Research on how health care reaches patients. Covers online screening programs, care delays, regional cardiology, and surgical treatment access.
A new review published in the British Journal of Psychiatry reveals widespread inequalities in medical care for individuals with mental health conditions. Despite similar or more frequent medical contacts, those with pre-existing mental health problems often receive poorer quality care.
A study published in the Canadian Medical Association Journal found that primary care physicians who adopted a new capitation model for payment had fewer sick patients and less after-hours billing. However, they also had more patients visiting emergency departments and fewer new patients compared to those who opted for an enhanced fee-...
Physicians can play a leading role in achieving comprehensive health care reform by working towards payment and delivery system reforms that achieve 1.5% annual savings, covering all Americans. Reforms include integrated systems of care, innovative payment models and performance measures to promote care coordination.
A national survey of physician practices found that physicians spend an average of three work weeks per year on administrative tasks required by health plans. This translates to a cost of $31 billion annually and 6.9% of all U.S. expenditures for physician and clinical services.
A $6 million initiative supports 68 community health centers in Colorado, Idaho, Massachusetts, Oregon, and Pennsylvania to become patient-centered medical homes. The goal is to improve coordinated care, access, and quality improvements for over 500,000 patients.
The Goldberg Center for Community Pediatric Health at Children's National Medical Center has been recognized as a national leader in improving immunization compliance rates and preventive care visits. The center achieved a significant increase in targeted immunizations from 75% to 88% among 19-35 month-old patients.
A £2.8m grant will support a three-year programme to increase skilled birth attendance and quality obstetric care in 5 target countries, aiming to reduce maternal and newborn deaths. The programme will evaluate the impact of training and supportive supervision on healthcare provider capacity and care delivery.
A review of 8,900 patients and 4,550 healthcare providers from 28 countries identifies psychosocial, socioeconomic, physical, environmental, and cultural factors as major barriers to effective diabetes care. Patients face financial, social support, and lifestyle challenges that hinder self-care.
A team of experts at WPI has launched a three-year study to examine the impact of implementing electronic medical records (EMRs) on primary care providers, patients, and healthcare operations. The study focuses on four diverse sites in the US, Canada, and Israel, analyzing how organizations adapt to new systems and tools.
The new journal, Osteopathic Family Physician, will cover topics such as preventive medicine, managed care, and pain management. It aims to deliver resources that contribute to enhanced patient care and support successful practice management for osteopathic family physicians.
The International Association of Physicians in AIDS Care has submitted recommendations to the Obama administration, emphasizing the need for a proactive approach to strengthen US HIV/AIDS programs and global health initiatives. The organization advocates for scaling up HIV prevention activities in developing countries and promoting evi...
Cuba's comprehensive model emphasizes healthy development before conception, continued support through preschool education programs. Dr. Wilbert Keon suggests integrating polyclinics, collaborative programs, and research to optimize health and well-being in Canada.
A study published in Health Affairs explores four payment reform options to address the issue of value in healthcare. The authors suggest that episode payments may be a promising near-term opportunity for payment reform in Medicare, which could lead to improved quality and access.
A new study found that breast cancer survivors are unsatisfied with the post-cancer care they receive from their primary care physicians, highlighting the need for more coordinated care. Patients advocate for educational interventions and specialized clinics to address late effects of treatments and prevent disease recurrences.
Despite increased emphasis on patient safety, little progress has been made, with physicians' autonomy and lack of standardization identified as key culprits. An average hospitalized adult receives recommended therapy only 53% of the time, leading to nearly 100,000 annual deaths due to hospital error.
In eastern Burma, over 88% of women had home deliveries, with displaced women facing up to 5 times less antenatal care. Human rights violations, including displacement and forced labor, exacerbate poor health outcomes. The study highlights the need for increased access to maternal healthcare services in conflict-affected regions.
A USC team applied engineering principles to reduce operating room turnover time at three California hospitals, resulting in a 21% average reduction. The implemented changes improved patient flow, reduced queuing, and enhanced communication between staff members.
The TV character Jack Bauer's glamourization is linked to increased public acceptance of torture, according to Dr. Homer Venters. He proposes steps for physicians to take, including educating themselves and strengthening ties with human-rights organizations.
States can play a critical role in health care reform by creating insurance exchanges, regulating health insurance plans, and innovating through novel programs. The federal government must also take initiative to achieve sustainable and successful reform, as states alone cannot overcome the substantial barriers to change.
