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Centers for Disease Control and Prevention (CDC)

COVID-19 Hospitalization and Death by Race/Ethnicity

Long-Term Effects of COVID-19

World Health Organization (WHO)

Coronavirus disease (COVID-19) pandemic

NATIONAL ACADEMY OF MEDICINE

Emerging Stronger After COVID-19

Bressman, Russo and Werner build on current research in JAMA Network Open, describing the increase in telemedicine visits following the peak of the COVID-19 pandemic. In this sample, outpatient visits have overall remained constant over time, while telemedicine visits have significantly increased. These trends suggest important implications for care access moving forward. (November 12, 2021)

Magesh et al. in JAMA Network Open report the findings of a systematic review and meta-analysis on disparities in COVID-19 outcomes by race, ethnicity, and SES. This review of 4.3 million patients found that SES and patient care quality were associated with mortality and incidence in racial and ethnic minority groups. (November 11, 2021)

Hsueh et al. in JAMA Network Open comment on the disparities in telemedicine among individuals with limited English proficiency during the COVID-19 pandemic. In this study, individuals with limited English proficiency were less likely to use video telemedicine initially than their English-speaking counterparts. However, after experience with video telemedicine encounters, no difference in utilization rates between groups was found. The authors suggest once initial barriers to telemedicine are overcome in this population, telehealth use will increase. (November 4, 2021)

Jasuja et al. in JAMA Network Open report on US veterans’ attitudes and intentions regarding COVID-19 vaccination. In this survey, 71% of veterans reported being vaccinated. Of those not vaccinated, 30% said that news from television, radio, or online was their primary source of information. (November 3, 2021)

Zachrison et al. in JAMA Network Open examine changes in virtual and in-person utilization patterns from October 2019 to April 2021. In this sample, the authors found that virtual visit rates increased, especially for behavioral health visits, while there was no significant change in overall ambulatory visit volume. (October 27, 2021)

Becker et al. in JAMA Network Open comment on cognitive function in patients following COVID-19 infection. In this study, the authors found that hospitalized patients were more likely to have cognitive dysfunction than those treated outpatient. (October 22, 2021)

Chua et al. report on out-of-pocket spending for COVID-19 hospitalizations. In this study, 71.2% of privately insured, hospitalized individuals experienced out-of-pocket expenses, primarily in services billed by clinicians and ancillary providers. (JAMA Netw Open, October 18, 2021)

Jia et al. report on trends in anxiety and depression scores in US adults during the COVID-19 pandemic. Depression and anxiety symptoms peaked in December 2020-January 2021, decreasing through June 2021. Despite this decrease, anxiety and depression symptoms remain elevated compared to 2019. (MMWR, October 8, 2021)

Young-Xu et al. discuss effectiveness and coverage of mRNA COVID-19 vaccines in a US veteran population. This study found that the estimated vaccine effectiveness in the veteran population was similar to vaccine effectiveness in the general population. Interestingly, however, this sample reported higher rates of minority vaccine coverage than in the general population. (JAMA Netw Open, October 6, 2021)

Ryerson et al. comment on disparities in COVID-19 vaccination status and intent in adults with disabilities. The authors found that adults with a disability were less likely to report vaccine hesitancy compared to adults without disabilities. However, adults with a disability also had a lower likelihood of receiving their COVID-19 vaccination due to access barriers. (MMWR, October 1, 2021)

Kelen et al. discuss the impact of health care financing on crowding in emergency departments (ED). This piece comments on the existing information on ED crowding’s impacts on morbidity, mortality, and burden, as well as discussing the added influence of COVID. (NEJM Catalyst, September 28, 2021).

Siegler and colleagues found vaccine hesitancy to have decreased over time, although willingness to vaccinate did not consistently result in vaccine seeking behaviors. (JAMA Netw Open, September 24, 2021)

Self et al. comment on COVID-19 vaccine efficacy in preventing hospitalizations among immunocompromised patients. This report demonstrates that all FDA-approved vaccines are highly protective against COVID-19 hospitalization in a real-world, immunocompromised sample despite variations in levels of protection. (MMWR, September 24, 2021)

Neprash & Chernew provide evidence that most practice interruptions were temporary and had a larger impact on older physicians. (JAMA, September 20, 2021)

Wanga et al. in the MMWR describe long-term symptoms for adults testing positive for SARS-CoV-2. In this sample, 65.9% of adults testing positive reported symptoms persisting after 4 weeks from diagnosis. (MMWR, September 10, 2021)

