Review
Pediatrics
Sinead Murphy Salem, Robert J. Graham
Summary: Children and youth with special healthcare needs, children with medical complexity, and children with chronic, critical illness have varying degrees of medical dependence and vulnerability. This review discusses epidemiological trends in chronic illness in PICU, different care models, and future roles of PICU providers to optimize care for these pediatric populations.
FRONTIERS IN PEDIATRICS
(2021)
Article
Public, Environmental & Occupational Health
Caroline G. Heller, Colin D. Rehm, Amanda H. Parsons, Earle C. Chambers, Nicole H. Hollingsworth, Kevin P. Fiori
Summary: There is consensus that social needs have an impact on health outcomes, with a positive association found between social needs and specific chronic conditions such as depression, alcohol/drug use disorder, and smoking. Individuals with more social needs are more likely to have elevated PHQ-2 scores and other health issues, suggesting the importance of addressing unmet social needs to optimize health outcomes in communities with a dual burden of poverty and chronic disease.
PREVENTIVE MEDICINE
(2021)
Article
Medicine, General & Internal
Alissa Bernstein Sideman, Melissa Ma, Alma Hernandez de Jesus, Cecilia Alagappan, Na'amah Razon, Daniel Dohan, Anna Chodos, Tala Al-Rousan, Loren I. Alving, Freddi Segal-Gidan, Howie Rosen, Katherine P. Rankin, Katherine L. Possin, Soo Borson
Summary: This qualitative study explored the perspectives of primary care practitioners (PCPs) on their role in dementia care. The study found alignment between PCP perspectives and the core values of primary care in diagnosing and providing care for individuals with dementia, but identified a mismatch between these values and the health systems infrastructure for dementia care in their practice environment.
Article
Medicine, General & Internal
Abdelkader Nasreddine Belkacem, Sofia Ouhbi, Abderrahmane Lakas, Elhadj Benkhelifa, Chao Chen
Summary: Respiratory symptoms can be caused by different underlying conditions, and early diagnosis of the type of virus is crucial for controlling pandemics.
FRONTIERS IN MEDICINE
(2021)
Article
Geriatrics & Gerontology
Mahdieh Najafi, Kamal Gholipour, Mohammad Amerzadeh, Mohammad Zakaria Kiaei, Rohollah Kalhor
Summary: This study examines the barriers, solutions, and problems of elderly participation in primary health care (PHC) through a systematic review and interviews. It presents a framework for elderly participation in PHC, including approaches and strategies, indicators and consequences, implementation strategies, infrastructure, and goals and areas of participation.
Article
Public, Environmental & Occupational Health
Sally G. Haskell, Ling Han, Erica A. Abel, Lori Bastian, Mary Driscoll, James Dziura, Matthew M. Burg, Melissa Skanderson, Cynthia A. Brandt
Summary: The study revealed that women had a 42% higher likelihood of high primary care visit utilization compared to men. However, there was a significant interaction between gender and CAN quintiles, with the CAN score quintiles showing stronger associations and better predictive accuracy for high primary care visit utilization in men than in women. Further research is needed to understand sex differences in Veterans Health Administration clinical complexity measures and their effectiveness in identifying high-risk, high-utilizing women Veterans.
JOURNAL OF WOMENS HEALTH
(2022)
Article
Pediatrics
Arvin Garg, Annelise Brochier, Yorghos Tripodis, Emily Messmer, Mari-Lynn Drainoni
Summary: This study assessed the implementation and effectiveness of the augmented WE CARE social care system on low-income children's health care utilization and child maltreatment outcomes. The implementation of WE CARE was poor and only 28.9% of visits had a WE CARE screener documented. WE CARE families received more resource referrals and had higher immunization rates, but also higher rates of emergency department visits and hospitalizations. There were no significant differences in maltreatment outcomes.
Article
Medicine, General & Internal
James H. Hull, Haya Langerman, Zia Ul-Haq, Tahereh Kamalati, Amanda Lucas, Mark L. Levy
Summary: Chronic cough is a debilitating respiratory symptom increasingly recognized as a separate disease entity. This study evaluated the burden of chronic cough in a primary care setting, identifying a significant number of patients without associated comorbidities. There was an increase in healthcare costs and investigations performed before and after the diagnosis of chronic cough.