A community-based intervention package reduced neonatal mortality by 54% and 52% in two groups, respectively. The approach targets high-risk newborn-care practices and can be applied to behaviour change along the continuum of care.
A new study by Geisinger Health System found that improving healthcare value leads to better patient outcomes, including reduced hospital admissions and unnecessary drug costs. The study's initiatives, such as the medical home program and ProvenCare, have eliminated common delivery issues and improved care coordination.
Research at the University of Leicester finds that past experience with a particular GP and expectation of continuing care from the same GP are key predictors of patient trust. This suggests that planned changes to primary care delivery in the UK may negatively impact medical outcomes.
Research highlights the importance of community involvement in primary health care, with systematic reviews identifying effective interventions to reduce maternal and child mortality. Inclusion of these evidence-based interventions can prevent up to 32% of maternal deaths and 40% of post-neonatal deaths.
Task-shifting from doctors to nurses and lay providers can improve primary health care coverage. Effective supervision and alternative financing structures are key to success.
A study by RAND Corporation found that retail medical clinics primarily serve patients without a regular healthcare provider, with most visits for acute conditions like upper respiratory infections and sinusitis. The clinics' convenience may outweigh continuity provided by personal physicians, highlighting concerns about quality of care.
A new study published in JAMA suggests that salary disparities play a major role in the primary care physician shortage in the US. The study found that family medicine had the lowest average salary and lowest percentage of filled residency positions among US graduates.
According to a new survey, 82% of Americans believe the US healthcare system should be fundamentally changed or rebuilt. The survey found that one in three patients experience unnecessary or inefficient care, while nine out of ten adults support efforts to improve the health system's performance with respect to access, quality, and cost.
Researchers found that rats exposed to novelty during infancy had better social competitiveness and reduced stress responses compared to those with no novel experiences. Consistency of maternal care was also linked to offspring's adaptability. These findings suggest early life experience plays a crucial role in shaping human development.
A University of Cincinnati study found that residents who spent more time in outpatient settings delivered a higher quality of care and had greater satisfaction in their duties. The new system, implemented to reduce conflict between inpatient and outpatient care, provided hands-on learning and enhanced patient satisfaction.
The US healthcare system scored an average of 65 out of 100 across 37 key indicators, falling short on health outcomes and quality. The number of uninsured and underinsured adults rose to 42%, with potential savings of up to $100 billion annually if performance improved.
The NHS needs to revise its vision and focus on equity, availability, accessibility, and quality based on UN principles. A Technical Advisory Group, General Health Council, and annual assessment are proposed to strengthen the NHS.
Anne L. Peters, MD, CDE, received the American Diabetes Association's Outstanding Physician Clinician Award for her dedication to improving diabetes care, particularly in underserved populations. She has made significant contributions to the field through her research and clinical work.
A special diabetes care package for UK residents of south Asian ethnic origin has delivered some benefits, including reduced blood pressure and cholesterol levels. However, improving glycaemic control remains a major challenge, and further measures are needed to address health inequalities in this population.
The American College of Physicians (ACP) is urging comprehensive reforms to address the declining state of primary care medicine in the US. The ACP suggests that payment policies need to be restructured to prioritize patient-centered medical home models, which focus on continuous and coordinated care.
A new study suggests that government-backed pay-for-performance programs may widen disparities in healthcare quality between rich and poor hospitals. Safety-net hospitals face smaller performance gains and are more likely to be financially penalized, which can damage their reputation and limit quality improvements.
International experts call for improved end-of-life care for older people with dementia, citing a need for timely and accurate communication, avoiding aggressive treatments, and promoting multi-disciplinary care. High-quality specialist palliative care services are essential for those dying from end-stage dementia.
A University of Missouri researcher found that telehealth interventions can significantly delay hospital readmission rates among patients with chronic illnesses. This reduction in hospital stays can lead to lower healthcare costs and improved patient outcomes.
Level I trauma centers have different survival rates for patients with similar injuries, with some centers achieving as high as 99% survival rate and others only 35%. This disparity may be due to variations in resources and processes.
The ACP and ACPF Diabetes Initiative has seen statistically significant improvements in clinical measures, including a nearly 50% reduction in office visits for diabetes patients. The team-based approach has also led to increased awareness of high-quality diabetes care among physicians.
A study of 45 family medicine practices found that those with nurse-practitioners performed better in diabetes care measures compared to physician-only practices and those using physician assistants. Practices with NPs were more likely to measure hemoglobin A1c levels, lipid levels, and treat for high lipid levels.
