aportes a la gestión necesaria para la sustentabilidad de la SALUD PÚBLICA como figura esencial de los servicios sociales básicos para la sociedad humana, para la familia y para la persona como individuo que participa de la vida ciudadana.
sábado, 30 de noviembre de 2024
NIH 2026-2030 Minority Health and Health Disparities Strategic Plan
https://nimhd.nih.gov/about/strategic-plan/process.html?utm_campaign=hdpulse&utm_medium=email&utm_source=govdelivery
Your Voice is Critical for Minority Health and Health Disparities Research
The National Institutes of Health (NIH) want your experiences, insights and ideas to help shape the future of minority health and health disparities research. Share your input on the NIH Minority Health and Health Disparities Strategic Plan, 2026-2030 at the second of two community virtual townhalls and respond to the recently released Request for Information (NOT-MD-25-002).
These opportunities are open to all. Join NIH in working to improve minority health, reduce health disparities, promote health equity and create a more inclusive, healthier future for all.
Virtual townhall:
1:00 – 3:00 p.m. ET
Wednesday, December 4, 2024
viernes, 29 de noviembre de 2024
How hospitals are grappling with the IV fluid shortage wrought by Hurricane Helene Some hospitals are giving patients Gatorade instead of IVs and warning of potential delays in elective medical procedures
https://www.statnews.com/2024/10/09/iv-fluid-shortage-hurricane-helene-milton-hospitals/?utm_campaign=morning_rounds&utm_medium=email&_hsenc=p2ANqtz-9nB9MmFV5NPsoK2lSqQQNgVfjJpQxXoQI4NZDrHYYnvGTYKfsIK41PzwW1-Vy0sPTiUADTtBKNsiW2pf2jWBe4_vgfhg&_hsmi=335871632&utm_content=335871632&utm_source=hs_email
Q&A: Climate crisis as health crisis
Last month, Hurricane Helene caused a shortage of IV fluids in hospitals across the country after the storm forced a facility in North Carolina to close. Tampa Bay General Hospital puts up a literal flood wall during storms to keep patients safe. “Climate change is here, and we feel it through its impact on our health,” physician and non-profit CEO Vanessa Kerry said in a Q&A with STAT’s Nick St. Fleur. Nick spoke to Kerry at the Milken Future of Health Summit earlier this month about climate change, global health, and the incoming Trump administration.
https://www.statnews.com/2024/05/31/pandemic-treaty-investment-build-strong-health-systems/?utm_campaign=morning_rounds&utm_medium=email&_hsenc=p2ANqtz--xsH2UqUSzPvFkV4MrNatWDdSDEltXxpzCxVE5drlt5SPnAeoY84h7cJhWeBL4Sxk4ieNazkFSdwKYP5Mgz8Nyf2p7yw&_hsmi=335871632&utm_content=335871632&utm_source=hs_email
jueves, 28 de noviembre de 2024
miércoles, 27 de noviembre de 2024
Dec. 10: How Patient Narratives Can Support Your Patient Experience Strategy
Dec. 10: How Patient Narratives Can Support Your Patient Experience Strategy: Date: Dec. 10Time: 1:00 - 2:00 p.m. ETThis free webcast from AHRQ’s Consumer Assessment of Healthcare Providers and Systems (CAHPS®) program will feature a moderated discussion with three CAHPS team members, who will share their research insights and describe how patient narratives can be used to identify and address improvement opportunities.Speakers:
Advancing Digital Healthcare Equity: Navigating Disparities in the Digital Age Event Date: December 03, 2024 | 3:00pm – 4:30pm ET
https://digital.ahrq.gov/national-webinars/advancing-digital-healthcare-equity-navigating-disparities-digital-age
Dec. 3, 3 to 4:30 p.m. ET: Advancing Digital Healthcare Equity: Navigating Disparities in the Digital Age will explore the intersection of technology, healthcare and equity. The federal expert panel will explore some of the latest frameworks, data and tools to inform and advance health and digital healthcare equity.
Webinar: Person-Centered Care Planning for People With Multiple Chronic Conditions
Webinar: Person-Centered Care Planning for People With Multiple Chronic Conditions: WhenDecember 3, 2024 at 1:00 p.m. ET
Dec. 3, 1 to 2 p.m. ET: Person-Centered Care Planning for People With Multiple Chronic Conditions will feature preliminary findings from an AHRQ-funded project on approaches to providing person-centered care for people with multiple chronic conditions. The project was funded by the Patient-Centered Outcomes Research Trust Fund.
Investigating Interventions to Reduce Unsafe Use of Antibiotics
Investigating Interventions to Reduce Unsafe Use of Antibiotics: Larissa Grigoryan, M.D., Ph.D.Associate Professor of Family and Community MedicineBaylor College of Medicine
Antibiotic Stewardship in the Neonatal Intensive Care Unit
https://pubmed.ncbi.nlm.nih.gov/38835250/
Antibiotics are often given to preterm and vulnerable newborns before infections are confirmed in neonatal intensive care units (NICUs). In an article published in the Journal of Intensive Care Medicine, AHRQ-supported scholars reviewed general principles of antibiotic stewardship, a careful approach to reducing unnecessary antibiotic use, and how it can be applied to NICUs to avoid adverse effects and limit antibiotic resistance. They summarized current antibiotic use metrics and reviewed evidence-based infection prevention practices in the NICU. They also provided current recommendations for practical antibiotic use in the NICU, summarized the usefulness of infection biomarkers and highlighted specific threats in the NICU. They concluded that by implementing these practices, NICUs can better protect newborns from risks associated with overusing antibiotics, improve patient outcomes and help combat the global issue of antibiotic resistance.
