2025
National Patterns of Remote Patient Monitoring Service Availability at US Hospitals.
Pedroso A, Lin Z, Ross J, Khera R. National Patterns of Remote Patient Monitoring Service Availability at US Hospitals. Circulation Cardiovascular Quality And Outcomes 2025, e012034. PMID: 40827414, PMCID: PMC12367071, DOI: 10.1161/circoutcomes.125.012034.Peer-Reviewed Original ResearchRemote patient monitoringUS hospitalsAmerican Hospital Association Annual SurveyTraditional health care settingsRemote patient monitoring servicesHealth care settingsNational studyCounty-level characteristicsCharacteristics of hospitalsMedian household incomeService availabilityMultivariate logistic regressionChronic careRural hospitalsCare settingsNational patternsLongitudinal careRural countiesUrban hospitalsNonteaching hospitalsHospital sizeTeaching statusCounty-level dataLow-incomeDisability statusRural and Urban Disparities in Access to Endovascular Thrombectomy for Large Vessel Occlusions in Colorado.
Hagedorn D, Whaley M, Zuelke K, Ravare B, Jeppson K, Poisson S, Jones W, O'Neil J, Miller J, Stringer D, Pope B, Williams R, Eklund K, Benson-Gallanis N, Case D, Farcas A, Westensee N, Alexander M, Reynolds W, McMahon J, Dienst E, Scott J, Ortiona M, Fanale C, McDaneld L, Johnson H, Arnold K, Bartt R, Jensen J, Bennett A, Clausen S, Bol M, Nieberlein A, Dylla L, Stein L, Trivedi D, Shattuck J, Sillau S, Scarbro S, Leppert M. Rural and Urban Disparities in Access to Endovascular Thrombectomy for Large Vessel Occlusions in Colorado. Stroke 2025 PMID: 40686202, DOI: 10.1161/strokeaha.125.051542.Peer-Reviewed Original ResearchRural patientsRural-urban disparitiesUrban patientsEndovascular thrombectomyLength of stayUnfavorable outcomeAcute stroke careDisability-free lifeResidential zip codeModified Rankin Scale score >2Higher risk of unfavorable outcomesHigh riskRisk of unfavorable outcomeRetrospective cohort studyStroke careRural hospitalsRural designationZip codesGeometric mean timePatient levelUrban disparitiesCohort studyGroin punctureSecondary outcomesPrimary outcome
2023
The Variation of Chargemaster Price Listings for Urogynecologic Procedures
Baban S, Kasoff M, Kadesh A, Chaudhary R, Lui A, Shi J, Ahluwalia J, White M, Giles D, Petersen T, Andiman S, Grimes C. The Variation of Chargemaster Price Listings for Urogynecologic Procedures. Urogynecology 2023, 30: 511-518. PMID: 38113134, DOI: 10.1097/spv.0000000000001426.Peer-Reviewed Original ResearchConceptsHospital characteristicsAssociated with hospital characteristicsDiversity of health systemsAssociated with qualityUrogynecologic proceduresQuality metrics dataCenters for Medicare & Medicaid Services websiteCross-sectional studyMedicaid Services websiteRural hospitalsNo significant associationHealth systemCurrent Procedural Terminology codesUrban hospitalsProcedural Terminology codesPrice listSignificant associationSacrospinous ligament fixationChargemasterUrban settingsStandard price listsHospitalQuality measuresPopulation demographicsMedical proceduresThe Pediatric Emergency Surgery Course: Impact on Provider Practice in Rural Uganda
Klazura G, Situma M, Musinguzi E, Mugarura R, Nyonyintono J, Yap A, Stephens C, Ullrich S, Kakembo N, Sekabira J, Ssemeju A, Bwesigye M, Muzaki D, Sims T, Proscovia N, Mbambu J, Kwikiriza D, Arinda F, Ozgediz D, Kisa P. The Pediatric Emergency Surgery Course: Impact on Provider Practice in Rural Uganda. Journal Of Pediatric Surgery 2023, 59: 146-150. PMID: 37914591, PMCID: PMC10842949, DOI: 10.1016/j.jpedsurg.2023.09.012.Peer-Reviewed Original ResearchConceptsRetrospective cohort studyChi-squared testCohort studyRegional hospitalRural hospitalsPediatric surgical emergencyPediatric surgical conditionsPatient outcome dataNumber of referralsPearson's chi-squared testMbarara HospitalNeonatal timeSignificant immediate increasePatient ageSurgical emergencyTertiary centerTheatre logbooksSurgical conditionsHernia repairIntussusception reductionProvider practicesReferral volumeTimely careOutcome dataOperative volumeOpportunities and Achievement of Medication Initiation Among Inpatients With Heart Failure With Reduced Ejection Fraction
