Healthcare-The Journal of Delivery Science and Innovation最新文献_第10页

Improving smoking history documentation in the electronic health record for lung cancer risk assessment and screening in primary care: A case study 改善初级保健中肺癌风险评估和筛查电子健康记录中的吸烟史记录:一个案例研究

IF 2.5 4区医学

Healthcare-The Journal of Delivery Science and Innovation Pub Date : 2021-12-01 DOI: 10.1016/j.hjdsi.2021.100578

Elizabeth Peterson , Kathryn Harris , Farhood Farjah , Nkem Akinsoto , Leah M. Marcotte

引用次数: 4

STAT: Mobile app helps clinicians manage inpatient emergencies STAT:移动应用程序帮助临床医生管理住院紧急情况

IF 2.5 4区医学

Healthcare-The Journal of Delivery Science and Innovation Pub Date : 2021-12-01 DOI: 10.1016/j.hjdsi.2021.100590

Andrew L. Chu , Joshua C. Ziperstein , Blake A. Niccum , Melvin G. Joice , Eric M. Isselbacher , Jared Conley

{"title":"STAT: Mobile app helps clinicians manage inpatient emergencies","authors":"Andrew L. Chu , Joshua C. Ziperstein , Blake A. Niccum , Melvin G. Joice , Eric M. Isselbacher , Jared Conley","doi":"10.1016/j.hjdsi.2021.100590","DOIUrl":"10.1016/j.hjdsi.2021.100590","url":null,"abstract":"<div><p>In response to the unprecedented surge of patients with COVID-19, Massachusetts General Hospital created both repurposed and de-novo COVID-19 inpatient general medicine and intensive care units. The clinicians staffing these new services included those who typically worked in these care settings (e.g., medicine residents, hospitalists, intensivists), as well as others who typically practice in other care environments (e.g., re-deployed outpatient internists, medical subspecialists, and other physician specialties). These surge clinicians did not have extensive experience managing low frequency, high acuity emergencies, such as those that might result from COVID-19. Physician-innovators, in collaboration with key hospital stakeholders, developed a comprehensive strategy to design, develop, and distribute a digital health solution to address this problem. MGH STAT is an intuitive mobile application that empowers clinicians to respond to medical emergencies by providing immediate access to up-to-date clinical guidelines, consultants, and code-running tools at the point-of-care. 100% of surveyed physicians found STAT to be easy to use and would recommend it to others. Approximately 1100 clinicians have downloaded the app, and it continues to enjoy consistent use over a year after the initial COVID-19 surge. These results suggest that STAT has helped clinicians manage life threatening emergencies during and after the pandemic, although formal studies are necessary to evaluate its direct impact on patient care.</p></div>","PeriodicalId":29963,"journal":{"name":"Healthcare-The Journal of Delivery Science and Innovation","volume":"9 4","pages":"Article 100590"},"PeriodicalIF":2.5,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8536501/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39561049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Association of Social Vulnerability, COVID-19 vaccine site density, and vaccination rates in the United States 美国社会脆弱性协会，COVID-19疫苗站点密度和疫苗接种率

IF 2.5 4区医学

Healthcare-The Journal of Delivery Science and Innovation Pub Date : 2021-12-01 DOI: 10.1016/j.hjdsi.2021.100583

