Editorial Material
Microbiology
Megan Culler Freeman
Summary: This Commentary discusses the article by Rosenfeld et al. in the context of poliovirus epidemics, vaccination success, and its comparison to the current situation of acute flaccid myelitis. It also explores the relationship between nonpoliovirus enteroviruses, such as EV-D68 and EV-A71, and potential vaccination strategies.
Editorial Material
Clinical Neurology
Tara Cook, Robert Arnold, Kwonho Jeong, Julie Childers
Summary: Neurologic diseases can significantly impact patients' quality of life, necessitating neurologists to have primary skills in palliative medicine. However, formal palliative care training for neurology residents is limited. This article provides 9 recommendations to help improve teaching of primary neuropalliative care skills in neurology residency programs based on identified gaps and previous studies.
Article
Endocrinology & Metabolism
Paul R. Conlin, John M. Boltri, Ann Bullock, M. Carol Greenlee, Aaron M. Lopata, Clydette Powell, Dean Schillinger, Howard Tracer, William H. Herman
Summary: The U.S. is facing a type 2 diabetes epidemic, with disparities in treatment and outcomes for socioeconomically disadvantaged and racial/ethnic groups. The National Clinical Care Commission (NCCC) has recommended social, clinical, and public health policy solutions to address diabetes as a societal problem. The NCCC's report includes 39 specific recommendations, such as coordination between federal agencies, health equity as a guiding principle, and improved access to healthcare.
Article
Geriatrics & Gerontology
Ksenia Gorbenko, Abigail Baim-Lance, Emily Franzosa, Heather Wurtz, Gabrielle Schiller, Sybil Masse, Katherine A. Ornstein, Alex Federman, David M. Levine, Linda DeCherrie, Bruce Leff, Albert Siu
Summary: This study aims to describe the national-level implementation processes and strategies of the Acute Hospital Care at Home (AHCaH) waiver program and identify the challenges and facilitators of launching or adapting home hospital care to meet waiver requirements. The study found that the implementation of the AHCaH waiver is a complex process that requires coordination with internal and external partners, and considerations of potential barriers and strategies.
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2023)
Article
Medicine, General & Internal
Samuel T. Edwards, Liberty Greene, Camila Chaudhary, Derek Boothroyd, Bruce Kinosian, Donna M. Zulman
Summary: This study aimed to investigate outpatient care fragmentation patterns and subsequent acute care among high-risk HBPC patients. The study found that an increased number of practitioners was associated with higher odds of ED visits and hospitalizations for ambulatory care sensitive conditions, while more concentrated care was associated with reduced odds of these outcomes.
Article
Respiratory System
Wilhelm Rehorn, Simon Herkenrath, Marcel Treml, Lars Hagmeyer, A. Hakim Bayarassou, Winfried Randerath
Summary: The study investigated the characteristics, prognosis, and decannulation/weaning potential of patients receiving home intensive care. Successful decannulation/weaning was associated with better survival. Patients may develop decannulation/weaning potential over time, even if it was not present at the time of hospital discharge, indicating the need for repeated assessments.
Article
Geriatrics & Gerontology
Emily Franzosa, Ksenia Gorbenko, Abraham A. Brody, Bruce Leff, Christine S. Ritchie, Bruce Kinosian, Katherine A. Ornstein, Alex D. Federman
Summary: The study aimed to determine the strategies used by NYC-area HBPC practices to provide patient care during the first wave of the COVID-19 pandemic to inform planning for home-based practices nationwide. Participants included HBPC leadership who focused on providing care for medically complex older populations.
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2021)
Article
Public, Environmental & Occupational Health
Erin Thomas, Alice Kennedy, William Walsh, Michelle Carpentier, Hannah Adeyinka, Shyam Patel, Jonathan Gerber, Jan Cerny, Kriti Mittal
Summary: The COVID-19 pandemic has accelerated the use of digital technology for telehealth in cancer care delivery. This study examines telehealth utilization trends and highlights the importance of integrating interpreter services and maintaining pay-parity for audio-only visits to address health disparities. The authors also emphasize the potential of telehealth in clinical trials, hospital at home programs, electronic consults, and structured telehealth slots to improve equity and efficiency in cancer care.
