In a recent study, Brock Polnaszek et al. examined the frequency with which physical therapy recommendations made by inpatient physical therapists were included in hospital discharge summaries, and found that over half of patients had omissions in recommendations for maintaining patient safety, assistance required for mobility, or use of assistive devices. Medicare beneficiaries with safety restriction/precaution omissions had a trend towards more negative 30-day outcomes such as rehospitalization.
Omission of physical therapy recommendations for high-risk patients transitioning from hospital to sub-acute care
Rheumatologist and primary care management of cardiovascular disease risk in rheumatoid arthritis
Patients with rheumatoid arthritis (RA) have an increased risk of cardiovascular disease, but frequently do not receive preventive care for it. Dr. Christie Bartels et al. recently interviewed patients, rheumatologists, and primary care physicians to better understand patient and provider perspectives on cardiovascular disease care processes for patients with RA, and found that the identifiying and acting on risk factors was important in the receipt of preventive care, but that these processes rarely occurred.
Breast cancer survivor advocacy: Development of a peer support program
A recent article by Dr. Amy Tevaarwerk and co-authors discusses the development and evaluation of a patient survivor advocacy program designed to provide support for newly diagnosed breast cancer patients from peers who had completed primary treatment. In the evaluation of the program, 92.9% of the patients reported that the program was helpful and that they would recommend it to another woman with breast cancer. Tools to support the development of the program at other institutions are available on HIPxChange.
Hospice services reduce repeated hospital stays at end of life
Dr. Timothy Holden et al. recently examined the association between hospice utilization within a geographic area and 30-day rates of rehospitalization in a 5% sample of Medicare patients, and found that patients in areas of low hospice utilization were at greater rehospitalization risk than those residing in areas of high utilization. View the article on PubMed here and the UW SMPH press release here.
Quality of online information to support patient decision-making in breast cancer surgery
In a recent study to evaluate the quality of online information available to support patients facing a decision for breast cancer surgery, a team of UW Department of Surgery researchers including Dr. Heather Neuman found that most existing websites do a poor job with providing women the essential information necessary to actively participate in decision-making for breast cancer surgery, with only 7% of website scoring "good" on decision-making questions.