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Factors associated with patients' experience of access to their primary health care clinic: a multilevel analysis [Health care services, delivery, and financing]

Annals of Family Medicine

This study aims to examine individual, organizational, and contextual factors associated with patients’ experience of access to their multidisciplinary primary healthcare clinic. Analyses were stratified by the number of consultations in the last 12 months: between 1 and 5 or over 5 consultations.

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Improving Nursing Home Quality: Jasmine Travers, Alice Bonner, Isaac Longobardi, and Mike Wasserman

GeriPal

Summary Transcript Summary In April 2022, the National Academies of Sciences, Engineering and Medicine (NASEM) issued a report on how the United States delivers, regulates, finances, and measures the quality of nursing home care. That’s where we’re focusing our efforts. Tell me about that. So it’s give and take.

Finance 95
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Involving the inner circle: Emily Largent, Anne Rohlfing, Lynn Flint & Anne Kelly

GeriPal

My favorite line from Emily’s paper: “Geriatric assent has not been widely adopted in clinical care, but bioethicists should advocate for this, as adoption of partial-involvement strategies can prolong the period in which individuals are (appropriately) engaged in decisions about their health care.” I’m not going to talk about finances.

Family 97
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Implementing Palliative Care in Nursing Homes: A Podcast wtih Connie Cole, Kathleen Unroe, and Cari Levy

GeriPal

So, how can we improve palliative care for individuals in nursing homes? So it’s, you know, nursing homes are part of the healthcare sector, but they’re also part of the social care sector in the same building. And so we do have consultants who come in the building. And usually it’s simply for a consultation.

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Understanding the Variability in Care of Nursing Home Residents with Advanced Dementia

GeriPal

Caroline: And I love how you highlight the importance of these staff biases, perhaps implicit bias that is driving some of these healthcare decisions. That’s a problem in our healthcare financing system. We got rid of all these psychotropic medications and this person … one individual had had a vascular dementia.

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Trump Whacks Agency That Makes the Nation’s Health Care Safer

Physicians News Digest

On April 1, the Trump administration slashed the organization that supported that research — the Agency for Healthcare Research and Quality, or AHRQ — and fired roughly half of its remaining employees as part of a perplexing reorganization of the federal Health and Human Services Department. What we’ve been doing isn’t working,” he said.