Abstract TMP72: Geographic, Demographic and Socioeconomic Analysis of StrokeNet Research Network Population Coverage

Introduction: StrokeNet is an NIH research network to advance research for acute treatment, prevention, and recovery/rehabilitation following stroke. Hypothesis/Objective: We characterized the adult population with geographic access to a StrokeNet acute care research site and its representativeness of the overall US population. Methods: Data on research sites was obtained from the StrokeNet National Coordinating Center and geocoded. Ground and air-ambulance data identify transport times of 60, 90 and 120 minutes, corresponding to transport distances of 20, 40 and 65 miles, respectively. Geographic Information System (GIS) software overlaid these radii on thematic maps of StrokeNet adult acute care hospitals, their referral clinics, and participating VAMC hospitals. The analysis used complete 2010 US census data and 2013 data for economic variables, coded to the block group level. Descriptive data presented with comparison to national averages. Results: 281 sites were identified as of August 1, 2015. 38%, 50%, and 60% of the total US population were within 20, 40 and 65 miles of an identified site. Geographic coverage and analysis for gender, race, age, and income are presented below. High rates of access were identified for Hispanic/Latino, Black, and Asian populations and households with high median incomes. Limited rural access was identified. Data on rehabilitation and pediatric access to be presented. Conclusions: Current StrokeNet sites provide geographic access to acute care research opportunities for a substantial portion of the US population. The encompassed population reflects the demographic and socioeconomic makeup of the nation as a whole.

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PAC conference: Babl on acute care research updates

10.31440/dftb.7517 ◽

2015 ◽

Author(s):

Team DFTB

Keyword(s):

Acute Care ◽

Care Research

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Health insurance awareness and its uptake in India: a systematic review protocol

BMJ Open ◽

10.1136/bmjopen-2020-043122 ◽

2021 ◽

Vol 11 (4) ◽

pp. e043122

Author(s):

Bhageerathy Reshmi ◽

Bhaskaran Unnikrishnan ◽

Shradha S Parsekar ◽

Eti Rajwar ◽

Ratheebhai Vijayamma ◽

...

Keyword(s):

Systematic Review ◽

Health Insurance ◽

Data Extraction ◽

Adult Population ◽

Social Science Research ◽

Healthcare Utilisation ◽

Science Research ◽

Research Network ◽

Universal Healthcare ◽

Government Websites

IntroductionHealth insurance is one of the important approaches that can help in boosting universal healthcare coverage through improved healthcare utilisation and financial protection. This objectives of this review are to identify various interventions implemented in India to promote awareness of health insurance, and to provide evidence for the effectiveness of such interventions on the awareness and uptake of health insurance by the resident Indian population.Methods and analysisA systematic review will be carried out based on the Cochrane handbook for systematic reviews of interventions. The review will include experimental and analytical observational studies that have included adult population (>18 years) in India. We will include any intervention, policy or programme that directly or indirectly affects awareness or uptake of health insurance. The following outcomes will be eligible to be included: awareness or health insurance literacy, attitude such as readiness to buy health insurance or decision making, uptake of health insurance, demand-side and supply-side factors for awareness of health insurance, and awareness as a factor for uptake and re-enrolment in health insurance. Databases such as MEDLINE (PubMed), Web of Science, Scopus, 3ie impact evaluation repository and Social Science Research Network will be searched from January 2010 to 15 July 2020. Additionally, important government websites and references of the included studies will be scanned to identify potential records. Three authors, independently, will carry out screening and data extraction. Studies will be categorised into quantitative and qualitative, and mixed-methods synthesis will be employed to analyse the findings.Ethics and disseminationThis review will be based on published studies and will not recruit human participants directly, therefore, ethical clearance is not applicable. We will disseminate the final review findings in a national or international conference and publish in a peer-reviewed journal.

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Interfacility transfer communication of multidrug-resistant organism colonization or infection status: Practices and barriers in the acute-care setting

Infection Control and Hospital Epidemiology ◽

10.1017/ice.2021.131 ◽

2021 ◽

pp. 1-6

Author(s):

Katherine D. Ellingson ◽

Brie N. Noble ◽

Genevieve L. Buser ◽

Graham M. Snyder ◽

Jessina C. McGregor ◽

...