Swat S, Xu H, Allen L, Greene S, DeVore A, Matsouaka R, Goyal P, Peterson P, Hernandez A, Krumholz H, Yancy C, Fonarow G, Hess P, Program A. Opportunities and Achievement of Medication Initiation Among Inpatients With Heart Failure With Reduced Ejection Fraction. JACC Heart Failure 2023, 11: 918-929. PMID: 37318420, DOI: 10.1016/j.jchf.2023.04.015.Peer-Reviewed Original ResearchConceptsEvidence-based medicationsMedication initiationReduced ejection fractionNumber of medicationsMultivariable logistic regressionNumber of patientsPre-existing conditionsReduced ejectionEjection fractionHeart failureMultivariable analysisFemale sexLower oddsMedicationsMean net gainPatientsRural hospitalsAdmissionOlder ageLogistic regressionStudy periodMean numberOddsInitiationRural locations
2022
Financial impact of telehealth: rural chief financial officer perspectives.
Uscher-Pines L, Sousa J, Zachrison K, Schwamm L, Mehrotra A. Financial impact of telehealth: rural chief financial officer perspectives. The American Journal Of Managed Care 2022, 28: e436-e443. PMID: 36525663, PMCID: PMC10074395, DOI: 10.37765/ajmc.2022.89279.Peer-Reviewed Original ResearchConceptsTelehealth servicesShort-term acute care hospitalsAcute care hospitalsAddress patients' needsHospital administratorsQuality of careCritical access hospitalsCare hospitalPerson careLimited reimbursementPatient needsTelehealth utilizationRural hospitalsTelehealth programHospitalTelehealthAccess hospitalsHospital AssociationInequities in Availability of Evidence-Based Birth Supports to Improve Perinatal Health for Socially Vulnerable Rural Residents
Ibrahim B, Interrante J, Fritz A, Tuttle M, Kozhimannil K. Inequities in Availability of Evidence-Based Birth Supports to Improve Perinatal Health for Socially Vulnerable Rural Residents. Children 2022, 9: 1077. PMID: 35884061, PMCID: PMC9324486, DOI: 10.3390/children9071077.Peer-Reviewed Original ResearchRural residentsEvidence-based supportResponding hospitalsSocial Vulnerability IndexInfant healthChildbirth education classesPostpartum support groupVulnerable rural residentsInfant health outcomesPoor birth outcomesMultiple social risk factorsSocial risk factorsSVI scoresVulnerable countiesMidwifery careDoula supportPerinatal healthBirth supportRural hospitalsHealth outcomesBirth outcomesRural countiesHospital sizeLactation supportEducation classesIschemic Stroke Systems of Care in California: Evolution in the Organization During the Mechanical Thrombectomy Era
Zachrison K, Hsia R, Li S, Reeves M, Camargo C, Yan Z, Onnela J, Schwamm L. Ischemic Stroke Systems of Care in California: Evolution in the Organization During the Mechanical Thrombectomy Era. Stroke Vascular And Interventional Neurology 2022, 2 DOI: 10.1161/svin.121.000206.Peer-Reviewed Original ResearchEndovascular thrombectomyStroke systemsHospital-level factorsOdds of transferLogistic regression modelsAlteplase useEVT proceduresStroke NetworkObservational studyTimely careRural hospitalsTrial dataHospitalPatientsHospital postsHospital pairsCarePatient transfer networksRegression modelsNumber of encountersLinear regressionThrombectomyAlteplaseRegressionGreater POSTRural-Urban Disparities in Heart Failure and Acute Myocardial Infarction Hospitalizations
Minhas AMK, Sheikh AB, Ijaz SH, Mostafa A, Nazir S, Khera R, Loccoh EC, Warraich HJ. Rural-Urban Disparities in Heart Failure and Acute Myocardial Infarction Hospitalizations. The American Journal Of Cardiology 2022, 175: 164-169. PMID: 35577603, DOI: 10.1016/j.amjcard.2022.04.014.Peer-Reviewed Original ResearchConceptsAcute myocardial infarctionHeart failureHospital mortalityUrban hospitalRural hospitalsInflation-adjusted costStudy periodAMI hospitalizationMortality gapNational Inpatient SampleLength of stayAcute myocardial infarction hospitalizationsShorter mean lengthMyocardial infarction hospitalizationsHF hospitalizationCardiovascular outcomesClinical outcomesConsistent decreaseMyocardial infarctionInpatient SampleRural-urban disparitiesCardiovascular careHospitalizationHospitalMean length
2020
Conducting Goals-of-Care Discussions Takes Less Time Than Imagined.
