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Tag: doctor patient relationship

Dartmouth-led Research Team Receives $3.3 Million Grant to Test Efficacy of Adding Audio Recordings to Clinic Visits with Older Adults

Article Excerpt: A Dartmouth-led research group, including investigators from Vanderbilt University Medical Center (VUMC) and the University of Texas Medical Branch (UTMB), has received a $3.3 million grant from the National Institute on Aging. In this NIH stage III ‘real world’ efficacy trial, investigators will compare the impact of sharing visit recordings to care as usual over 12 months in older adults with diabetes. According to previous studies, up to 80 percent of clinic visit information is forgotten by patients immediately after seeing their healthcare provider. This presents a significant barrier to their ability to manage their conditions, especially if they are older and have comorbidities that lead to poor health outcomes. “After visit summaries can improve recall, but concerns still exist about their readability, accuracy, and low patient usage,” says Paul Barr, PhD, an associate professor of The Dartmouth Institute for Health Policy & Clinical Practice, and Center for Technology & Behavioral Health (CTBH) at the Geisel School of Medicine.

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Article Source: Dartmouth Geisel School of Medicine News


Developing Trust in Healthcare AI, Step by Step

Article Excerpt: A new analysis examines how artificial intelligence in medicine can impact clinical decisions and identifies the steps that could build more trust in machine learning models from doctors and patients… As the usage of artificial intelligence in healthcare grows, some providers are skeptical about how much they should trust machine learning models deployed in clinical settings. AI products and services have the potential to determine who gets what form of medical care and when – so stakes are high when algorithms are deployed, as Chilmark’s 2022 “AI and Trust in Healthcare Report,” published September 13, explains.

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Article Source: Healthcare IT News


Dealing with Medication-Related Weight Gain

Article Excerpt: Part of taking medications is knowing there may be side effects and talking to your doctor if they’re anything worse than mild. But there is one somewhat common side effect that many people find especially worrisome: weight gain. Few among us want to gain weight—and extra pounds are particularly distressing if they further complicate the condition for which you’re taking the medicine in the first place. Some drugs prescribed to treat heart disease, type 2 diabetes, depression and arthritis can cause weight gain, which can make the disease they are treating worse instead of better, says UNC Health geriatrician and obesity medicine specialist John A. Batsis, MD.

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Article Source: UNC Health Talk


Geisel Researchers Receive $4 Million Grant to Improve Office Visit Interactions Between People Living with Dementia, Care Partners, and Clinicians

Article Excerpt: A team of researchers at Dartmouth’s Geisel School of Medicine and New York University (NYU) Grossman School of Medicine has received a $4 million grant from the National Institute on Aging to improve “triadic” interactions between patients living with dementia, their care partners, and their clinicians. An estimated 6.5 million Americans aged 65 or older currently live with Alzheimer’s disease or Alzheimer’s disease-related dementia, and that number is projected to rise to nearly 13 million by 2050, placing an even greater burden on patients, caregivers, and the healthcare system. People living with dementia and their care partners (typically family members or friends) rely on primary care clinic visits for information about their disease, its management, and community referrals. While research has shown that quality interpersonal communication is associated with improved health outcomes, the degree to which effective communication is achieved during triadic visits is unknown, and few interventions have been developed to support it.

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Article Source: Dartmouth Geisel School of Medicine News


Digital Health Can Make Healthcare More Open, Inclusive, and Patient-Centred. Here’s How.

Article Excerpt: Over the last two decades, data and digital technologies have begun to converge with medicines, devices, and diagnostics to create a new market for digital health. The Covid-19 pandemic has accelerated demand for connected drug delivery and wearable devices and apps for remote monitoring, patient engagement and adherence. With instant access to a vast amount of healthcare information, tremendous opportunities exist to detect disease earlier, hasten the development of new treatments, and personalize them to individual patients.

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Article Source: World Economic Forum


The Implication of Technology in Healthcare

Article Excerpt: There’s a lot of buzz about the internet, including the fact that a lot of it has been very successful in bringing together healthcare information technology. But this is not what we should be thinking about when we talk about healthcare. There’s so much more to it than that. There are some very real problems: lack of access to information, lack of trust in doctors and hospitals, lack of access to care, etc. We need to take a hard look at these things and understand what they mean for patients and the healthcare system, before we think about building an internet-based solution to them. Some of those issues have been well-documented: for example, access to care is often limited by cost; hospitals are increasingly turning to telehealth services instead of doctors; people in rural areas cannot access health services as easily as people in urban areas due to cost; there’s a lot more going on here than just information technology.

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Article Source: Digital Salutem


Issues in Regulating DTx

Article Excerpt: Access to evidence-based psychotherapies remains limited by time constraints, affordability, stigma, and other factors. Digital therapeutics (DTx) represent a valuable addition to psychiatrists’ toolkits. But before they recommend DTx, psychiatrists should consider how these programs are being evaluated by regulators and delivered to patients. Although existing DTx target a range of physical illnesses, those targeting mental health issues have received more funding in 2020 and 2021 than all other types. This development will have a direct impact on the practice of psychiatry. The scope of this impact depends in large part on how regulatory oversight evolves, since regulation determines: which types of DTx are subject to oversight; whether a particular DTx is available via prescription or over the counter (OTC), and the required level of adjunctive care associated with it; and the evidence required for commercialization and reimbursement.

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Article Source: Psychiatric Times


How to Address Social Determinants of Health — Start with Texting

Article Excerpt: One of the most daunting challenges facing healthcare organizations today is how to improve care results and patient outcomes for those negatively impacted by social determinants of health (SDOH)… Social determinants are also associated with patient nonadherence, which adds another wrinkle to the already complex problem… The question then becomes what strategies can providers leverage to address social determinants and nonadherence that will lead to improved patient engagement and outcomes? One current approach is for providers to reassess how they connect with patients that fall within these demographics and consider tapping the technology that most people use every day. Text messaging has been found to be one of the most effective and efficient ways to extend a provider’s reach to patients and get results.

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Article Source: Medical Economics


Should You Read the Notes Your Doctor Writes About You?

Article Excerpt: Today, we do have the technology to capture the most critical and patient-centric pieces of a discussion (such as the critical details of a cancer diagnosis) and preserve these for the patient and family. This technology might be as simple as a voice memo on a smartphone, but it could soon be smarter and more automated than that. Next time we will explore this frontier, in the form of “Open Recordings,” with innovator and researcher Dr. Paul Barr.

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Article Source: Psychology Today