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Medicare Advantage and rural hospital profitability.
J Rural Health
January 2025
Department of Health Policy and Management, UNC Gillings School of Global Public Health, The University of North Carolina, Chapel Hill, North Carolina, USA.
Purpose: This study compares 2018-2023 Medicare Advantage (MA) days as a percentage of total Medicare days in rural and urban hospitals, describes 2022-2023 operating profitability of rural and urban hospitals by quartiles of MA days as a percentage of total Medicare days, and explores hospital characteristics that may be important for understanding the relationship between MA and profitability of rural hospitals.
Methods: Financial and hospital data were obtained from the Centers for Medicare & Medicaid Services (CMS) Healthcare Cost Report Information System (HCRIS) for the years 2018 to 2023. Hospitals were assigned to quartiles based on MA days as a percentage of total Medicare days.
Perspectives of current and future use of electrical stimulation home-devices from people with spinal cord injuries and healthcare professionals.
Disabil Rehabil
December 2024
Discipline of Physiotherapy, Graduate School of Health, Faculty of Health, University of Technology Sydney, Ultimo, Australia.
Introduction: Electrical stimulation (E-stim) can reduce the impact of complications, like spasticity, bladder dysfunction in people with spinal cord injuries (SCIs), enhancing quality of life and health outcomes. With SCI prevalence high in regional Australia and a shift towards home-based community integrated care, the perspectives of people with SCI and healthcare professionals on current and future use of E-stim home-devices are needed.
Methods: A mixed-methods concurrent triangulation approach was used.
Evaluation of mobile applications related to patients with Parkinson's disease based on their essential features and capabilities.
BMC Med Inform Decis Mak
December 2024
Fakher Mechatronic Research Center, Kerman University of Medical Sciences, Kerman, Iran.
Background: Parkinson's disease (PD) is a neurodegenerative disorder that affects millions of people worldwide. Mobile technologies enable Parkinson's patients to improve their quality of life, manage symptoms, and enhance overall well-being through various applications (apps). There is no integrated list of specific capabilities available to cater to the unique needs of Parkinson's patient-focused mobile apps.
View Article and Find Full Text PDFForecast of total health expenditure on China's ageing population: a system dynamics model.
BMC Health Serv Res
December 2024
Western Sydney University, School of Computer, Data and Mathematical Sciences, Sydney, Australia.
Background: China is currently at a turning point as its total population has started to decline, and therefore faces issues related to caring for an ageing population, which will require an increase in Total Health Expenditure (THE). Therefore, the ability to forecast China's future THE is essential.
Methods: We developed two THE System Dynamics (SD) models using Stella Architect 3.
Stakeholder perceptions and experiences of competency-based training with entrustable professional activities (SPECTRE): protocol of a systematic review and thematic synthesis of qualitative research.
BMC Med Educ
December 2024
FRCPC Department of Medicine (Hematology), The Ottawa Hospital, MHPE, University of Ottawa, Ottawa, ON, Canada.
Background: Competency-Based Medical Education (CBME) aims to align educational outcomes with the demands of modern healthcare. Entrustable Professional Activities (EPAs) serve as key tools for feedback and professional development within CBME. With the growing body of literature on EPAs, there is a need to synthesize existing research on stakeholders' experiences and perceptions to enhance understanding of the implementation and impact of EPAs.
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