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Access improvement in healthcare: a 12-step framework for operational practice.
Front Health Serv
January 2025
Department of Radiation Oncology, Chao Family Comprehensive Cancer Center, University of California, Irvine, CA, United States.
Background: Access improvement is a fundamental component of value-based healthcare as it inherently promotes quality by eliminating chokepoints, redundancies, and inefficiencies which could hinder the provisioning of timely care. The purpose of this review is to present a 12-step framework which offers healthcare organizations a practical, thematic-based foundation for thinking about access improvement.
Methods: This study was designed based on the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols (PRISMA-P) statement.
"The doctor will see you now… but not for long": Linking physicians' racial attitudes and patients' discrimination experiences to racial disparities in the duration of medical consultations.
Patient Educ Couns
January 2025
Department of Public Health Sciences, University of Virginia, Charlottesville, VA, USA.
Objective: To investigate the relationship between non-Black physicians' racial attitudes, Black patients' discrimination experiences, and consultation duration in diverse clinical settings.
Methods: Secondary analyses were conducted on data from three prior studies involving non-Black primary care physicians (Study 1: n = 14, Study 2: n = 5) and their Black patients (Study 1: n = 118, Study 2: n = 31), as well as 15 non-Black oncologists and their 72 Black patients (Study 3). Data included physician and patient surveys, along with video-recorded consultations.
An Interprofessional Collaboration Between a Community-Based Doula Organization and Clinical Partners: The Champion Dyad Initiative.
J Midwifery Womens Health
January 2025
Sexual Health and Reproductive Equity Program, School of Social Welfare, University of California, Berkeley, California.
As access to doula services expands through state Medicaid coverage and specific initiatives aimed at improving maternal health equity, there is a need to build and improve upon relationships between the doula community, hospital leaders, and clinical staff. Previous research and reports suggest rapport-building, provider education, and forming partnerships between community-based organizations and hospitals can improve such relationships. However, few interventions or programs incorporating such approaches are described in the literature.
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J Gen Intern Med
January 2025
Hospital Medicine Unit, Department of Medicine, Massachusetts General Hospital, Boston, MA, USA.
Piloting of a Decision Aid for Recurrent Tonsillitis.
Clin Otolaryngol
January 2025
Clinical Psychology Department, NHS Grampian, Aberdeen Royal Infirmary, Aberdeen, Scotland, UK.
Objective: Currently, there is no adult-specific decision aid (DA) to support decision-making regarding recurrent tonsillitis. This study intends to address this gap by piloting a prototype DA.
Design: Randomised clinical trial.
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