Publications by authors named "T Metcalfe"

Article Synopsis
  • Musculoskeletal urgent care centers (MUCCs) are becoming a popular alternative to emergency departments for treating orthopedic injuries, but there is limited long-term data on their effects on the healthcare system.
  • A study conducted at two-year intervals from 2019 to 2023 found that the number of MUCCs initially grew from 558 to 596 before declining to 555, indicating fluctuations in their availability.
  • Despite the ups and downs in the number of MUCCs, Medicaid acceptance increased from 58% to 71% during the study period, signaling improved access to orthopedic care for patients on Medicaid.
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In the last few decades, developers of new drugs, biologics, and devices have increasingly leveraged digital health technologies (DHTs) to assess clinical trial digital endpoints. To our knowledge, a comprehensive assessment of the financial net benefits of digital endpoints in clinical trials has not been conducted. We obtained data from the Digital Medicine Society (DiMe) Library of Digital Endpoints and the US clinical trials registry, ClinicalTrials.

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Among the thousands of eHealth tools available, the vast majority do not get past pilot phases because they cannot prove value, and only a few have been systematically assessed. Although multiple eHealth assessment frameworks have been developed, these efforts face multiple challenges. This study aimed to address some of these challenges by validating and refining an initial list of 55 assessment criteria based on previous frameworks through a two-round modified Delphi process with in-between rounds of interviews.

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