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Nejm Catalyst Innovations in Care Delivery最新文献

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Addiction Medicine Clinician Shortages Require Innovative Treatment Approaches 成瘾医学临床医生短缺需要创新的治疗方法
Nejm Catalyst Innovations in Care Delivery Pub Date : 2023-07-19 DOI: 10.1056/cat.23.0217
Jon Bees
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引用次数: 0
Health Care Innovation, Locally and Globally 本地和全球的医疗保健创新
Nejm Catalyst Innovations in Care Delivery Pub Date : 2023-07-19 DOI: 10.1056/cat.23.0216
N. Mohta, E. Prewitt, L. Gordon, Thomas H. Lee
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引用次数: 0
The ELEGANCE Registry: Working to Achieve Equity in Clinical Research Design 优雅注册:努力实现临床研究设计的公平性
Nejm Catalyst Innovations in Care Delivery Pub Date : 2023-07-19 DOI: 10.1056/cat.23.0010
Maureen P. Kohi, Eric A. Secemsky, L. Kirksey, Alexandra J. Greenberg-Worisek, M. Jaff
{"title":"The ELEGANCE Registry: Working to Achieve Equity in Clinical Research Design","authors":"Maureen P. Kohi, Eric A. Secemsky, L. Kirksey, Alexandra J. Greenberg-Worisek, M. Jaff","doi":"10.1056/cat.23.0010","DOIUrl":"https://doi.org/10.1056/cat.23.0010","url":null,"abstract":"","PeriodicalId":19057,"journal":{"name":"Nejm Catalyst Innovations in Care Delivery","volume":"57 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80218330","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Leveraging Telemedicine to Reduce ED Overcrowding: The Quirónsalud Virtual Urgent Care Program 利用远程医疗减少急诊室过度拥挤:Quirónsalud虚拟紧急护理计划
Nejm Catalyst Innovations in Care Delivery Pub Date : 2023-07-19 DOI: 10.1056/cat.22.0422
J. Short Apellaniz, Juan Antonio Álvaro de la Parra, Álvaro Gómez-Meana, Lorena Carabias, Raul Cordoba, J. Arcos, Ángel Blanco, M. del Olmo Rodríguez
{"title":"Leveraging Telemedicine to Reduce ED Overcrowding: The Quirónsalud Virtual Urgent Care Program","authors":"J. Short Apellaniz, Juan Antonio Álvaro de la Parra, Álvaro Gómez-Meana, Lorena Carabias, Raul Cordoba, J. Arcos, Ángel Blanco, M. del Olmo Rodríguez","doi":"10.1056/cat.22.0422","DOIUrl":"https://doi.org/10.1056/cat.22.0422","url":null,"abstract":"","PeriodicalId":19057,"journal":{"name":"Nejm Catalyst Innovations in Care Delivery","volume":"103 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79458942","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Transforming Care Delivery and Outcomes for Multivisit Patients 改变多次就诊患者的护理服务和结果
Nejm Catalyst Innovations in Care Delivery Pub Date : 2023-06-21 DOI: 10.1056/cat.23.0073
Zheng Ben Ma, Rachna Priya Khatri, Gregory Buehler, Amy Boutwell, Karen Tseng
{"title":"Transforming Care Delivery and Outcomes for Multivisit Patients","authors":"Zheng Ben Ma, Rachna Priya Khatri, Gregory Buehler, Amy Boutwell, Karen Tseng","doi":"10.1056/cat.23.0073","DOIUrl":"https://doi.org/10.1056/cat.23.0073","url":null,"abstract":"SummaryMultivisit patients (MVPs), also called high utilizers or super utilizers, are patients with needs not well met by the health care delivery system as it is currently designed. In the Harris Health System, MVPs are defined as those with a number of annual ED visits two standard deviations above the mean, totaling greater than 15 visits per year to Harris Health’s central campus or 10 visits per year to its northeast campus. This relatively small population is associated with a disproportionately large demand on services and resources. Because standard care management practices are often ineffective in stabilizing MVPs’ high utilization, some clinicians and population health professionals consider them unimpactable, imbuing these patients with a stigma that further marginalizes this population and undermines effective care delivery. In this case study, the authors describe their experience transforming care for MVPs in the Harris Health safety-net system in Houston, Texas. Specifically, they outline implementing a clinical paradigm shift and the resulting operational process changes derived from insights about patterns of high utilization in both the ED and inpatient settings. By developing interactive, cross-continuum partnerships, they transformed their approach, delivered more relevant care with consistent messaging to MVPs, and reduced overall utilization and per-visit length of stay. Instead of expecting MVPs to use the health care system in its current form, Harris Health chose to transform care delivery to better meet these patients’ needs. This experience is particularly relevant for health care leaders as the industry collectively seeks to address structural and systemic bias in health care while innovating strategies to creatively use constrained resources to meet complex needs. As health systems undergo shifts toward value-based care delivery models, Harris Health’s approach of caring for MVPs can serve as an impactful and crucial framework.","PeriodicalId":19057,"journal":{"name":"Nejm Catalyst Innovations in Care Delivery","volume":"191 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136355311","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Primary Care Is Essential and Under Siege 初级保健是必不可少的，并受到围攻
