Content tagged with 'Medical/Hospital Practice' | back to all topics
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Medicaid Payments for Office Visits Impact Cancer Screening Rates
HBNS STORY | November 20, 2014
New research in the journal Cancer finds that Medicaid recipients are more likely to undergo cancer screening tests when their doctors receive higher reimbursements for routine office visits rather than for the tests themselves.
Chronic Care Coordinators Improve Diabetes Monitoring But Not Blood Sugar Control
HBNS STORY | November 11, 2014
Getting support from a chronic care coordinator increases blood-glucose testing and foot and eye exams in people with type 2 diabetes, but it may not improve blood-sugar control, a new study in the journal Health Services Research indicates.
Coordination Eases the Transition From Pediatric to Adult Health Care
HBNS STORY | November 4, 2014
New research in the Journal of Adolescent Health finds that when a young person moves from pediatric care to an adult practice, the transition is eased and better care is provided when formal processes are in place for the handoff.
Fecal Blood Test May Save More Lives Than Colonoscopy
HBNS STORY | October 21, 2014
Colorectal cancer, or CRC, is the second-leading cause of cancer deaths in the United States. State public health programs could screen nearly eight times as many individuals and prevent nearly twice as many CRC cases by using fecal immunochemical testing, or FIT, instead of colonoscopies, finds a new study in Health Services Research.
Timing of Epidural Is Up to the Mother
HBNS STORY | October 9, 2014
When a woman is in labor, the appropriate time to give an epidural during childbirth is when she asks for it, suggests a new review in The Cochrane Library.
Many Women Receive Unnecessary Pap Tests
HBNS STORY | September 30, 2014
As many as half to two-thirds of women who’ve undergone hysterectomies or are older than 65 years report receiving Pap tests for cervical cancer, despite recommendations against it, finds a new study in the American Journal of Preventive Medicine.
Only Half of U.S. Adults Over 45 Are Screened for Diabetes
HBNS STORY | September 25, 2014
A new cross-sectional study in American Journal of Preventive Medicine finds that only half of adults in the U.S. were screened for diabetes within the last three years, less than what is recommended by the American Diabetes Association (ADA).
Pressure from Providers Leads Some Women to Have C-Sections, Inductions
HBNS STORY | September 23, 2014
Pregnant women who felt pressured to have a labor induction or cesarean section by their obstetrical care providers were significantly more likely to have these procedures, even if there was no medical need for them, suggests a new study in Health Services Research.
Elderly Who Have Had Serious Falls May Show Symptoms of Post-Traumatic Stress
HBNS STORY | September 11, 2014
Older adults who experience a serious fall may develop symptoms of post-traumatic stress disorder (PTSD) in the days following the event, finds a study published in General Hospital Psychiatry.
Leaving Their Pediatricians Tough for Some Teens with Chronic Conditions
HBNS STORY | August 21, 2014
A new study in the Journal of Adolescent Health has found that one in five young adults with chronic illnesses said the transfer of their care from pediatrics to adult-oriented health care was unsatisfactory.
Mental Health Screening in Primary Care Helps Veterans
HBNS STORY | August 12, 2014
Veterans who receive mental health screening during primary care visits are generally getting adequate follow-up treatment, but the process for acquiring care could be improved, finds a new study in General Hospital Psychiatry.
Medicare Changes Lower Hospital Use
HBNS STORY | August 5, 2014
A recent study in Health Services Research based on 15 years of hospital data suggests that cuts in Medicare prices under the Affordable Care Act may slow the growth in overall hospital spending.
Patient-Centered Medical Homes Reduce Costs
HBNS STORY | July 31, 2014
As the number of patient centered medical homes has increased, a new report in the journal Health Services Research finds the model offers a promising option to reduce health care costs and utilization of some health care services.
Confidential Discussions Are Key to Improving Teen Health Visits
HBNS STORY | July 29, 2014
Teens who have the option to privately and confidentially discuss health concerns with their doctor are more likely to talk about certain issues than they would be in discussions where a parent is present, finds a new study in the Journal of Adolescent Health.
Inadequate Mental Health Care for Blacks with Depression and Diabetes, High Blood Pressure
HBNS STORY | July 24, 2014
A new study in General Hospital Psychiatry confirms that Blacks with depression plus another chronic medical condition, such as Type 2 diabetes or high blood pressure, do not receive adequate mental health treatment.
Early Palliative Care Cuts Costs for Critically Ill Patients
HBNS STORY | July 10, 2014
Palliative care delivered early during hospitalization can help cut costs for critically ill patients, finds a new study in Health Services Research.