A recent study by Oregon Health & Science University finds that low-income families face three major barriers to healthcare: lack of insurance coverage, poor access to services, and unaffordable costs. Families with public health insurance often reported feeling unwelcome and having difficulty accessing care due to long travel distances.
The Commonwealth Fund Commission proposes a high-performance health system with guaranteed affordable coverage, aligned incentives, accountable coordinated care, and quality-focused investments. The report outlines specific strategies to contain costs and improve the U.S. health care delivery system.
A study found that correcting refractive error in nursing home residents with eyeglasses improves their quality of life and reduces depressive symptoms. The study showed a significant improvement in visual acuity and quality-of-life scores after two months.
A study found that nearly two-thirds of low-income and minority cancer patients accepted patient navigator assistance to reduce barriers to care. LPNs helped patients access clinical trials, resulting in faster timeframes for reducing barriers to treatment.
A new report by the Commonwealth Fund Commission recommends a mixed private-public group insurance approach as the most practical way to achieve universal coverage. This strategy shares costs among government, employers, and enrollees, minimizing dislocation for those with existing coverage. The report outlines key principles for refor...
The NHS must address issues of fairness, where doctors are scarce in areas with greatest need; responsiveness, including evening/Saturday opening of general practices; and safety, particularly concerning healthcare-associated infections. The organization also needs to improve effectiveness by adopting new techniques and approaches.
A recent study found that patients in Medicaid managed care programs tend to receive lower-quality care compared to those in commercial managed care programs. The study analyzed data from 383 health plans and found that overall commercial population performance exceeded overall Medicaid population performance in most measures.
A recent study published in Archives of Internal Medicine found that nearly 21% of US adults receive a preventive physical exam annually, with estimated total costs reaching $5.2 billion per year. The study also revealed significant variations in clinical practice patterns and patient beliefs across the country.
The Lancet series concludes that generating political will is key to overcoming barriers to scaling up mental health services. Advocates must deliver clear messages about required care, while developing secondary care-level community mental health services should be prioritized.
A cohort study found a small but significant increase in cesarean deliveries when women are cared for by an on-call obstetrician rather than their regular-care obstetrician. The study highlights the importance of smooth hand-offs of patient care between physicians.
A four-year study of 1,869 women found that the Active Management of Risk in Pregnancy at Term approach resulted in lower cesarean delivery rates compared to traditional care. Preventive labor induction also appeared to lower adverse birth outcomes. The findings challenge current beliefs about labor induction and suggest a preventive a...
A four-year study found a significantly lower cesarean delivery rate of 5.3% for women using an alternative obstetric care method compared to traditional care. Preventive labor induction was used based on accurate pregnancy dating and risk-factor scoring.
A new study found that electronic health records made no difference in 14 measures of quality care, while improving only two areas. The researcher emphasizes that electronic systems can provide valuable tools for physicians, but it's not enough to improve quality on their own.
Research highlights the association between acanthosis nigricans and type 2 diabetes risk factors in children and adults. Additionally, a study suggests that electronic medical records do not necessarily ensure high-quality diabetes care, highlighting the need for workflow redesign to improve patient health.
Researchers found that hospitals with lower-volume, lower-level NICUs had a significantly higher newborn death rate for very low birth weight infants. The study suggests increased regionalization of NICU births to high-level facilities may reduce infant mortality.
A quality improvement program in federally qualified community health centers improved diabetes care, reducing patients' lifetime risk of blindness, kidney disease, and coronary artery disease. The program cost less than $500 per patient each year and is projected to save the healthcare system millions.
The US critical care delivery system is in critical condition due to a growing mismatch between demand and supply. A new report proposes regionalizing the system to centralize expertise, equipment, and facilities, making services readily available to those most in need.
The FAST TRACK protocol dramatically reduces the time that elapses before patients undergo a life-saving procedure, saving both heart muscle and patient lives. The new system includes key elements such as single-call instant alerts, electrocardiograms within five minutes of arrival, and rapid loading by air ambulance.
The authors propose a market-based approach to increase the value of care delivered, organizing care around medical conditions and integrating treatment with prevention. Measuring results-risk-adjusted outcomes and costs-per-medical-condition is crucial for improving value.
A national series of interventions aimed at improving chronic disease management quality resulted in enhanced processes of care for diabetes, asthma, and hypertension. However, these efforts did not lead to improvements in intermediate clinical outcomes, such as control of high blood pressure or glycated hemoglobin levels.