Nitya Thakore , Rohan Khazanchi , E. John Orav , Ishani Ganguli

{"title":"Association of Social Vulnerability, COVID-19 vaccine site density, and vaccination rates in the United States","authors":"Nitya Thakore , Rohan Khazanchi , E. John Orav , Ishani Ganguli","doi":"10.1016/j.hjdsi.2021.100583","DOIUrl":"10.1016/j.hjdsi.2021.100583","url":null,"abstract":"<div><p>The COVID-19 pandemic has disproportionately impacted Americans in socially vulnerable areas. Unfortunately, these groups are also experiencing lower vaccination rates. To understand how strategic vaccine site placement may benefit high vulnerability populations, we extracted vaccine site locations for 26 U.S. states and linked these data to county-level adult vaccination rates and the CDC 2018 Social Vulnerability Index rankings. We fit quasi-Poisson regression models to compare vaccine site density between the highest and lowest SVI domain quartiles, and assessed whether greater vaccine site density mediated or modified the relationship between social vulnerability and vaccination rates. We found that high vulnerability counties by socioeconomic status had more vaccine sites per 10,000 residents, yet this higher vaccine site density did not reduce socioeconomic disparities in vaccination rates. Persistent vaccination inequities may reflect other structural barriers to access. Our results suggest that targeted vaccine site placement in high vulnerability counties may be necessary but insufficient for the goal of widespread, equitable vaccination.</p></div>","PeriodicalId":29963,"journal":{"name":"Healthcare-The Journal of Delivery Science and Innovation","volume":"9 4","pages":"Article 100583"},"PeriodicalIF":2.5,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8450273/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10757079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 16

Breaking the cycle: A public-private partnership to combat the American opioid epidemic 打破循环:与美国阿片类药物流行作斗争的公私伙伴关系

IF 2.5 4区医学

Healthcare-The Journal of Delivery Science and Innovation Pub Date : 2021-12-01 DOI: 10.1016/j.hjdsi.2021.100592

Derek Soled , Nishant Uppal , Scott G. Weiner

引用次数: 1

Moving the needle on primary care burnout: Using a driver diagram to accelerate impact 移动初级保健倦怠的指针:使用驱动图来加速影响

IF 2.5 4区医学

Healthcare-The Journal of Delivery Science and Innovation Pub Date : 2021-12-01 DOI: 10.1016/j.hjdsi.2021.100595

Erin E. Sullivan , Kathleen Dwiel , Lindsay Swain Hunt , Kathleen Conroy , Katherine Gergen Barnett

引用次数: 3

Massachusetts General Hospital Revere Food Pantry: Addressing hunger and health at an academic medical center community clinic 马萨诸塞州总医院里维尔食品储藏室:在一个学术医疗中心社区诊所解决饥饿和健康问题

IF 2.5 4区医学

Healthcare-The Journal of Delivery Science and Innovation Pub Date : 2021-12-01 DOI: 10.1016/j.hjdsi.2021.100589

Jacob B. Mirsky , Rachel M. Zack , Seth A. Berkowitz , Lauren Fiechtner

{"title":"Massachusetts General Hospital Revere Food Pantry: Addressing hunger and health at an academic medical center community clinic","authors":"Jacob B. Mirsky , Rachel M. Zack , Seth A. Berkowitz , Lauren Fiechtner","doi":"10.1016/j.hjdsi.2021.100589","DOIUrl":"10.1016/j.hjdsi.2021.100589","url":null,"abstract":"<div><p>Food insecurity is defined by limited access to adequate food. As a result, it is associated with chronic disease for millions of Americans. Healthcare systems take responsibility for improving patient health and thus are well positioned to create food security interventions that improve health. Given that dietary recommendations now emphasize plant-based foods (such as vegetables, fruits, legumes, and whole grains), interventions could prioritize distributing plant-based foods that promote health and reduce food insecurity. We developed a plant-based food pantry at the Massachusetts General Hospital Revere Healthcare Center, an academic medical center-affiliated community clinic that serves many patients with food insecurity. We partnered with a local food bank and used a color-coded nutrition ranking system to prioritize healthy foods. What began as a pilot program for patients with food insecurity and chronic disease expanded to serve the entire clinic population in response to rising community level food insecurity resulting from the COVID-19 pandemic. We developed and modified a workflow that provided an average of 384 recipients (i.e., patients and their household members) with food monthly during the 10-month study period. A total of 117,742 pounds of food was distributed. Next steps for the food pantry will include investigating health outcomes, assessing patient satisfaction with plant-based foods, and securing sustainable funding. Our experience can be used to guide other health organizations interested in the intersection of food security and chronic disease management.</p></div>","PeriodicalId":29963,"journal":{"name":"Healthcare-The Journal of Delivery Science and Innovation","volume":"9 4","pages":"Article 100589"},"PeriodicalIF":2.5,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39502074","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 7