Class and Insurance Stigma Are Barriers to Good Health Care
HBNS STORY | June 19, 2014
Some low-income, uninsured and Medicaid patients report feeling stigma when interacting with health care providers, finds a new report in The Milbank Quarterly.
Shared Decision Making Missing in Cancer Screening Discussions
HBNS STORY | June 12, 2014
A national survey of patients reveals that physicians don’t always fully discuss the risks and benefits of cancer screening, reports a new study in American Journal of Preventive Medicine.
Minorities Face Disparities in Treatment and Outcomes of Atrial Fibrillation
HBNS STORY | April 29, 2014
Minority patients with atrial fibrillation, a heart condition that increases the risk of stroke, were less likely to receive common treatments and more likely to die from the condition than their white counterparts, finds a new study in Ethnicity and Disease.
Public Health Centers Deliver Equal or Better Quality of Care
HBNS STORY | April 28, 2014
A new study in Health Services Research reports that patients who get care at federally funded health centers have fewer office visits and hospitalizations, and receive similar or a better quality of preventive care when compared to similar patients of non-health center primary care providers.
Community Demographics Linked to Hospital Readmissions
HBNS STORY | April 10, 2014
Nearly 60 percent of the variation in hospital readmission rates appears to be associated with a hospital’s geographic location, finds a new study in Health Services Research.
A Phone Call from a Pharmacist Can Reduce Some Hospital Admissions
HBNS STORY | April 10, 2014
Pharmacist-patient telephone consultations appear to reduce hospitalizations in patients who are least at risk, finds a new study in Health Services Research.
Patients Are Loyal to Their Doctors, Despite Performance Scores
HBNS STORY | March 11, 2014
Patients with an existing relationship with a doctor ranked as lower performing were no more likely to switch doctors than patients with higher performing doctors, finds a new study in Health Services Research.
Simple Waiting Room Test Can Help Diagnose Depression and Anxiety
HBNS STORY | February 25, 2014
A new study in General Hospital Psychiatry finds patients visiting the hospital for a variety of ailments can be easily screened for depression and anxiety as they wait for care.
Antibiotics Don't Prevent Complications of Kids' Respiratory Infections
HBNS STORY | February 18, 2014
Antibiotics are often prescribed for young children who have upper respiratory tract infections, however, a new evidence review in The Cochrane Library found no evidence to support this practice.
Pre-Surgical Drug May Ease Recovery and Reduce Pain for Kids
HBNS STORY | January 30, 2014
A new evidence review from The Cochrane Library found that administering a drug called clonidine before surgery may be a good alternative for controlling post-surgical pain and help reduce a child’s anxiety after surgery.
Few Primary Care Practices Provide Effective Weight Management Care
HBNS STORY | January 14, 2014
Only a quarter of U.S. primary care physicians surveyed are doing a thorough job of helping patients achieve and maintain a healthy weight, finds a study in the American Journal of Health Promotion.
Hospitals Serving Elderly Poor More Likely to Be Penalized for Readmissions
HBNS STORY | January 7, 2014
Hospitals that treat more poor seniors who are on both Medicaid and Medicare tend to have higher rates of readmissions, triggering costly penalties, finds a new study in Health Services Research.
Doctors Experienced with Using EHRs Say They Add Value for Patients
HBNS STORY | January 2, 2014
A majority of surveyed physicians said they were alerted to a potential medication error or critical lab value by an electronic health record, finds a new study in Health Services Research.
Admitted for “Observation”? Watch Out for Big Medical Bills
HBNS STORY | December 19, 2013
Patients who are placed in observation instead of being admitted to a hospital may face high out-of-pocket costs for treatment, finds a new study in Health Services Research.
Doctors Unaware That More Teens Are Turning to E-Cigarettes
HBNS STORY | December 10, 2013
Many clinicians are unfamiliar with or uncomfortable with addressing the use of e-cigarettes with their young patients, finds a new study in the Journal of Adolescent Health.
Better Diagnoses May Help Vets with Anxiety Get Treatment
HBNS STORY | December 5, 2013
Veterans who suffer from anxiety may not get appropriate treatment for want of a specific diagnosis, finds a new study in General Hospital Psychiatry.
Electronic Health Records Can Measure Patient-Centered Care
HBNS STORY | November 21, 2013
Electronic health records collect non-clinical information that can be used to measure a medical practice’s patient-centeredness, finds a new study in Health Services Research.
For People With Diabetes, Aggressive Blood Pressure Goals May Not Help
HBNS STORY | November 12, 2013
For people with diabetes and high blood pressure, keeping blood pressure levels lower than the standard recommended offered no benefits, finds a review in The Cochrane Library.
