National Healthcare Quality and Disparities Report
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Research Studies is a compilation of published research articles funded by 大象视频or authored by 大象视频researchers.
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1 to 2 of 2 Research Studies DisplayedHaynes SC, Davidson L, Tancredi DJ
Parent, physician, and therapist experience of in-person, hybrid, and all-virtual models of physiatry care for children with special health聽care needs.
This study鈥檚 purpose was to compare three models of pediatric physiatry care (in-person, hybrid, and all-virtual) in terms of parent experience and physician- and therapist-reported quality of care. The authors hypothesized that the all-virtual model would have lower parent experience scores and lower quality scores compared with the other two models of care. They used quantitative data from surveys of parents, physicians, and therapists after visits to 13 medical therapy units. They also collected qualitative data from six focus groups with parents, physicians, and therapists. They found no differences in parent experience scores between the three models of care. All-virtual visits were rated significantly lower by physicians and therapists in terms of quality care, parent education, and physical exam, compared with the other two models of care, but qualitative results highlighted specific instances where all-virtual visits could be useful. The findings suggest that a hybrid virtual model is an acceptable model of care that maintains the quality of care and facilitates parent education, but all-virtual models are perceived as lower quality.
AHRQ-funded; HS025714.
Citation: Haynes SC, Davidson L, Tancredi DJ .
Parent, physician, and therapist experience of in-person, hybrid, and all-virtual models of physiatry care for children with special health聽care needs.
Acad Pediatr 2024 Sep-Oct; 24(7):1141-49. doi: 10.1016/j.acap.2024.04.011..
Keywords: Children/Adolescents, Disabilities, Healthcare Cost and Utilization Project (HCUP)
Zondlak AN, Oh EJ, Neiman PU
Association of intellectual disability with delayed presentation and worse outcomes in emergency general surgery.
Individuals with intellectual disabilities may be at higher risk of delayed presentation and worse outcomes for emergency general surgery (EGS) conditions. The purpose of this study was to explore the relationship between intellectual disability and both severity of disease and clinical outcomes in patients presenting with typical EGS conditions. The study found that of 1,317,572 adult EGS admissions, 0.38% of patients had an ICD-9/-10 code consistent with current intellectual disability. EGS patients with intellectual disabilities had 31% greater odds of more severe disease at presentation when compared with neurotypical patients. Intellectual disability was also related with a higher likelihood of complications and mortality, longer lengths of stay, lower rate of discharge to home, and higher inpatient costs.
AHRQ-funded; HS028672; HS027788.
Citation: Zondlak AN, Oh EJ, Neiman PU .
Association of intellectual disability with delayed presentation and worse outcomes in emergency general surgery.
Ann Surg 2023 Nov 1; 278(5):e1118-e22. doi: 10.1097/sla.0000000000005863..
Keywords: Healthcare Cost and Utilization Project (HCUP), Disabilities, Surgery, Outcomes
