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submitted 1 year ago* (last edited 1 year ago) by otter@lemmy.ca to c/medicine@mander.xyz

Question Is there a difference in the rate of completion for diagnostic tests and referrals ordered during a telehealth visit compared with those ordered during an in-person visit?

Findings In this cohort study of 4133 diagnostic tests and referrals (colonoscopies, cardiac stress tests, and dermatology referrals) ordered between March 1, 2020, and December 31, 2021, at 2 affiliated clinical primary care sites, 58% of those ordered during in-person visits were completed within the designated time frame compared with 43% of those ordered during telehealth visits. The rate of completion was between 40% and 65% for all test types, regardless of visit modality.

Meaning The findings of this study suggest that rates of completion for diagnostic tests and referrals were low for all visit types but worse when ordered during telehealth visits.

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submitted 1 year ago by otter@lemmy.ca to c/medicine@mander.xyz

Crossposted from !publichealth@mander.xyz

This is a popular issue to talk about, so here's a detailed recent article in a Health Policy journal

Highlights

  • England's NHS is being privatised as services are outsourced to private providers.
  • But why privatisation happens, and whether it prioritises ‘quality’ is unknown.
  • This study interviews healthcare commissioners and asks why services are outsourced.
  • Commissioners are responding to unmet need, national guidelines, financial pressures and politics.
  • Some instances of privatisation fail to prioritise quality in the outsourcing process.

Conclusion: HS in England is seeing increased levels of privatisation as private providers deliver more treatments year on year. The reasons for this phenomenon in the short-term can often be linked to a deteriorating ability, during an extended period of underfunding, for NHS providers to meet the demands required by the population. In the longer term, marketisation reforms have created a service in which private providers are sometimes not restrained from the NHS and enabled to force the further increases in privatisation.

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submitted 1 year ago* (last edited 1 year ago) by otter@lemmy.ca to c/medicine@mander.xyz

Discussion on r/Medicine: https://www.reddit.com/r/medicine/comments/17vynjh

I liked this comment in particular:

For years I’ve had a smartphrase in epic for every test, medication or procedure I ordered that is denied by insurance. Basically stating that the medical director responsible for the denial will be medically and legally liable for any complications that may arise from the lack of such service. I thought it didn’t do shit, just something petty I thought of after a patient of mine lost his transplanted liver because the insurance would persistently deny his immune suppressant meds. It turns out the medical director for a recent insurance denial sent me a letter stating my statements were “inflammatory and inappropriate”. That put me in a good mood.

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submitted 1 year ago by Daryl76679@lemmy.ml to c/medicine@mander.xyz
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Medicine

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