Unaccompanied Teens Often Unable to Get Needed Vaccines
HBNS STORY | October 8, 2013
Health care providers say that older teens often go to the doctor without a parent who can provide consent for needed vaccinations, finds a new study in the Journal of Adolescent Health.
Teens Missing Recommended Vaccines
HBNS STORY | August 1, 2013
Health care providers are missing opportunities to improve teens’ vaccination coverage, reports a new study in the Journal of Adolescent Health.
Electronic Health Record Adoption Uneven Across U.S.
HBNS STORY | June 27, 2013
A new study in Health Services Research finds wide geographic variation in the adoption of electronic health records (EHRs) by ambulatory health care sites.
Nursing Homes with More Black Residents Do Poorly
HBNS STORY | June 25, 2013
Nursing homes with higher proportions of Black residents do worse financially and deliver lower-quality care than nursing homes with few or no Black residents, finds a new study in Health Services Research.
Emergency Departments Still Missing Signs of Pelvic Disease in Teens
HBNS STORY | June 13, 2013
Despite government efforts to expand diagnostic criteria for pelvic inflammatory disease, ER doctors are not identifying the condition any more often in adolescent girls, finds a new study in Journal of Adolescent Health.
Doctors Don’t Provide Sexual Health Info to Teens
HBNS STORY | June 11, 2013
Most sexually active teens don’t get information about sexual health from their health care providers, finds a new study in the Journal of Adolescent Health.
Predominately Black Hospitals Provide Poor Trauma Care
HBNS STORY | May 16, 2013
Victims of trauma are at higher risk of either dying or suffering a major complication if they are treated at a hospital that serves a large population of black patients, finds a large new study in Health Services Research.
Targeting Prescribers Can Reduce Excessive Use of Antibiotics in Hospitals
HBNS STORY | April 30, 2013
Giving prescribers access to education and advice or imposing restrictions on use can curb overuse or inappropriate use of antibiotics in hospitals, according to a new Cochrane systematic review.
Teaching Patients about New Medications? A Picture Is Worth 1000 Words
HBNS STORY | April 30, 2013
Improving people’s knowledge and skills about their medications may be best achieved with multimedia patient education materials, finds a new systematic review in The Cochrane Library.
Alcohol and Mental Health Problems a Costly Combo for ICU Patients
HBNS STORY | April 16, 2013
People admitted to a hospital ICU with alcohol withdrawal were more likely to be readmitted or die within a year if they had a co-existing mental health condition, finds a new study in Alcoholism: Clinical and Experimental Research.
Reduce Use of Antipsychotic Drugs in Elderly with Dementia
HBNS STORY | March 28, 2013
Most older adults with dementia can successfully be taken off antipsychotic medications, which have negative side effects and increase the risk of death, finds a new evidence review from The Cochrane Library.
Primary Care Physicians Missing Early Signs of Serious Mental Illness
HBNS STORY | March 21, 2013
Primary care providers could help people with warning signs of psychosis get critical early treatment and potentially reduce the current burden on emergency departments and inpatient units, finds a study in the journal Social Psychiatry and Psychiatric Epidemiology.
Pharmacists Can Improve Patient Outcomes
HBNS STORY | February 28, 2013
In addition to dispensing, packaging or compounding medication, pharmacists can help improve patient outcomes in middle-income countries by offering targeted education, according to a new review in The Cochrane Library.
Despite Challenges, Health Centers Have High Satisfaction Rates
HBNS STORY | February 14, 2013
Low-income Americans are more likely to be satisfied with the care they receive at federally qualified health centers (FQHC) than at mainstream health care providers, reveals a new study in the Journal of Health Care for the Poor and Underserved.
Patients with ICU Delirium More Likely to Die
HBNS STORY | December 6, 2012
Delirium, a condition developed by many patients in hospital intensive care units (ICU), is associated with higher mortality rates, more complications, longer stays in the ICU, and longer hospitalizations, finds a new meta-analysis in General Hospital Psychiatry.
Keeping Mom and Baby Together After Delivery Beneficial
HBNS STORY | September 13, 2012
“Rooming in,” keeping mother and her newborn in the same room 24/7 to encourage breastfeeding, does support the practice, at least in the short term, finds a new review in The Cochrane Library.
More Nurses for Hospital Patients: Impact on Quality Questionable
HBNS STORY | September 12, 2012
Passage of a bill in 1999 requiring minimum nurse-to-patient ratios in California hospitals increased the number of nurses but resulted in mixed quality of care, according to a new study in the journal Health Services Research.
