scholarly journals SARS-CoV-2 Infections and Serologic Responses Among Military Personnel Deployed on the USNS COMFORT to New York City During the COVID-19 Pandemic

2021 ◽  
Vol 8 (2) ◽  
Author(s):  
Tahaniyat Lalani ◽  
Tida K Lee ◽  
Eric D Laing ◽  
Andrew Ritter ◽  
Elizabeth Cooper ◽  
...  
Keyword(s):  
Health Care ◽  
New York ◽  
New York City ◽  
Serum Sample ◽  
Health Care Providers ◽  
York City ◽  
Control Measures ◽  
Care Providers ◽  
Clinical Role ◽  
Unique Challenge

Abstract Background Coronavirus disease 2019 (COVID-19) presents a unique challenge to United States Navy hospital ships. The aim of this study was to determine the prevalence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection among US Navy personnel deployed on the USNS COMFORT to augment the inpatient health care capacity in New York City. Methods This was a cross-sectional study conducted on USNS COMFORT crewmembers returning to Norfolk, Virginia, following deployment. Participants completed an electronic questionnaire and provided a serum sample at Day 14 post-deployment. Polymerase chain reaction (PCR) results from testing of symptomatic crewmembers during deployment and Day 0 and Day 14 post-deployment screening swabs conducted on all crewmembers, per military order, were abstracted. SARS-CoV-2 infection was defined as a positive SARS-CoV-2 spike glycoprotein immunoglobulin G antibody or PCR result. Results Of the ship’s total complement of 1200 crewmembers, 450 were enrolled: 432 (96.0%) completed the questionnaire and provided a serum sample. The median age of participants (interquartile range) was 30 (24–39) years, 50.8% were female, 58.6% were White, and 14.0% were Black; 80.1% had a clinical role during deployment. The cumulative prevalence of SARS-CoV-2 infection was 3.01% (13/432; 95% CI, 1.61%–5.09%). Twelve of 13 infections occurred in health care providers, and 8 of 13 were asymptomatic. The antibody profile of infected crewmembers varied by suspected timing of infection. Conclusions We observed a low prevalence of SARS-CoV-2 infection among USNS COMFORT crewmembers despite the inherent risk of a shipboard deployment to an area with high rates of community transmission. Our findings suggest that early infection control measures mitigated the spread of SARS-CoV-2 among crewmembers.

scholarly journals Syringe Distribution to Injection Drug Users for Prevention of HIV Infection: Opinions and Practices of Health Care Providers in New York City

2004 ◽  
Vol 38 (3) ◽  
pp. 438-441 ◽  
Author(s):  
Phillip O. Coffin ◽  
Crystal Fuller ◽  
Shannon Blaney ◽  
Liza Vadnai ◽  
Sarah Miller ◽  
...  
Keyword(s):  
Health Care ◽  
New York ◽  
New York City ◽  
Hiv Infection ◽  
Health Care Providers ◽  
York City ◽  
Injection Drug Users ◽  
Drug Users ◽  
Care Providers ◽  
Prevention Of Hiv

Compliance with Patients' End-of-Life Wishes by Nursing Homes in New York City with Conscience Policies

2002 ◽  
Vol 44 (1) ◽  
pp. 57-76 ◽  
Author(s):  
Cynthia K. Hosay
Keyword(s):  
New York ◽  
New York City ◽  
Nursing Homes ◽  
End Of Life ◽  
Health Care Providers ◽  
York City ◽  
New York State ◽  
Care Providers ◽  
Nursing Home Patients ◽  
Right To Refuse Treatment

Nursing home patients have a constitutional right to refuse treatment. The Patient Self-Determination Act confirmed that right. State laws address the obligations of health care providers and facilities to honor that right. The New York State law is more specific than those of many other states. It allows exemptions for “reasons of conscience” and imposes a number of requirements on nursing homes claiming such an exemption, including the transfer of a patient to a home that will honor an end-of-life wish. This study, conducted by FRIA,1 investigated the refusal of some nursing homes in New York City to carry out patients' end-of-life wishes because of conscience-based objections. The study also investigated the willingness of homes which did not have such policies to accept patients transferring from a home with a policy so that the patient's end-of-life wishes would be honored. Implications for administrators, policy makers, and regulators are discussed.