AHRQ News Now: Agency for Healthcare Research and Quality (AHRQ)
AHRQ in the Professional Literature
Does an "EZ" survey improve the data quality of the Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Clinician and Group Survey 3.1? Hays RD, Brown JA, Mikail C, et al. J Patient Exp. 2024 Nov 14;11. Access the abstract on PubMed®.
https://pubmed.ncbi.nlm.nih.gov/39553387/
Variation in use of neuroimaging in the care of infants undergoing subspecialty evaluations for abuse: a multicenter study. Alpert E, Wood JN, Shults J, et al. Acad Pediatr. 2024 Oct 25. [Epub ahead of print.] Access the abstract on PubMed®.
https://pubmed.ncbi.nlm.nih.gov/39490894/
Formal and informal hospital emergency management practices: managing for safety and performance amid crisis. Hayirli TC, Kuznetsova M, Biddinger PD, et al. Int J Qual Health Care. 2024 Jul 31;36(3). Access the abstract on PubMed®.
https://pubmed.ncbi.nlm.nih.gov/38988191/
Primary care organizational support for nurse practitioner practice and emotional health care delivery. Turi E, Schlak A, Trexler J, et al. J Patient Saf. 2024 Sep 1;20(6):392-6. Epub 2024 May 16. Access the abstract on PubMed®.
https://pubmed.ncbi.nlm.nih.gov/38747529/
Child Opportunity Index mobility, recurrent wheezing, and asthma in early childhood: a population-based prospective cohort study. Tyris J, Putnick DL, Bell EM, et al. J Pediatr. 2024 Sep;272:114121. Epub 2024 May 28. Access the abstract on PubMed®.
https://pubmed.ncbi.nlm.nih.gov/38815746/
Person-centered care planning for people living with or at risk for multiple chronic conditions. Watson BN, Estenson L, Eden AR, et al. JAMA Netw Open. 2024 Oct;7(10):e2439851. Access the abstract on PubMed®.
https://pubmed.ncbi.nlm.nih.gov/39418021/
Engagement among diverse patient backgrounds in a remote symptom monitoring program. Rocque GB, Caston NE, Hildreth K, et al. JCO Oncol Pract. 2024 Oct;20(10):1426-35. Epub 2024 Jun 25. Access the abstract on PubMed®.
https://pubmed.ncbi.nlm.nih.gov/38917385/
Factors associated with acute telemental health consultations in older veterans. Koch EC, Ward MJ, Jeffery AD, et al. West J Emerg Med. 2024 May;25(3):312-19. Access the abstract on PubMed®.
https://pubmed.ncbi.nlm.nih.gov/38801035/
Register To Attend an IDEAS Project Webinar: Register Now: Dec. 5 Webinar on Using Measure Dx to Improve Diagnostic Safety Dec. 5 from noon to 12:30 p.m. ET
Register To Attend an IDEAS Project Webinar: Diagnostic safety events are common and pervasive across all healthcare settings. AHRQ has developed several resources to improve diagnostic safety: Calibrate Dx, Measure Dx, and the Toolkit for Engaging Patients in Diagnostic Safety.
How Patient Narratives Can Support Your Patient Experience Strategy (Webcast) December 10, 2024 1:00 - 2:00 p.m. ET
How Patient Narratives Can Support Your Patient Experience Strategy (Webcast): .yellow { background-color: #FDB81E; color: #323A45; } .yellow:hover { background-color: #FFF1D2; color: #323A45; } Register
martes, 26 de noviembre de 2024
Disaster Preparedness, Response, and Recovery and Homelessness
https://www.hudexchange.info/homelessness-assistance/disasters/?utm_source=SAMHSA&utm_campaign=0096a82052-EMAIL_CAMPAIGN_2024_11_21_06_27&utm_medium=email&utm_term=0_-0096a82052-167840245
Who Is Most At Risk To Extreme Heat?
https://www.heat.gov/pages/who-is-at-risk-to-extreme-heat?utm_source=SAMHSA&utm_campaign=0096a82052-EMAIL_CAMPAIGN_2024_11_21_06_27&utm_medium=email&utm_term=0_-0096a82052-167840245#people-experiencing-homelessness
Disaster Planning and Response: A Guide to Preparation for Homelessness Response Programs
https://hhrctraining.org/knowledge-resources/toolkit/7549/disaster-planning-response?utm_source=SAMHSA&utm_campaign=0096a82052-EMAIL_CAMPAIGN_2024_11_21_06_27&utm_medium=email&utm_term=0_-0096a82052-167840245
Youth Who Experience Homelessness
https://www.nctsn.org/what-child-trauma-populations-risk/youth-who-experience-homelessness?utm_source=SAMHSA&utm_campaign=0096a82052-EMAIL_CAMPAIGN_2024_11_21_06_27&utm_medium=email&utm_term=0_-0096a82052-167840245
Youth Who Experience Homelessness
https://www.1800runaway.org/?utm_source=SAMHSA&utm_campaign=0096a82052-EMAIL_CAMPAIGN_2024_11_21_06_27&utm_medium=email&utm_term=0_-0096a82052-167840245
This part of the website of the National Child Traumatic Stress Network (NCTSN) notes that many young people experiencing homelessness have past lived experience of trauma even before homelessness begins. The page links to NCTSN resources related to young people experiencing homelessness, including fact sheets for service providers working with children and families experiencing homelessness and adaptations of Psychological First Aid for young people and families experiencing homelessness.