Pintova S, Leibrandt R, Smith CB, Adelson KB, Gonsky J, Egorova N, Franco R, Bickell NA. Conducting Goals-of-Care Discussions Takes Less Time Than Imagined. JCO Oncology Practice 2020, 16: e1499-e1506. PMID: 32749930, DOI: 10.1200/jop.19.00743.Peer-Reviewed Original ResearchConceptsGOC discussionsCare discussionsAdvanced solid tumor cancersDifferent hospital typesLength of encounterSolid tumor cancersTotal encounter timePatient ageAdvanced cancerHospital typeRural hospitalsMedicare coveragePatientsCancer progressionOncologistsMultivariate modelEncounter timeVisitsSignificant differencesCancerProgressionMinutesLess timeCommon misperceptionsPrognosisRural–Urban Disparities in Intracerebral Hemorrhage Mortality in the USA: Preliminary Findings from the National Inpatient Sample
Otite F, Akano E, Akintoye E, Khandelwal P, Malik A, Chaturvedi S, Rosand J. Rural–Urban Disparities in Intracerebral Hemorrhage Mortality in the USA: Preliminary Findings from the National Inpatient Sample. Neurocritical Care 2020, 32: 715-724. PMID: 32232726, PMCID: PMC7223184, DOI: 10.1007/s12028-020-00950-2.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedAged, 80 and overAphasiaCerebral HemorrhageComorbidityCraniotomyDeglutition DisordersFemaleHealthcare DisparitiesHospital Bed CapacityHospital MortalityHospitals, RuralHospitals, UrbanHumansHydrocephalusMaleMiddle AgedRespiration, ArtificialRisk FactorsUnited StatesYoung AdultConceptsNational Inpatient SampleSex-adjusted mortalityUrban hospitalRural hospitalsICH patientsInpatient SampleJoinpoint regressionIntracerebral hemorrhage mortalityMultivariable-adjusted modelsOdds of mortalityIntracerebral hemorrhage patientsCases of ICHHospital deathHospital mortalityMultivariable adjustmentUrban patientsRural patientsStroke careHemorrhage patientsMedicare insuranceRural-urban disparitiesPatientsResultsFrom 2004HospitalMortality gapImpact of High-Quality Goals-of-Care Discussions on Oncologist Productivity.
Pintova S, Leibrandt R, Smith CB, Adelson KB, Gonsky JP, Egorova N, Franco R, Bickell NA. Impact of High-Quality Goals-of-Care Discussions on Oncologist Productivity. JCO Oncology Practice 2020, 16: e290-e297. PMID: 32048945, DOI: 10.1200/jop.19.00381.Peer-Reviewed Original ResearchConceptsGOC discussionsAdvanced cancerPatient populationCare discussionsPractice settingsDifferent practice settingsOncologist characteristicsStudy patientsCommunity hospitalRural hospitalsPatientsOncologistsHigh-quality goalsRural settingsSignificant differencesHospitalCancerValue unitsHoursSettingPrognosisPopulationCommunication skillsVisits
2018
Disparities in length of goals of care conversations between oncologists and patients with advanced cancer.
