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Challenges and Facilitators in Implementing Remote Patient Monitoring Programs in Primary Care
ConclusionsTo encourage ongoing growth of RPM, it will be necessary to address implementation barriers through changes in payment policy, training and education in digital and health literacy, improvements in staff roles and workflows, and new strategies to ensure equitable access. (Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - April 23, 2024 Category: Internal Medicine Source Type: research

Availability of Non-English Language Telephone Recordings at Ambulatory Clinics
(Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - April 23, 2024 Category: Internal Medicine Source Type: research

A Toolkit for Delirium Identification and Promoting Partnerships Between Carers and Nurses: A Pilot Pre –Post Feasibility Study
ConclusionThe prevention and management of delirium are imperative for safe and quality care for patients, carers, and staff. Further comprehensive and in-depth research is required to better understand underlying mechanisms of change and explore facets of nursing practice influenced by this innovative approach. (Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - April 22, 2024 Category: Internal Medicine Source Type: research

Dihydropyridine Calcium Channel Blockers and Kidney Outcomes
ConclusionsDCCBs were associated with increased risk of albuminuria and, in the absence of RAS blockade, KFRT. These findings suggest coupling DCCB therapy with RAS blockade may mitigate adverse kidney outcomes. (Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - April 19, 2024 Category: Internal Medicine Source Type: research

Letter to the Editor: Inpatient Understanding of Their Care Team and Receipt of Mixed Messages: A Two-Site Cross-Sectional Study
(Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - April 19, 2024 Category: Internal Medicine Source Type: research

Similarities and Differences Between Pragmatic Trials and Hybrid Effectiveness-Implementation Trials
AbstractPragmatism in clinical trials is focused on increasing the generalizability of research findings for routine clinical care settings. Hybridism in clinical trials (i.e., assessing both clinical effectiveness and implementation success) is focused on speeding up the process by which evidence-based practices are developed and adopted into routine clinical care. Even though pragmatic trial methodologies and implementation science evolved from very different disciplines, Pragmatic Trials and Hybrid Effectiveness-Implementation Trials share many similar design features. In fact, these types of trials can easily be confla...
Source: Journal of General Internal Medicine - April 16, 2024 Category: Internal Medicine Source Type: research

Impact of SARS-CoV-2 Infection on Long-Term Depression Symptoms among Veterans
ConclusionSARS-COV-2 infection was associated with more depression symptoms among Veterans at 18-months post-infection. Routine evaluation of depression symptoms over time following SARS-COV-2 infection is important to facilitate adequate assessment and treatment. (Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - April 16, 2024 Category: Internal Medicine Source Type: research

Identifying Patterns of Primary Care In-Person and Telemedicine Use in the Veterans Health Administration: A Latent Class Analysis
ConclusionsVeterans accessing primary care in-person or via telemedicine do so primarily in three ways: (1) few visits, predominantly telephone; (2) intermediate visits, all modalities, (3) many visits, all modalities. We found no groups of veterans receiving a majority of primary care through video. (Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - April 15, 2024 Category: Internal Medicine Source Type: research

Antibiotics Not Associated with Shorter Duration or Reduced Severity of Acute Lower Respiratory Tract Infection
ConclusionsIn this large prospective study in the US primary and urgent care setting, antibiotics had no measurable impact on the severity or duration of cough due to acute LRTI. Patients had unrealistic expectations regarding the duration of LRTI and the effect of antibiotics which should be the target of antibiotic stewardship efforts. (Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - April 15, 2024 Category: Internal Medicine Source Type: research

Teledidactic Versus Hands-on Teaching of Abdominal, Thoracic, and Thyroid Ultrasound —The TELUS II Study
ConclusionsA teledidactic course for abdominal and thoracic ultrasound examinations is equally effective to traditional face-to-face teaching in this pilot study. Digital implementation with a portable ultrasound machine could be a great opportunity to promote ultrasound education worldwide and over great distances. (Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - April 12, 2024 Category: Internal Medicine Source Type: research

Death Exam
(Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - April 12, 2024 Category: Internal Medicine Source Type: research

The Patient-Physician Relationship: Medical Students ’ Perceptions in a Novel Course
AbstractThe patient-physician relationship, especially in the case of severely ill patients, is often fraught with anxiety, grief, and guilt in the physician who may come to feel that he or she has failed the patient and thereby becomes a “second victim.” This notion was first explored in a 1973 publication (Artiss and Levine N Engl J Med 288(23):1210-4,1973) that described a novel interactive seminar series for oncology fellows that had been designed to address and possibly remedy the frequent disquiet experienced by young physicians in this setting. Fifty years later, the medical student co-authors of this Perspectiv...
Source: Journal of General Internal Medicine - April 10, 2024 Category: Internal Medicine Source Type: research

Can Timely Outpatient Visits Reduce Readmissions and Mortality Among Heart Failure Patients?
ConclusionOutpatient follow-up within 30  days after a hospital discharge reduced risk of 30-day adverse events among HF patients, the benefit varying according to clinical complexity. Results suggest the need to prioritize patients who benefit from outpatient follow-up for these visits. (Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - April 10, 2024 Category: Internal Medicine Source Type: research

Self-Rated Health in Middle Age and Risk of Hospitalizations and Death: Recurrent Event Analysis of the ARIC Study
ConclusionsEven after adjusting for demographic and clinical factors, having a less favorable response on a single measure of self-rated health taken in middle age is a potent marker of future hospitalizations and death. (Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - April 10, 2024 Category: Internal Medicine Source Type: research

Health Keynesianism: Why Full Employment Policy Matters for Population Health
(Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - April 10, 2024 Category: Internal Medicine Source Type: research