Another resource for supporting youth experiencing homelessness, and youth in general, is the Family & Youth Services Bureau (FYSB), part of the U.S. Department of Health and Human Services’ Administration for Children and Families. FYSB supports organizations that work to promote youth well-being, prevent and end youth homelessness, and support a holistic adolescent approach by fostering collaborative partnerships across communities; leading in partnership with youth and young adults; promoting diversity, equity, inclusion, and accessibility; and supporting data-driven practices. Among FYSB’s programs is the Runaway and Homeless Youth Program. FYSB also funds and partners in providing services with the National Runaway Safeline (NRS), which offers a crisis hotline and online services 24 hours a day, 365 days a year to youth at risk of running away, those who have run away or are homeless, and their families. NRS offers services including crisis intervention, information and referrals, three-way conference calls, and more. NRS can be accessed by calling 1–800–RUNAWAY (1–800–786–2929), texting 66008, or using the online chat feature at 1800runaway.org.
https://www.nctsn.org/what-is-child-trauma/populations-at-risk/homeless-youth/nctsn-resources?utm_source=SAMHSA&utm_campaign=0096a82052-EMAIL_CAMPAIGN_2024_11_21_06_27&utm_medium=email&utm_term=0_-0096a82052-167840245
SAMHSA DBHIS Resources About People Experiencing Homelessness
https://www.samhsa.gov/resource-search/dbhis?rc%5B0%5D=populations%3A20164&utm_source=SAMHSA&utm_campaign=0096a82052-EMAIL_CAMPAIGN_2024_11_21_06_27&utm_medium=email&utm_term=0_-0096a82052-167840245
This part of the SAMHSA Disaster Behavioral Health Information Series (DBHIS) resource collection features resources you can use to take a trauma-informed approach to disaster response with individuals and families experiencing homelessness, ensure maximum safety for unhoused and homeless populations during very cold weather, and engage in disaster planning and preparedness inclusive of people experiencing homelessness. Resources include reports, webcasts, toolkits, and web pages.
Medicare moves to expand coverage for weight-loss drugs Wegovy, Zepbound It’s unclear how the incoming Trump administration, which would have to finalize the rule, will view it
https://www.statnews.com/2024/11/26/white-house-medicare-medicaid-obesity-wegovy-zepbound/?utm_medium=email&_hsenc=p2ANqtz--bKd1wyWTQROmDKNAgQdjDt4KiJitvYyFXGroTQiZkSM78kKjr3XrReZflB5e5kS4j-uW72yzrdAc9ScBV4X7Ae6ULgA&_hsmi=335726013&utm_content=335726013&utm_source=hs_email
WASHINGTON — The Biden administration is proposing a major expansion of how Medicare and Medicaid cover the blockbuster weight loss drugs Wegovy and Zepbound, the White House announced Tuesday.
Medicare currently covers the medications made by Novo Nordisk and Eli Lilly to treat diabetes and heart disease, but not for obesity alone because it’s prohibited by law from doing so. Given the price tag, a bill in Congress to extend coverage has stalled for years.
The White House estimates the new proposal would provide coverage to an estimated 3.4 million older adults in the Medicare program, and 4 million people in Medicaid. The proposal would go into effect in 2026, but it's unclear whether the incoming Trump administration would support such a measure, or would work to roll it back.
Inside the telehealth-fueled GLP-1 alternative market Alex Hogan By Alex Hogan Nov. 26, 2024
https://www.statnews.com/2024/11/26/glp-1-drugs-compounding-pharmacies-wegovy-zepbound-shortages/?utm_campaign=morning_rounds&utm_medium=email&_hsenc=p2ANqtz--FyiERitfnhlcqKqfzsoidelyh0SbJ4tctnGT64l-JzZu3zMwccclSlZH9oiU39kj3rmTCKmp8yoTWDNuEzwPDwlKEQA&_hsmi=335661306&utm_content=335661306&utm_source=hs_email
pharma
Video: Inside the market for GLP-1 copycats
Alex Hogan/STAT
If you’re reading this newsletter, you probably already know about the blockbuster GLP-1 drugs for weight loss. But if you’re fuzzy on what we mean when we write about the compounded versions often sold online, let me recommend the latest deep dive video from STAT’s Alex Hogan.
Alex explains the loophole that lets certain pharmacies make generic versions of the name-brand drugs Ozempic and Wegovy due to a continued shortage. “We’ve not been here before,” compounding expert Scott Brunner told Alex. “And so it really is a rare instance that we find ourselves in when this drug with such incredible demand is in such severe shortage.” Watch the video.