scholarly journals Patient Satisfaction With Telemedicine During the COVID-19 Pandemic: Retrospective Cohort Study

10.2196/20786 ◽  
2020 ◽  
Vol 22 (9) ◽  
pp. e20786 ◽  
Author(s):  
Ashwin Ramaswamy ◽  
Miko Yu ◽  
Siri Drangsholt ◽  
Eric Ng ◽  
Patrick J Culligan ◽  
...  
Keyword(s):  
New York ◽  
New York City ◽  
Cohort Study ◽  
Patient Satisfaction ◽  
Health Care Providers ◽  
York City ◽  
Academic Medical Center ◽  
Disruptive Innovation ◽  
Future Research ◽  
Care Providers

Background New York City was the international epicenter of the COVID-19 pandemic. Health care providers responded by rapidly transitioning from in-person to video consultations. Telemedicine (ie, video visits) is a potentially disruptive innovation; however, little is known about patient satisfaction with this emerging alternative to the traditional clinical encounter. Objective This study aimed to determine if patient satisfaction differs between video and in-person visits. Methods In this retrospective observational cohort study, we analyzed 38,609 Press Ganey patient satisfaction survey outcomes from clinic encounters (620 video visits vs 37,989 in-person visits) at a single-institution, urban, quaternary academic medical center in New York City for patients aged 18 years, from April 1, 2019, to March 31, 2020. Time was categorized as pre–COVID-19 and COVID-19 (before vs after March 4, 2020). Wilcoxon-Mann-Whitney tests and multivariable linear regression were used for hypothesis testing and statistical modeling, respectively. Results We experienced an 8729% increase in video visit utilization during the COVID-19 pandemic compared to the same period last year. Video visit Press Ganey scores were significantly higher than in-person visits (94.9% vs 92.5%; P<.001). In adjusted analyses, video visits (parameter estimate [PE] 2.18; 95% CI 1.20-3.16) and the COVID-19 period (PE 0.55; 95% CI 0.04-1.06) were associated with higher patient satisfaction. Younger age (PE –2.05; 95% CI –2.66 to –1.22), female gender (PE –0.73; 95% CI –0.96 to –0.50), and new visit type (PE –0.75; 95% CI –1.00 to –0.49) were associated with lower patient satisfaction. Conclusions Patient satisfaction with video visits is high and is not a barrier toward a paradigm shift away from traditional in-person clinic visits. Future research comparing other clinic visit quality indicators is needed to guide and implement the widespread adoption of telemedicine.

scholarly journals Public Health Management of Persons Under Investigation for Ebola Virus Disease in New York City, 2014-2016

2019 ◽  
Vol 134 (5) ◽  
pp. 477-483
Author(s):  
Ann Winters ◽  
Maryam Iqbal ◽  
Isaac Benowitz ◽  
Jennifer Baumgartner ◽  
Neil M. Vora ◽  
...  
Keyword(s):  
Public Health ◽  
New York ◽  
New York City ◽  
Health Care Providers ◽  
York City ◽  
Ebola Virus ◽  
Virus Disease ◽  
Ebola Virus Disease ◽  
Health Staff ◽  
Care Providers

During 2014-2016, the largest outbreak of Ebola virus disease (EVD) in history occurred in West Africa. The New York City Department of Health and Mental Hygiene (DOHMH) worked with health care providers to prepare for persons under investigation (PUIs) for EVD in New York City. From July 1, 2014, through December 29, 2015, we classified as a PUI a person with EVD-compatible signs or symptoms and an epidemiologic risk factor within 21 days before illness onset. Of 112 persons who met PUI criteria, 74 (66%) sought medical care and 49 (44%) were hospitalized. The remaining 38 (34%) were isolated at home with daily contact by DOHMH staff members. Thirty-two (29%) PUIs received a diagnosis of malaria. Of 10 PUIs tested, 1 received a diagnosis of EVD. Home isolation minimized unnecessary hospitalization. This case study highlights the importance of developing competency among clinical and public health staff managing persons suspected to be infected with a high-consequence pathogen.

scholarly journals Patient Satisfaction With Telemedicine During the COVID-19 Pandemic: Retrospective Cohort Study (Preprint)

