Health care meeting

Influence of Environmental Design on Team Interactions Across Three Family Medicine Clinics: Perceptions of Communication, Efficiency, and Privacy

Influence of Environmental Design on Team Interactions Across Three Family Medicine Clinics: Perceptions of Communication, Efficiency, and Privacy

Protocols encourage healthcare team communication before and after primary care visits to support better patient care. Physical clinic environments may influence these behaviors, but limited research has been performed. The UW PATH collaborative explored how two different primary care clinic physical layouts (onstage/offstage and pod-based [PB] designs) influenced pre- and postvisit team experiences and perceptions.

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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.

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Patient using tablet

Inpatients Sign On: An Opportunity to Engage Hospitalized Patients and Caregivers Using Inpatient Portals

Inpatients Sign On: An Opportunity to Engage Hospitalized Patients and Caregivers Using Inpatient Portals

Inpatient portals are online patient portals linked to electronic health records that provide hospitalized patients and caregivers secure access to real-time clinical information and tools to enhance their communication with providers and hospital experience. HIP Investigator, Dr. Ryan Coller et al. provided a perspective that inpatient portals are innovative tools poised to engage patients and caregivers during hospitalization and, thus, enhance patient-centered care. This article highlights the potential of using inpatient portals to engage hospitalized patients and caregivers and proposes next steps to evaluate this emerging technology.

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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.

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A robust approach to sample size calculation in cancer immunotherapy trials with delayed treatment effect

A robust approach to sample size calculation in cancer immunotherapy trials with delayed treatment effect

A group of authors including HIP Investigator, Dr. Menggang Yu et al. presents an approach to calculate sample size based on a maximin efficiency robust test. Both theoretical derivations and simulation results show the proposed approach can guarantee the desired power in worst case scenarios and often much more efficient than existing approaches. Application to a real trial design is also illustrated.

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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.

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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.

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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.

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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.

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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.

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