Nejm Catalyst Innovations in Care Delivery Pub Date : 2023-06-21 DOI: 10.1056/cat.23.0175
A. Bitton, K. Rouleau
{"title":"Primary Care Is Essential and Under Siege","authors":"A. Bitton, K. Rouleau","doi":"10.1056/cat.23.0175","DOIUrl":"https://doi.org/10.1056/cat.23.0175","url":null,"abstract":"","PeriodicalId":19057,"journal":{"name":"Nejm Catalyst Innovations in Care Delivery","volume":"67 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88955753","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Scaling Primary Care Social Needs Screening and Referrals in New York City’s Safety-Net Health System 扩大初级保健社会需求筛选和转介在纽约市的安全网卫生系统
Nejm Catalyst Innovations in Care Delivery Pub Date : 2023-06-21 DOI: 10.1056/cat.22.0371
A. Calvo-Friedman, J. Clapp, Samantha Lily Kumar, Ayrenne Adams, K. Gogia, N. Davis
{"title":"Scaling Primary Care Social Needs Screening and Referrals in New York City’s Safety-Net Health System","authors":"A. Calvo-Friedman, J. Clapp, Samantha Lily Kumar, Ayrenne Adams, K. Gogia, N. Davis","doi":"10.1056/cat.22.0371","DOIUrl":"https://doi.org/10.1056/cat.22.0371","url":null,"abstract":"","PeriodicalId":19057,"journal":{"name":"Nejm Catalyst Innovations in Care Delivery","volume":"24 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85807431","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Primary Care’s Reimbursement Model Is the Root Challenge 初级保健的报销模式是根本的挑战
Nejm Catalyst Innovations in Care Delivery Pub Date : 2023-06-21 DOI: 10.1056/cat.23.0184
Jon Bees
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引用次数: 0
Engaging Medical, Nursing, and Social Work Students in a Team-Based Response to Social Needs 让医学、护理和社会工作专业的学生参与以团队为基础的社会需求响应
Nejm Catalyst Innovations in Care Delivery Pub Date : 2023-06-21 DOI: 10.1056/cat.22.0387
Michelle Munyikwa, Ana Bonilla Martinez, Deborah Lowenstein, Preeti Advani, Patricia Meehan, H. Klusaritz, Latisha Thompson, Catherine Raney, Daniel Resnick, Chang Xu, I. Mullen, Melanie A Mariano, Casey Kim, Nipun Kottage, Jeffrey Hough, Rosemary Thomas, Jaya Aysola
{"title":"Engaging Medical, Nursing, and Social Work Students in a Team-Based Response to Social Needs","authors":"Michelle Munyikwa, Ana Bonilla Martinez, Deborah Lowenstein, Preeti Advani, Patricia Meehan, H. Klusaritz, Latisha Thompson, Catherine Raney, Daniel Resnick, Chang Xu, I. Mullen, Melanie A Mariano, Casey Kim, Nipun Kottage, Jeffrey Hough, Rosemary Thomas, Jaya Aysola","doi":"10.1056/cat.22.0387","DOIUrl":"https://doi.org/10.1056/cat.22.0387","url":null,"abstract":"","PeriodicalId":19057,"journal":{"name":"Nejm Catalyst Innovations in Care Delivery","volume":"23 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78158714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The HOPE Project: Improving Cancer Patient Experience and Clinical Outcomes Through an Integrated Practice Unit and Digital Transformation 希望项目:通过综合实践单元和数字化转型改善癌症患者的体验和临床结果
Nejm Catalyst Innovations in Care Delivery Pub Date : 2023-06-21 DOI: 10.1056/cat.22.0414
Cristina Caramés Sánchez, Juan Antonio Álvaro de la Parra, M. Dómine, Cristina Elez, Y. Izarzugaza Perón, J. Bécares Martínez, Ángel Blanco, Javier Arcos
{"title":"The HOPE Project: Improving Cancer Patient Experience and Clinical Outcomes Through an Integrated Practice Unit and Digital Transformation","authors":"Cristina Caramés Sánchez, Juan Antonio Álvaro de la Parra, M. Dómine, Cristina Elez, Y. Izarzugaza Perón, J. Bécares Martínez, Ángel Blanco, Javier Arcos","doi":"10.1056/cat.22.0414","DOIUrl":"https://doi.org/10.1056/cat.22.0414","url":null,"abstract":"","PeriodicalId":19057,"journal":{"name":"Nejm Catalyst Innovations in Care Delivery","volume":"49 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73953317","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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