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IMAGE: Many traumatic brain injury (TBI) survivors needed extensive healthcare services in the year after their injury, and a quarter of them were super-utilizers, having three or more emergency department visits. view more
Credit: Regenstrief Institute
INDIANAPOLIS Patients who suffer from traumatic brain injuries (TBI) often need a great deal of healthcare services after the injury, but the extent of care utilization is unknown. A new study from research scientists affiliated with the U.S. Department of Veterans Affairs (VA), Regenstrief Institute and IUPUI is one of the first to analyze how much care TBI patients use and identify areas of unmet need.
Sungchul Park, PhD, MPH; Jeah Jung, PhD, MPH; Robert E. Burke, MD, MS; Eric B. Larson, MD, MPH
Low-value care, defined as the use of a health service for which the harms or costs outweigh the benefits, is a pervasive and enduring problem in the US. Enacting policies that limit reimbursement for low-value services is an important step in mitigating such care. For example, Powers et al
1 proposed a framework to identify and prioritize policies to govern the de-adoption of low-value care focused on evidence, eminence, and economics. However, transitioning to a state of health care delivery that prioritizes value over volume will require balancing “top-down” policy prescriptions with a “bottom-up” approach geared toward affecting local cultural change. Such an approach involves implementing de-adoption strategies tailored to address the behavioral and organizational factors that drive the provision of low-value care within a local health care ecosystem, whether it is an
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Adverse childhood and combat experiences may drive veterans’ suicidal thoughts
The rate of suicide among post-9/11 military veterans has been rising for nearly a decade. While there are a number of factors associated with suicide, veterans have unique experiences that may contribute to them thinking about killing themselves.
“Compared to their civilian peers, veterans are more likely to report having experienced traumatic adverse childhood experiences (ACEs) such as physical and emotional abuse,” stated Keith Aronson, associate director of the Clearinghouse for Military Family Readiness at Penn State and the Social Science Research Institute (SSRI). “Veterans also engage in life-threatening combat and witness the corollaries of combat such as seeing colleagues killed or wounded.”
Drop in PSA Screening, Increase in Metastatic Prostate Cancers medscape.com - get the latest breaking news, showbiz & celebrity photos, sport news & rumours, viral videos and top stories from medscape.com Daily Mail and Mail on Sunday newspapers.
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VIDEO: Research from the U.S. Department of Veterans Affairs, Regenstrief Institute and Indiana University School of Medicine, published in JAMA Network Open, shows that people treated in the ICU for COVID-19. view more
Credit: Regenstrief Institute
The COVID-19 pandemic is straining health systems across the country, especially intensive care units. New research from the U.S. Department of Veterans Affairs, Regenstrief Institute and Indiana University School of Medicine shows that people treated in the ICU for COVID-19 are twice as likely to die when the ICU capacity is strained by the number of COVID-19 patients. These results demonstrate that patients with COVID-19 are more likely to die if they are admitted to an ICU during times with peak COVID-19 caseload, said Dawn Bravata, M.D., first author of the study. We know that strain on hospital capacity has been associated with increased mortality under normal circumstances. This study provides evidenc