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How primary care physicians experience telehealth: an international comparison
This report sets out the findings from the 2022 Commonwealth Fund International Health Policy Survey of Primary Care Physicians. It explores the uptake and impact of telehealth across 10 countries (including the United Kingdom). The majority of primary care physicians in half of the surveyed countries see some patients in a typical week via telehealth, whether through video or audio. In more than half the countries most physicians believe telehealth has improved timeliness of care and enabled them to perform mental and behavioural health needs assessments. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - April 14, 2023 Category: Consumer Health News Source Type: news

Bailed out and burned out? The financial impact of COVID-19 on UK care homes for older people and their workforce
Report notes many issues concerning low pay, funding models, and governance of care home sector for older people predated pandemic, but COVID-19 crisis brought their urgency into stark relief, prompting a need for sustainable solutions beyond the pandemic. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - April 14, 2023 Category: Consumer Health News Source Type: news

Non-accidental injuries in infants attending the emergency department
This investigation explores the issues that influence the diagnosis of non-accidental injuries in infants (children under one year of age) who visit an emergency department (ED). Specifically, it explores the information and support available to ED clinicians to help them to make such a diagnosis. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - April 14, 2023 Category: Consumer Health News Source Type: news

The rise and decline of the NHS in England 200020: How political failure led to the crisis in the NHS and social care
This personal work from Professor Sir Chris Ham (previous Chief Executive at The King ' s Fund) finds that multi-year funding increases and reforms led to improvements in NHS performance between 2000 and 2010, but performance has declined since 2010 as a result of much lower funding increases, limited funds for capital investment and neglect of workforce planning. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - April 14, 2023 Category: Consumer Health News Source Type: news

Comparative Effectiveness of Fludrocortisone and Hydrocortisone vs Hydrocortisone Alone Among Patients With Septic Shock
Question: What is the comparative effectiveness of fludrocortisone added to hydrocortisone vs hydrocortisone alone among patients with septic shock? Findings: In this multicenter cohort study among 88 275 patients with septic shock receiving norepinephrine who initiated hydrocortisone treatment, the addition of fludrocortisone to hydrocortisone was associated with a 3.7% lower adjusted absolute risk difference in the primary composite outcome of mortality or discharge to hospice compared with initiation of hydrocortisone alone. Meaning: Among patients with septic shock receiving norepinephrine who initiated hydrocortisone ...
Source: Current Awareness Service for Health (CASH) - April 14, 2023 Category: Consumer Health News Source Type: news

Learning disabilities: policies to reduce inpatient care
Report covers health policies, NHS Long Term Plan, mandatory staff training, reducing inpatient care, Mental Health Act reform and learning from life and deaths review programme. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - April 14, 2023 Category: Consumer Health News Source Type: news

Use of Sepsis Clinical Prediction Models to Improve Patient Care
Sepsis, a dysregulated host response to infection resulting in organ failure, is the single largest contributor to mortality and cost in hospitals in the US. Because timely identification and treatment of patients at risk for sepsis is associated with improved outcomes, accelerating the initiation of sepsis care is important. In this issue of JAMA Internal Medicine, Lyons et al1 report on an evaluation of the performance of a proprietary sepsis prediction model (Epic Sepsis Model [ESM]) across 9 hospitals and 806 696 encounters within a single health system. The ESM is a machine learning-based prediction model designed to ...
Source: Current Awareness Service for Health (CASH) - April 14, 2023 Category: Consumer Health News Source Type: news

Health CareAssociated Infections Among Hospitalized Patients With COVID-19, March 2020-March 2022
Question: What is the incidence of health care –associated infections (HAIs) among hospitalized patients with COVID-19 vs those without COVID-19? Findings: In a cross-sectional analysis of more than 5 million hospitalizations between 2020 and 2022, the occurrence of central line–associated bloodstream infection, catheter-associated urinary t ract infection, and methicillin-resistant Staphylococcus aureus bacteremia was between 2.7- and 3.7-fold higher in the COVID-19 population. Occurrence of these HAIs among patients hospitalized without COVID-19 did not increase significantly from baseline during this same time frame...
Source: Current Awareness Service for Health (CASH) - April 14, 2023 Category: Consumer Health News Source Type: news

Quality Improvement to Promote Sepsis Reassessment: The Sepsis Reassessment Protocol Improvement Project (SRPIP)
Conclusions: The results demonstrate that education, combined with RSAs, can improve protocol knowledge and compliance. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - April 14, 2023 Category: Consumer Health News Source Type: news

Identifying high-risk phenotypes and associated harms of delayed time-to-antibiotics in patients with ICU onset sepsis: A retrospective cohort study
Conclusions: Septic patients with respiratory or cardiovascular dysfunction were associated with harms of delayed time-to-antibio tics. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - April 14, 2023 Category: Consumer Health News Source Type: news

Artificial Intelligence for Early Sepsis Detection: A Word of Caution
Sepsis is a life-threatening syndrome with an estimated 49 million cases and 11 million related deaths globally each year ( 2 External 0 0 0 ref showRefEvent 1 false https://www.atsjournals.org/doi/10.1164/rccm.202212-2284VP true false%>). Early detection of potential sepsis, leading to a timely and appropriate work-up and treatment, seems essential to improve outcomes ( 2 External 0 0 0 ref showRefEvent 2 false https://www.atsjournals.org/doi/10.1164/rccm.202212-2284VP true false%>). However, sepsis ' highly heterogeneous and variable presentation makes it hard to establish a prompt and accurate diagnosis. Consequently,...
Source: Current Awareness Service for Health (CASH) - April 14, 2023 Category: Consumer Health News Source Type: news

One-session treatment is as effective as multi-session therapy for young people with phobias
Cognitive behavioural therapy (CBT) is a talking therapy that can help children and young people overcome fears (phobias). It is routinely delivered over multiple sessions. A new study showed that one-session treatment is as effective as multi-session CBT, and is cheaper. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - April 13, 2023 Category: Consumer Health News Source Type: news

A social capital perspective on community development
This report examines the Ambition for Ageing programme ' s work in Greater Manchester through the lens of social capital. Ambition for Ageing was a seven-year programme that aimed to create more age-friendly places in Greater Manchester and empowered people to live fulfilling lives as they age. The report draws on more than 30 case studies collected from local delivery leads across Greater Manchester to understand the role of social capital in the delivery of projects, as well as how the programme invested in the formation of new social capital in local communities. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - April 13, 2023 Category: Consumer Health News Source Type: news

Prevention in health and social care: proposal to the House of Commons Health and Social Care Select Committee inquiry
In January 2023 the Health and Social Care Select Committee announced an inquiry into prevention in health and social care. In recognition of the wide-ranging nature of this issue, the committee invited proposals from organisations to help them agree a scope for the inquiry. This proposal from the NHS Confederation emphasises the need to take a system-wide approach and to view prevention through the lens of the second core purpose of integrated care systems (ICS), which pertains to population health, health inequalities and prevention. The proposal also encourages the committee to consider how embedding prevention could be...
Source: Current Awareness Service for Health (CASH) - April 13, 2023 Category: Consumer Health News Source Type: news

Is Hewitt turning the tide of performance management or swimming against it?
Patricia Hewitt ' s independent review of integrated care systems (ICSs) is aimed squarely at one of the biggest challenges facing ICSs – the strong culture of top-down performance management in the NHS. The reforms introduced by the 2022 Health and Care Act, with their focus on collaboration across boundaries in local systems, represent a direct challenge to this hierarchical culture, and without a new approach to accountability in the NHS there is little hope of ICSs living up to their original promise. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - April 13, 2023 Category: Consumer Health News Source Type: news