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Consolidation in an Era of Population Health and Value-Based Care: Implications For Effectiveness, Costs, and Equity.
Med Care
January 2025
Chair Health Systems & Population Health Sciences, Fertitta College of Medicine, University of Houston, Houston, TX.
Consolidation of health care providers, and vertical integration of physicians with hospitals and/or payers has accelerated over the past 15 years. Although there is potential for consolidation to improve patient care, efficiencies and reduce overhead costs, participants in our conference identified that almost all research on consolidation has shown increased cost without improvement in outcomes or the experience of care. To provide a framework for considering the impact of consolidation, future research and analysis we offer 4 themes: (1) to move forward, we need to look back at historical drivers, value creation, and unintended consequences; (2) not all consolidation is created equally; (3) real-time, continuous evaluation is critical for improvement; and (4) a policy blueprint is desperately needed.
View Article and Find Full Text PDFIdentifying potential predictive indicators for reimplantation timing in two-stage revision: a meta-analysis and system review.
Arch Orthop Trauma Surg
December 2024
Department of Orthopedic Surgery and Orthopedic Research Institute, Stem Cell and Tissue Engineering Research Center, State Key Laboratory of Biotherapy, West China Hospital, Sichuan University, Chengdu, 610041, Sichuan, People's Republic of China.
Purpose: The two-stage exchange revision represents a pivotal strategy in the management of prosthetic joint infections, wherein the judicious timing of reimplantation serves as a crucial determinant for therapeutic success. At present, attempts have been made to utilize predictive models to establish the optimal timing for reimplantation; however, their predictive accuracy remains unsatisfactory. This inadequacy primarily arises from the lack of dependable predictive indicators, which demonstrate inconsistent effectiveness across various studies and occasionally yield contradictory outcomes.
View Article and Find Full Text PDFSeroprevalence of Measles Antibodies Among Migrant Populations: A Systematic Review and Meta-Analysis.
Cureus
November 2024
Department of Community Medicine, Kalinga Institute of Medical Sciences, Bhubaneswar, IND.
Incomplete or interrupted vaccination schedules put migrant communities at higher risk for measles, which remains a serious public health concern. The objective of this systematic review was to evaluate the pooled seroprevalence of measles antibodies among migrant groups globally and offer data to guide public health initiatives. Our literature search included PubMed, Scopus, and Embase databases, covering publications from 1990 to 2023, and was systematically refined using specific inclusion and exclusion criteria.
View Article and Find Full Text PDFManipulating Time by Cryopreservation: Designing an Environmental Future by Maintaining a Portal to the Past.
J Law Med Ethics
December 2024
UNIVERSITY OF MINNESOTA, MINNEAPOLIS, MINNESOTA, USA.
This article explores how time-related metaphors frame advanced cryopreservation technologies in environmental conservation. Cryopreservation "stops" or "freezes" biological time and "buys time" desperately needed to preserve species and ecosystems. We advance a framing of these technologies as logistical, highlighting how they create opportunities to shift materials, knowledge, and decision-making power through space and time.
View Article and Find Full Text PDFExploiting the Bragg Mirror Effect of TiO Nanotube Photonic Crystals for Promoting Photoelectrochemical Water Splitting.
Nanomaterials (Basel)
October 2024
Center for Future Optoelectronic Functional Materials, Nanjing Normal University, Nanjing 210023, China.
Exploiting the Bragg mirror effect of photonic crystal photoelectrode is desperately desired for photoelectrochemical water splitting. Herein, a novel TiO nanotube photonic crystal bi-layer structure consisting of a top nanotube layer and a bottom nanotube photonic crystal layer is presented. In this architecture, the photonic bandgap of bottom TiO nanotube photonic crystals can be precisely adjusted by modulating the anodization parameters.
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