There ’s a shortage of monkeypox vaccine. Could one dose instead of two suffice?
As the monkeypox outbreak grows, the preferred vaccine to combat it is in short supply—a problem that’s only getting worse now that countries are expanding access to the vaccine. But there is a strategy that could double overnight the number of people who can be vaccinated: use a single shot instead of the recommended two. Compelling data from monkey and human studies suggest a single dose of the vaccine—produced by Bavarian Nordic and sold under three different brand names—solidly protects against monkeypox, and that the second dose mainly serves to extend the durability of protection. The United Kingd...
Source: Science of Aging Knowledge Environment - July 1, 2022 Category: Geriatrics Source Type: research

With a Dynamic Past and Present, There ’s Little Doubt of a Dynamic Future for HM
In the late 1990s, when  Robert Wachter, MD, found that his vision of and advocacy for the hospital medicine field was starting to get publicity, his father told him about a tennis game he’d played in Florida. One of the players in his game was a doctor. Dr. Wachter talked about the past, present, and (bright) future of the specialty as HM enters its second quarter century. His father said he told the doctor who his son was, “and the doctor said he had heard of me,” Dr. Wachter, chair of internal medicine at the University of California, San Francisco, recalled in a keynote address at SHM Converge. “I sat ther...
Source: The Hospitalist - July 1, 2022 Category: Hospital Management Authors: Ronda Whitaker Tags: Hospital Medicine Leadership SHM Converge Source Type: research

COVID-19 Has Shown the Power of HM
Amid the unspeakable tragedies and hardships that the COVID-19 pandemic brought to the medical community are examples of stunning acts of innovation, compassion, and old-fashioned effort. Dr. Nasim Afsar, MD, MBA, MHM Nasim Afsar, MD, MBA, MHM—who has served on SHM’s board of directors and is now chief health officer at electronic health record company Cerner—doesn’t want people to forget those stories. Hospitalists should look to these bright spots for inspiration and motivation to continue improving health care, she said in a keynote speech at SHM Converge in Nashville, Tenn. in April. “Never again do we have...
Source: The Hospitalist - July 1, 2022 Category: Hospital Management Authors: Ronda Whitaker Tags: COVID-19 Hospital Medicine Leadership SHM Converge Source Type: research

High-Value Care in Pediatrics: Things We Do for No Reason
Dr. Tantoco Dr. Tchou began by defining value as an equation, with value equaling the sum of outcomes, patient experience, and equity, divided by the sum of cost and input. He emphasized that child health care spending has greatly increased in the U.S. and can result in inefficient systems, burnout, and preventable harm.  He applied the value equation to a case of a five-day-old, healthy, term newborn with elevated bilirubin in the high-risk zone. An outpatient pediatrician requested hospital admission for this infant with a bilirubin of 19.2 on a Friday night for fear of the bilirubin increasing with the need for photot...
Source: The Hospitalist - July 1, 2022 Category: Hospital Management Authors: Ronda Whitaker Tags: Neonatal Medicine Pediatrics SHM Converge Source Type: research

Effects of Routine Health Care Combined with Oral Vitamin D on Linear Growth in 5-Year-Old Children
CONCLUSION: There are still more children without vitamin D supplement, which is closely related to their parents' education background and place of residence. Additionally, vitamin D supplementation can promote growth and improve 25-hydroxyvitamin D levels in children, but with the risk of related complications.PMID:35774751 | PMC:PMC9239794 | DOI:10.1155/2022/4677795 (Source: Evidence-based Complementary and Alternative Medicine)
Source: Evidence-based Complementary and Alternative Medicine - July 1, 2022 Category: Complementary Medicine Authors: Qingwen Zeng Yangyang Liu Source Type: research

Advancing multimorbidity management in primary care: a narrative review
Prim Health Care Res Dev. 2022 Jul 1;23:e36. doi: 10.1017/S1463423622000238.ABSTRACTBACKGROUND: Multimorbidity, defined as the coexistence of two or more chronic conditions in the same individual, is becoming a crucial health issue in primary care. Patients with multimorbidity utilize health care at a higher rate and have higher mortality rates and poorer quality of life compared to patients with single diseases.AIMS: To explore evidence on how to advance multimorbidity management, with a focus on primary care. Primary care is where a large number of patients with multimorbidity are managed and is considered to be a gateke...
Source: Primary Care - July 1, 2022 Category: Primary Care Authors: Chanchanok Aramrat Yanee Choksomngam Wichuda Jiraporncharoen Nutchar Wiwatkunupakarn Kanokporn Pinyopornpanish Poppy Alice Carson Mallinson Sanjay Kinra Chaisiri Angkurawaranon Source Type: research

