The Clinical Problem Solvers

MAY 2, 2022

In addition to a need for culturally competent interpersonal communication, health systems and structures must actively work to build trust with historically marginalized communities. 2008 Oct;100(10):1235-43. Essien MD, MPH, Jazzmin Williams, Alec J. Calac, Victor A. Lopez-Carmen MPH, Naomi F. N Engl J Med. J Natl Med Assoc.

Healthcare 52

Healthcare Utilities Hospital Internal Medicine 52

GeriPal

MAY 8, 2025

So it really helped form community between patients and helped build community with the palliative team that was involved. And also Yvonne Bessant, who is a good friend of ours, is a very important way to encourage community help with integration, but also to kind of nourish the spiritual transformation that goes on here.

Illness 107

Illness IT Patient-Centered Patients 107

GeriPal

FEBRUARY 29, 2024

laugher] Alex: And, so we put them together and I feel like there’s been a real coming together of the Geriatrics and Palliative care communities and sort of cross-fertilization between the two and efforts between the two. So, I’m super proud of being able to reach out to people in rural communities. Lynn: Great.

IT 126

IT Patient-Centered Illness Education 126

GeriPal

MARCH 24, 2023

Usually I don’t put a lot of background on this podcast, but I got to … in November of 2022, Ava Kofman, along with ProPublica, published … well I won’t want to say great, published an article in The New Yorker that I think it was divisive in the hospice and palliative care community. Now it’s 70%.

IT 114

IT Provider Patients Family 114

GeriPal

JUNE 30, 2022

And we found out in our work that something like 70 or 80% of patients with dementia who have surgery come from the community, who are coming from home. That provision was taken out of Obamacare back in 2007, 2008. So, where they end up after, what happens to them and where they end up is actually a big deal.

Patient-Centered 101

Patient-Centered Complication Patients IT 101

GeriPal

FEBRUARY 27, 2025

I think in the era when I trained in the 2008 timeframe, you know, it was very much just like somebody has pain, they need opioids, they have pain, they have more pain, they need lots more opioids. I think the accountability piece is something that is more new for palliative care clinicians. Pearls tips?

Patients 73

Patients Clinic Patient-Centered Illness 73

Common Sense Family Doctor

JUNE 11, 2025

and 3.6%, respectively, in 2008-09 to 14.3% Training health professionals in FQHCs is essential to staffing those FQHCs and improving community health in the future; when community health centers close, county-level mortality increases, as illustrated in another study. in 2023-24.

Primary Care 90

Primary Care Community Primary Care Physician Family Medicine 90

GeriPal

JULY 25, 2024

Next, we talk with James Deardorff about whether we can accurately predict nursing home level of care in community-dwelling older adults with dementia. The PPS is one of the most widely used prognostic tools for seriously ill patients, but the prognostic estimates given by the PPS are based on data that is well over a decade old.

Family 106

Family Families Patient-Centered Patients 106

GeriPal

DECEMBER 21, 2023

Whereas with comprehensive dementia care, what you really need is a lot of the support that is delivered in the community. So I think what’s really exciting is that these community-based organizations, some of those groups that provide training, transportation, respite care, all of that was never included. Diane: Yeah.

Patient-Centered 125

Patient-Centered IT Family Families 125

GeriPal

JULY 20, 2023

And the Ryan Haight Act I think was passed in 2008, which was in response to a young person who died of an opioid overdose. And I think that it was percolating in a lot of the palliative care community. We were the highest utilizers of telemedicine in the whole UCSF health system at that time which we’re very proud of.

Telemedicine 73

Telemedicine Telehealth Patient-Centered Board-Certified 73