Prescribing harmful combinations of drugs is an all-too-frequent occurrence, particularly in fragmented health care systems where a patient’s care is spread across multiple physicians and organizations. In a new analysis, my colleagues and I report on what happened to harmful prescribing when Finland implemented a new, nationwide e-prescribing system. We show that new information technology can have a substantial impact by improving information flows between different physicians involved in a patient’s care.
[Cross-posted from the Tradeoffs Research Corner]
Patient Characteristics Associated With Telemedicine Access for Primary and Specialty Ambulatory Care During the COVID-19 Pandemic
Abstract [from journal]
Importance: The coronavirus disease 2019 (COVID-19) pandemic has required a shift in health care delivery platforms, necessitating a new reliance on telemedicine.
Objective: To evaluate whether inequities are present in telemedicine use and video visit use for telemedicine visits during the COVID-19 pandemic.
Design, Setting, and Participants: In this cohort study, a retrospective medical record review was conducted from March 16 to May 11, 2020, of all patients scheduled for...
Retrospective Development of a Novel Resilience Indicator Using Existing Cohort Data: The Adolescent to Adult Health Resilience Instrument
Abstract [from journal]
Background: Cohort studies represent rich sources of data that can be used to link components of resilience to a variety of health-related outcomes. The Adolescent to Adult Health (Add Health) cohort study represents one of the largest data sets of the health and social context of adolescents transitioning into adulthood. It did not however use validated resilience scales in its data collection process. This study aimed to retrospectively create and validate a resilience indicator using existing data from the cohort...
These Key Telehealth Policy Changes Would Improve Buprenorphine Access While Advancing Health Equity
[Original post: Utsha Khatri, Corey S. Davis, Noa Krawczyk, Michael Lynch, Justin Berk, Elizabeth A. Samuels, These Key Telehealth Policy Changes Would Improve Buprenorphine Access While Advancing Health Equity, Health Affairs Blog, September 11, 2020. https://www.healthaffairs.org/do/10.1377/hblog20200910.498716/full/. Copyright ©2020 Health Affairs by Project HOPE – The People-to-People Health Foundation, Inc.]
[cross-posted from CHOP PolicyLab]
Every medical diagnosis is built upon history—the history of current symptoms, past symptoms and, ideally, a complete and detailed medical history. For children in foster care, this information is often minimal, or in some cases completely absent.