Dr. Carolyn Thorpe et al. recently examined the prevalence of accumulated oversupplies of prescribed medications in adults with diabetes. They found that medication oversupply was less prevalent in the population studied than in previous studies of integrated health systems, but that it was more common in Medicare Part D enrollees than privately insured individuals.
Medication oversupply in patients with diabetes
Surgical coaching for individual performance improvement
Dr. Caprice Greenberg and the Wisconsin Surgical Coaching Program recently published an Annals of Surgery editorial on opportunities to use a surgical coaching model for performance improvement in surgery. The article discusses the characteristics of an effective coach, as well as the Wisconsin Surgical Coaching Program framework.
Impact of sociodemographics & previous interactions with the health care system on institutional trust
In a recent study, Rebecca Schwei et al. found that among surveyed participants, institutional trust was lower in African Americans and Mexican-Hispanics than whites, as well as in people who previously had a negative health care experience. The authors concluded that improving health care experiences, especially for racial/ethnic minority groups, has the potential to improve institutional trust and decrease health disparities.
The roles of primary care PAs and NPs caring for older adults with diabetes
Dr. Christine Everett et al. used EHR and Medicare data to characterize PA and NP roles on panels of primary care patients with diabetes. They found that PAs and NPs perform a variety of roles with different levels of involvement, complexity of patients, and delivery of chronic care, and they frequently perform multiple roles within a clinic.
Rehospitalization to primary versus different facilities following abdominal aortic aneurysm repair
In a recent study, Dr. Scott Saunders et al. found that among patients who underwent abdominal aortic aneurysm repair, readmission to a facility different from the primary hospital where the surgery occurred is common. The distance of a patient's residence from the primary hospital was the greatest predictor of readmission to a different hospital, and the median total 30-day payments were significantly lower at different versus primary hospitals. Read more