Article
Health Care Sciences & Services
Elizabeth Hulen, Avery Laliberte, Sarah Ono, Somnath Saha, Samuel T. Edwards
Summary: The study found that HBPC patients are often socially isolated and face multiple layers of medical and social complexity, affecting their ability to access clinic-based care. Providers highlighted the importance of observing and providing care in patients' homes, filling in instrumental support gaps that are not solely medical. Flexible care designs provided by HBPC are necessary to address the social complexity of patients.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2021)
Review
Medicine, General & Internal
Donald E. Wesson, Vandana Mathur, Navdeep Tangri, Sarah Hamlett, David A. Bushinsky, L. Ebony Boulware
Summary: This article discusses the increasing adverse outcomes in patients with chronic kidney disease and the factors influencing them, emphasizing that the progression of chronic kidney disease is the primary driver of adverse outcomes. Racial/ethnic minorities are more likely to progress to end-stage kidney disease and measures need to be taken to slow the progression and reduce the occurrence of adverse outcomes.
AMERICAN JOURNAL OF MEDICINE
(2022)
Article
Multidisciplinary Sciences
K. Lukaschek, C. Beltz, S. Rospleszcz, H. Schillok, P. Falkai, J. Margraf, J. Gensichen
Summary: This study analyzed the association between PACIC scores and characteristics of primary care patients with depression and their general practitioners (GPs). The results showed that patient characteristics such as sex and age were not associated with PACIC scores, but the age of GPs was negatively associated with PACIC scores. The study concludes that PACIC is independent of patient and GP characteristics and can be used to assess patient perspectives on depression services in primary care.
SCIENTIFIC REPORTS
(2023)
Article
Nursing
Ann Annis, Hyokyoung G. Hong
Summary: This study conducted an observational study using Medicare Public Use Files from 2015 to 2018. It found that although chronic care management services increased each year, they remained underutilized. Increases in beneficiaries, percentage of dually enrolled, and primary care services predicted higher utilization of chronic care management.
Article
Health Care Sciences & Services
Meredith P. Fort, William Mundo, Alejandra Paniagua-Avila, Sayra Cardona, Juan Carlos Figueroa, Diego Hernandez-Galdamez, Kristyne Mansilla, Ana Peralta-Garcia, Dina Roche, Eduardo Alberto Palacios, Russell E. Glasgow, Pablo Gulayin, Vilma Irazola, Jiang He, Manuel Ramirez-Zea
Summary: This study conducted a multi-level, multi-method needs assessment to identify challenges and opportunities for hypertension services within Guatemala's public health system. Short-term needs included gaps in infrastructure, staffing, and medication supply, while long-term needs concerned sustained implementation and scale-up.
BMC HEALTH SERVICES RESEARCH
(2021)
Article
Public, Environmental & Occupational Health
Maria S. Soldado-Matoses, Jordi Caplliure-Llopis, Carlos Barrios
Summary: The study demonstrates that nursing intervention programs with home visits can effectively reduce hospital admissions and visits to the emergency department for chronic patients, but have no significant impact on mortality rates. This highlights the importance of primary care nurses in managing chronic patients effectively.
FRONTIERS IN PUBLIC HEALTH
(2023)
Article
Pediatrics
Nathaniel D. Bayer, Matthew Hall, Yue Li, James A. Feinstein, Joanna Thomson, Jay G. Berry
Summary: The study on the healthcare utilization and spending trends in children with neurologic impairment (NI) during their first 5 years of life indicates a significant decrease in the use and spending on inpatient services, while the use and spending on emergency department (ED) and outpatient services remain relatively stable. These findings can assist healthcare systems, clinicians, and families in predicting and adjusting for the shifting use of healthcare services, thus optimizing care.
Article
Health Care Sciences & Services
Joachim P. Sturmberg, Peter Tsasis, Laura Hoemeke
Summary: COVID-19 has highlighted the vulnerable state of global health and social systems, calling for enhanced emergency health crisis preparedness, integrated policy frameworks, and clear communication. It is essential to establish a robust distributed health system and transparent communication to build trust in the system. Additionally, systems thinking and complexity sciences should inform the redesign of strong health systems to address the current health crisis and create healthy, resilient, and productive communities.
INTERNATIONAL JOURNAL OF HEALTH POLICY AND MANAGEMENT
(2022)
Article
Psychiatry
Joachim P. Sturmberg
Summary: This article discusses the role of interoception in conveying one's overall physiological state, as well as the complex-adaptive system states of health and disease. It emphasizes the experiential nature of health states and the distinct patterns of overall function of individuals, while also exploring how to understand complex patterns of health and disease and improve patient management.