Trump’s promise to reinstate travel bans has scientists deeply concerned Universities are cautioning foreign students to assess winter break travel plans
https://www.statnews.com/2024/11/25/trump-travel-bans-scientists-concerned-about-return-of-restrictions/?utm_campaign=morning_rounds&utm_medium=email&_hsenc=p2ANqtz--YMw8x1sOWmBLrch_WoPX2Q8nKOxq15g5y66c5j68_1J1yTw8Op6g__PihWVLRhCIdiVyYUHNh1k_EanbQhQ2TfODhEQ&_hsmi=335661306&utm_content=335661306&utm_source=hs_email
How Trump travel bans could affect scientists
Within a week of taking office in 2017, Donald Trump signed an executive order prohibiting people from seven majority-Muslim countries from entering the U.S. The impacts were felt almost immediately in the science community, as researchers who’d planned to work here or present at scientific conferences suddenly weren’t able to enter the country. With his reelection, members of the life sciences community are concerned that Trump will make good on his campaign promise to reinstate and expand travel restrictions put in place during his first term.
Travel limitations on international researchers could further stress the academic workforce, which is experiencing an unprecedented exodus of early-career life scientists, a trend that has already caused some projects to slow or stall. Read more from STAT’s Jonathan Wosen.
Life scientists’ flight to biotech labs stalls important academic research
Jonathan Wosen
By Jonathan Wosen
https://www.statnews.com/2023/11/15/life-sciences-graduates-choosing-biotech-labs-over-postdoc-research/?utm_campaign=morning_rounds&utm_medium=email&_hsenc=p2ANqtz-_lkcAJH_L5insvPzEjni0Zbzs3xuyoQt9zGXze4eqgcTptUPqqb3aBdJE6hus8i6UmUCkGm56sIpGDdnTgh-tWI_SqzQ&_hsmi=335661306&utm_content=335661306&utm_source=hs_email
‘The tipping point is coming’: Unprecedented exodus of young life scientists is shaking up academia
Jonathan Wosen
By Jonathan Wosen
https://www.statnews.com/2022/11/10/tipping-point-is-coming-unprecedented-exodus-of-young-life-scientists-shaking-up-academia/?utm_campaign=morning_rounds&utm_medium=email&_hsenc=p2ANqtz-8vrHuvO9eE39lFmZmVEtGo1RXjBGuRkaXq9kZ5InE5iv4MvAXXfn4UNlFYVZnL_4rUorbwdoP6hDCMZOO4fQjgLcjWZA&_hsmi=335661306&utm_content=335661306&utm_source=hs_email
With boost from RFK Jr. and Tucker Carlson, two chronic disease entrepreneurs vault into Trump’s orbit Calley and Casey Means push anti-corporate message to ‘Make America Healthy Again’
With boost from RFK Jr. and Tucker Carlson, two chronic disease entrepreneurs vault into Trump’s orbit
Calley and Casey Means push anti-corporate message to ‘Make America Healthy Again’
https://www.statnews.com/2024/10/07/calley-means-casey-means-conservative-voices-of-chronic-disease-crisis/?utm_campaign=morning_rounds&utm_medium=email&_hsenc=p2ANqtz-9OQedJ4cJ3aEKM7bxZf2WEjy3DMJd02p0X8srrY5lrG0_ocOvmA9y1LiqpBLws2qvBDio7pPcdS_IHyqU_QTYEpzRYfA&_hsmi=335661306&utm_content=335661306&utm_source=hs_email
With the election of Donald Trump to the White House — and his decision to nominate Robert F. Kennedy Jr. to head the Department of Health and Human Services — the MAHA movement has taken center stage. That, however, doesn’t mean that all its adherents fit under a neat political umbrella.
In fact, the MAHA (short for “Make America Healthy Again”) movement has become a home for the disaffected of various stripes, whether that’s a middle school teacher who is skeptical about the ingredients in vaccines or a retired IT professional and nurse who worries about vaccine hesitancy but still has some lingering misgivings over the U.S. response to the Covid pandemic.
For those following the movement, mistrust is often the starting point, and the pandemic was a tipping point. MAHA’s leaders focus on a disparate array of concerns, including some widely shared worries about chemicals in food, and more fringe beliefs disputed by scientists about vaccines. STAT’s Eric Boodman and Isa Cueto have the story on the Americans within the MAHA-verse.
