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Take-at-home tests boost colorectal cancer screening 10x for the underserved


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Colorectal cancer screening rates jumped by more than 1,000 percent when researchers sent take-at-home tests to patients overdue for testing at a community health center that predominantly serves people of color. Instead of the oft-standard text message that simply reminds a patient that they are overdue for screening, researchers from the Perelman School of Medicine at the University of Pennsylvania made it the default to send a take-at-home test to the patient s home unless they opted out via a text message prompt. The research was published in the
Journal of General Internal Medicine.
Colorectal cancer screening rates remain limited in underserved populations, which includes those in the clinic we partnered with, Shivan Mehta, MD, associate chief innovation officer at Penn Medicine and an assistant professor of Medicine. We saw that there is an opportunity to use text messaging and new insights from behavioral science to increase uptake. ....

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Remote monitoring leads to 4x decline in returns to hospital after joint surgery


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Researchers saw a fourfold decline in the rate of patients who needed to go back to the hospital after total hip or knee replacements if they were enrolled in a program that used wearable step counters and conversational text messaging to keep tabs on recovery. The study was published in
JAMA Network Open today.
There are great opportunities for health systems and clinicians to improve the quality and value of care for patients getting hip and knee joint replacement surgery, and some of the most important advances are focused on what happens when patients return home, said the study s lead author, Shivan Mehta, MD, associate chief innovation officer at Penn Medicine. Technology, behavioral science insights, and care redesign can help to improve care at home and prevent patients from coming back to the hospital unnecessarily. ....

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