Smith C, Pintova S, Adelson K, Gonsky J, Egorova N, Bickell N. Disparities in length of goals of care conversations between oncologists and patients with advanced cancer. Journal Of Clinical Oncology 2018, 36: 19-19. DOI: 10.1200/jco.2018.36.34_suppl.19.Peer-Reviewed Original ResearchNon-minority patientsProgression of diseaseMinority patientsAdvanced cancerCancer patientsHigh-quality cancer careAdvanced cancer patientsGoals of careMinority cancer patientsNon-Hispanic blacksNon-Hispanic whitesPaucity of dataGOC conversationsGOC discussionsCancer carePoor survivalCare conversationsPatientsRural hospitalsSubstandard treatmentCommunication skills trainingOncologistsCancer treatmentRisk adjustmentMixed-effects modelsUrban and Rural Emergency Department Performance on National Quality Metrics for Sepsis Care in the United States
Greenwood‐Ericksen M, Rothenberg C, Mohr N, Andrea SD, Slesinger T, Osborn T, Whittle J, Goyal P, Tarrant N, Schuur JD, Yealy DM, Venkatesh A. Urban and Rural Emergency Department Performance on National Quality Metrics for Sepsis Care in the United States. The Journal Of Rural Health 2018, 35: 490-497. PMID: 30488590, DOI: 10.1111/jrh.12339.Peer-Reviewed Original ResearchConceptsSepsis careUrban EDRural EDsHospital-based EDsNational quality measuresManual chart reviewNational quality metricsEmergency department performanceBundle adherenceChart reviewFluid administrationPatient chartsBlood culturesPatient levelEmergency physiciansAmerican CollegeHospital levelRural hospitalsCare qualityCMS measuresMedicaid ServicesCareCMS definitionsManual reviewED
2017
Oncologists’ experiences with goals of care conversations.
Smith C, Solomon R, Lin J, Feder S, Bickell N, Schulman-Green D. Oncologists’ experiences with goals of care conversations. Journal Of Clinical Oncology 2017, 35: 50-50. DOI: 10.1200/jco.2017.35.31_suppl.50.Peer-Reviewed Original ResearchGOC conversationsGOC discussionsCare conversationsYounger patient ageGoals of careActive patient participationCommunication training interventionsASCO guidelinesEnd of lifePatient ageAdvanced cancerCare discussionsPatient's failurePatients' beliefsOncologists' experiencesTreatment goalsPatient participationCancer severityCare plansRural hospitalsOncologistsPatientsCommunication interventionsInterpretive descriptionTraining interventionUrban–Rural Comparisons in Hospital Admission, Treatments, and Outcomes for ST-Segment–Elevation Myocardial Infarction in China From 2001 to 2011
Li X, Murugiah K, Li J, Masoudi FA, Chan PS, Hu S, Spertus JA, Wang Y, Downing NS, Krumholz HM, Jiang L, Group F. Urban–Rural Comparisons in Hospital Admission, Treatments, and Outcomes for ST-Segment–Elevation Myocardial Infarction in China From 2001 to 2011. Circulation Cardiovascular Quality And Outcomes 2017, 10 PMID: 29158421, PMCID: PMC6312853, DOI: 10.1161/circoutcomes.117.003905.Peer-Reviewed Original ResearchMeSH KeywordsAgedAged, 80 and overChinaDisease ManagementFemaleHealthcare DisparitiesHospital MortalityHospitalizationHospitals, RuralHospitals, UrbanHumansMaleMiddle AgedOdds RatioQuality ImprovementRetrospective StudiesRural PopulationST Elevation Myocardial InfarctionSurvival RateTime FactorsUrban PopulationConceptsEvidence-based treatmentsMyocardial infarctionEnzyme inhibitors/angiotensin receptor blockersRural hospitalsST-segment elevation myocardial infarctionUrban-rural disparitiesAngiotensin receptor blockersElevation myocardial infarctionAdjusted odds ratioResource-intensive careRisk-adjusted ratesHospital deathReperfusion therapyReceptor blockersHospital admissionCardiac facilitiesPatient outcomesOdds ratioCare persistUrban hospitalΒ-blockersBetter outcomesRural careHealthcare resourcesST segmentPredictors of loss to follow-up among patients on ART at a rural hospital in KwaZulu-Natal, South Africa
Arnesen R, Moll AP, Shenoi SV. Predictors of loss to follow-up among patients on ART at a rural hospital in KwaZulu-Natal, South Africa. PLOS ONE 2017, 12: e0177168. PMID: 28542309, PMCID: PMC5443492, DOI: 10.1371/journal.pone.0177168.Peer-Reviewed Original ResearchConceptsPrimary health clinicsPredictors of lossART clinicsSouth African HIV clinicAntiretroviral therapy accessInadequate medical recordsCells/μLART initiationLow CD4LTFU ratesCD4 countHIV careHIV clinicHIV outcomesRetrospective reviewMedical recordsHealth clinicsTherapy accessHigh riskLTFUPatientsRural hospitalsRural South AfricaNovel interventionsClinicDoes oncologist productivity impact goals of care discussions?
