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Value-Based Care

Pediatric telehealth in the COVID-19 pandemic era and beyond.

7 Jul, 2021 | 08:56h | UTC

Pediatric Telehealth in the COVID-19 Pandemic Era and Beyond – Pediatrics

 

RCT: An antibiotic-prescribing feedback to high-volume primary care physicians led to significant reductions in total and prolonged-duration antibiotic prescriptions, as well as drug costs.

7 Jul, 2021 | 08:47h | UTC

Effect of Antibiotic-Prescribing Feedback to High-Volume Primary Care Physicians on Number of Antibiotic Prescriptions: A Randomized Clinical Trial – JAMA Internal Medicine (free for a limited period)

Commentary: Studies highlight impact of clinician feedback on antibiotic prescribing – CIDRAP

 

Commentary on Twitter (thread – click for more)

 

Choosing Wisely for COVID-19: ten evidence-based recommendations for patients and physicians.

6 Jul, 2021 | 10:21h | UTC

Choosing Wisely for COVID-19: ten evidence-based recommendations for patients and physicians – Nature Medicine

 

Systematic review: the evidence behind robot-assisted abdominopelvic surgery – “there is currently no clear advantage with existing robotic platforms, which are costly and increase operative duration”.

29 Jun, 2021 | 09:55h | UTC

The Evidence Behind Robot-Assisted Abdominopelvic Surgery: A Systematic Review – Annals of Internal Medicine (link to abstract – $ for full-text)

Commentary: Robotic Platforms Not Superior for Abdominopelvic Surgery – HealthDay

 

Perspective | Is one vaccine dose enough if you’ve had COVID? What the science says.

28 Jun, 2021 | 09:52h | UTC

Is one vaccine dose enough if you’ve had COVID? What the science says – Nature

Related: Another study shows a single dose of an mRNA vaccine has maximal effects in those with past infection.

 

Commentary on Twitter

 

Putting people first in managing their health: new WHO guideline on self-care interventions – “Whether it’s for their experience of pregnancy and childbirth; managing fertility intentions, preventing sexually transmitted infections; enjoying better sexual health of themselves or their partner, or self-monitoring their blood pressure, access to quality self-care interventions can help meet people’s many health needs and rights”.

28 Jun, 2021 | 09:40h | UTC

News release: Putting people first in managing their health: new WHO guideline on self-care interventions – World Health Organization

See guidance: WHO consolidated guideline on self-care interventions for health

 

Commentary on Twitter (thread – click for more)

 

M-A: Effectiveness of telerehabilitation in physical therapist practice.

10 Jun, 2021 | 09:29h | UTC

Effectiveness of Telerehabilitation in Physical Therapist Practice: An Umbrella and Mapping Review With Meta–Meta-Analysis – Physical Therapy & Rehabilitation Journal

 

M-A: Hospital-at-home interventions for patients with chronic disease who present to the emergency department – similar mortality risk, lower risk for readmission, lower depression and anxiety scores, and a lower risk for long-term care admission vs. in-hospital stay.

9 Jun, 2021 | 08:20h | UTC

Hospital-at-Home Interventions vs In-Hospital Stay for Patients With Chronic Disease Who Present to the Emergency Department: A Systematic Review and Meta-analysis – JAMA Network Open

Invited commentary: Hospitalization at Home for Patients With Acute Exacerbation of Chronic Disease—Further Evidence to Inform Practice – JAMA Network Open

Related: Pandemic Boosts an Old Idea—Bringing Acute Care to the Patient AND Randomized trial: Admission Avoidance Hospital at Home + Geriatric Assessment led to similar outcomes compared to hospital admission for older persons AND Most COVID-19 patients receiving home-based hospital care did not require escalation to traditional hospital setting – Approximately 1 in 5 were admitted within 14 days. Higher oxygen saturation was associated with decreased odds of transfer, whereas higher comorbidity burden was associated with increased risk.

 

Viewpoint | A national goal to advance health equity through value-based payment.

6 Jun, 2021 | 23:39h | UTC

A National Goal to Advance Health Equity Through Value-Based Payment – JAMA

Related: Report: Implementing high-quality primary care – “pay for primary care teams to care for people, not physicians to deliver services”.

 

Doctors tell how to make the most of your telehealth visits.

3 Jun, 2021 | 10:39h | UTC

Doctors Tell How to Make the Most of Your Telehealth Visits – Kaiser Health News

 

Providing more low-value care does not lead to higher patient experience ratings – “New study challenges the assumption that offering patients more tests and procedures will lead to higher patient experience ratings”.

31 May, 2021 | 08:11h | UTC

Providing more low-value care doesn’t lead to higher patient experience ratings – University of Chicago Medical Center

Original Study: Association of Low-Value Care Exposure With Health Care Experience Ratings Among Patient Panels – JAMA Internal Medicine

 

Commentary on Twitter

 

Using resources wisely in the COVID-19 pandemic: an international list of Choosing Wisely recommendations.

24 May, 2021 | 08:36h | UTC

Using resources wisely in the COVID-19 pandemic: an international list of Choosing Wisely recommendations – Journal of Evidence-Based Healthcare

 

Systematic review: Paying for performance to improve the delivery of health interventions in low‐ and middle‐income countries.

19 May, 2021 | 08:19h | UTC

Paying for performance to improve the delivery of health interventions in low‐ and middle‐income countries – Cochrane Library

Summary: Paying for performance to improve the delivery of health interventions in LMICs

 

Report: Implementing high-quality primary care – “pay for primary care teams to care for people, not physicians to deliver services”.

