With a January 2014 deadline fast approaching to create health insurance exchanges, there are fears some states won't be able to finish all they need to in the tight time frame. 'Time is not our friend. 2013 is upon us," says Dr. Bruce Goldberg, director of the Oregon Health Authority.
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Consumer perspectives on the national electronic health record and barriers to its adoption in Germany: does health policy require a change in communication?
BMC Health Serv Res
January 2025
Heilbronn University, Heilbronn, Germany.
Background: The national health record (ePA) was introduced January 1, 2021 in Germany and is available to every person insured under statutory health insurance. This study investigated the acceptance and expectations of the national health record in Germany, focusing on consumer perspectives, expectations, barriers, information needs, and communication aspects.
Methods: An exploratory, observational, cross-sectional online survey was conducted one year after ePA introduction, followed by descriptive statistical analysis.
Examining cancer patient preferences during three stages of decision making and family involvement: a multicenter survey study in China.
BMC Med Inform Decis Mak
January 2025
Center for Evidence-Based and Translational Medicine, Zhongnan Hospital of Wuhan University, 169 Donghu Road, Wuchang District, Wuhan, 430071, China.
Background: Medical decision-making is a complex multi-stage process. Chinese cancer patients' preference for participation in decision-making stages, family involvement and influencing factors remain unclear.
Methods: A total of 1,422 cancer patients from four tertiary hospitals in China were included in the cross-sectional survey.
The substance-exposed birthing person-infant/child dyad and health information exchange in the United States.
J Am Med Inform Assoc
January 2025
Office of the Assistant Secretary for Health, United States Department of Health and Human Services, Washington, DC 20201, United States.
Objective: Timely access to data is needed to improve care for substance-exposed birthing persons and their infants, a significant public health problem in the United States. We examined the current state of birthing person and infant/child (dyad) data-sharing capabilities supported by health information exchange (HIE) standards and HIE network capabilities for data exchange to inform point-of-care needs assessment for the substance-exposed dyad.
Material And Methods: A cross-map analysis was performed using a set of dyadic data elements focused on pediatric development and longitudinal supportive care for substance-exposed dyads (70 birthing person and 110 infant/child elements).
Pediatric laparoscopic versus percutaneous gastrostomy tube placement: a single-center review.
Pediatr Surg Int
December 2024
Department of Surgery, Emory School of Medicine, Atlanta, GA, USA.
Article Synopsis
- - The study compares the outcomes of two gastrostomy tube placement techniques—laparoscopic (LAP) and percutaneous endoscopic (PEG)—in pediatric patients, focusing on complications and the need for additional procedures.
- - Researchers reviewed records of 688 patients aged 0-18 who had GT placements, finding that LAP patients were generally younger and lighter than PEG patients, but both groups had similar rates of major complications.
- - Results showed that PEG patients had a higher likelihood of developing skin infections, while no LAP placements failed during the study period, indicating potential advantages of LAP over PEG in certain aspects.
The overlooked burden of persistent physical symptoms: a call for action in European healthcare.
Lancet Reg Health Eur
January 2025
Department of Psychosomatic Medicine and Psychotherapy, Centre for Internal Medicine, University Medical Centre Hamburg-Eppendorf, Martinistraße 52, Hamburg 20246, Germany.
Regardless of their cause, persistent physical symptoms are distressing somatic complaints that occur on most days for at least several months. They are common in patients with somatic diseases, functional somatic disorders, mental disorders, and undiagnosed medical conditions and are often associated with significant impairment and medical costs. Despite their prevalence and impact, persistent physical symptoms are often overlooked in medical care.
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