April 2022
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9 Reads
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21 Citations
The New-England Medical Review and Journal
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April 2022
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9 Reads
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21 Citations
The New-England Medical Review and Journal
April 2022
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15 Reads
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11 Citations
The New-England Medical Review and Journal
April 2022
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19 Reads
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27 Citations
The New-England Medical Review and Journal
March 2022
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6 Reads
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2 Citations
The New-England Medical Review and Journal
February 2021
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14 Reads
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18 Citations
The New-England Medical Review and Journal
February 2021
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102 Reads
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118 Citations
The New-England Medical Review and Journal
September 2020
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8 Reads
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22 Citations
The New-England Medical Review and Journal
May 2020
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20 Reads
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11 Citations
The New-England Medical Review and Journal
April 2020
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104 Reads
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722 Citations
The New-England Medical Review and Journal
April 2020
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5 Reads
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22 Citations
The New-England Medical Review and Journal
... 47 Current published observations acknowledge considerable stress in healthcare quality improvement. [48][49][50] What is clear-physicians genuinely want what is best for their patients, sensitivity to federal and private reimbursement approaches are increasingly tethered to quality initiatives, and strategies that embrace physician input and clinical discretion are likely to be more successful. 50 Given this, ASCO-QOPI is a physician-driven, peerreviewed process that our organization embraced and for this reason set upon this journey. ...
April 2022
The New-England Medical Review and Journal
... 11 However, current systems of quality measures, particularly process measures, suffer from well-described limitationsincluding focusing provider attention on extrinsic objectives that may not reflect intrinsic dimensions of what matters most to patients or clinicians. 12,13 As payers in the United States increasingly focus on nonprocess measures of qualitywith a substantive policy debate concerning expanding the number of measures or narrowing to the most salient, meaningful measuresour findings suggest that outcomes and experiences are not viewed the same by patients and that PROMs may need to be given more consideration in current public and private payer efforts to use incentives to improve quality. This may encompass traditional fee-for-service contracts with a pay-for-performance component or value-based payment models with a portion of the provider payment at risk based on quality performance. ...
April 2022
The New-England Medical Review and Journal
... Health care administration costs make up an estimated 15% to 30% of total national health care spending. 16,17 One acute care hospital setting estimated an annual cost of more than $30,000 annually per quality metric. 18 HRSA has paired the new data submission requirements with a proposal to remove 2 other forms: the death notification registration form and the deceased donor death referral form to reduce the data collection burden on programs. ...
April 2022
The New-England Medical Review and Journal
... The principles and practices of the late Dr Paul Farmer can be a road map for us to follow. His vision and, more so, his actions are examples of what can be accomplished in the most resourceconstrained settings, with so many examples of resultant benefits reaped by those to whose care you have contributed (5). In his book To Repair the World he states, "With rare exceptions, all of your most important achievements on this planet will come from working with others-or, in a word, partnership" (6). ...
March 2022
The New-England Medical Review and Journal
... 61 A different explanation might be misconceptions of everyday risks, faith in natural protection, antipathy toward regulation, chronic poverty, exposure to misinformation, insufficient resources, or other personal beliefs. 62 Alternative factors could include political identity, negative past experiences, limited health literacy, or social networks that lead to misgivings around public health guidelines. 63,64 These subjective unknowns remain topics for more research. ...
February 2021
The New-England Medical Review and Journal
... The COVID-19 pandemic has led to increased polarization, particularly in relation to vaccines, vaccination, and science, resulting in the spread of fears and uncertainties (Rosenbaum, 2021(Rosenbaum, , pp. 1367(Rosenbaum, -1371. Existing skepticism toward vaccines has been amplified, and extreme views and opposition have become more prevalent. ...
February 2021
The New-England Medical Review and Journal
... Shifting messaging from fear-based appeals or from overemphasizing personal responsibility to messages of efficacy may also be effective strategies for combating misinformation and encouraging behavioral uptake [75]. Much has been learned during the COVID-19 pandemic about effectively communicating through data visualizations [76]. The authors recommend translating academic findings on efficacy into plain language that can be communicated through infographics and data visualizations that humanize the data and messaging. ...
September 2020
The New-England Medical Review and Journal
... The COVID-19 pandemic challenged healthcare professionals worldwide to stand up and engage in unprecedented sacrifice (Aschwanden, 2021;Wang et al., 2021). Risking becoming sick, working extra hours, dealing with the scarcity of resources, and self-isolating from loved ones are examples of sacrifices embraced with courage, responsibility and commitment (Rosenbaum, 2020). The pandemic also unsettled undergraduate medical education, raising new challenges for both educators and students (Balanchivadze & Donthireddy, 2020;Eva, 2020;Lapolla & Mingoli, 2020;McCullough et al., 2020). ...
May 2020
The New-England Medical Review and Journal
... Surgery is one of the areas of medicine severely impacted by the COVID-19 pandemic (33)(34). Even though surgical services in many fields are still provided to urgent patients as they are critical to saving patients' lives, they are postponed in many non-urgent cases (35). Given the fact that many non-urgent surgical patients can become urgent swiftly, and also considering that it is not clear when the pandemic will become under control, it is not quite clear when the surgeries will be postponed. ...
April 2020
The New-England Medical Review and Journal
... However, according to the present study, less than 43 ventilator devices available per day was a risk factor for death, that is, the number of ventilators in the country is critical in view of the growing increase in COVID-19 cases. The scenario is even more critical when we look at the figures for Italy and Spain (118 per day and 87 per day respectively), which are countries that already lack these fans (Rosenbaum 2020). ...
April 2020
The New-England Medical Review and Journal