Rising Cost of Inpatient Care Linked to Medical Devices and Supplies
HBNS STORY | August 29, 2012
Inpatient hospital treatment accounts for the largest proportion of health care spending in the U.S., with the use of diagnostic imaging services such as MRIs, frequently implicated as the probable cause. A new analysis in Health Services Research finds that the biggest expense may not be imaging technology but from supplies including medical devices, such as stents and artificial joints.
Doctors Who Share Patients May Provide Lower Cost Care
HBNS STORY | July 31, 2012
Patients with diabetes or congestive heart failure who receive care from doctors with high levels of patient overlap have lower total health care costs and lower rates of hospitalization, according to a new study in the Journal of General Internal Medicine.
Safety Net Health Centers Fill In Urban Gaps
HBNS STORY | July 19, 2012
Urban areas that are segregated by race, ethnicity or income have more Federally Qualified Health Centers (FQHC), which provide primary care services for disadvantaged populations, despite an adequate supply of private sector physicians, reveals new findings published in Health Services Research.
Predominately Black-Serving Hospitals Provide Poorer Care
HBNS STORY | July 19, 2012
Hospitals that mostly serve Black patients have worse mortality outcomes for both Black and White patients with three common conditions: heart attack, congestive heart failure or pneumonia. The new study in Health Services Research suggests that there is an urgent need to improve care at predominately black-serving institutions.
Coordinating Cancer Care Remains a Challenge
HBNS STORY | July 11, 2012
People with cancer often receive fragmented and uncoordinated care, as their treatments often require help from multiple clinicians. However, a new review by The Cochrane Library finds no evidence that three main strategies designed to improve coordination of cancer care are effective.
Supporting Front-Line Hospital Staff Leads to Safer and Happier Patients
HBNS STORY | June 21, 2012
Hospitals that use supportive management practices across diverse care providers and frontline staff are more likely to deliver quality patient care, according to a new study in Health Services Research.
Hospitals Vary Widely in ICU Admissions
HBNS STORY | March 28, 2012
Hospitals vary widely in their admissions to intensive care units, which some experts believe are overused, costly and potentially dangerous. A new study in Health Services Research finds that the actions of hospitals - not the kinds of patients they attract - appear to be responsible for part of the difference in ICU use.
Simple, Common BMI Data Stored in e-Records can Identify Patients with Heart Disease Risk
HBNS STORY | March 13, 2012
New research released online in the American Journal of Preventive Medicine shows that body mass index (BMI) data, commonly available in electronic medical records, can accurately identify adults between 30 and 74 years-old at risk for cardiovascular (heart) disease, the leading cause of death in the U.S.
Popular Fetal Monitoring Method Leads To More C-Sections
HBNS STORY | February 15, 2012
A new research review suggests that the use of one popular method of fetal monitoring does not improve maternal and fetal outcomes and makes women more likely to have cesarean sections.
Recommended Services Not Always Given During Patients’ Annual Exams
HBNS STORY | January 17, 2012
New research finds that patients may not always receive all of the screening tests and counseling services that are due during their medical checkups, according to a study in the American Journal of Preventive Medicine.
Workplace Support for Front-Line Health Workers Creates Higher Job Satisfaction
HBNS STORY | January 12, 2012
Frontline health workers—including nursing assistants, paramedics and pharmacy technicians—who received a combination of benefits and support from their employers had greater job satisfaction and provided a higher perceived quality of care, finds a new study in Health Services Research.
Breast Cancer Patients More Satisfied When Specialists Share Care Management
HBNS STORY | December 15, 2011
Patients with breast cancer report greater satisfaction when their cancer doctor co-manages care with other specialists, finds a new study in Health Services Research.
Elderly Hospital Patients with Delirium More Likely to Die Within A Year
HBNS STORY | November 8, 2011
Hospital patients over 65 who are referred for a psychiatric consultation and found to have delirium are more likely than those without delirium to die within one year following diagnosis, according to a new study published in the journal General Hospital Psychiatry.
Doctors Often Overrate How Well They Speak a Second Language
HBNS STORY | October 27, 2011
New research shows that physicians who say they are fluent in a second language may be overestimating their actual skills.
Safety Net Hospital Closures Hit Poor, Uninsured Hardest
HBNS STORY | September 19, 2011
When safety net hospitals close or switch from not-for-profit to for-profit status, certain vulnerable groups suffer disproportionately, a new study finds.
For Some Surgeries, More Is Better When Choosing Hospitals
HBNS STORY | September 1, 2011
Hospitals with higher surgical volumes for certain procedures are less likely to cause unintentional serious injuries to hospitalized patients when compared to those hospitals that perform the procedures less often.
