Eye appointment

Identification of barriers, facilitators and system-based implementation strategies to increase teleophthalmology use for diabetic eye screening in a rural US primary care clinic

Identification of barriers, facilitators and system-based implementation strategies to increase teleophthalmology use for diabetic eye screening in a rural US primary care clinic

Teleophthalmology for diabetic eye screening is an evidence-based intervention substantially underused in US multipayer primary care clinics, even when equipment and trained personnel are readily available. HIP Investigator, Dr. Yao Liu et al. sought to identify patient and primary care provider (PCP) barriers, facilitators, as well as strategies to increase teleophthalmology use. The team of authors conducted standardised open-ended, individual interviews and analysed the transcripts using both inductive and directed content analysis to identify barriers and facilitators to teleophthalmology use.

Read the article

Female doctor with child

Encounters From Device Complications Among Children With Medical Complexity

Encounters From Device Complications Among Children With Medical Complexity

Children with medical complexity (CMC) are commonly assisted by medical devices to support essential body functions, although complications may lead to preventable emergency department (ED) and hospital use. HIP Investigator, Dr. Ryan Coller et al. identified predictors of device-complicated ED visits and hospitalizations. The team of authors found that device-complicated ED visits and hospitalizations comprised a substantial proportion of total hospital and ED use. Developing interventions to prevent device complications may be a promising strategy to reduce overall CMC use.

Read the article

Doctor standing with laptop

Telehealth with remote blood pressure monitoring for postpartum hypertension

Telehealth with remote blood pressure monitoring for postpartum hypertension

Postpartum hypertension is a leading indication for hospital readmissions within the first 6 weeks after delivery. Authors including HIP Investigator, Dr. Heather Johnson investigate feasibility of telehealth with remote blood pressure monitoring for management of hypertension in postpartum women at risk of severe hypertension after hospital discharge.

Read the article

Female child and doctor

Making Time to Coordinate Care for Children With Medical Complexity

Making Time to Coordinate Care for Children With Medical Complexity

Care coordination has become the focus of the rapidly expanding field of complex care. Supporting the personnel and infrastructure to successfully coordinate care for CMC is a major sustainability challenge facing complex-care programs today. HIP Investigator, Dr. Ryan Coller et al. report on time spent in nonbillable care coordination activities for 208 CMC over their program’s first 2 years.

Read the article

Doctor and overweight patient

Blood Pressure Control and Other Quality of Care Metrics for Patients with Obesity and Diabetes

Blood Pressure Control and Other Quality of Care Metrics for Patients with Obesity and Diabetes

There are no population-level estimates in the United States for achievement of blood pressure goals in patients with diabetes and hypertension by obesity weight class. A team of authors, including HIP Investigator, Dr. Maureen Smith examined the relationship between the extent of obesity and the achievement of guideline-recommended blood pressure goals and other quality of care metrics among patients with diabetes.

Read the article

Diabetic child self manage

The relationship of Type 1 diabetes self-management barriers to child and parent quality of life: a US cross-sectional study

The relationship of Type 1 diabetes self-management barriers to child and parent quality of life: a US cross-sectional study

Type 1 diabetes can reduce health‐related quality of life (QOL) for children, adolescents and their parents. Families of children and adolescents with Type 1 diabetes experience self-management challenges that negatively impact diabetes control. A team of authors, including HIP Investigator Dr. Elizabeth Cox, assessed whether self-management challenges are also associated with quality of life (QOL) for children and adolescents with Type 1 diabetes and their parents.

Read the article

Eye exam

Factors influencing patient adherence with diabetic eye screening in rural communities: A qualitative study

Factors influencing patient adherence with diabetic eye screening in rural communities: A qualitative study

Diabetic retinopathy remains the leading cause of blindness among working-age U.S. adults largely due to low screening rates. Rural populations face particularly greater challenges to screening because they are older, poorer, less insured, and less likely to receive guideline-concordant care than those in urban areas. Current patient education efforts may not fully address multiple barriers to screening faced by rural patients. HIP Investigator, Dr. Yao Liu et al. sought to characterize contextual factors affecting rural patient adherence with diabetic eye screening guidelines.

Read the article

Senior woman waiting for treatment in hospital

Increasing SBP variability is associated with an increased risk of developing incident diabetic foot ulcers.

Increasing SBP variability is associated with an increased risk of developing incident diabetic foot ulcers.

Excessive SBP variability may offer a potential new target for mitigating end-organ damage associated with microvascular and macrovascular disease, such as diabetic foot ulcers. Targeting SBP variability in addition to the absolute value, may help reduce the high risk of vascular complications faced by patients with diabetes. The goal of this study by HIP Investigator, Dr. Meghan Brennan et al. is to determine whether the risk of incident diabetic foot ulceration increases as SBP variability increases.

Read the article

Doctor talking to older woman

If We Don't Ask, They Won't Tell: Screening for Urinary and Fecal Incontinence by Primary Care Providers.

If We Don't Ask, They Won't Tell: Screening for Urinary and Fecal Incontinence by Primary Care Providers.

More than half of older adults experience urinary (UI) or fecal incontinence (FI), but the majority have never discussed symptoms with health care providers. Little is known about primary care providers' (PCPs') screening for UI and FI. Given the prevalence and significant negative impact of UI and FI, availability of effective treatment options, and the limited rates of spontaneous care seeking for these conditions, HIP Investigator, Dr. Heidi Brown et al. sought to quantify screening rates, attitudes, beliefs, and behaviors for these conditions among PCPs in our health care system.

Read the article

Medics and patient

Transitioning from General Pediatric to Adult-Oriented Inpatient Care: National Survey of US Children's Hospitals.

Transitioning from General Pediatric to Adult-Oriented Inpatient Care: National Survey of US Children's Hospitals.

Hospital charges and lengths of stay may be greater when adults with chronic conditions are admitted to children's hospitals. Despite multiple efforts to improve pediatric-adult healthcare transitions, little guidance exists for transitioning inpatient care. In this study, HIP Investigator Dr. Ryan Coller et al. sought to characterize pediatric-adult inpatient care transitions across general pediatric services at US children's hospitals.

Read the article

Pages