Race and ethnicity and emergency department discharge against medical advice

JAMA Network Open

2023-11-28

(Press-News.org) About The Study: The findings of this study of 33.1 million visits to 989 U.S. hospitals suggest that Black and Hispanic patients are more likely to receive care in hospitals with higher overall discharge against medical advice (DAMA) rates, suggesting interventions should address medical segregation. Structural racism may contribute to emergency department DAMA disparities via unequal allocation of health care resources in hospitals that disproportionately treat racial and ethnic minoritized groups. Monitoring variation in DAMA by race and ethnicity and hospital suggests an opportunity to improve equitable access to health care.

Authors: Jennifer W. Tsai, M.D., M.Ed., of the Yale University School of Medicine in New Haven, Connecticut, is the corresponding author.

To access the embargoed study: Visit our For The Media website at this link https://media.jamanetwork.com/

(doi:10.1001/jamanetworkopen.2023.45437)

Editor’s Note: Please see the article for additional information, including other authors, author contributions and affiliations, conflict of interest and financial disclosures, and funding and support.

# # #

Embed this link to provide your readers free access to the full-text article This link will be live at the embargo time http://jamanetwork.com/journals/jamanetworkopen/fullarticle/10.1001/jamanetworkopen.2023.45437?utm_source=For_The_Media&utm_medium=referral&utm_campaign=ftm_links&utm_term=112823

About JAMA Network Open: JAMA Network Open is an online-only open access general medical journal from the JAMA Network. On weekdays, the journal publishes peer-reviewed clinical research and commentary in more than 40 medical and health subject areas. Every article is free online from the day of publication.

END

ELSE PRESS RELEASES FROM THIS DATE:

Strategies to increase cervical cancer screening with mailed HPV self-sampling kits

2023-11-28

About The Study: Direct-mail human papillomavirus (HPV) self-sampling increased cervical cancer screening by more than 14% in individuals who were due or overdue for cervical cancer screening in this randomized clinical trial of 31,000 individuals. The opt-in approach minimally increased screening. To increase screening adherence, systems implementing HPV self-sampling should prioritize direct-mail outreach for individuals who are due or overdue for screening. For individuals with unknown screening history, ...

Scientists track rapid retreat of Antarctic glacier

2023-11-28

Scientists are warning that apparently stable glaciers in the Antarctic can “switch very rapidly” and lose large quantities of ice as a result of warmer oceans. Their finding comes after a research team led by Benjamin Wallis, a glaciologist at the University of Leeds, used satellites to track the Cadman Glacier, which drains into Beascochea Bay, on the west Antarctic peninsula. Between November 2018 and May 2021, the glacier retreated eight kilometres as the ice shelf at the end ...

A new way to see the activity inside a living cell

2023-11-28

CAMBRIDGE, MA -- Living cells are bombarded with many kinds of incoming molecular signal that influence their behavior. Being able to measure those signals and how cells respond to them through downstream molecular signaling networks could help scientists learn much more about how cells work, including what happens as they age or become diseased. Right now, this kind of comprehensive study is not possible because current techniques for imaging cells are limited to just a handful of different molecule types within a cell at one time. However, MIT researchers have developed ...

Prioritizing circulation before the airway in trauma may improve outcomes for patients with massive bleeding

2023-11-28

Key takeaways · A paradigm shift in trauma care: The circulation-airway-breathing (CAB) sequence has gained acceptance over the past decade over the airway-breathing-circulation (ABC) model for patients with severe bleeding injuries. · Better outcomes: A literature review found significantly lower mortality rates with CAB vs. ABC for patients with severe bleeding injuries. CHICAGO (November 28, 2023): For trauma patients suffering from massive blood loss, a care approach that emphasizes halting bleeding and restoring ...