Patient Navigators Might Reduce Disparities in Cancer Care
HBNS STORY | August 16, 2011
Past research shows that minorities suffer higher rates of advanced cancer and deaths from all types of cancer compared to whites. The role of “patient navigator” is emerging as a tool to address these disparities.
Caffeine Can Ease a Spinal Tap Headache
HBNS STORY | August 9, 2011
People who suffer headaches after a spinal tap might have a relatively simple way to ease the painful throb: a caffeine tablet.
After an Emergency, Comprehensive Care Is Best for Older Patients
HBNS STORY | July 21, 2011
Older people rushed to the emergency room are more likely to be living at home up to a year later if they receive a comprehensive and age-appropriate evaluation during their hospital stay.
Drug Speeds Up Slow Labor but Doesn’t Prevent C-Sections
HBNS STORY | July 14, 2011
A new review says that oxytocin, a medication often used to quicken slow-paced labor in its early stages, doesn’t decrease a woman’s risk of having a complicated birth involving forceps or a cesarean section.
Treatment for Minority Stroke Patients Improves at Top-ranked Hospitals
HBNS STORY | June 21, 2011
A new study suggests there has been some improvement in reducing the gap in stroke hospitalization between white and minority patients.
Most Primary Care Physicians Don’t Address Patients’ Weight
HBNS STORY | June 7, 2011
Fewer than half of primary care physicians talk to their patients about diet, exercise and weight management consistently, while pediatricians are somewhat more likely to do so, according to two new studies.
Antiretroviral Drugs Dramatically Reduce Risk of Passing HIV to Healthy Partners
HBNS STORY | May 10, 2011
When one partner in a couple is infected with HIV and the other isn’t, treatment with antiretroviral drugs can dramatically lower the chances of the infected partner passing along the disease to his or her mate, a new evidence review finds.
Doctor’s Office Is Usually First Stop in Medication Mishaps
HBNS STORY | May 6, 2011
Medication mishaps are a widely recognized problem in health care and a new study finds that ambulatory care settings, not ERs, deal with them most.
When Doctors Own or Lease MRI, Back Scans and Surgery More Likely
HBNS STORY | April 26, 2011
When doctors can self-refer for MRI, patients are more apt to receive scans – and even surgery – for low back pain.
RN Staffing Affects Patient Success After Discharge
HBNS STORY | April 26, 2011
When nurse staffing levels are higher on hospital units, patients tend do to better after discharge, as long as overtime isn’t involved.
Health Reform Predicted to Increase Need for Primary Care Providers
HBNS STORY | March 24, 2011
Expansion of health care coverage mandated by health reform will push demand for primary care providers sharply upward, and thousands of new physicians are needed to accommodate the increase, a new study finds.
Mechanical Versus Manual CPR—Too Close to Call
HBNS STORY | January 18, 2011
Makers say that mechanical devices perform CPR more effectively than human efforts alone. However, a new review comparing mechanical to manual chest compressions has failed to demonstrate that one is superior to the other.
Dialysis Center Choice Makes Difference in Death Risk
HBNS STORY | December 9, 2010
A large study found that patients in certain large chain facilities are significantly more likely to die than those treated elsewhere. Mortality was also higher in for-profit than non-profit dialysis centers.
Instruments Can Assist Birth, But With Risks to Mother, Child
HBNS STORY | November 9, 2010
Forceps might be a better instrument than a vacuum cup for assisting a successful birth, but new mothers might experience more trauma and complications after a forceps delivery, according to a new review of studies.
Nursing Homes Can Reap Financial Gain From Good Report Cards
HBNS STORY | October 29, 2010
Nursing homes that improve their quality of care – and thereby score high on public report cards – might see financial gains.
Alternative Birthing Rooms Safe for Mom, Baby
HBNS STORY | September 7, 2010
Schizophrenia Patients Suffer More Hospital Injuries
HBNS STORY | July 23, 2010
Patient-centered Care Can Lower Risk of Death in Heart Attack
HBNS STORY | July 22, 2010
Large Gap in Diabetes, Obesity Screening Among U.S. Health Clinics
HBNS STORY | June 22, 2010
Synthetic Sutures Might Be Less Painful for Stitches Following Birth
HBNS STORY | June 15, 2010
Drug-Releasing Stents No Better at Warding Off Death After Angioplasty
HBNS STORY | May 11, 2010
Health Care Delivery Fixes Somewhat Helpful in Heart Disease
HBNS STORY | March 16, 2010
Fed When Hungry, Premature Babies Go Home Sooner
HBNS STORY | February 16, 2010
Report: Too Few Minority Doctors After Decades of Discrimination
HBNS STORY | January 27, 2010