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Rural Hospital Futures in Colorado - Rapid Review and Environmental Scan for Policy Opportunities [Economic or policy analysis]

Annals of Family Medicine

Since 2005, over 180 rural hospitals have closed across the United States and 800 rural hospitals remain at high risk of closure. Nearly four million rural Americans lost a hospital in their county between 2005 and 2021. Rural hospitals with particular attention to Colorado. Study Design. Outcome Measures. Conclusions.

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Super-utilization interventions - failing or evolving in complex systems? A scoping literature review [Complexity science]

Annals of Family Medicine

Introduction: Super-utilization (frequent acute hospital care use or frequent emergency department (ED) utilization and readmissions) describes high rates of emergency department visits and hospital admissions by some individuals. Articles were intentionally chosen to illustrate primary themes.

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“The physician–patient encounter is health care’s choke point” -NEJM

A Country Doctor Writes

Six years ago, I wrote the essay below about an article I read in the New England Journal of Medicine. We provide many more services over the phone and virtually and we have a whole division for preventative care. The drugs are better, but the way patients engage with doctors during office visits and hospital stays is unchanged.

Patients 130
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From Numbers to Names: How Concierge Care is Redefining the Doctor-Patient Experience

Concierge Choice Physicians

A recent article in the Wall Street Journal interviewed physicians, attempting to make sense of the declining numbers. For medical professionals and those working in healthcare, the article was grim. They want time to spend with patients, to find the root cause of illness, provide lifestyle support, and help with treatment compliance.

Patients 130
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ICU telemedicine programs bring essential critical care to community hospitals

Sound Physicians

With the absence of intensivists on the ground in these community hospitals, the question becomes how to treat these patients where and when they need care. Our tele-ICU program , which is part of our critical care specialty, has brought meaningful and much-needed intensive care to remote communities for the past five years.

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The Massachusetts Avenue of health reform

The Health Policy Exchange

Both readings for this session, a New Yorker article and a Health Affairs paper , portrayed Romney as a “data wonk” who viewed the issue of the uninsured as a problem-solving challenge rather than a grand moral imperative. Yet much like LBJ's inspirational leadership, Romney's data-crunching approach produced tangible results.

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Shorter stays, better outcomes

Sound Physicians

This post is a summary of that discussion. A patient’s length of stay (LOS) in the hospital impacts so many factors, from reimbursement rates to health outcomes, which is why hospitals and health systems have made it their top priority. So, what’s the best strategy to help reduce length of stay (LOS)?