The American journal of managed care
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Understanding how the COVID-19 pandemic affected cardiovascular disease (CVD) risk monitoring in primary care may inform new approaches for addressing modifiable CVD risks. This study examined how pandemic-driven changes in primary care delivery affected CVD risk management processes. ⋯ After pandemic onset, appointment completion rates were higher, time to appointment was shorter, HbA1c documentation increased, and BP documentation decreased. Future research should explore the advantages of using VC for CVD risk management while continuing to monitor for unintended consequences.
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To understand the role of health information technology (IT) vendors and health IT functionality in supporting advanced primary care. ⋯ Continued collaboration among health IT vendors, practices, policy makers, and payers could support continued technological improvements, particularly related to information exchange and communication. Aligning requirements more closely with other federal and private models could also help mitigate the risk for vendors.
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This article reviews the book Artificial Intelligence for Improved Patient Outcomes: Principles for Moving Forward With Rigorous Science by Daniel W. Byrne.
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To understand patient perceptions of specific applications of predictive models in health care. ⋯ Patients are more comfortable with clinical applications of predictive models than administrative ones. Privacy protections and transparency about how health care systems protect patient data may facilitate patient comfort with these technologies. However, larger inequities and negative experiences in health care remain important for how patients perceive administrative applications of prediction.
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Limited research has assessed how virtual care (VC) affects cardiovascular disease (CVD) risk management, especially in community clinic settings. This study assessed change in community clinic patients' CVD risk management during the COVID-19 pandemic and CVD risk factor control among patients who had primarily in-person or primarily VC visits. ⋯ Among community clinic patients with CVD risk, receiving a majority of care in person vs a majority of care via VC was not significantly associated with longitudinal trends in reversible CVD risk score or key CVD risk factors.