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A 10-year population-based nationwide descriptive analysis of pediatric emergency care
Conclusions: In Taiwan, 25% of individuals seeking emergency care are children, mostly aged 0-5 years old. Costs and disease patterns vary among different age groups. Preventive measures targeting all children should focus on respiratory and gastrointestinal diseases, but should target different diseases for different age groups to improve child health.
Source: BMC Pediatrics - Latest articles - April 10, 2014 Category: Pediatrics Authors: Mei-Jy JengYu-Sheng LeePei-Chen TsaoChia-Feng YangYu-Cheng LuoWen-Jue Soong Source Type: research

Race, Ethnicity, Health Insurance, and Mortality in Older Survivors of Critical Illness
Conclusions: Mortality after critical illness among older adults varies by insurance coverage but not by race or ethnicity. Those with federal or state insurance coverage only had higher mortality rates than those with additional commercial insurance.
Source: Critical Care Medicine - May 17, 2017 Category: Emergency Medicine Tags: Online Clinical Investigations Source Type: research

Biden Signs Orders to Expand Health Care Access
Reopened Affordable Care Act health insurance enrollment period will run from Feb. 15 to May 15
Source: Pulmonary Medicine News - Doctors Lounge - January 29, 2021 Category: Respiratory Medicine Tags: Cardiology, Dermatology, Endocrinology, Family Medicine, Geriatrics, Gastroenterology, Gynecology, Infections, AIDS, Internal Medicine, Allergy, Critical Care, Emergency Medicine, Nephrology, Neurology, Nursing, Oncology, Ophthalmology, Orthopedics, ENT, Source Type: news

Organizational characteristics associated with high performance on quality measures in pediatric primary care: A positive deviance study
Conclusions Both modifiable organizational practices and factors external to a practice may affect quality of care. Addressing differences in practice performance may not be reducible to implementation of changes in single organizational characteristics. Practice Implications Pediatric practices seeking to improve quality of care may wish to adopt the strategies that were associated with higher performance on quality measures, but additional studies are needed to better understand the mechanisms behind these associations and how they relate to each other.
Source: Health Care Management Review - June 3, 2021 Category: American Health Tags: Features Source Type: research

Chronic Obstructive Pulmonary Disease in America's Black Population.
Abstract America's black population can be traced back to Africa from where hundreds of thousands of Africans were brought to the United States (U.S.) from West Africa via the transatlantic slave trade. Currently, Blacks in America are a rapidly growing subset of the U.S. population and the growing black immigrant population has recently fueled this growth. COPD prevalence and morbidity vary widely among African Americans (U.S. born blacks) versus black immigrants (foreign-born blacks), but most studies have treated blacks in America as a homogeneous "African-American" population. This assumption ignores the dispa...
Source: American Journal of Respiratory and Critical Care Medicine - February 21, 2019 Category: Respiratory Medicine Authors: Ejike CO, Dransfield MT, Hansel NN, Putcha N, Raju S, Martinez CH, Han MK Tags: Am J Respir Crit Care Med Source Type: research

Recurrent and High-frequency Use of the Emergency Department by Pediatric Patients.
CONCLUSIONS: Risk factors for recurrent ED use by children include age, race and ethnicity, and insurance status. Although asthma plays an important role in recurrent ED use, acute illnesses account for the majority of recurrent ED visits. PMID: 24730398 [PubMed - as supplied by publisher]
Source: Accident and Emergency Nursing - April 1, 2014 Category: Emergency Medicine Authors: Alpern ER, Clark AE, Alessandrini EA, Gorelick MH, Kittick M, Stanley RM, Michael Dean J, Teach SJ, Chamberlain JM, Pediatric Emergency Care Applied Research Network (PECARN) Tags: Acad Emerg Med Source Type: research

PodMed – Week of September 12, 2016
This week’s topics include use of cord blood, the burden of electronic medical records, utility of craniotomy in traumatic brain injury, and alternative therapies for managing pain. Program notes: 0:36 Pain management techniques 1:39 Back pain acupuncture and yoga 2:36 Transition with insurance 3:24 Craniotomy and traumatic brain injury 4:25 TBI often have sequela 5:00 […]
Source: Johns Hopkins Medicine Weekly Health News - September 10, 2016 Category: Consumer Health News Authors: Elizabeth Tracey Johns Hopkins Medicine Tags: All Podcasts Cancer Critical care medicine Health Insurance Neurology And Neurosurgery Pain And Pain Relief Patient Care PodMed Source Type: podcasts

Implementation of the Affordable Care Act: A Comparison of Outcomes in Patients With Severe Sepsis and Septic Shock Using the National Inpatient Sample*
Objectives: Sepsis is the most common and costly diagnosis in U.S.’ hospitals. Despite quality improvement programs and heightened awareness, sepsis accounts for greater than 50% of all hospital deaths. A key modifier of outcomes is access to healthcare. The Affordable Care Act, passed in 2010, expanded access to health insurance coverage. The purpose of this study was to evaluate changes in insurance coverage and outcomes in patients with severe sepsis and septic shock as a result of the full implementation of the Affordable Care Act. Design: This retrospective study uses data from the Healthcare Cost and Utilizati...
Source: Critical Care Medicine - May 22, 2020 Category: Emergency Medicine Tags: Feature Articles Source Type: research

