Algorithmic Triaging of Patients for Routine Care; a Path to Lower Costs

Most health system executives understand that significant changes are necessary in healthcare to adapt to the preferences of today's consumers while cutting costs and delivering quality care. A recent article quoted an executive of the Cleveland Clinic about three major trends that are shaping the health systems for the future (see:Why Today ’s Hospitals and Health Systems Need to Be More Patient-Centric to Fight Rising Costs). Below is an excerpt from it:“A central challenge for the United States is that between 18 to 20 percent of GDP is going to healthcare, and it’s on track to go higher,” saysEdmund Sabanegh,... President of the main campus hospital of the Cleveland Clinic.... “This explosive growth in expense is not sustainable and we cannot afford it as a country.” He discussed three trends that are emerging in response to this challenge and that will shape the hospital systems of the future. All of these trends amount to one thing: making healthcare more patient-friendly.[Patient centricity]“The hospitals and health systems of the future will need to be more patient-centric. Patients will not come to health systems- health systems will need to come to patients,” he says....But if there are clear algorithms in place for identifying patients who need much more advanced care, patients may be able to receive very routine kinds of services at much lower cost. ”Price transparency“Going forward, people ...
Source: Lab Soft News - Category: Laboratory Medicine Authors: Tags: Cost of Healthcare Healthcare Delivery Healthcare Information Technology Medical Research Quality of Care Telemedicine Source Type: blogs

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Authors: Ismaiil LA, Joumaa WH, Moustafa ME Abstract The excessive exposure of patients with type 2 diabetes mellitus (T2DM) to electromagnetic radiation (EMR) from mobile phones or their base stations antenna may influence oxidative stress and development of diabetic complications. Here, we investigated the effects of exposing type 2 diabetic rats to EMR of 900 MHz emitted from GSM mobile phone antenna for 24 hours/day over a period of 28 days on hyperglycemia and hepatic oxidative stress. Male Sprague-Dawley rats were divided into 4 groups (12 rats/group): control rats, normal rats exposed to EMR, ...
Source: Electromagnetic Biology and Medicine - Category: Physics Tags: Electromagn Biol Med Source Type: research
Authors: Jeladze V, Nozadze T, Petoev-Darsavelidze I, Partsvania B Abstract The human head and hand being in the near-field zone of a mobile phone antenna can drastically influence the antenna matching with free space. The goal of the presented research is to study this phenomenon on an inhomogeneous human model for different relative positions and distances of hand and fingers when using a mobile phone. The only safety criteria commonly used to estimate RF exposure impact on humans is the specific absorption rate (SAR). Its limits are determined by the Federal Communication Commission (FCC) in the USA and the Inte...
Source: Electromagnetic Biology and Medicine - Category: Physics Tags: Electromagn Biol Med Source Type: research
Effects of long-term exposure to an extremely low frequency magnetic field (15 µT) on selected blood coagulation variables in OF1 mice. Electromagn Biol Med. 2019 Jul 13;:1-8 Authors: Vallejo D, Hidalgo MA, Hernández JM Abstract The long-term exposure of OF1 mice to an extremely low frequency magnetic field (ELF-MF; 50 Hz, 15 µT [rms]) has been associated with the appearance of leukaemia. Neoplasms are usually accompanied by changes in haemostatic processes but reports on changes in blood coagulation following exposure to an ELF-MF are scarce and rather fragmentary. The aim...
Source: Electromagnetic Biology and Medicine - Category: Physics Tags: Electromagn Biol Med Source Type: research
Authors: Opel N, Cearns M, Clark S, Toben C, Grotegerd D, Heindel W, Kugel H, Teuber A, Minnerup H, Berger K, Dannlowski U, Baune BT Abstract Background: Preliminary research suggests that major depressive disorder (MDD) is associated with structural alterations in the brain; as well as with low-grade peripheral inflammation. However, even though a link between inflammatory processes and altered brain structural integrity has been purported by experimental research, well-powered studies to confirm this hypothesis in patients with MDD have been lacking. We aimed to investigate the potential association between struc...
