Journal of general internal medicine
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Randomized Controlled Trial
Barriers of Acceptance to Hospice Care: a Randomized Vignette-Based Experiment.
The per diem financial structure of hospice care may lead agencies to consider patient-level factors when weighing admissions. ⋯ This study suggests that patients receiving expensive and/or complex treatments for palliation may have difficulty accessing hospice.
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Randomized Controlled Trial
Development and Validation of the HL6: a Brief, Technology-Based Remote Measure of Health Literacy.
Most health literacy measures require in-person administration or rely upon self-report. ⋯ The HL6 demonstrates adequate reliability and validity in both English and Spanish. This performance-based assessment can be administered remotely using commonly available technologies with fewer logistical challenges than assessments requiring in-person administration.
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Randomized Controlled Trial
Perceived Access to Contraception via Telemedicine Among Young Adults: Inequities by Food and Housing Insecurity.
Telemedicine expanded rapidly during the COVID-19 pandemic, including for contraceptive services. Data are needed to understand whether young people can access telemedicine for contraception, especially in underserved populations. ⋯ Underserved patients are those who could benefit most from the expansion of telemedicine services, yet our findings show that young people experiencing basic needs insecurity perceive the greatest difficulty accessing these services for essential reproductive care.
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Randomized Controlled Trial
The Impact of Dynamic Real-Time Feedback on Patient Satisfaction Scores.
Providers' communication skills have a significant impact on patients' satisfaction. Improved patients' satisfaction has been positively correlated with various healthcare and financial outcomes. Patients' satisfaction in the inpatient setting is measured using the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey. In this study, we evaluated the impact of dynamic real-time feedback to the providers on the HCAHPS scores. ⋯ Real-time patients' feedback to inpatient providers with peer comparison via email has a positive impact on the provider-specific HCAHPS scores.
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Randomized Controlled Trial
Health-Economic Evaluation of the German Osteoporotic Fracture Prevention Program in Rural Areas (OFRA): Mobility and Falls Prevention Classes, Examination of Bone Health, and Consultation on Safety in the Living Environment.
Fragility fractures are one of the leading causes of disability in older adults. Yet, evidence for effectiveness and cost-effectiveness of preventive approaches combining bone health and fall prevention is rare. ⋯ OFRA showed reduced rates of fragility fractures, but had high implementation costs, resulting in an unfavorable ICER. The cost-effectiveness of OFRA may improve with a longer follow-up.