Researchers investigated differences in quality of life and other outcomes (including physical functioning, body image, sexual health, anxiety and depressive symptoms) by type of breast cancer surgery (such as mastectomy or breast conserving surgery) in women 40 and younger.
A coronavirus surveillance study undertaken at Seattle-area homeless shelters, starting as the pandemic emerged, provides possible community-based strategies for detecting SARS-CoV-2 infections and protecting homeless populations, as well as others in close-living quarters such as prisons, refugee camps and evacuation centers.
Penn study finds patients with low pulse oximetry readings or fever were more than three times as likely to require hospitalization after their initial discharge as compared to other COVID patients.
1. Active surveillance and routine on-site testing could prevent spread of COVID-19 in homeless shelters ; 2. Researchers discuss research needs for developing guidelines in the era of COVID-19
VA researchers whose aim was to identify organizational and contextual factors associated with greater use of patient engagement processes found that high performing clinics were more likely to have fully-staffed primary care teams, clearly defined roles for team members, leadership responsible for implementing team-based care, and team meetings to discuss performance improvement, compared to clinics that performed poorly with regard to use of patient engagement processes.
To address the problem of care fragmentation for Medicare recipients with multiple chronic conditions, Medicare introduced Chronic Care Management (CCM) in 2015 to reimburse clinicians for care management and coordination. The study showed that CCM use increased over this four-year period, driven largely by primary care physicians.
Patients who receive in-home nursing care have lower emergency room utilization if they have access to after-hours primary care. Previous research found that home nursing patients in Ontario, Canada, have an increased risk of visiting the ER after normal clinic hours on the same day they receive a home nursing visit. These ER visits may be linked to the visiting nurse identifying a health issue they are unable to appropriately address during the visit.
This study found an association between improved physician-patient relationships and improved patient-reported health status. Researchers at Case Western Reserve University found over a one-year period that while consistent access to a provider is important, the quality of each clinical encounter is equally as important in shaping a patient's reported overall health outcomes, as measured by the SF-12 quality of life questionnaire.
This study looks at trends in out-of-pocket and total visit expenditures for visits to primary care physicians. Using the 2002-2017 Medical Expenditure Panel Survey (MEPS), the authors described changes in out-of-pocket and total visit expenditures for primary care visits for Medicare, Medicaid and private insurance. If current trends continue, the authors would expect increasing difficulty with primary care physician access, particularly for Medicaid patients.
Canada is the first country to facilitate provision of medical abortion in primary care settings through evidence-based deregulation of mifepristone, which is considered the 'gold standard' for medical abortion. A Canadian study investigated the factors that influence successful initiation and ongoing provision of medical abortion services among Canadian health professionals and how these factors relate to abortion policies, systems and service access throughout the country.