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The Impact of Integrated Care on Healthcare Utilization and Costs: Evidence from the Kansas Health Homes Medicaid Program [Behavioral, psychosocial, and mental illness]

Annals of Family Medicine

These individuals are often high utilizers of health care services, with some of the costliest services being hospital admissions and emergency department (ED) visits. A difference-in-differences (DID) approach was used to compare outcomes in two groups: Medicaid beneficiaries assigned to KHH and those who were not.

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PEMPix 2023 Online Case 1: A House Divided

PEMBlog

PEMPix is the American Academy of Pediatrics Section on Emergency Medicine’s annual visual diagnosis competition. The patient completed the miralax cleanout followed by daily miralax, and started having soft, formed stools daily without any pain (Bristol type 4). 2012 Jan;5(1):67-70. This is the first of the four cases.

PCP 69
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Not “burnout,” not moral injury—human rights violations

Pamela Wible MD

Characterized by cynicism, exhaustion, and reduced job satisfaction, physician burnout can lead to devastating personal and professional consequences, including strained relationships, substance abuse, early retirement, and even suicide. Dr. Shay’s original definition was based upon his patients’ war narratives and Homer’s Iliad (762 B.C.)

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End-of-Life Doulas: A Podcast with Jane Euler, Beth Klint, and John Loughnane

GeriPal

An end-of-life doula is a non-medical support person that provides a longitudinal relationship with aspects of medical, I mean, aspects of companionship, presence, holding space, some logistics, some practical help, decision making perhaps. There’s an organization that I took my training from, which began, I want to say, in 2012.

Provider 119
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Hastening Death by Stopping Eating and Drinking: Hope Wechkin, Thaddeus Pope, & Josh Briscoe

GeriPal

Recently, discussion has emerged about how these issues intertwine in caring for patients with advancing dementia who have stated that they would not want to continue living in that condition: for those with an advanced directive to stop eating and drinking, how do we balance caring for their rational past self and their experiential current self?

IT 89
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As Federal Health Grants Shrink, Memory Cafes Help Dementia Patients and Their Caregivers

Physician's Weekly

Losing Memory, and Other Things, Too Kennedy’s diagnosis led him to retire, ending a decades-long career as a software engineer at the University of Scranton. They have given him purpose, Kennedy said, and help him cope with negative emotions around his diagnosis. Socializing can also become more difficult after diagnosis.