Asthma in hispanics. An 8-year update.
Abstract This review provides an update on asthma in Hispanics, a diverse group tracing their ancestry to countries previously under Spanish rule. A marked variability in the prevalence and morbidity from asthma remains among Hispanic subgroups in the United States and Hispanic America. In the United States, Puerto Ricans and Mexican Americans have high and low burdens of asthma, respectively (the "Hispanic Paradox"). This wide divergence in asthma morbidity among Hispanic subgroups is multifactorial, likely reflecting the effects of known (secondhand tobacco smoke, air pollution, psychosocial stress, obesity, ina...
Source: American Journal of Respiratory and Critical Care Medicine - June 1, 2014 Category: Respiratory Medicine Authors: Rosser FJ, Forno E, Cooper PJ, Celedón JC Tags: Am J Respir Crit Care Med Source Type: research

Long-term Mortality and Major Adverse Cardiovascular Events in Sepsis Survivors: A Nationwide Population-based Study.
CONCLUSIONS These data indicate that sepsis survivors had substantially increased risks of subsequent all-cause mortality and major adverse cardiovascular events at 1 year after discharge, which persisted for up to 5 years after discharge. PMID: 26808711 [PubMed - as supplied by publisher]
Source: American Journal of Respiratory and Critical Care Medicine - January 25, 2016 Category: Respiratory Medicine Authors: Ou SM, Chu H, Chao PW, Lee YJ, Kuo SC, Chen TJ, Tseng CM, Shih CJ, Chen YT Tags: Am J Respir Crit Care Med Source Type: research

Joblessness and Lost Earnings After ARDS in a 1-Year National Multicenter Study.
CONCLUSIONS: At 12 months after ARDS, nearly one-half of previously-employed survivors were jobless. Post-ARDS joblessness is associated with readily identifiable patient and hospital variables, and accompanied by substantial lost earnings and a shift toward government-funded healthcare coverage. PMID: 28448162 [PubMed - as supplied by publisher]
Source: American Journal of Respiratory and Critical Care Medicine - April 27, 2017 Category: Respiratory Medicine Authors: Kamdar BB, Huang M, Dinglas VD, Colantuoni E, von Wachter TM, Hopkins RO, Needham DM, National Heart, Lung, and Blood Institute Acute Respiratory Distress Syndrome Network Tags: Am J Respir Crit Care Med Source Type: research

Chronic Obstructive Pulmonary Disease in Hispanics: A 9-Year Update.
Abstract Hispanics are the largest minority in the U.S., now encompassing 56.6 million people. A Hispanic or Latino is an individual whose ancestry can be traced to Spain or territories previously under Spanish control. The Hispanic population in the U.S. and Latin America is very diverse for country of origin, nativity, and racial ancestry. Over the last nine years, our knowledge of COPD in Hispanics has improved, due to a better understanding of differences in COPD burden and risk factors across Hispanic subgroups, development of subgroup-specific spirometry reference equations, genetic studies, and better knowl...
Source: American Journal of Respiratory and Critical Care Medicine - September 1, 2017 Category: Respiratory Medicine Authors: Díaz A, Celli B, Celedón JC Tags: Am J Respir Crit Care Med Source Type: research

Urgent Care Utilization in a Pediatric Population with Private Health Insurance
Pediatric urgent care (UC) utilization patterns have been studied in Medicaid enrollees, but not in those with private insurance.
Source: Journal of Pediatric Health Care - February 19, 2020 Category: Pediatrics Authors: Shawna S. Mudd, Sylvia M. Alvarado, Sarah Otaru, Therese Canares Tags: Article Source Type: research

Sovaldi - a "Revolution" in Clinical Care, or in Marketing and Public Relations?
DiscussionWashington Post/ Kaiser Health NewsOn May 12, 2014, in an article on the dilemma the drug's US price of $1000/ pill presents to Medicare, Richard Knox wrote this about a patient with the infection:Previous drug treatments didn't clear the virus from Bianco's system. But it's almost certain that potent new drugs for hep-C could cure him. In other words, the article asserted that Sovaldi and similar drugs cure nearly everyone with hepatitis C, even those not cured by previous treatment.  ReutersOn May 20, 2014, in an article about how US health insurers are balking at the price of Sovaldi, was this statement b...
Source: Health Care Renewal - May 28, 2014 Category: Health Management Tags: evidence-based medicine Gilead health care prices manipulating clinical research Sovaldi You heard it here first Source Type: blogs

How States Can Expand Access To Palliative Care
Conclusion The policies discussed in this Blog post are intended to serve as a framework for policymakers and other stakeholders interested in doing more to support palliative care in their states. Here are a few considerations for those interested in exploring potential options: None of the policies and initiatives described above would have been possible without efforts from key stakeholders such as the state hospice and palliative care associations, and local funders, researchers, and advocates. Champions such as Colorado’s Center for Improving Value in Health Care (CIVHC), the Coalition for Compassionate Care of Cal...
Source: Health Affairs Blog - January 30, 2017 Category: Health Management Authors: Stacie Sinclair and Diane Meier Tags: End of Life & Serious Illness Long-term Services and Supports Medicaid and CHIP Payment Policy Quality California End-of-Life Care Palliative Care States Source Type: blogs