A situational analysis of primary health care centers in Brazil: challenges and opportunities for addressing mental illness and substance use-related stigma
CONCLUSION: Increased government support, capacity building, and promoting social inclusion will provide opportunities to reduce stigma and reach marginalized populations. These findings will assist with addressing current gaps in PHC mental health service provision and may inform anti-stigma strategies for Brazil and other Latin American low- and middle-income countries.PMID:35775359 | DOI:10.1017/S1463423622000251 (Source: Primary Care)
Source: Primary Care - July 1, 2022 Category: Primary Care Authors: Sireesha Jennifer Bobbili Bruna Sordi Carrara Raquel Helena Hernandez Fernandes Carla Aparecida Arena Ventura Source Type: research

Procedural Trends in Medicare Reimbursement and Utilization for Breast Reconstruction: 2000–2019
Conclusions There has been a steady yet substantial decline in Medicare reimbursement for the majority of breast reconstruction procedures over the last 20 years. Given increasing medical costs and the financial uncertainty of the US health care system, an understanding of Medicare reimbursement trends is vital for policymakers, administrators, and physicians to develop agreeable reimbursement models that facilitate growth and economic vitality of breast reconstruction in the United States. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - July 1, 2022 Category: Cosmetic Surgery Tags: Breast Surgery Source Type: research

A Critical Assessment of the Transgender Health Care Workforce in the United States and the Capacity to Deliver Gender-Affirming Bottom Surgery
Conclusions This study demonstrated a shortage of providers with requisite training and experience to provide GABS. Although more robust studies are needed to better characterize the relationship between the number of patients seeking GABS and available providers, these findings indicate a need for improved training. (Source: Annals of Plastic Surgery)
Source: Annals of Plastic Surgery - July 1, 2022 Category: Cosmetic Surgery Tags: Research Source Type: research

Detecting Preanalytical Errors Using Quality Indicators in a Hematology Laboratory
Conclusions: Preanalytical errors remain a challenge to hematology laboratories. The errors in this case were predominantly related to specimen collection procedures that compromised the specimen quality. Quality indicators are a valuable instrument in the preanalytical phase that allows an opportunity to improve and explore clinical laboratory process performance and progress. Continual monitoring and management of QI data are critical to ensure ongoing satisfactory performance and to enhance the quality in the preanalytical phase. (Source: Quality Management in Healthcare)
Source: Quality Management in Healthcare - July 1, 2022 Category: Health Management Tags: Instruments and Methods Source Type: research

Metrics of HIV Pre-exposure Prophylaxis (PrEP) Implementation Before and After a Multidisciplinary Task Force at an Academic Institution
The objectives of this study were to describe interventions by a multidisciplinary PrEP task force at an academic medical center and compare metrics of PrEP implementation pre- and post-creation of this entity. Methods: The interventions of the task force are described within the rubric of the PrEP care continuum. Participants were adults prescribed PrEP for greater than or equal to 30 days at 9 clinical sites across a university health system. Metrics of PrEP implementation were compared over 12-month intervals before and after the creation of the task force. Results: An increased proportion of participants ...
Source: Quality Management in Healthcare - July 1, 2022 Category: Health Management Tags: Instruments and Methods Source Type: research

Physician Satisfaction With Telehealth: A Systematic Review and Agenda for Future Research
Conclusion: The results of this review support the observation that physicians across different specialties, geographic locations, practice locations, and care situations appear satisfied with engaging in telehealth for both patient care and consultations with other physicians. The research on telehealth should be enhanced, given how ubiquitous telehealth has become due to the Covid-19 pandemic. This enhancement should include larger physician sample sizes in studies of telehealth satisfaction; more research focused on telehealth in the primary care setting; and the types of virtual modalities that have become more com...
Source: Quality Management in Healthcare - July 1, 2022 Category: Health Management Tags: Original Articles Source Type: research

Factors Associated With Children Diagnosed With Attention-Deficit/Hyperactivity Disorder and 30-Day Follow-up Care With Practitioners Among Medicaid Recipients in Georgia
Conclusion: Pediatrics was the most common specialty prescribing ADHD medications. Managed care organizations can focus intervention efforts to improve compliance with 30-day follow-up among Medicaid children by targeting the high-risk categories identified above. They can also focus on facilitating communication between behavioral health practitioners and pediatricians about several key points: (1) the importance of using behavioral health therapy prior to prescribing medication; (2) the importance of timely follow-up care; and (3) the importance of medication management in combination with behavioral health therapy. ...
Source: Quality Management in Healthcare - July 1, 2022 Category: Health Management Tags: Original Articles Source Type: research

Creating a Shared Culture of Inquiry
No abstract available (Source: Quality Management in Healthcare)
Source: Quality Management in Healthcare - July 1, 2022 Category: Health Management Tags: Intermountain Advances Source Type: research

The Center for Nursing Inquiry: Developing Nurse-Led Inquiry
No abstract available (Source: Quality Management in Healthcare)
Source: Quality Management in Healthcare - July 1, 2022 Category: Health Management Tags: Insights From the Armstrong Institute Source Type: research