Journal of General Internal Medicine This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Re: 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 - January 8, 2024 Category: Internal Medicine Source Type: research

Letter to the Editors
(Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - January 5, 2024 Category: Internal Medicine Source Type: research

Did Medicaid Reimbursements Shape the Effects of Medicaid Expansion on Access to Health Care Among the Low-Income Population?
ConclusionsMedicaid ’s fee structure should be considered as a factor influencing large-scale coverage expansions. (Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - January 3, 2024 Category: Internal Medicine Source Type: research

Clinician ’s Approach to Advanced Statistical Methods: Win Ratios, Restricted Mean Survival Time, Responder Analyses, and Standardized Mean Differences
This article offers guidance to busy clinicians on the comprehension and practical applicability of the results to patients. Win ratios provide an alternative method to analyze composite outcomes by prioritizing individual components of the composite; prioritization of the outcomes should be evidence-based, pre-specified, and patient-centered. Restricted mean survival time presents a method to analyze Kaplan –Meier curves when assumptions required for Cox proportional hazards analysis are not met. As it only considers outcomes that occur within a specific timeframe, the duration of follow-up must be appropriately defined...
Source: Journal of General Internal Medicine - January 3, 2024 Category: Internal Medicine Source Type: research

The Role of Pragmatic Implementation Science Methods in Achieving Equitable and Effective Use of Artificial Intelligence in Healthcare
(Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - January 3, 2024 Category: Internal Medicine Source Type: research

Human Rights in Hospitals: an End to Routine Shackling
AbstractMedical students (NSB, NM, JDW) spearheaded revision of the policy and clinical practice for shackling incarcerated patients at Boston Medical Center (BMC), the largest safety net hospital in New England. In American hospitals, routine shackling of incarcerated patients with metal restraints is widespread —except for perinatal patients—regardless of consciousness, mobility, illness severity, or age. The modified policy includes individualized assessments and allows incarcerated patients to be unshackled if they meet defined criteria. The students also formed the Stop Shackling Patients Coalition (SSP Coalition)...
Source: Journal of General Internal Medicine - January 2, 2024 Category: Internal Medicine Source Type: research

Treatment Referrals Post-prohibition of Alcohol Exclusion Laws: Evidence from Colorado and Illinois
ConclusionsOur study reveals a potential positive association between the repeal and prohibition of AELs and increased alcohol-related treatment admissions. These findings suggest that states could enhance treatment opportunities for alcohol-related disorders by reconsidering their stance on AELs. While our study highlights the possible public health benefits of repealing AELs, it also paves the way for additional studies in this domain. (Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - January 2, 2024 Category: Internal Medicine Source Type: research

What Clinicians and Researchers Should Know About the Evolving Field of Advance Care Planning: a Narrative Review
AbstractAdvance care planning (ACP) has been recognized as crucial by patients, families, and clinicians; however, different definitions and measurements have led to inconsistencies in practice and mixed evidence in the literature. This narrative review explores ACP ’s evolution, innovations, and outcomes using thematic analysis to synthesize data from randomized controlled trials, reviews, and editorials. Key findings include (1) ACP has evolved over the past several decades from a sole focus on code status and advance directive (AD) forms to a continuum of care planning over the life course focused on tailored preparat...
Source: Journal of General Internal Medicine - January 2, 2024 Category: Internal Medicine Source Type: research

Determinants of Plasma Alzheimer ’s Disease Biomarker Use by Primary Care Providers and Dementia Specialists
ConclusionsSeveral factors will influence clinical use of plasma AD biomarkers. Some of them may inform the design of interventions to promote the effective and appropriate clinical translation of these tests. (Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - January 2, 2024 Category: Internal Medicine Source Type: research

Examining the Trajectory of Health-Related Quality of Life among Coronavirus Disease Patients
ConclusionsWe found significant heterogeneity of HR-QoL after COVID-19, with women and patients with specific comorbidities at increased risk of lower HR-QoL. Implementation of targeted psychological and physical interventions is crucial for enhancing the quality of life of this patient population. (Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - January 2, 2024 Category: Internal Medicine Source Type: research

Post-Hospitalization Home Monitoring Programs During the COVID-19 Pandemic: Survey Results from the Hospital Medicine Re-engineering Network (HOMERuN)
ConclusionsOur findings demonstrate rapid, ad hoc development of post-hospital discharge monitoring programs during the COVID-19 pandemic but with little standardization or evaluation. Additional study could identify the benefits of these programs, instruct their potential application to other disease processes, and inform further development as part of emergency preparedness for upcoming crises. (Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - December 27, 2023 Category: Internal Medicine Source Type: research

Antibiotic Use in Hospital Urinary Tract Infections After FDA Regulation
ConclusionsDuring this era of “black box” warnings, there was a decline in fluoroquinolone use for hospital-treated UTI with a concomitant decline in fluoroquinolone resistance and rise in ceftriaxone use. Efforts to restrict use of a medication class may lead to compensatory increases in use of a single alternative agent wi th changes in antimicrobial resistance profiles. (Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - December 26, 2023 Category: Internal Medicine Source Type: research

Racial and Ethnic Variation in Dementia Prevalence in a Diverse Cohort of Adults with Hip Fracture
(Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - December 24, 2023 Category: Internal Medicine Source Type: research

How to Use Costs in Value-Based Healthcare: Learning from Real-life Examples
DiscussionCosts vary among providers in healthcare, but also between provider and patient. The joint analysis of outcomes and costs using appropriate methods helps identify and optimize the aspects of care that drive desired outcomes and value. (Source: Journal of General Internal Medicine)
Source: Journal of General Internal Medicine - December 22, 2023 Category: Internal Medicine Source Type: research

Bringing Generalists to Global Health: a Missed Opportunity and Call to Action
AbstractThe credo of the generalist physician has always been the promotion of health for all, in every aspect: not just multiple vulnerable organ systems, but multiple social, cultural, and political factors that contribute to poor health and exacerbate health inequity. In recent years, the field of global health has also adopted this same mission: working across both national and clinical specialty borders to improve health for all and end health disparities worldwide. Yet within the Society for General Internal Medicine, and among American generalists, engagement in global health, both within and outside the USA, remain...
Source: Journal of General Internal Medicine - December 22, 2023 Category: Internal Medicine Source Type: research