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Impact of an Intensive Primary Care Service on Health Services Utilization in a High-Utilizer Patient Population [Health care services, delivery, and financing]

Annals of Family Medicine

Context: High-utilizer patient populations reflect poor health for those patients and high resource use for health systems. Few studies of high-utilization patient programs found improvements in the intervention groups compared to controls. Setting: Safety net hospital/clinic system in Fort Worth, Texas.

Utilities 130
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Patient Experience of Emergency Department Care in Newfoundland and Labrador: A Structural Equation Modeling Analysis [Health care services, delivery, and financing]

Annals of Family Medicine

Context: Over the last decade, patient care experience in the emergency department (ED) has been subpar. Relationships and communication with staff, physical comfort, privacy, and accessibility influence the patient experience of ED care. with the latent variable, except patient experience with staff responsiveness to requests.

Finance 130
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Misconceptions of Employer Sponsored Direct Primary Care (DPC)

Plum Health

Employers are increasingly finding that DPC offers a personalized doctor-patient relationship, comprehensive preventive care, and overall cost savings. Easy access and relationship-driven care minimize long-term healthcare expenses and cut down on unnecessary urgent care and emergency room visits. Sadly, up to 80% do not.

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

GeriPal

Summary Transcript Summary You know when you walk out of a patient’s room and have that sense, “This isn’t going to go well.” The patient is sick and getting sicker, and refuses to let you talk with family or other members of her inner circle. Rather, most of us live and make decisions in relationship to one another.

Family 97
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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. I know you’ve been a strong advocate for nursing home patients particularly in California.

Finance 95
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Implementing Palliative Care in Nursing Homes: A Podcast wtih Connie Cole, Kathleen Unroe, and Cari Levy

GeriPal

Eric 03:25 So we have a lot to talk about, but I’m wondering if we can kind of take a big step back and just talk about the patient population that’s in nursing homes. Connie 06:18 So, I’ve been a clinician working in the nursing home since back in the 80s, and I saw a lot of patients that really needed palliative care.

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New Prognostic Models for Older Adults: Alex Lee, James Deardorff, Sei Lee

GeriPal

As Alex Lee says on our podcast today, all prognostic models will be wrong (in some circumstances and for some patients); our job is to make prognostic models that are clinically useful. I think this is a really difficult topic to talk about with patients. She has a point. Prognosis is inherently uncertain.

IT 95