2020 ◽  
Author(s):  
Ashwin Ramaswamy ◽  
Miko Yu ◽  
Siri Drangsholt ◽  
Eric Ng ◽  
Patrick J Culligan ◽  
...  
Keyword(s):  
New York ◽  
New York City ◽  
Cohort Study ◽  
Patient Satisfaction ◽  
Health Care Providers ◽  
York City ◽  
Academic Medical Center ◽  
Disruptive Innovation ◽  
Future Research ◽  
Care Providers

BACKGROUND New York City was the international epicenter of the COVID-19 pandemic. Health care providers responded by rapidly transitioning from in-person to video consultations. Telemedicine (ie, video visits) is a potentially disruptive innovation; however, little is known about patient satisfaction with this emerging alternative to the traditional clinical encounter. OBJECTIVE This study aimed to determine if patient satisfaction differs between video and in-person visits. METHODS In this retrospective observational cohort study, we analyzed 38,609 Press Ganey patient satisfaction survey outcomes from clinic encounters (620 video visits vs 37,989 in-person visits) at a single-institution, urban, quaternary academic medical center in New York City for patients aged 18 years, from April 1, 2019, to March 31, 2020. Time was categorized as pre–COVID-19 and COVID-19 (before vs after March 4, 2020). Wilcoxon-Mann-Whitney tests and multivariable linear regression were used for hypothesis testing and statistical modeling, respectively. RESULTS We experienced an 8729% increase in video visit utilization during the COVID-19 pandemic compared to the same period last year. Video visit Press Ganey scores were significantly higher than in-person visits (94.9% vs 92.5%; <i>P</i>&lt;.001). In adjusted analyses, video visits (parameter estimate [PE] 2.18; 95% CI 1.20-3.16) and the COVID-19 period (PE 0.55; 95% CI 0.04-1.06) were associated with higher patient satisfaction. Younger age (PE –2.05; 95% CI –2.66 to –1.22), female gender (PE –0.73; 95% CI –0.96 to –0.50), and new visit type (PE –0.75; 95% CI –1.00 to –0.49) were associated with lower patient satisfaction. CONCLUSIONS Patient satisfaction with video visits is high and is not a barrier toward a paradigm shift away from traditional in-person clinic visits. Future research comparing other clinic visit quality indicators is needed to guide and implement the widespread adoption of telemedicine.

scholarly journals COVID‐19 outcomes in hospitalized patients with active cancer: Experiences from a major New York City health care system

Cancer ◽  
2021 ◽  
Author(s):  
Chen Fu ◽  
James H. Stoeckle ◽  
Lena Masri ◽  
Abhishek Pandey ◽  
Meng Cao ◽  
...  
Keyword(s):  
Health Care ◽  
New York ◽  
New York City ◽  
Health Care System ◽  
York City ◽  
Hospitalized Patients ◽  
Active Cancer ◽  
Care System

The Registered Dietitian in Primary Care: The Hamilton Experience

2007 ◽  
Vol 68 (2) ◽  
pp. 81-85 ◽  
Author(s):  
Wendy Gamblen ◽  
Sherri Schamehorn ◽  
Anne Marie Crustolo ◽  
Tracy Hussey ◽  
Nick Kates ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Interdisciplinary Collaboration ◽  
Community Services ◽  
Care Providers ◽  
Clinical Role ◽  
Nutrition Services ◽  
Wide Range ◽  
Canadian Health ◽  
Shared Care Model

The Hamilton Health Service Organization Nutrition Program integrates nine registered dietitians (RDs) into the offices of 80 family physicians (FPs) at 50 sites in Hamilton, Ontario. The program is based on a shared care model, in which FPs and RDs work collaboratively to provide nutrition services aimed at prevention, treatment, and management of nutrition-related problems. In addition to their clinical role, dietitians in the program are involved in health promotion, disease prevention and early intervention strategies, interdisciplinary collaboration, building links with community services, and research. The RDs’ specialized knowledge, skills, and experience allow them to provide a wide range of services that complement and augment those of the FP. This model is consistent with Canadian health care reform recommendations and offers significant benefits for both health care providers and consumers.

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