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Pediatric Primary Care Telemedicine: Perspectives from English- and Spanish-Speaking Medicaid Enrollees.
Telemed Rep
December 2024
Department of Pediatrics, Johns Hopkins School of Medicine, Baltimore, Maryland, USA.
Article Synopsis
- The study aimed to understand the views of Medicaid-enrolled parents and young adults on their experiences with telemedicine in pediatric care.
- Semi-structured interviews were conducted with 26 participants, revealing themes related to expectations before visits, actual visit experiences, comfort with the process, and overall feelings about telemedicine.
- Most participants had initially negative expectations but reported positive experiences with telemedicine, emphasizing the need for considering patient preferences when deciding on care delivery methods.
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).
Disability and the Dermatology Patient- Part 2: Supporting Patients with Disabilities.
J Am Acad Dermatol
December 2024
Department of Dermatology, University of Connecticut School of Medicine, Farmington, CT, United States of America; Department of Dermatology, VA Connecticut Healthcare System, Newington, CT, United States of America. Electronic address:
Dermatologic disease can result in disability. In part two of this continuing medical education (CME) article, we highlight disabilities that may result from dermatologic conditions. We introduce guidelines for caring for patients with disabilities including how to identify, assess, and document patients' disabilities and provide patient-centered care and support.
View Article and Find Full Text PDFPre-to-post COVID-19 pandemic trends in time from emergency department arrival to inpatient floor arrival: Door to floor time.
Am J Emerg Med
December 2024
Department of Internal Medicine (Section of General Internal Medicine, Program for Hospital Medicine), Yale University School of Medicine, New Haven, CT, USA; Department of Pediatrics (Section of Hospital Medicine), Yale University School of Medicine, New Haven, CT, USA.
Boarding of admitted patients in the Emergency Department (ED) changes both the setting and teams providing care during the initial phase of admissions. We measured the waiting time from ED door arrival to inpatient floor arrival for 17,944 admissions to internal medicine services over a 5-year period from 2018 to 2023 and propose this as a metric for the total delay in care associated with ED boarding, termed "Door to Floor" (DTF) time. We find a sustained increase as well as significant seasonal and day-of-the-week variation in DTF times.
View Article and Find Full Text PDFBreastfeeding Trends Following the US Infant Formula Shortage.
Pediatrics
January 2025
Department of Agricultural and Resource Economics, University of Connecticut, Storrs, Connecticut.
Objective: Breastfeeding enhances maternal and child health, yet US breastfeeding rates remain below optimal levels and substantial disparities persist. The 2022 infant formula crisis had the potential to influence infant feeding practices due to formula shortages and fears about the safety of formula feeding in the wake of recalls. This report studies the evolution of breastfeeding-initiation trends during the infant formula crisis and compares the effects across subpopulations.
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