FRONTIERS IN PSYCHIATRY
(2021)
Review
Health Care Sciences & Services
Joachim Sturmberg, Elisabeth Paul, Wim Van Damme, Valery Ridde, Garrett W. Brown, Andreas Kalk
Summary: During the pandemic, single stories fail to capture the complexity of the global situation, showing the importance of listening to multiple narratives to effectively address challenges. Lack of transparency and coherent pandemic management highlight global deficiencies in public health policy and planning, leading to growing distrust in governments' crisis management abilities.
JOURNAL OF EVALUATION IN CLINICAL PRACTICE
(2022)
Editorial Material
Health Care Sciences & Services
Carmel Martin, Joachim Sturmberg
JOURNAL OF EVALUATION IN CLINICAL PRACTICE
(2022)
Article
Health Care Sciences & Services
Felix Tretter, Eva M. J. Peters, Joachim Sturmberg, Jeanette Bennett, Eberhard Voit, Johannes W. Dietrich, Gary Smith, Wolfram Weckwerth, Zvi Grossman, Olaf Wolkenhauer, James A. Marcum
Summary: This paper argues that data-driven analysis alone is insufficient for understanding the COVID-19 pandemic and for justifying public health regulations. It emphasizes the need for over-arching hypothesis-related and/or theory-based rationales to conduct effective research on SARS-CoV2/COVID-19.
JOURNAL OF EVALUATION IN CLINICAL PRACTICE
(2023)
Article
Health Care Sciences & Services
Joachim P. Sturmberg
Summary: The systemic failure of organizational learning is not surprising, as every system delivers outcomes according to its design. Knowledge management/transfer is a property of the organizational system rather than a specific technique. Creating and maintaining a learning culture requires leadership that promotes continuous dialogue for tacit and explicit knowledge exchange.
INTERNATIONAL JOURNAL OF HEALTH POLICY AND MANAGEMENT
(2023)
Editorial Material
Health Care Sciences & Services
Joachim P. Sturmberg, Carmel M. Martin
JOURNAL OF EVALUATION IN CLINICAL PRACTICE
(2022)
Article
Health Care Sciences & Services
Joachim P. Sturmberg, Bruno Kissling, Thomas Kuehlein
Summary: Patients expect clinicians to provide certain and predictable treatments, but uncertainty is challenging for both patients and clinicians. This paper presents three case studies to illustrate the uncertainties in managing life-threatening illnesses. Research aims to provide answers, but it simplifies real-world complexities and cannot guarantee certainty and predictability in individual contexts.
JOURNAL OF EVALUATION IN CLINICAL PRACTICE
(2023)
Editorial Material
Health Care Sciences & Services
Andrea Saltelli, Joachim P. Sturmberg, Daniel Sarewitz, John P. A. Ioannidis
JOURNAL OF EVALUATION IN CLINICAL PRACTICE
(2023)
Editorial Material
Health Care Sciences & Services
Joachim P. P. Sturmberg
JOURNAL OF EVALUATION IN CLINICAL PRACTICE
(2023)
Article
Health Care Sciences & Services
Joachim P. Sturmberg, James A. Marcum
Summary: It is widely acknowledged that most health and clinical outcomes are influenced by interacting causes, yet medical research studies often focus on studying the effect of a single cause. This narrow approach fails to address systemic, interconnected problems in medicine and healthcare. A shift in scientific thinking is needed to understand the complex relationships between variables and explore multiple causes and effects in research methodologies.
JOURNAL OF EVALUATION IN CLINICAL PRACTICE
(2023)
Editorial Material
Health Care Sciences & Services
Joachim P. Sturmberg
JOURNAL OF EVALUATION IN CLINICAL PRACTICE
(2023)
Article
Health Care Sciences & Services
Joachim Sturmberg, Len Gainsford
Summary: The Royal Commission into Aged Care Quality and Safety has identified issues with the Australian residential aged care system, but its recommendations have not yet been translated into policies that ensure vulnerable residents receive dignified care. The system needs measures that reflect its purpose and can be easily implemented, while reducing bureaucratic burden.
JOURNAL OF EVALUATION IN CLINICAL PRACTICE
(2023)