17 May, 2021 | 08:11h | UTC

Implementing High-Quality Primary Care: A Report From the National Academies of Sciences, Engineering, and Medicine – JAMA

Original report: Implementing High-Quality Primary Care: Rebuilding the Foundation of Health Care – National Academies of Sciences, Engineering, and Medicine

 

Study: More nurses lead to fewer patient deaths & readmissions, shorter hospital stays, and savings

13 May, 2021 | 05:55h | UTC

News release: More nurses lead to fewer patient deaths & readmissions, shorter hospital stays, and savings – The Lancet

Original study: Effects of nurse-to-patient ratio legislation on nurse staffing and patient mortality, readmissions, and length of stay: a prospective study in a panel of hospitals (free registration required)

 

Commentary on Twitter

 

Most COVID-19 patients receiving home-based hospital care did not require escalation to traditional hospital setting – Approximately 1 in 5 were admitted within 14 days. Higher oxygen saturation was associated with decreased odds of transfer, whereas higher comorbidity burden was associated with increased risk.

12 May, 2021 | 08:50h | UTC

Most COVID-19 patients receiving home-based hospital care did not require escalation to traditional hospital setting – American College of Physicians

Original study: Factors Associated With Risk for Care Escalation Among Patients With COVID-19 Receiving Home-Based Hospital Care – Annals of Internal Medicine

Related: Pandemic Boosts an Old Idea—Bringing Acute Care to the Patient

 

RCT: An internet-delivered cognitive behavioral therapy (CBT) program followed by in-person CBT if necessary is noninferior to in-person CBT for the treatment of obsessive-compulsive disorder symptoms in children and adolescents.

12 May, 2021 | 08:39h | UTC

Effect of an Internet-Delivered Stepped-Care Program vs In-Person Cognitive Behavioral Therapy on Obsessive-Compulsive Disorder Symptoms in Children and Adolescents: A Randomized Clinical Trial – JAMA (free for a limited period)

Editorial: Digital Interventions for Adults With Symptoms of Depression and Children and Adolescents With Symptoms of Obsessive-Compulsive Disorder

News release: Online CBT effective against OCD symptoms in the young – Karolinska Institutet

 

Perspective | Top five priorities for a new ICU director during the first year.

12 May, 2021 | 08:33h | UTC

Top Five Priorities for a New ICU Director During the First Year – ICU Management & Practice

 

COVID has pushed medical research into remote trials, benefiting patients and scientists

5 May, 2021 | 08:38h | UTC

COVID Has Pushed Medical Research into Remote Trials, Benefiting Patients and Scientists – Scientific American

 

Pathway for enhanced recovery after spinal surgery – a systematic review of evidence for use of individual components

5 May, 2021 | 08:26h | UTC

Pathway for enhanced recovery after spinal surgery-a systematic review of evidence for use of individual components – BMC Anesthesiology

See also:  Enhanced recovery after surgery (ERAS) and its applicability for major spine surgery – Best Practice & Research Clinical Anaesthesiology AND Consensus statement for perioperative care in lumbar spinal fusion: Enhanced Recovery After Surgery (ERAS®) Society recommendations – The Spine Journal AND Enhanced Recovery After Surgery (ERAS) Society Guidelines

 

Commentary on Twitter (thread – click for more)

 

Highly Recommended (video): The Culture Of Medicine Kills Doctors And Patients (w/Dr. Robert Pearl)

3 May, 2021 | 05:32h | UTC

The Culture Of Medicine Kills Doctors And Patients (w/Dr. Robert Pearl) – ZDoggMD

 

Randomized trial: Admission Avoidance Hospital at Home + Geriatric Assessment led to similar outcomes compared to hospital admission for older persons

3 May, 2021 | 05:13h | UTC

Is Comprehensive Geriatric Assessment Admission Avoidance Hospital at Home an Alternative to Hospital Admission for Older Persons? A Randomized Trial – Annals of Internal Medicine (link to abstract – $ for full-text)

Related: Pandemic Boosts an Old Idea—Bringing Acute Care to the Patient

 

Pre-post study: A hospital quality improvement intervention significantly reduced the rates of cesarean delivery for nulliparous, term, singleton, vertex births

29 Apr, 2021 | 08:21h | UTC

Hospital Quality Improvement Interventions, Statewide Policy Initiatives, and Rates of Cesarean Delivery for Nulliparous, Term, Singleton, Vertex Births in California – JAMA (free for a limited period)

Editorial: Initiatives to Reduce Cesarean Delivery Rates for Low-risk First Births – JAMA

 

Commentary on Twitter (thread – click for more)

 

American College of Radiology Releases New and Updated ACR Appropriateness Criteria

27 Apr, 2021 | 09:29h | UTC

American College of Radiology Releases New and Updated ACR Appropriateness Criteria

 

RCT: Intracytoplasmic sperm injection vs. conventional in-vitro fertilization in couples with infertility in whom the male partner has normal total sperm count and motility – no difference in livebirth rates between the strategies

25 Apr, 2021 | 21:14h | UTC

Intracytoplasmic sperm injection versus conventional in-vitro fertilisation in couples with infertility in whom the male partner has normal total sperm count and motility: an open-label, randomised controlled trial – The Lancet (link to abstract – $ for full-text)

Commentary: Standard IVF is fine for most people. So why are so many offered an expensive sperm injection they don’t need? – The Conversation

 

Commentary on Twitter

 

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