• Mashup Score: 0
    Access to Health Care Facilities Across Neighborhoods in the United States - 3 year(s) ago

    This cross-sectional study examines geographic access to health care facilities across neighborhoods in the United States over a 15-year period and assesses whether racial/ethnic composition and socioeconomic status are associated with change in neighborhood-level presence of health care facilities…

    Source: jamanetwork.com
    Categories: Healthcare Professionals, Latest Headlines
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      IshaniG

      In sum: Trouble getting to doctor’s office is common, not restricted to physical limitations: -1 in 3 had no functional impairment -Strong link to dementia, mental illness -Link to lower income, c/w offices leaving low-income areas (https://t.co/7pstwp4AjV by @JenniferTsuiPhD)

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    Disparities in Time Spent Seeking Medical Care in the United States - 3 year(s) ago

    This Research Letter examined data from the American Time Use Survey and found that time waiting for or obtaining medical care was significantly longer for racial/ethnic minorities, individuals with less education, and individuals who are unemployed.

    Source: jamanetwork.com
    Categories: Healthcare Professionals, Latest Headlines
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      IshaniG

      These results speak to enormous burden of office visits – time, transportation costs, opportunity costs for patients and their caregivers, which are often worse for marginalized populations (see https://t.co/ACLvIzmgJk by @KRayHSR)

  • Mashup Score: 1
    National Trends in Primary Care Visit Use and Practice Capabilities, 2008-2015 - 3 year(s) ago

    PURPOSE Recent evidence shows a national decline in primary care visit rates over the last decade. It is unclear how changes in practice—including the use and content of primary care visits—may have contributed. METHODS We analyzed nationally representative data of adult visits to primary care physicians (PCPs) and physician practice characteristics from 2007–2016 (National Ambulatory Medical…

    Source: Annals of Family Medicine
    Categories: Healthcare Professionals, Latest Headlines
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      IshaniG

      So what do we do? 1) Clinicians can use office visits more selectively (PCPs are already packing more into each visit over time: https://t.co/D49HXuzsXj cc @AartiRao) 2) Policymakers and system leaders can expand and target alternatives like home-based & virtual care.

  • Mashup Score: 5
    Gender Differences in Electronic Health Record Work - 3 year(s) ago

    The growing literature on physician gender differences in work hours and compensation is increasingly clear that women physicians spend more time on patient care both during1-3 and between visits.4-6 Studies also suggest that this extra time might translate to better outcomes for patients of women…

    Source: jamanetwork.com
    Categories: Healthcare Professionals, Latest Headlines
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      IshaniG

      Great work by @LisaRotenstein et al @JAMANetworkOpen. In editorial,@sharon_inouye Fred Rivara & I place in context of growing evidence of gender EHR work time disparities by @j_r_a_m, @EveMiej,others. We discuss why the time gap matters and what we can do. https://t.co/CmNCGolExJ https://t.co/0OLXmnFTHM

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    Increasing Access to Preventive Services Is Needed—No Medicare Beneficiary Left Behind - 4 year(s) ago

    Ganguli and colleagues1 explore national trends in receipt of preventive services among older adults with multiple comorbidities enrolled in Medicare based upon having a usual care clinician (UCP). Previous research has linked having a UCP with improved health outcomes and high-value care, as well…

    Source: jamanetwork.com
    Categories: Healthcare Professionals, Latest Headlines
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      IshaniG

      After an especially soul-renewing week helping my patients decide to #notthrowawaytheirshots (covid + flu editions), loved reading this spot-on commentary on 👇 by @reverendofdoubt @alexanderZheut1 @JeremySussman https://t.co/TC2xtUF6VG https://t.co/LDBi5lHBQG

  • Mashup Score: 1
    The Impact of Choosing Wisely Interventions on Low-Value Medical Services: A Systematic Review | Milbank Quarterly - 4 year(s) ago

    Choosing Wisely aims to reduce the use of unnecessary, low-value medical services through development of service-utilization recommendations. In this review, Betsy Q. Cliff of the University of Illinois Chicago School of Public Health and colleagues synthesized the literature on interventions identified as low value by Choosing Wisely. The authors found that health system interventions based on…

    Source: Milbank Memorial Fund
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      IshaniG

      Of course, recs only useful if acted on (per @betsyqcliff, multi-pronged interventions work best👇). Given how hard interventions are, we hope our analyses can inform new recs + help clinical leaders/policymakers/payers prioritize services to target. 6/ https://t.co/uGoyQko7z5

  • Mashup Score: 6
    The Next Frontier of Less Is More—From Description to Implementation - 4 year(s) ago

    High health care costs in the US and the recognition of patient harm that is associated with unnecessary care have led to multiple initiatives to decrease low-value care. Low-value care is broadly defined as services that are of limited to no benefit to patients, may cause patients harm, and lead to…

    Source: jamanetwork.com
    Categories: Healthcare Professionals, Latest Headlines
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      IshaniG

      Grateful for a thoughtful editorial by Niloofar Latifi @RFRedberg and Deb Grady. And to our non-Twitter coauthors: Meredith Rosenthal @HarvardHPM and Nitya Thakore @nyugrossman 7/ https://t.co/9tLEJ31ZIw

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