Source: Journal of Psychiatry and Neuroscience - Category: Psychiatry Tags: J Psychiatry Neurosci Source Type: research
Authors: Johansson V, Erhardt S, Engberg G, Kegel M, Bhat M, Schwieler L, Blennow K, Zetterberg H, Cannon TD, Wetterberg L, Hultman CM, Landén M Abstract Preclinical studies indicate a link between the kynurenine pathway and monocyte chemoattractant protein-1 (MCP-1), but there is a lack of clinical studies examining this further. We here perform a secondary analysis of kynurenine metabolites and MCP-1 in cerebrospinal fluid of 23 twins affected from schizophrenia, bipolar disorder or unaffected. We show an association between MCP-1 and kynurenic acid (KYNA), driven by unique environmental influences and a l...
Source: European Archives of Psychiatry and Clinical Neuroscience - Category: Psychiatry Tags: Eur Arch Psychiatry Clin Neurosci Source Type: research
Authors: Barton BB, Zagler A, Engl K, Rihs L, Musil R Abstract The information on prevalence of obesity, diabetes, metabolic syndrome (MetS) and cardiovascular risk (CVR) and on sociodemographic variables available in patients with psychiatric diseases about to be treated with weight gain-associated medication (e.g., clozapine, mirtazapine, quetiapine) is limited. In a naturalistic study, psychiatric inpatients (age: 18-75) of all F diagnoses according to ICD-10, who were about to be treated with weight gain-associated medication, were included. Demographic variables were assessed as well as biological parameters t...
Source: European Archives of Psychiatry and Clinical Neuroscience - Category: Psychiatry Tags: Eur Arch Psychiatry Clin Neurosci Source Type: research
CONCLUSIONS: CES-D is a valid and reliable scale for detecting caregiver depression in dementia. It has added utility, beyond that of a caregiver burden scale, in identifying a subgroup of caregivers with depression but not burden. However, two subscales (Positive affect and Interpersonal problems) may require caution in interpretation among non-Caucasian caregivers. PMID: 31307034 [PubMed - as supplied by publisher]
Source: Dementia and Geriatric Cognitive Disorders - Category: Psychiatry Tags: Dement Geriatr Cogn Disord Source Type: research
We report a nanoclay-based radiofluorogenic gel (NC-RFG) dosimeter employing dihydrorhodamine 123 (DHR 123), which avoids the main drawbacks of conventional RFG, namely, diffusion of the radiation products, dose rate dependence, and oxygen effects in radiation-induced reactions. The dose responses of the NC-RFG employing DHR 123 under X-ray irradiation were evaluated using a fluorescence spectrometer and 2D fluorescence gel scanner. The results show high linearity within the range 0–5 Gy, and the sensitivity was maintained by increasing the post-irradiation time to 37 days and the dose rate from 3.0 to 10.4&th...
Source: Sensors and Actuators A: Physical - Category: Physics Source Type: research
Publication date: Available online 15 July 2019Source: Sensors and Actuators A: PhysicalAuthor(s): Klaus Seemann, Stefan Beirle, Claas Thede, Veit Schier, Eckhard QuandtAbstractFerromagnetic Fe-Co-Hf-N nanocomposite films were fabricated by reactive r.f. magnetron sputtering. Their magnetoelastic properties were exploited to realize a new sensor system that is able to monitor stress or stress induced temperature and thereby to control the wear process in cutting tools during metal working. The ferromagnetic films were combined with wear resistant Ti-Al-N and insulating SiO2 (or both) interface layers, in order to provide a...
Source: Sensors and Actuators A: Physical - Category: Physics Source Type: research
This study introduces the concept of printing two thermoplastic materials in a single 3D Printing process – one conductive the other non-conductive – to form interdigital sensor structures for Dielectric Analysis in mould tools for cure monitoring of the epoxy matrix during the Carbon Fibre Reinforced Polymer manufacturing process. This low-cost method would allow for reduced assembly and ease of sensor placement directly from Computed Aided Design, whilst using an accessible technology.The results obtained showed a cure point can be identified in accordance with the epoxy specifications, via integration of int...
Source: Sensors and Actuators A: Physical - Category: Physics Source Type: research
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