dementia care models seek to decrease stress for caregivers, reduce health care costs and improve quality of care for older adults. Caregivers' close involvement with the medical team is a key feature of both models.
The innovative Healthy Aging Brain Center care model improves health outcomes and quality of care for older adults with cognitive impairment by reducing patients' behavioral and psychological symptoms. The model generates an annual net cost savings of up to $2,856 per patient, with potential nationwide cost savings of billions of dollars.
A study found a substantial decrease in the use of nuclear myocardial perfusion imaging from 2006 to 2011, with a 51% relative decline. The study suggests changing physician behavior and declines in incident coronary disease contributed to the reduction.
A national randomized clinical trial led by University of Pittsburgh experts found that a structured approach to diagnose and treat sepsis did not change survival rates. The study provides strong evidence that may change the way sepsis is diagnosed and treated, with prompt recognition and treatment being key to effective care.
A RAND Corporation study found that better continuity of care for patients with diabetes, congestive heart failure, or emphysema leads to significant reductions in hospital emergency department visits and hospitalizations. This improvement can result in substantial cost savings for Medicare, up to $1.5 billion per year.
Depression is the leading cause of pediatric primary mental health admissions, accounting for $1.33 billion in annual hospital charges. The study also found that bipolar disorder and psychosis are common and expensive diagnoses, emphasizing the need for prevention and wellness measures.
Health outcomes for people with cystic fibrosis have improved dramatically following the implementation of quality improvement strategies, including patient education, nutritional support, and enhanced continuity of care. Key clinical outcomes, such as improved lung function and nutritional status, have also seen significant progress.
A new study found that patients with obstructive sleep apnea who received care from board-certified sleep medicine physicians and accredited sleep centers were two times more likely to be adherent to positive airway pressure (PAP) therapy. Patient satisfaction was also associated with physician certification.
A new £7.1 million grant will support the Commonwealth Eye Health Consortium, which aims to tackle avoidable blindness and improve quality of eye care across the Commonwealth. The programme will deliver fellowships, research, and technology to strengthen health systems and provide accessible care.
A pilot study found that mailing free stool tests to patients' homes increased colon cancer screening rates by nearly 40% among uninsured and low-income patients. The test, called FIT, is simple, cost-effective, and can be done at home.
A new study finds that rural primary care physicians are committed to professionalism and quality improvement, contrary to common perceptions. They were more likely to participate in quality improvement activities, discuss costs of care with patients, and report having added Medicaid or uninsured patients to their patient panels.
The Center will conduct high-quality research on patient-centered outcomes and comparative-effectiveness research, focusing on underserved populations. It aims to inform decision-making by assessing the benefits and harms of different interventions.
A Kaiser Permanente study found that an EHR-based screening program for abdominal aortic aneurysms (AAAs) reduced the number of unscreened at-risk men by over 50% in 15 months. The program used electronic health records to signal providers that patients needed screening, leading to a significant decrease in unscreened patients.
A new study by Joslin Diabetes Center identified three core factors and thirteen strategies to increase buy-in from practice teams in transitioning to Patient-Centered Medical Homes (PCMHs). The findings emphasize the importance of effective communication, resource utilization, team environment, defined work roles, and targeted resources.
A new study supports tele-emergency services in extending emergency care to rural areas. The research found that 95% of respondents felt tele-emergency improved the quality of care at their facility, with benefits including second opinions and adherence to evidence-based protocols.
An expert argues that allowing patients to choose the ethnicity of their attending doctors perpetuates institutional racism in hospitals. Dr Nadeem Moghal suggests that confronting racists and strengthening institution policies are key to preventing such incidents.
The University of California, San Francisco (UCSF) has received a $50 million gift from the Gordon and Betty Moore Foundation to establish its first dedicated women's hospital at Mission Bay. The new hospital will offer integrated care for women, including cancer treatment and reproductive care.
A systematic review found that patient decision support interventions have inconsistent results in reducing healthcare spending, with some studies predicting savings ranging from $8 to $3,068 per patient. The impact on treatment utilization rates was mixed and the quality of economic analyses varied.
A new study published in the Journal of the American Geriatrics Society found that centenarian numbers increased by 72.3% in Ontario over 15 years, with women making up 85.3% of centenarians. The majority lived independently or received publicly funded home care, highlighting the need for tailored health and social care.
A new study found that using an online patient portal to refill medications increased medication adherence and improved cholesterol levels in patients with diabetes. The study, conducted by Kaiser Permanente, involved 17,760 patients with diabetes who used the online portal to order prescription refills.
A survey of senior hospital executives shows they are highly optimistic about the future of the US healthcare system, expecting improved quality of care and cost reductions by 2020. Despite a pessimistic national dialogue, leaders believe reform will bring significant improvements in care delivery and management.