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Physician Experiences With Implementing a Virtual Observation Unit in Emergency Medicine.
Ann Emerg Med
January 2025
Department of Emergency Medicine, Massachusetts General Hospital, Boston, MA.
Study Objective: Physician experiences with new care models like the virtual observation unit in emergency departments (EDs) can offer important insights. Virtual observation unit leverages telehealth, remote monitoring, and mobile integrated health to enable home-based ED-level care. We explored physicians' experience with delivering care in the virtual observation unit and perceived effect of this new model.
View Article and Find Full Text PDFWildfire Smoke Exposure and Incident Dementia.
JAMA Neurol
January 2025
Department of Environmental and Occupational Health Sciences, University of Washington School of Public Health, Seattle.
Article Synopsis
- Long-term exposure to PM2.5, especially from wildfires, has been linked to an increased risk of developing dementia, although the specific impact of wildfire-generated PM2.5 is not well understood.
- The study analyzed electronic health records from over 1.2 million Kaiser Permanente members aged 60 and older in Southern California from 2008 to 2019 to investigate this association.
- It used a statistical approach to evaluate the relationship between three-year averages of wildfire and nonwildfire PM2.5 exposure and the incidence of dementia, while controlling for various demographic and socioeconomic factors.
Outcomes of a Remotely Delivered Complementary and Integrative Health Partnered Intervention to Improve Chronic Pain and Posttraumatic Stress Disorder Symptoms: Randomized Controlled Trial.
J Med Internet Res
October 2024
Health Services Research and Development Center of Innovation for Complex Chronic Healthcare, Edward Hines Jr VA Hospital, Department of Veterans Affairs, Hines, IL, United States.
Article Synopsis
- The study focuses on nonpharmacological interventions to support veterans dealing with chronic pain and PTSD, particularly through the online program Mission Reconnect (MR).
- A total of 364 veteran-partner pairs participated in a randomized controlled trial, where outcomes such as pain, PTSD, depression, and quality of life were measured, alongside qualitative feedback from a smaller group.
- Results indicated no major changes in overall symptoms; however, the MR group experienced notable decreases in pain interference with mood and sleep, suggesting some positive effects of the intervention despite mixed overall outcomes.
Managing Patients With COVID-19 in Armenia Using a Remote Monitoring System: Descriptive Study.
JMIR Public Health Surveill
September 2024
Stanley Manne Children's Research Institute, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL, United States.
Background: The COVID-19 pandemic has imposed immense stress on global health care systems, especially in low- and middle-income countries (LMICs). Armenia, a middle-income country in the Caucasus region, contended with the pandemic and a concurrent war, resulting in significant demand on its already strained health care infrastructure. The COVID@home program was a multi-institution, international collaboration to address critical hospital bed shortages by implementing a home-based oxygen therapy and remote monitoring program.
View Article and Find Full Text PDFFactors associated with early-career GPs' retention as independent specialists in former training practices.
Rural Remote Health
September 2024
School of Medicine & Public Health, University of Newcastle, Newcastle, NSW 2308, Australia.
Introduction: Retention of general practice registrars in their training practices is important for addressing the GP workforce deficit and maldistribution of GPs. Given that rural and remote general practices are disproportionately affected by low retention, identifying the factors that promote retention may be as important as developing recruitment strategies in these areas. Quantifying the impact of relevant factors on registrar retention will enable a better understanding of how to incentivise retention and attenuate the loss of the rural workforce to other areas.
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