FRONTIERS IN PUBLIC HEALTH
(2023)
Article
Geriatrics & Gerontology
Samuel T. Edwards, Allison O'Neill, Meike Niederhausen, Apoorva Salvi, Avery Laliberte, Somnath Saha, Denise M. Hynes, Steven Pizer, Bruce Kinosian
Summary: Veterans Affairs home-based primary care provides comprehensive care for patients with complex chronic disease. This study examines the care trajectories of newly enrolled patients in VA HBPC, finding variable trajectories with overall reductions in acute care use and a majority of time spent in non-institutional settings.
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2023)
Article
Health Care Sciences & Services
Nengliang Yao, Justin B. Mutter, James D. Berry, Takashi Yamanaka, Denise T. Mohess, Thomas Cornwell
Summary: The number of home care providers in traditional Medicare increased from 14,100 in 2012 to around 16,600 in 2016, with the most significant growth seen in nurse practitioners. Most providers made fewer than 200 home visits per year, while only a small percentage of physicians conducted fifty or more visits annually. Despite low overall participation, the workforce has shown modest but steady growth, driven primarily by increasing nurse practitioner involvement.
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)
Article
Nursing
Bodil Aarmo Brenne, Marianne Hedlund, Kari Ingstad
Summary: This study explores the characteristics of home care nurse practices and how nurses solve tasks in the context of home care. Through in-depth interviews and stepwise inductive analysis, three main patterns of nursing practices were identified: 'To be vigilant', 'To be an all-rounder', and 'To act with independence'. The results highlight the importance of nurses' vigilance, contextual insight, and professional independence in their practice approach and task-solving abilities.
Article
Geriatrics & Gerontology
Cari Levy, Aryan Esmaeili, Dawn Smith, Robert Hogikyan, Vyjeyanthi Periyakoil, Joan G. Carpenter, Anne Sales, Mary Ersek
Summary: This study analyzed the associations between LST documentation for HBPC Veterans and family ratings of EOL care, finding a positive correlation between LST documentation and family ratings. However, the rate of LST documentation was lower than expected, indicating a need to improve the level of LST documentation for HBPC Veterans.
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2021)
Article
Geriatrics & Gerontology
Suzanne M. Gillespie, Jiejin Li, Jurgis Karuza, Cari Levy, Stuti Dang, Tobie Olsan, Bruce Kinosian, Orna Intrator
Summary: This study found that variations in the structural model used at HBPC sites within the national VA program were not significantly associated with hospitalizations. Tailoring of HBPC care based on individual patient factors and clinical judgment may be central to the success of HBPC in reducing hospitalizations.
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
(2021)
Article
Health Care Sciences & Services
Patrick Racsa, Teresa Rogstad, Brent Stice, Matthew Flagg, Chase Dailey, Yong Li, Brittany Sallee, Karen Worley, Anup Sharma, David Annand
Summary: This study evaluated the outcomes and costs associated with discharge to home health versus discharge to home in a Medicare Advantage population. The findings showed that patients who received timely home health services after discharge were less likely to be readmitted within 30 or 90 days and had lower total expenditures. The impact of discharge to home health varied among subpopulations. The study suggests that the PACT policy may promote greater value by reducing readmissions and lowering costs, particularly for patients who do not require intensive postacute care.
AMERICAN JOURNAL OF MANAGED CARE
(2022)
Article
Health Care Sciences & Services
Michael F. Furukawa, Laura Kimmey, David J. Jones, Rachel M. Machta, Jing Guo, Eugene C. Rich
Article
Health Care Sciences & Services
Laura Kimmey, Michael F. Furukawa, David J. Jones, Rachel M. Machta, Jing Guo, Eugene C. Rich
Article
Health Care Sciences & Services
Rachel M. Machta, James D. Reschovsky, David J. Jones, Laura Kimmey, Michael F. Furukawa, Eugene C. Rich
HEALTH SERVICES RESEARCH
(2020)
Article
Health Care Sciences & Services
Laura Kimmey, Andrea Wysocki, Lauren Vollmer Forrow, Michael Anderson, David J. Nyweide
Summary: This study found that home-based primary care (HBPC) for high-need, high-cost patients did not result in fewer total hospitalizations or lower inpatient spending. However, it may have led to lower rates of potentially avoidable hospitalizations after 2 years.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2023)
Letter
Geriatrics & Gerontology
Laura Kimmey, Jason Rotter
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2023)
