Publications by authors named "L Richard Bridges"
Article Synopsis
- Integrated behavioral health programs, like the PHLOW Program, help reduce costs and improve patient outcomes, but funding challenges hinder their widespread adoption.
- The PHLOW Program uses a collaborative care model to provide accessible psychiatric care through primary care providers, demonstrating effective patient outcomes through brief episodes of care.
- Results show reductions in anxiety and depression, lower mental health claims, and increased financial support, suggesting a viable model for other organizations to implement similar integrated behavioral health programs.
Current society guidelines recommend purse-string closure technique for stoma reversal, which has been shown to reduce but not eliminate the risk of deep surgical site infection (SSI) at the original stoma site, a complication associated with increased morbidity and cost. We studied an adjunctive technique to further reduce the risk of SSI. A retrospective chart review was conducted on adult patients who underwent stoma reversal between May 2016 - July 2022.
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- * In the OpenSAFELY-TPP database, 78.2% of patients had their ethnicity recorded in primary care as of January 2022, with higher rates in women and those with serious health conditions.
- * The primary care ethnicity data closely matched the 2021 UK census data, with a high consistency found among patients with multiple ethnicity records, particularly indicating issues with classification for those recorded as "Other."
Article Synopsis
- - The study examines how the Covid-19 pandemic influenced the rates of group A streptococcal infections and related antibiotic prescriptions in primary care practices across England from January 2018 to March 2023.
- - Significant findings show that infections and antibiotic prescriptions peaked in December 2022, surpassing levels seen during the 2017-18 season, with notable increases in rates for sore throat, scarlet fever, and invasive infections.
- - The research highlights a concerning trend, reporting that the rate ratios for infections and prescriptions in the 2022-23 season were considerably higher compared to the pre-pandemic period, suggesting lasting impacts from the pandemic on public health.
Article Synopsis
- Electronic health records (EHRs) are essential for researching medical products and informing public health, but reproducibility in EHR research is a significant challenge.
- OpenSAFELY is an open-source software platform created during the COVID-19 pandemic to improve the reproducibility of research using EHRs by standardizing workflows and ensuring consistent computational environments.
- The platform promotes transparency by enforcing code-sharing, providing an audit trail for data usage, and integrating tools that support reproducible research practices.