Pintova S, Smith C, Adelson K, Gonsky J, Egorova N, Franco R, Bickell N. Does oncologist productivity impact goals of care discussions? Journal Of Clinical Oncology 2017, 35: e21675-e21675. DOI: 10.1200/jco.2017.35.15_suppl.e21675.Peer-Reviewed Original ResearchAdvanced cancer patientsGOC discussionsCancer patientsCare discussionsYear prognosisStudy patientsPatient reportsMunicipal HospitalPatientsRural hospitalsOncologistsCommunication skills trainingHospitalCancer treatmentMultivariate modelImpact goalsVisitsValue unitsSkills trainingSignificant relationshipPrognosisRCTsIllnessPrevalence
2015
10 year trends in urban–rural disparities in treatments and outcomes after ST-elevation myocardial infarction in China: insights from the China PEACE-Retrospective Acute Myocardial Infarction Study
Li X, Murugiah K, Li J, Wang Q, Hu S, Masoudi F, Spertus J, Downing N, Chan P, Krumholz H, Jiang L, Group C. 10 year trends in urban–rural disparities in treatments and outcomes after ST-elevation myocardial infarction in China: insights from the China PEACE-Retrospective Acute Myocardial Infarction Study. The Lancet 2015, 386: s2. DOI: 10.1016/s0140-6736(15)00580-2.Peer-Reviewed Original ResearchST-segment elevation myocardial infarctionCase of STEMIUrban hospitalRural hospitalsMyocardial infarctionAcute Myocardial Infarction StudyST-elevation myocardial infarctionMedical chart abstractionACEI/ARBMyocardial Infarction StudyElevation myocardial infarctionMedical record abstractionAdjusted odds ratioCertain clinical conditionsTwo-stage random sampling designQuality of careRisk-adjusted ratesCompleteness of documentationHospital complicationsHospital mortalityHospital deathReperfusion therapyChart abstractionComposite outcomeFamily Planning CommissionNational Quality Assessment of Early Clopidogrel Therapy in Chinese Patients With Acute Myocardial Infarction (AMI) in 2006 and 2011: Insights From the China Patient‐Centered Evaluative Assessment of Cardiac Events (PEACE)–Retrospective AMI Study
Zhang L, Desai NR, Li J, Hu S, Wang Q, Li X, Masoudi FA, Spertus JA, Nuti SV, Wang S, Krumholz HM, Jiang L, Group T. National Quality Assessment of Early Clopidogrel Therapy in Chinese Patients With Acute Myocardial Infarction (AMI) in 2006 and 2011: Insights From the China Patient‐Centered Evaluative Assessment of Cardiac Events (PEACE)–Retrospective AMI Study. Journal Of The American Heart Association 2015, 4: e001906. PMID: 26163041, PMCID: PMC4608074, DOI: 10.1161/jaha.115.001906.Peer-Reviewed Original ResearchMeSH KeywordsAgedAsian PeopleChinaClopidogrelDrug Administration ScheduleFemaleHealthcare DisparitiesHumansMaleMiddle AgedMyocardial InfarctionNational Health ProgramsPercutaneous Coronary InterventionPlatelet Aggregation InhibitorsPractice Patterns, Physicians'Quality ImprovementQuality Indicators, Health CareResidence CharacteristicsRetrospective StudiesRisk FactorsRural Health ServicesTiclopidineTime FactorsTreatment OutcomeUrban Health ServicesConceptsAcute myocardial infarctionEarly clopidogrel useClopidogrel therapyClopidogrel useRural hospitalsMyocardial infarctionQuality improvement initiativesEligible patientsClopidogrel administrationReperfusion therapyCardiac eventsHospital admissionAMI patientsChina PatientChinese patientsPatterns of useUrban hospitalPatientsClopidogrelChinese trialsHospitalTherapyEarly useAMI studyImprovement initiatives
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