Australian patients coping with mesothelioma experienced higher levels of toxicity on CheckMate743 regimen than reported in clinical trials

2023-11-28

Based on results from the CheckMate743 trial, the dual regimen of ipilimumab and nivolumab is the standard of care for the treatment of unresectable pleural mesothelioma. But research published today in the Journal of Thoracic Oncology (JTO) showed that a group of Australian patients treated with that immunotherapy combination experienced higher levels of toxicity than were reported in the clinical trial results. The study is available here: https://www.jto.org/article/S1556-0864(23)02370-5/fulltext. JTO is the official journal of the International Association for the Study of Lung Cancer. Australia ...

More to learn about reducing the churn: Examining the pandemic’s continuous enrollment Medicare policy

2023-11-28

Boston, MA – A new study led by researchers at the Harvard Pilgrim Health Care Institute has found that a federal policy implemented during the COVID-19 pandemic requiring continuous enrollment in Medicaid led to a significant reduction in the rates of becoming uninsured for adult Medicaid enrollees. The study, “Continuous Medicaid coverage during the COVID-19 public health emergency reduced churning, but did not eliminate it,” was published in the October 21 edition of Health Affairs Scholar. Many people who have Medicaid coverage frequently gain and lose it, sometimes over short periods of time. This phenomenon ...

No significant link between industry 4.0 and energy consumption or energy intensity

2023-11-28

To what extent does the digitalisation of industrial and manufacturing processes (Industry 4.0) improve energy efficiency and thus reduce energy intensity? A team from the Research Institute for Sustainability (RIFS) analysed developments across ten industrial manufacturing sectors in China between 2006 and 2019. Their findings show that contrary to the claims of many policymakers and industry associations, digitalisation may not automatically lead to anticipated energy savings in manufacturing and industry in China. China accounts for 30% of global manufacturing value added and the largest share of global manufacturing ...

Weill Cornell Medicine to open medical research center at 1334 York Avenue

2023-11-28

Weill Cornell Medicine is dramatically expanding its campus and research footprint in New York City by securing five floors of 1334 York Ave., the current home of Sotheby's auction house, the institution announced today. Located one block from Weill Cornell Medicine’s main campus on Manhattan’s Upper East Side, the site will add approximately 200,000 square feet of dedicated research space—an average of 40,000 square feet per floor—making it the institution’s largest expansion since the Belfer Research Building opened in 2014. Laboratories in the new medical ...

What if Alexa or Siri sounded more like you? Study says you’ll like it better

2023-11-28

UNIVERSITY PARK, Pa. — One voice does not fit all when it comes to virtual assistants like Siri and Alexa, according to a team led by Penn State researchers that examined how customization and perceived similarity between user and voice assistant (VA) personalities affect user experience. They found a strong preference for extroverted VAs — those that speak louder, faster and in a lower pitch. They also found that increasing personality similarity by automatically matching user and VA voice profiles encouraged users to resist persuasive information, such as misinformation about COVID-19 vaccines. In the study, 38% of unvaccinated individuals changed their minds about vaccination ...

A gamma-ray pulsar milestone inspires innovative astrophysics and applications

2023-11-28

WASHINGTON – The U.S. Naval Research Laboratory (NRL), in conjunction with the international Fermi Large Area Telescope Collaboration, announce the discovery of nearly 300 gamma ray pulsars in the publication of their Third Catalog of Gamma Ray Pulsars. This milestone comes 15 years since the launch of Fermi in 2008, when there were fewer than ten known gamma-ray pulsars. “Work on this important catalog has been going on in our group for years,” said Paul Ray, Ph.D., head of the High Energy Astrophysics and Applications Section ...

LAST 30 PRESS RELEASES:

Study shows psychedelic drug psilocybin gives comparable long-term antidepressant effects to standard antidepressants, but may offer additional benefits

Study finds symptoms of depression during pregnancy linked to specific brain activity: scientists hope to develop test for “baby blues” risk

UK study shows there is less stigma against LGBTQ people than you might think, but people with mental health problems continue to experience higher levels of stigma