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Primary Care Perspectives on Access to Specialty Care in Rural Communities: A Mixed-Method Study [Health care disparities]

Annals of Family Medicine

Rural health system leaders described 5 methods to provide rural specialty access: community-based, visiting, referrals to larger towns, telehealth, and management by primary care with specialist support. Telehealth services are underutilized; incentives for traveling specialists could increase access.

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Hormone virtual consultation for PCOS | Canadian women

Dr. Zaar

A virtual hormone consultation combines patients with certified endocrinologists or hormone experts through safe videos or phone appointments. Instead of waiting for months for in-Persen referrals, women can now receive timely assessment and recommendations from the comfort of their homes. What is virtual hormone consultation?

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Telehealth vs In-Person Palliative Care: A Podcast with Joseph Greer, Lynn Flint, Simone Rinaldi, and Vicki Jackson

GeriPal

In one corner, weighing in at decades of experience, well known for heavy hits of bedside assessments, strong patient-family relationships, and a knockout punch of interdisciplinary collaboration, we have in-person palliative care consults. Eric 01:08 On the other, we have the young upstart telehealth delivered palliative care.

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Psychological Issues in Palliative Care: Elissa Kozlov and Des Azizoddin

GeriPal

As she said, when you think about the hardest patients you’ve cared for, in nearly all cases there was some aspect of psychological illness involved. Then, “Keep your hand up if you frequently refer patients with cancer pain to a psychologist?” That rings true to me. All hands go up. All hands go down.

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

GeriPal

The obstacles hindering referrals to palliative care services. We also take a dive into these 2 articles that Connie first authored: Palliative care in nursing homes: A qualitative study on referral criteria and implications for research and practice. And so I tried to get her actually to pain management, and I couldn’t.

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

GeriPal

So we looked at hospital referral regions, and we looked at high- and low- intensity regions. It improves symptom management. Nursing homes are subsidized by their Medicare, by their rehab patients. Once a nursing home gets a bad reputation and they can’t attract the rehab patients anymore, they’re in big trouble.

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Telemedicine in a Post-Pandemic World: Joe Rotella, Brooke Calton, Carly Zapata

GeriPal

Clinicians could care for patients across state lines, could prescribe opioids without in person visits, could bill at higher rates for telemedicine than previous to the pandemic. Many patients benefited, not only those isolating due to covid, but also patients in rural areas, patients who are homebound, and many others.