Patients in team-based practices less likely to visit ED after hospital discharge

Press Release:

Older patients enrolled in team-based primary care practices in Quebec had similar rates of hospital readmission, and lower rates of emergency department visits and death after hospital discharge, compared with those in traditional fee-for-service practices, found a study published in CMAJ (Canadian Medical Association Journal).

“Our study showed that the newer team-based primary care delivery model in Quebec was associated with some better post-discharge outcomes among older or chronically ill patients, notably lower rates of emergency department visits and death,” writes Dr. Bruno Riverin, Department of Epidemiology, Biostatistics & Occupational Health, McGill University, Montréal, Quebec, with coauthors.

Hospital readmissions cost the Canadian health care system $1.8 billion each year (excluding physician costs) and many older or chronically ill patients are at increased risk of complications in the weeks after discharge.

The large study looked at data on 312 377 older or chronically ill patients in Quebec who were admitted to hospital between November 2002 and January 2009 (620 656 admissions). The researchers found that about 1 in 4 older or chronically ill patients who had been in hospital for any cause returned within 30 days (for either readmission or an emergency department visit).

“Patients enrolled in team-based primary care practices had a 5% lower 30-day risk of emergency department visits not associated with readmission, and significantly fewer patients died in the early period after hospital discharge compared with patients enrolled in traditional primary care practices,” write the authors.

They hypothesize that health care professionals in these team-based practices are better able to coordinate care for the sickest patients, which helps reduce hospital readmission and death.

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The study was conducted by researchers at McGill University; Montreal Children’s Hospital; McGill University Health Centre, Direction de la santé publique du CIUSS du Centre-Sud-de-l’Île-de-Montréal, Montréal, Quebec; and University of Pittsburgh, Pittsburgh, Pennsylvania.


‘Doctor’ robot could help solve sports-concussion dilemma in rural America

From MedicalXPress:

From bustling cities to tiny farming communities, the bright lights of the local stadium are common beacons to the Friday night ritual of high school football.

But across the sprawling stretches of rural America, these stadiums are commonly far from doctors who could quickly diagnose and treat head injuries that have brought so much scrutiny to the sport.

A first-of-its-kind study from the Peter O’Donnell Jr. Brain Institute and Mayo Clinic shows the technology exists to ease this dilemma: By using a remote-controlled robot, a neurologist sitting hundreds of miles from the field can evaluate athletes for concussion with the same accuracy as on-site physicians.


Infinion Marketing Wins AZIMA TIM Award for eCommerce Web Design

Local Digital Marketing Agency recognized for expertise in web design by the Arizona Interactive Marketing Association Contact: Anthony Kirlew, 480-338-6744 PHOENIX, April 24, 2017 /Christian Newswire/ — Infinion Marketing, a Phoenix-based Digital Marketing Agency, was the recent recipient of a TIM Award for eCommerce Web Design by the Arizona Interactive Marketing Association (AZIMA). The company offers a variety of digital marketing services with website design being at the forefront. Source: Infinion Marketing

CNN10 – 04/25/17

Workers are freed from alleged exploitation in Brazil, another U.S. retailer says it’s closing its stores, and a U.S. astronaut sets another record in space.