Articles tagged with Health Care Policy
Primary care doctors are taking safety measures to protect patients, including appointment-only offices, clear protocols posted online or over the phone, and staggered in-person visits. Patients can also take precautions such as calling labs before scheduling appointments and wearing masks during visits.
A Cochrane Review found that hospital-based specialist palliative care may offer small benefits for patient-centred outcomes like quality of life, symptom burden, depression, and satisfaction with care. The review also showed an increased likelihood of patients dying in their preferred place by 22%, measured by home death.
Research at Case Western Reserve University reveals a strong association between high-quality physician-patient relationships and improved patient-reported health status. Adults with multiple diagnosed conditions often experience lower quality relationships, highlighting the need for targeted interventions to address these disparities.
A 2018 survey found that 28% of organizations stopped or reduced at least one service in response to the policy, including reproductive health services. The current policy may negatively affect PEPFAR beneficiaries, particularly youth and pregnant women.
A machine learning algorithm accurately identifies medical specialties and primary care physicians with 95% accuracy, providing real-time data on the US healthcare workforce. The model correctly predicted 70% of physician practice types within five percentage points, including specialties such as emergency medicine and cardiology.
A Columbia professor is using data science to design interventions and recommend policies that help the most vulnerable populations overcome inequalities in access and outcomes. His project, Nudging New York, aims to eliminate inequality and increase healthcare access in underserved communities.
The American College of Physicians (ACP) publishes a new policy paper condemning racism and violence against Black individuals, citing adverse individual and community health consequences. ACP offers specific solutions to increase transparency, accountability, and safer law enforcement practices.
A group of American College of Physicians (ACP) leaders suggest using the organization's 'New Vision' policy paper to guide U.S. health care reform during and after the COVID-19 pandemic. The paper aims to improve access to care, reduce per capita health care costs, and simplify the healthcare system.
Type 2 diabetes affects American Indians and Alaska Natives at three times the rate of white Americans, linked to higher cardiovascular disease rates. Obesity is prevalent, with 30-40% of American Indians having obesity, which increases risk factors for heart disease.
Laws punishing pregnant drug abusers are ineffective in reducing substance use during pregnancy, instead decreasing treatment admissions by 29% and referrals to healthcare professionals by 18%. The study found no significant reduction in babies born with withdrawal symptoms or exposed to narcotics.
A Columbia University expert argues for a more effective inter-governmental partnership in implementing the ACA, with states having significant policy and administrative discretion while adhering to strong national standards. This approach can achieve universal coverage without eliminating the private insurance system.
Nearly half of middle-aged adults in their 50s and early 60s lack confidence they can afford health insurance in the next year. Two-thirds worry about potential changes to health insurance policies affecting them. Many avoid seeking care due to cost concerns, with those in fair or poor health being four times more likely.
The American College of Physicians releases a series of policy papers recommending systemic reforms to achieve better healthcare for all. The recommendations address coverage and cost of care, healthcare payment and delivery systems, barriers to care, and social determinants of health.
A new study suggests that increasing quality transparency in healthcare can improve social welfare in the short-term, but may have negative effects in the long-term. Policymakers should target specific patient populations, such as younger or urban patients, and incentivize hospitals to make socially optimal investments.
Research by Saint Louis University finds that rural patients with chronic conditions have higher death rates, more hospitalizations, and limited access to specialist physicians. The study suggests strategies to improve specialist care in rural areas, including telemedicine and loan forgiveness for physicians.
Polyamorous families experience marginalization in healthcare, with participants suggesting providers acknowledge partners' presence and roles, be open and nonjudgmental, and adapt administrative forms. The study's findings align with recent reports on stigma faced by individuals engaging in consensual nonmonogamy.
The University of Maryland Prevention Research Center is receiving funding from the CDC to focus on LGBTQ+ mental health and healthcare. The center aims to increase the availability of affirming and supportive mental health care for the community, addressing stigma, discrimination, and violence.
A new Rutgers study found that unmet family expectations in care, respect, and greet domains increase mortality risks among older Chinese American adults. Researchers assessed the discrepancy between expected and received filial piety across six domains.
A new research study suggests that redesigning the contract for the Medicare Shared Savings Program could lead to significant cost savings. The proposed changes aim to align provider incentives with performance-based subsidies, increasing reimbursement payments and improving healthcare outcomes.
The Lancet series, co-authored by NYU's Benzian, advocates for a radical shift in oral healthcare, prioritizing prevention over high-tech treatments. The authors propose policy changes to reduce sugar consumption and stronger regulations on advertising, aiming to improve global oral health and reduce inequalities.