In the MAHA-verse, ex-Bernie die-hards and conservative moms find a political home
Eric Boodman
Isabella Cueto
By Eric Boodman and Isabella Cueto
https://www.statnews.com/2024/11/26/maha-movement-health-care-policy-different-concerns-shared-disaffection/?utm_campaign=morning_rounds&utm_medium=email&_hsenc=p2ANqtz-9i3-3-I5TJz8cV_qvZEG-c2_sr88uOnL201MsJ2KD3as54MhKfogDXGIo1Ufx4O_urJn98e_-kbiD6hMfuT5TJQv0jEw&_hsmi=335661306&utm_content=335661306&utm_source=hs_email
lunes, 25 de noviembre de 2024
Rand Paul plans to investigate Covid-19 origins from his new perch leading a key committee Paul’s scrutiny of science agencies could inform efforts to reshape NIH
Rand Paul plans to investigate Covid-19 origins from his new perch leading a key committee
Paul’s scrutiny of science agencies could inform efforts to reshape NIH
https://www.statnews.com/2024/11/22/rand-paul-senate-investigation-covid-19-origin-lab-leak-theory-anthony-fauci-nih/?utm_campaign=morning_rounds&utm_medium=email&_hsenc=p2ANqtz--aodRrsYp_gPJt4vop5OyefGopnqKEKEgEHBAEV9y1VSNIPXQ-oJnvP34MorZgYHtU17Ne1RQzno6NKSB7vgJjipfkFQ&_hsmi=335470246&utm_content=335470246&utm_source=hs_email
Whooping cough rises and Rand Paul plans for power
There were two STAT stories published Friday afternoon that I don’t want you to miss:
Whooping cough cases are up sixfold in the U.S. since this time last year. Experts say it’s likely a return to the pre-pandemic cycle, but some worry that this season could be more severe due to a decline in vaccinations. Read more from STAT’s Anil Oza.
Rand Paul wants to investigate the origins of Covid-19, something he may be able to do as the incoming chair of a committee with unique powers for investigations, STAT’s John Wilkerson reports. The libertarian senator is among the most vocal critics of scientists and science agencies. Read more.
Why whooping cough cases are spiking across the U.S.
The surge in cases is likely a return to the pre-pandemic cycle
https://www.statnews.com/2024/11/22/whooping-cough-cases-up-500-percent-seasonal-cycle-worsened-by-vaccine-skepticism/?utm_campaign=morning_rounds&utm_medium=email&_hsenc=p2ANqtz-9-hK-k35hpTRKcuAwmTCeFbsNyKxUkHEbBIp3NAAZ5x0aifTWW7VgTmxFCnrsVWVdBZw_784My-wgkHPHX11agqEAAiA&_hsmi=335470246&utm_content=335470246&utm_source=hs_email
FDA advisory panel recommends a streamlined flu vaccine for next fall Helen Branswell By Helen Branswell
FDA advisory panel recommends a streamlined flu vaccine for next fall
Helen Branswell
By Helen Branswell
https://www.statnews.com/2024/03/05/trivalent-flu-vaccines-fda-advisory-panel-recommendation/?utm_campaign=morning_rounds&utm_medium=email&_hsenc=p2ANqtz-9LFzaBaYj9y8ccKMckcY3jCWDmAiNcs0YuL11qy5zvF5DscgkX2L1egcTsWhG1HS-967GlpdlpcMvKxSlWVhh7nmHddA&_hsmi=335470246&utm_content=335470246&utm_source=hs_email
This flu lineage might have come back from extinction
From one flu mystery to another, STAT’s Helen Branswell also brings us this report:
In the first year or so of the Covid-19 pandemic, there was very little influenza activity globally. During that time of social distancing, mask wearing, and limits on international travel, one strain of flu B viruses disappeared. In the years since, it was concluded that the B/Yamagata lineage had gone extinct. The component that protected against these viruses was even taken out of flu shots.
Flu laboratories around the world remain on the lookout for B/Yam, as it’s known in flu circles, and one now says it has detected the virus. Adam Meijer, who heads the Dutch National Reference Laboratory for Respiratory Viruses, said several independent tests of the a patient’s sample came back positive, though the lab was unable to grow virus, or generate a genetic sequence from the sample.
Arnold Monto, a veteran flu epidemiologist at the University of Michigan who pushed to have B/Yamagata removed from U.S. flu shots, said given there is no genetic sequence, it’s too soon to know what to make of this report. Wenqing Zhang, who heads the WHO's global influenza program, also reserved judgment, saying the Dutch lab will be looking for B/Yam viruses in the coming flu season, so if they are circulating “they will be detected.”
WHO recommends dropping component of many flu vaccines
Helen Branswell
By Helen Branswell
https://www.statnews.com/2023/09/29/who-recommends-dropping-component-of-many-flu-vaccines/?utm_campaign=morning_rounds&utm_medium=email&_hsenc=p2ANqtz--nun4X90iYfC46QT1wcc1FNvhgyV4AwNzryQuhUTZmKmVRBQpTM1fso7hYSDESKyNaEROEeQfXCCf6ZXMZXRmx6hy7eg&_hsmi=335470246&utm_content=335470246&utm_source=hs_email
FDA expert panel endorses idea of removing a component from flu vaccine
Helen Branswell
By Helen Branswell
https://www.statnews.com/2023/10/05/fda-expert-panel-endorses-idea-of-removing-a-component-from-flu-vaccine/?utm_campaign=morning_rounds&utm_medium=email&_hsenc=p2ANqtz--x8IgGRaJYs4OgBVaXt2TFMIfusjmNQOv9imJe7jkaSc8fuK_L8u1egDLDBrIloQRnjTRCcfQjU0BRqM32t6VwpjrECA&_hsmi=335470246&utm_content=335470246&utm_source=hs_email
California health officials: Bird flu virus found in raw milk for sale While the human health implications of drinking H5N1-laced milk are unknown, scientists say the discovery is concerning
https://www.statnews.com/2024/11/24/bird-flu-h5n1-raw-milk-llc-california-virus-testing/?utm_campaign=morning_rounds&utm_medium=email&_hsenc=p2ANqtz-9481JY-gVXfuJFCRAPYNUrEMKt1iSWfrAlypTSfavMtYiIt3DBOke70SK6qWPkO8kZNyfgW-z8PzDwCOKxzS_O_g5cZQ&_hsmi=335470246&utm_content=335470246&utm_source=hs_email
U.S. confirms first H5N1 case in a child
The CDC confirmed on Friday that a California child was infected with H5N1 bird flu. As with a case in Missouri that STAT’s Helen Branswell reported on earlier this fall, the source of the infection is not known. The child, who lives in Alameda County southeast of Oakland, does not live on or near a farm. They had no known contacts with infected animals or poultry, the California Department of Public Health said when the case was first announced. The child, who had only mild symptoms, is recovering. It’s the first confirmed case of H5N1 in a child in the U.S. So far this year 55 confirmed human H5N1 infections have been recorded in seven states.