Rapid analysis of local data to inform off-label tocilizumab use early in the COVID-19 pandemic 快速分析当地数据，以便在COVID-19大流行早期为适应症外用药提供信息

IF 2.5 4区医学

Healthcare-The Journal of Delivery Science and Innovation Pub Date : 2021-12-01 DOI: 10.1016/j.hjdsi.2021.100581

Camille E. Morgan , Casey A. Rimland , Griffin J. Bell , Min K. Kim , Tanner Hedrick , Ashley Marx , Brian Bramson , Heidi Swygard , Sonia Napravnik , John L. Schmitz , Shannon S. Carson , William A. Fischer , Joseph J. Eron , Cynthia L. Gay , Jonathan B. Parr

引用次数: 1

Whose value is it anyway? Reconciling conflicting perceptions of patients and payers 它到底有谁的价值?调和患者和支付者之间相互矛盾的看法

IF 2.5 4区医学

Healthcare-The Journal of Delivery Science and Innovation Pub Date : 2021-12-01 DOI: 10.1016/j.hjdsi.2021.100596

Matthew L. Maciejewski , Abby Hoffman , Jeffrey T. Kullgren

引用次数: 0

The development and implementation of a “B-Team” (buprenorphine team) to treat hospitalized patients with opioid use disorder 建立和实施“b组”(丁丙诺啡组)治疗住院阿片类药物使用障碍患者

IF 2.5 4区医学

Healthcare-The Journal of Delivery Science and Innovation Pub Date : 2021-12-01 DOI: 10.1016/j.hjdsi.2021.100579

Richard Bottner , Jillian B. Harvey , Amber N. Baysinger , Kirsten Mason , Snehal Patel , Alanna Boulton , Nicholaus Christian , Blair Walker , Christopher Moriates

{"title":"The development and implementation of a “B-Team” (buprenorphine team) to treat hospitalized patients with opioid use disorder","authors":"Richard Bottner , Jillian B. Harvey , Amber N. Baysinger , Kirsten Mason , Snehal Patel , Alanna Boulton , Nicholaus Christian , Blair Walker , Christopher Moriates","doi":"10.1016/j.hjdsi.2021.100579","DOIUrl":"10.1016/j.hjdsi.2021.100579","url":null,"abstract":"<div><h3>Implementation insights</h3><p></p><ul><li><span>•</span><span><p>Hospitalization is a reachable moment to address opioid and other substance use disorders. This includes initiation of pharmacotherapy such as buprenorphine, which is the standard of care but not frequently offered.</p></span></li><li><span>•</span><span><p>Initiating pharmacotherapy for interested patients with opioid use disorder (OUD) during hospitalization does not require a formal addiction consultation service and can be accomplished by any in-hospital prescriber, aided by interprofessional and multidisciplinary teams with support from senior leadership.</p></span></li><li><span>•</span><span><p>Barriers to widespread adoption include lack of education; stigma towards people with substance use disorders; inadequate outpatient capacity to address OUD; regulatory requirements; and challenges to modifying electronic health record algorithms, clinical workflows, and institutional policies.</p></span></li></ul></div>","PeriodicalId":29963,"journal":{"name":"Healthcare-The Journal of Delivery Science and Innovation","volume":"9 4","pages":"Article 100579"},"PeriodicalIF":2.5,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2213076421000622/pdfft?md5=f013111320633d43999368bb4ca70c62&pid=1-s2.0-S2213076421000622-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39596071","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Incorporating emotions into clinical decision-making solutions 将情感融入临床决策解决方案

IF 2.5 4区医学

Healthcare-The Journal of Delivery Science and Innovation Pub Date : 2021-09-01 DOI: 10.1016/j.hjdsi.2021.100569

Irene Y. Zhang , Joshua M. Liao

引用次数: 3