The Astana Declaration emphasizes the importance of primary health care, highlighting the need for better integration of family physicians to improve health outcomes. By translating data to specific communities, primary care professionals can address social determinants of health and advocate for comprehensive primary care.
The American College of Physicians recommends strengthening the Affordable Care Act to address gaps in coverage and ensure universal access. ACP calls for bolstering the insurance market, expanding Medicaid, and increasing competition to provide quality care for all Americans.
A study of 10 European health systems found that multimorbidity among older adults increased from 38.2% to 41.5% between 2006 and 2015. Germany saw the largest increase, while Denmark and Italy experienced declines in multimorbidity.
Research by the Universities of Newcastle, Leeds, York, and Liverpool found that New Labour's policies narrowed the gap in infant mortality rates between English local authorities between 1999-2010. However, the trend was reversed since 2011 due to austerity measures.
Caregiving in Canada is becoming increasingly demanding and stressful, with many untrained individuals providing medical and nursing care. The need for caregiving will increase as the ageing population grows, posing a risk to caregivers' mental and physical health.
The Health Equity Network of the Americas (HENA) aims to address persistent health inequities in the region by fostering intersectoral partnerships. HENA's approach focuses on increasing knowledge of effective practices, promoting adoption of policies and programs, and ensuring successful implementation.
A recent study found that over 30% of healthcare reviews fail to fully report potential side effects of medical interventions, highlighting the need for more accurate reporting and proactive approaches to prompt reviewers to include these critical details.
A study analyzing hospital survey data from nine Latin American countries found that telemedicine use varies greatly among hospitals. Selected health organization characteristics, national policy, and culture are driving forces behind telemedicine expansion.
A new national poll suggests that many people in their 50s and early 60s harbor serious worries about their health insurance status, now and in the future. The poll found that 45% of those age 50-64 concerned they won't be able to afford insurance in retirement.
The Lancet report debunks myths about migration and health, highlighting the economic benefits of migration and the need to integrate migrant populations into healthcare systems. The Commission on Migration and Health calls for improved public health responses and counteracting racism.
Retailers have unique advantages in accessing consumer data, while current policies struggle to guide the industry on telehealth and AI capabilities. Experts warn of potential convergence of personal and non-personal health information.
A survey of 800 adults undergoing bariatric surgery found that patients prioritize expected out-of-pocket costs and weight loss potential. This approach may differ from the procedure's related risks or recovery time. The study suggests healthcare providers should discuss cost with patients to ensure informed decision-making.
A new study published in BMJ Open found that healthcare professionals in accountable care organizations have a positive sentiment towards patient engagement and activation, but struggle with understanding and implementing these approaches. The researchers highlight the need for improved training and support to overcome barriers and ach...
A study found that individuals recently released from prison were less likely to receive a doctor's appointment compared to control group members. The likelihood of obtaining an appointment was significantly lower for those with a recent prison history, despite a universal healthcare system.
Experts are advocating for a new approach to caring for patients with multiple long-term conditions. The report recommends patient-centered care, better integration between general practice and hospitals, and more emphasis on self-care to manage health conditions effectively.
A replication of the 1997 Woodhull Study on Nursing and the Media found nurses continue to be underrepresented as sources in health news stories. The study also revealed biases among newsrooms and journalists that hinder the use of nurses as sources, despite their unique perspectives.
A study analyzed TV ads for ACA health insurance plans, finding a shift towards targeting younger, healthier individuals and emphasizing financial assistance, as well as a decline in mentions of 'ObamaCare' or 'Affordable Care Act'. The researchers suggest this trend may be related to low public understanding of the law.
A first-of-kind study by The Dartmouth Institute for Health Policy & Clinical Practice assesses clinician and patient attitudes towards recording clinical visits. The study found that 28% of clinicians reported recording a visit, with oncologists and physical rehabilitation specialists more likely to have done so.
A recent UTHealth-led survey revealed that only 19.3% of healthcare organizations in the US and Australia have fully implemented voluntary guidelines for safe e-health record management. The study found significant variation in adherence rates across different domains, suggesting factors such as budget constraints, personnel skill mix,...
A USC study found that when clinicians are given information about a patient's fatal overdose, they prescribe fewer powerful painkillers. Clinicians who received a letter from the county medical examiner were 9.7% less likely to prescribe opioids in the following three months.