None of the child’s contacts tested positive for the virus, which is good news. But cases where the source of infection cannot be determined are unsettling, raising the specter of undetected transmission of a flu virus to which humans do not have immunity, STAT’s Helen Branswell, who covers infectious diseases, explains in this video.
In related perturbing news, California public health officials have detected bird flu virus in a sample of raw milk from Raw Farm in Fresno that was purchased at a retail outlet. (Reminder: A study earlier this year showed that drinking raw milk that contains bird flu viruses could be dangerous.) Helen has the details.
https://www.cdc.gov/bird-flu/situation-summary/index.html?utm_campaign=morning_rounds&utm_medium=email&_hsenc=p2ANqtz--ZsXvnNzwHmXN3qOo9kDnGHflTPoCoekeYznu-moEm2uFB5EWKPulDMK-S2jrRSiwMnoW5mJ_6LbeCMomrUqsgBhK0zg&_hsmi=335470246&utm_content=335470246&utm_source=hs_email
Inside UnitedHealth’s strategy to pressure physicians: $10,000 bonuses and a doctor leaderboard Tara Bannow Bob Herman Casey Ross Lizzy Lawrence By Tara Bannow , Bob Herman , Casey Ross , and Lizzy Lawrence
https://www.statnews.com/2024/10/16/united-health-optum-care-medicare-advantage-strategy-dashboard-emails-documents/?utm_campaign=morning_rounds&utm_medium=email&_hsenc=p2ANqtz--w8FAPOHnf3Y8Cu1OcwE2PEM2ju8shSD_kxoEPgiHm360vQZL2EZ-ex60MfimW8DqccPzl9tqypXOAGQNH6U23bSMOUg&_hsmi=335470246&utm_content=335470246&utm_source=hs_email
UnitedHealth Group is paying many of its own physician practices significantly more than it pays other doctor groups in the same markets for similar services, STAT reporters reveal in Part 5 of the series Health Care’s Colossus. For some types of care, the company’s insurance subsidiary doles out twice the average market price at its own practices. “It’s really a game the way they switch money from their right pocket to their left,” one doctor said.
As a reminder, UnitedHealth is the country’s largest health insurer and fourth-largest company of any type by revenue. The company argues in marketing materials that its control of medical providers delivers greater efficiency, better care coordination, and lower costs. But STAT’s findings expose the effects of a deepening conflict of interest: As both a dominant insurance company and a health care provider, UnitedHealth can capture higher profits by paying itself inflated prices for basic checkups, surgeries, and procedures.
STAT uncovered the payments in a first-of-its-kind analysis with health analytics company Tribunus Health that examined UnitedHealth’s own data as reported to the federal government. Read more in Part 5.
And I urge you to check out the first few parts if you haven’t already. They document how UnitedHealth turned a questionable artery-screening program into a gold mine; it promised a hands-off approach when buying one Connecticut medical group, then upended everything its doctors had built; and its managers use tactics like bonuses and leaderboard rankings to pressure doctors.
This series highlights how UnitedHealth Group wields its unrivaled physician empire to boost its profits and expand its influence.
Reporters Casey Ross, Lizzy Lawrence, Bob Herman, and Tara Bannow spent months interviewing sources and reviewing documents to deliver this unrivaled look into the biggest and most consequential U.S. health care company.
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Trump picks Johns Hopkins surgeon Makary to run FDA Makary has made a name for himself by challenging status quo ideas in the medical establishment.
Trump picks Johns Hopkins surgeon Makary to run FDA
Makary has made a name for himself by challenging status quo ideas in the medical establishment.
https://www.statnews.com/2024/11/22/trump-fda-nominee-marty-makary-surgeon-maha-ally-rfk-jr/?utm_campaign=morning_rounds&utm_medium=email&_hsenc=p2ANqtz-_gyVUMMcincpmi2m6mYrlMGMmZeRD1W0CdCB-4QkeELMi3z-Hiv9Svcv9x-Z1E-DwxCVyEJECyMGRhvOd5Ku6N4p9SgQ&_hsmi=335470246&utm_content=335470246&utm_source=hs_email
FDA
Trump tapped surgeon Martin “Marty” Makary to lead the FDA. STAT’s Rachel Cohrs Zhang rounded up seven examples from Makary's history of criticizing the agency, including calling out the FDA’s decisions to approve boosters for young people, the pace of its approval for early vaccines, and its remote work policies.
