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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

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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How Mental Health & SUD Bias Impact ED Physical Care

Physician's Weekly

Patients with documented mental illness or substance use disorders (SUDs) continue to encounter a mixed—sometimes starkly divergent—quality of emergency department (ED) care when they present with chest pain, abdominal pain, or other non‑psychiatric complaints, according to a patient‑interview study published in Health Services Research.

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Overtreatment of prostate cancer in the active surveillance era

Common Sense Family Doctor

Concerns about overdiagnosis of clinically insignificant prostate cancer through prostate specific antigen (PSA) screening motivated the 2018 American Academy of Family Physicians’ (AAFP) recommendation against routine screening for prostate cancer. Explaining the AAFP’s position, Drs.

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Probiotics don’t improve outcomes in children with acute gastroenteritis

PEMBlog

However, this large study shows that probiotics do not significantly shorten illness duration, improve symptoms, or reduce the need for additional medical visits. 2018 Nov 22;379(21):2002-2014. N Engl J Med 2018; 379:2015-2026. By using the latest research, parents can focus on more effective treatments like hydration.

Hospital 105
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Diabetes in Late Life: Nadine Carter, Tamryn Gray, Alex Lee

GeriPal

Our last podcast was with Laura Petrillo in 2018 – 5 years ago seems ancient history – though many of the points still apply today (e.g. And yet we’re also in a different place in diabetes monitoring and management. Eric: And you can probably tell already, the topic at hand is diabetes management in late life.

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Rethinking Opioid Conversions: Mary Lynn McPherson and Drew Rosielle

GeriPal

I think part of it’s the math, but I think what really happened is, I think the story here is that in 2018, MD Anderson published this really landmark study by Dr. Reddy and her colleagues about going from IV Dilaudid to other to oral Dilaudid, oral hydromorphone, I should say, oral morphine and oral oxycodone. Landmark study.

IT 139
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Aging and the ICU: Podcast with Lauren Ferrante and Julien Cobert

GeriPal

This idea that for critically ill patients in the ICU, geriatric conditions like disability, frailty, multimorbidity, and dementia should be viewed through a wider lens of what patients are like before and after the ICU event was transformative for our two guests today. I want to say like 2017, 2018, something like that. Alex: Yeah.