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Following the 2018 MISSION Act expansion, VA specialty referrals and community care outsourcing increased substantially without reducing outpatient specialty wait times, signaling the need for alternative access-improvement strategies.
Technology-guided diet counseling training using the Nutri platform improves resident physicians’ attitudes, self-efficacy, and intention to discuss diet, facilitating shared decision making in routine primary care.
This study explores how economic, educational, healthcare, neighborhood, and social factors link to multiple frailty dimensions in Chinese older adults, highlighting cognition as a key intermediary.
This review examines informed consent patterns and predictors in an international ICU trial on stress ulcer prophylaxis, highlighting the shift to deferred consent, pandemic influences, and implications for critical care research ethics.
This bibliometric study reveals persistent gender disparities in authorship of critical care publications, with women better represented in low- and middle-income countries and a modest increase in female authorship from 2018 to 2022 global
Young survivors of aneurysmal subarachnoid hemorrhage face a lifelong risk of developing new aneurysms, with female sex, smoking, and family history as key risk factors. Smoking cessation reduces this risk, supporting need for lifelong surv
Randomized Quality Improvement (RQI) trials offer robust evidence for healthcare interventions but raise ethical and regulatory challenges. A proposed framework provides streamlined oversight enabling safer, evidence-based care improvements
High exposure to ambient NO2 and O3 air pollutants is associated with approximately one year earlier natural menopause, highlighting environmental risks to women’s reproductive aging.
Islet autoantibody positivity varies significantly among racial and ethnic groups and is influenced by socioeconomic deprivation, implicating tailored screening and prevention strategies for equitable diabetes care.
This study highlights significant gaps in global surgery education among medical students in Australia and New Zealand, revealing limited curricular exposure despite strong student interest and support for inclusion in medical training.
This study reveals that trauma significantly increases social risks such as food insecurity and housing instability, especially in younger adults, highlighting the need for targeted interventions to mitigate socioeconomic consequences post-
This study highlights how unmet transportation needs significantly increase missed in-person primary care appointments, while telemedicine offers a viable solution to overcome these barriers, improving healthcare access.
Analysis reveals growing Medicare payment disparities between hospitals and physicians for general surgery procedures from 2019 to 2023, highlighting urgent policy needs for alignment to sustain equitable surgical care delivery.
Analysis of NHANES data reveals increasing anemia and iron deficiency anemia rates among nonpregnant U.S. women aged 20-45 from 1999 to 2023, with persistently high iron deficiency prevalence.
This study investigates how real-life versus social-media-based emotional support relates to loneliness among US adults, revealing stronger links between real-life support and reduced loneliness.
This review synthesizes evidence showing that Medicaid expansion under the Affordable Care Act significantly reduced 1-year mortality among young adults starting dialysis by improving insurance coverage and access to nephrology care.
From 2013 to 2023, Medicare charges for inpatient neurologic care rose sharply while reimbursement increases lagged, widening payment gaps despite declining hospitalization volumes and highlighting systemic financial misalignments.
This study investigates the genetic risk structure of 18 psychiatric and substance use disorders using high-quality Swedish registries, identifying six distinct genetic factors and highlighting shared and unique genetic influences among dis
Medicare Advantage (MA) shows no significant improvement over original Medicare (OM) in managing type 2 diabetes outcomes or mitigating related social needs despite higher costs, underscoring the need for effective spending strategies.
This study reveals that housing instability among adults with uncontrolled diabetes is associated with increased financial strain and cost-related medication nonadherence, underscoring the need for holistic approaches to diabetes care invol