Makary is also an executive of the telehealth company Sesame, which connects consumers to physicians who can prescribe compounded weight-loss drugs. If confirmed as FDA commissioner, he would take the lead of the agency as it grapples with high-stakes policy issues that could impact Sesame’s business. Read more from a team of STAT reporters on that potential conflict.
While Matt wrote that the CDC is “in big trouble,” under Weldon, he believes that the FDA “might be OK” under Makary. Leaders in biotech and pharma were a little more optimistic: “We dodged a bullet,” one biotech investor told STAT reporters. Read Matt’s Take and more biotech and pharma reactions.
Trump’s pick to run FDA is top exec of company that provides compounded weight-loss drugs
If confirmed as FDA commissioner, Makary would take the lead of the agency as it grapples with high-stakes policy issues that could impact Sesame’s business
https://www.statnews.com/2024/11/24/makary-sesame-compounded-weight-loss-drugs-semaglutide-fda-shortage-list/?utm_campaign=morning_rounds&utm_medium=email&_hsenc=p2ANqtz-8wWMqhaP_0kGYpa8Ly8vQ16cohvkmsNzSheXJmZ5rtT4FfdCwwW6Px0Ia_-g3Kl4UAUuIlin4I0dhzi1-vtWvwtLnIbQ&_hsmi=335470246&utm_content=335470246&utm_source=hs_email
Trump to nominate physician and former Fox News contributor as surgeon general The pick of Nesheiwat is in line with the incoming administration’s focus on keeping people healthy Manage alerts for this article Email this article
Trump to nominate physician and former Fox News contributor as surgeon general
The pick of Nesheiwat is in line with the incoming administration’s focus on keeping people healthy
https://www.statnews.com/2024/11/22/janette-nesheiwat-surgeon-general-trump-nomination-fox/?utm_campaign=morning_rounds&utm_medium=email&_hsenc=p2ANqtz-9zjRk1GPrSRmKptfJTaAweOaIPJ672jHDXKpzLwxeojDXdqX-SmbTontC-n4MnZXpdvB9mnKEaQTo9mLCe3gQiqwKQwA&_hsmi=335470246&utm_content=335470246&utm_source=hs_email
Surgeon general
Physician and former Fox News contributor Janette Nesheiwat will be nominated to be surgeon general. Unlike some other picks, she does not have a history of criticizing vaccines. STAT’s John Wilkerson has more on Nesheiwat.
Trump selects Dave Weldon, former congressman with ties to vaccine critics, to lead CDC Florida physician has questioned vaccine safety and pushed for ‘rights of conscience’ on abortion
Trump selects Dave Weldon, former congressman with ties to vaccine critics, to lead CDC
Florida physician has questioned vaccine safety and pushed for ‘rights of conscience’ on abortion
https://www.statnews.com/2024/11/22/dave-weldon-cdc-director-trump-nominee/?utm_campaign=morning_rounds&utm_medium=email&_hsenc=p2ANqtz-8FSrPxMY9SKbQL3RodC7hlHEXvqFLoQL3MlAxUvNFm4H8PpotXFv4PjJNaP3UAZlaLlP-gVBxQCjhOVYTqoae5p8J3cw&_hsmi=335470246&utm_content=335470246&utm_source=hs_email
CDC
Trump picked physician and former Rep. Dave Weldon to lead the CDC. Weldon has a history of backing controversial and, in the views of most scientists, discredited ideas that linked childhood vaccines with increasing rates of autism. “That is worrisome for an agency whose most historic victories have come through the use of vaccines,” STAT’s Matt Herper wrote over the weekend. STAT’s Lizzy Lawrence has more on Weldon.
Prognosis: Under Trump, the CDC is in big trouble, but the FDA might be OK
While the FDA pick seems perhaps the least likely to try to upend the status quo, the presumptive CDC director has been a vociferous critic of vaccination.
https://www.statnews.com/2024/11/23/dave-weldon-cdc-marty-makary-fda-trump-rfk-jr/?utm_campaign=morning_rounds&utm_medium=email&_hsenc=p2ANqtz-_9OUeR_GCyWTnxtUHdu4u_Tg83Oy-LhPMNRU6EdP2eBERDSCV8D4TeKSFQ3IU_e-2exmHC5TVvw4ax2uiE2U25N_uk_A&_hsmi=335470246&utm_content=335470246&utm_source=hs_email
As Pandemic-Era Policies End, Medicaid Programs Focus on Enrollee Access and Reducing Health Disparities Amid Future Uncertainties: Results from an Annual Medicaid Budget Survey for State Fiscal Years 2024 and 2025 Elizabeth Hinton, Elizabeth Williams, Jada Raphael, Anna Mudumala, Robin Rudowitz, Kathleen Gifford, Aimee Lashbrook, and Caprice Knapp Published: Oct 23, 2024
domingo, 24 de noviembre de 2024
Prognosis: Under Trump, the CDC is in big trouble, but the FDA might be OK While the FDA pick seems perhaps the least likely to try to upend the status quo, the presumptive CDC director has been a vociferous critic of vaccination.