Bundorf et al. discuss trends in healthcare coverage across the US during the COVID-19 pandemic. This study reports increased rates of employer-sponsored insurance and uninsured persons, while non-employer-sponsored insurance rates increased during the pandemic. (JAMA Health Forum, September 3, 2021)

Amy Walker and Josh Holder discuss waning vaccine effectiveness in their NYT article. This article supports recent movements promoting booster vaccinations among vulnerable populations. (November 11, 2021)

Lindsay Fisher comments on end-of-life sedation preferences among patients here. In this study by Hui and colleagues published in Cancer, caregivers preferred lighter sedation options when compared to nurses. (November 8, 2021)

Building on last week’s discussion on nursing staffing shortages, Anna-Maria Barry-Jester for KHN reports on the staffing challenges in the public health field here. (November 2, 2021)

The Commonwealth Fund examines community-based long-term services and supports for older adults and their caregivers here. Fabius and colleagues found that roughly 40% of community-living older adults had experienced adverse consequences due to unmet care needs in this sample. (October 27, 2021)

Robyn Begley in MedPage Today comments on the ongoing nursing staffing crisis here. 37% of survey respondents reported that staffing shortages were the most significant new challenges facing healthcare. Complaints of low morale and burnout also increased from previous surveys. (October 21, 2021)

Molly Walker comments on new research on COVID-19 symptom severity from Cheng and colleagues that found obesity led to more respiratory symptoms experienced by patients, despite having similar viral loads. (MedPage Today, October 20, 2021)

Hostetter and Klein report on racism in health care and share strategies for combatting racism in healthcare, including auditing medical school curricula and creating real-time reporting initiatives for tracking discriminatory behaviors. (The Commonwealth Fund, October 18, 2021)

Kirzinger et al. discuss the results of latest Health Tracking Poll on seniors’ health care needs relating to home and community-based service in the U.S. One in five adults report receiving ongoing support for activities of daily living. A similar number report they are providing this care for a family member or close friend. Cost remains largest barrier to receiving support. (KFF, October 15, 2021).

Musumeci, Ammula and Rudowitz comment on the results of recent focus groups of unpaid caregivers and direct care workers involved in home and community-based services. (KFF, October 8, 2021)

Shannon Firth reports on medical professionals and industry leader’s telehealth policy recommendations following the COVID-19 pandemic changes that include expansions in broadband coverage and telehealth funding. (MedPage Today, October 7, 2021)

Ransay and Williams II discuss high drug prices among Medicare patients, especially those with complex health needs, compared to other counties. (The Commonwealth Fund, September 30, 2021).

Reed Abelson comments on delayed care for patients due to the pandemic. (NYT, September 22, 2021)

Ndugga, Hill & Artiga provide an update on COVID-19 vaccination rates by race and ethnicity. Due to the rising impact of the Delta variant, vaccination rates have increased overall, with 77% of the adult population vaccinated with at least one shot. (KFF, September 22, 2021)

Erik Neumann comments on the resurgence of delayed elective treatments and cancer care. In areas of the country with high COVID-19 rates, ICU’s are again struggling to provide beds for all planned procedures. (KHN, September 17, 2021)

Williams et al. report on the impact of COVID-19 on older adults in the US. The report found that relative to other counties, US older adults have experienced worse financial impact due to the pandemic. In this survey, Latino/Hispanic and Black older adults were also more likely to have experienced significant financial hardship compared to white older adults. (The Commonwealth Fund, September 15, 2021)

Thomas, Gebeloff, and Silver-Greenburg for the NYT discuss the rates of antipsychotic use in nursing homes. The authors describe the recent steep increases in schizophrenia diagnoses and the 21% of residents who are currently prescribed antipsychotics and the implications of potentially false diagnoses. (NYT, September 11, 2021)

Hick et al. discuss standards of care during the pandemic. The report highlights the importance of equity, surge planning, and clinical decision-making. (National Academy of Medicine, August 30, 2021)

Otraliza et al. present brief on COVID-19’s continued presence as a leading cause of death in the US. After falling behind unintentional injuries, stroke, and respiratory disease in June and July, COVID’s resurgence has returned COVID to the third leading cause of death in the US. (Peterson KFF, August 27, 2021)

Andrew Jacobs discusses the impact of new COVID-19 cases on inpatient nurses. Jacobs presents the complex challenges presented by increasing COVID-19 cases amidst nursing staff shortages and burnout.  (NYT, August 21, 2021)

 

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