A single-payer health care plan in New York could expand coverage for all residents without increasing overall spending, according to a RAND Corporation analysis. The plan would require substantial new tax revenue and shift financing among households and businesses, with the highest-income households paying substantially more.
A new study found that VA healthcare utilization is influenced by external factors like unemployment, Medicaid eligibility, and housing costs. The study used VA data to analyze the impact of these factors on healthcare use among over 8 million Veterans between 2008-2014.
Experts warn that a proposed Trump gag rule will limit federal funding for abortion counselling and provision, posing a threat to women's basic rights. The rule would prohibit clinics or programs receiving federal family planning funds from providing abortions, referring women to places that do, or counselling them on the option.
The American College of Physicians (ACP) has released a position paper calling for policies that better support women's health, including paid family and medical leave, reduced domestic violence, and access to reproductive services. A new prediction tool may also help tailor lung cancer screening to patient benefit and preferences.
The study found that Medicaid expansion was associated with a decline in ICU admission rates among patients with ambulatory-care sensitive conditions. Rates of uninsurance and Medicaid coverage increased significantly in expansion states, suggesting improved access to care.
Two commentaries in JACM question whether colonial models devalue traditional and complementary practices. Researchers Heather Boon and Nadine Ijaz argue that biomedical dominance subordinates indigenous knowledge systems, while Editor-in-Chief John Weeks emphasizes the need for re-examining harmful limits of biomedicine's approach.
Researchers found that 7.4% of NYC legislation between 1998 and 2017 could impact cardiovascular health, with enacted bills reducing air pollution, promoting physical activity, healthy diets, and tobacco cessation. These policies led to a 35% decline in adult smoking prevalence.
The VA health care system performs similarly to or better than non-VA systems on most measures of inpatient and outpatient care quality, according to a new study. The findings suggest that the VA needs targeted quality improvement efforts to ensure uniform high-quality care at all facilities.
The Society for Cardiovascular Angiography and Interventions has updated its consensus guidelines to allow for flexibility in length of stay after percutaneous coronary intervention (PCI), prioritizing patient-centered care. The new guidelines assess readiness for discharge along three lines: procedural, patient, and programmatic factors.
Two studies found no reductions in hospital use or spending linked to the global budget program, despite expected improvements in care. The program may still have saved money due to changes in hospital prices.
The US spends significantly more on healthcare than European countries due to high-price-high-volume surgical procedures, administrative bloat, and excessive medical imaging. Policymakers should target these drivers of excess spending to reduce the gap.
A multi-institutional study found that mandatory flu vaccines for health care workers increase participation by up to 30% and reduce absenteeism during critical patient surges. Vaccinated health care workers had a 30% reduction in absenteeism compared to non-vaccinated workers.
Researchers with UAHS and ASU are studying the effect of two Medicaid enrollment freezes and subsequent expansions on healthcare utilization and expenditures among adults and children in Arizona. The study aims to inform policymakers about Medicaid funding and administration.
A recent study published in the Journal of the American Medical Association calls for improved care for sepsis survivors, focusing on strategies to minimize physical disability and cognitive impairment. The recommended approach includes high-quality early sepsis care, post-discharge assessment and treatment, and screening for pre-exist...
A new study analyzing heart attack care and spending in America since the turn of the century shows increased survival rates and growing costs, with variation between hospitals on both scores. Early stenting treatment has been found to be cost-effective, particularly for high-volume hospitals.
A new study by New York University researchers reveals that people tend to overstate their negative feelings and symptoms in surveys, leading to potentially inaccurate assessments of health and well-being. The findings suggest that initial reports of distress may be overstated, causing biases in subsequent measurements.
A Harvard Medical School study found that a pay-for-performance program inadvertently shifted funds away from physicians treating sicker patients, exacerbating disparities in healthcare delivery. The program's design did not account for differences across patient populations, leading to no improvements in performance or care quality.
A new study suggests that despite the rise in high-deductible health plans (HDHPs), most Americans who have them aren't pursuing consumer-like behaviors such as saving, shopping around, or discussing costs with healthcare providers. Key findings include low savings rates and limited engagement with providers.
A study published in JAMA Ophthalmology found that ambulatory surgery centers performed 73% of cataract surgeries in 2014, up from 43.6% in 2001. The shift is driven by convenience, lower out-of-pocket costs, and decreased cost-per-case for insurers.
A Canadian alliance led by Dr. Andrea Tricco aims to strengthen the health-care system by providing patients with access to relevant scientific evidence. The alliance will answer at least 100 questions over a five-year period using knowledge synthesis and collaboration with researchers, clinicians, and policy-makers.