https://www.statnews.com/2024/11/23/dave-weldon-cdc-marty-makary-fda-trump-rfk-jr/?utm_campaign=breaking_news&utm_medium=email&_hsenc=p2ANqtz-_fdmU4vaPbBV6kGFkENZHy8x8YNI1hbasTNgu8UNhE4gX9VpUHzF4vfpjynaokCx2kd28n0rn5M2X7LnTVFZQH3VsEcA&_hsmi=335358967&utm_content=335358967&utm_source=hs_email
If there is a message in President-elect Trump’s Friday night reveal of who he intends to nominate for key health care positions in his administration, it is this:
The Centers for Disease Control and Prevention are in big trouble. The Food and Drug Administration might be OK.
While the FDA pick of Marty Makary seems perhaps the least likely to try to upend the status quo, the presumptive CDC director, Dave Weldon, has been a persistent skeptic about the safety of some vaccinations. That is worrisome for an agency whose most historic victories have come through the use of vaccines.
sábado, 23 de noviembre de 2024
viernes, 22 de noviembre de 2024
The Association Between Outcomes and Dental Services in Persons With Autoimmune Disease Treated With Biologics and Other Immunosuppressants: A Rapid Response Review
The Association Between Outcomes and Dental Services in Persons With Autoimmune Disease Treated With Biologics and Other Immunosuppressants: A Rapid Response Review: This rapid response aims to summarize the current literature evidence on the impact of dental services and oral health management on autoimmune disease outcomes, specifically in people treated with biologics and other immunosuppressants.
Family medicine presence on labor and delivery: effect on safety culture and cesarean delivery. November 20, 2024
https://psnet.ahrq.gov/issue/family-medicine-presence-labor-and-delivery-effect-safety-culture-and-cesarean-delivery
Family medicine presence on labor and delivery: effect on safety culture and cesarean delivery.
VanGompel EW, Singh L, Carlock F, et al. Ann Fam Med. 2024;22(5):375-382.
Rural care settings face unique challenges in the provision of safe obstetric care. This study explored whether the presence of family medicine (FM) physicians (who are more likely to attend births in rural settings without access to obstetricians or midwives) impacts safety culture and perinatal outcomes. Researchers surveyed 849 clinicians from 39 hospitals in Iowa and found that FM-only hospitals had a lower risk of cesarean deliveries, more support for vaginal birth, and stronger safety culture compared to hospitals with both FM physicians and obstetricians.
Implementation of a standardized tool for root cause analysis selection. November 20, 2024
https://psnet.ahrq.gov/issue/implementation-standardized-tool-root-cause-analysis-selection
Implementation of a standardized tool for root cause analysis selection.
Wahlstedt E, Levy BE, Scott E, et al. J Patient Saf. 2024;Epub Oct 18.
The root cause analysis or RCA2 framework is a standardized approach to identify patient safety incidents based on their potential harm and frequency. In this study, researchers used an RCA2 algorithm to identify high-risk events for root cause analysis. Among 104 cases identified from the VA health system, the algorithm recommended nearly 57% for RCA. In comparison, only 17% of cases met the current institutional selection process, missing 45 potential high-frequency, high-harm events.
Nurse burnout and patient safety, satisfaction, and quality of care: a systematic review and meta-analysis. November 20, 2024
https://psnet.ahrq.gov/issue/nurse-burnout-and-patient-safety-satisfaction-and-quality-care-systematic-review-and-meta
Nurse burnout and patient safety, satisfaction, and quality of care: a systematic review and meta-analysis.
Li LZ, Yang P, Singer SJ, et al. JAMA Netw Open. 2024;7(11):e2443059.
Nurse burnout increased during the pandemic and remains prevalent. This review sought to determine the association between nurse burnout and patient safety, patient satisfaction, and quality of care. Nurse burnout increased over time and was negatively associated with these factors. The association between the subcomponents of burnout (e.g., safety culture, emotional exhaustion, and depersonalization) and lower health care quality, safety and patient satisfaction is also presented.
Experiences with diagnostic delay among underserved racial and ethnic patients: a systematic review of the qualitative literature. November 20, 2024
https://psnet.ahrq.gov/issue/experiences-diagnostic-delay-among-underserved-racial-and-ethnic-patients-systematic-review
Experiences with diagnostic delay among underserved racial and ethnic patients: a systematic review of the qualitative literature.
Faugno E, Galbraith AA, Walsh KE, et al. BMJ Qual Saf. 2024;Epub Nov 4.
Historically, underserved racial and ethnic populations have been disproportionately affected by delayed diagnosis. In this review of quantitative studies conducted in the US, patients and caregivers in underserved communities reported several factors contributing to delayed diagnosis. Socioeconomic and sociocultural factors included healthcare avoidance, stigma, and distrust in the healthcare system. Health system factors included poor organizational health literacy and provider-related factors such as cognitive biases. There was a lack of research on diagnosis of chronic conditions, and no studies focused on Asian Americans and Pacific Islanders.