Keyword(s):

Acute Care ◽

Infection Prevention ◽

Multidrug Resistant ◽

Research Network ◽

Resistant Organism ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Hospital Size ◽

Academic Affiliation ◽

Healthcare Epidemiology

Abstract Objective: To describe interfacility transfer communication (IFTC) methods for notification of multidrug-resistant organism (MDRO) status in a diverse sample of acute-care hospitals. Design: Cross-sectional survey. Participants: Hospitals within the Society for Healthcare Epidemiology of America (SHEA) Research Network (SRN). Methods: SRN members completed an electronic survey on protocols and methods for IFTC. We assessed differences in IFTC frequency, barriers, and perceived benefit by presence of an IFTC protocol. Results: Among 136 hospital representatives who were sent the survey, 54 (40%) responded, of whom 72% reported having an IFTC protocol in place. The presence of a protocol did not differ significantly by hospital size, academic affiliation, or international status. Of those with IFTC protocols, 44% reported consistent notification of MDRO status (>75% of the time) to receiving facilities, as opposed to 13% from those with no IFTC protocol (P = .04). Respondents from hospitals with IFTC protocols reported significantly fewer barriers to communication compared to those without (2.8 vs 4.3; P = .03). Overall, however, most respondents (56%) reported a lack of standardization in communication. Presence of an IFTC protocol did not affect whether respondents perceived IFTC protocols as having a significant impact on infection prevention or antimicrobial stewardship. Conclusions: Most respondents reported having an IFTC protocol, which was associated with reduced communication barriers at transfer. Standardization of protocols and clarity about expectations for sending and receipt of information related to MDRO status may facilitate IFTC and promote appropriate and timely infection prevention practices.

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Acute care research competencies for clinical research professionals

Journal of Clinical and Translational Science ◽

10.1017/cts.2020.38 ◽

2020 ◽

Vol 4 (6) ◽

pp. 485-492

Author(s):

Stephanie Schuckman ◽

Lynn Babcock ◽

Cristina Spinner ◽

Opeolu Adeoye ◽

Dina Gomaa ◽

...

Keyword(s):

Clinical Research ◽

Acute Care ◽

Performance Metrics ◽

Task Force ◽

Continuing Professional Development ◽

Personal Characteristics ◽

Care Research ◽

Trial Competency ◽

Conducting Research ◽

Research Professionals

AbstractIntroduction:Acute care research (ACR) is uniquely challenged by the constraints of recruiting participants and conducting research procedures within minutes to hours of an unscheduled critical illness or injury. Existing competencies for clinical research professionals (CRPs) are gaining traction but may have gaps for the acute environment. We sought to expand existing CRP competencies to include the specialized skills needed for ACR settings.Methods:Qualitative data collected from job shadowing, clinical observations, and interviews were analyzed to assess the educational needs of the acute care clinical research workforce. We identified competencies necessary to succeed as an ACR-CRP, and then applied Bloom’s Taxonomy to develop characteristics into learning outcomes that frame both knowledge to be acquired and job performance metrics.Results:There were 28 special interest competencies for ACR-CRPs identified within the eight domains set by the Joint Task Force (JTF) of Clinical Trial Competency. While the eight domains were not prioritized by the JTF, in ACR an emphasis on Communication and Teamwork, Clinical Trials Operations, and Data Management and Informatics was observed. Within each domain, distinct proficiencies and unique personal characteristics essential for success were identified. The competencies suggest that a combination of competency-based training, behavioral-based hiring practices, and continuing professional development will be essential to ACR success.Conclusion:The competencies developed for ACR can serve as a training guide for CRPs to be prepared for the challenges of conducting research within this vulnerable population. Hiring, training, and supporting the development of this workforce are foundational to clinical research in this challenging setting.

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Diagnostic and antimicrobial stewardship with molecular respiratory testing across the SHEA Research Network

Infection Control and Hospital Epidemiology ◽

10.1017/ice.2020.1328 ◽

2020 ◽

pp. 1-4

Author(s):

Kimberly C. Claeys ◽

Daniel J. Morgan ◽

Surbhi Leekha ◽

Kaede V. Sullivan

Keyword(s):

Respiratory Tract ◽

Acute Care ◽

Antimicrobial Stewardship ◽

Real World ◽

Lower Respiratory Tract ◽

Respiratory Tract Infections ◽

Research Network ◽

Lower Respiratory Tract Infections ◽

Panel Testing ◽

Tract Infections

This survey investigated diagnostic and antimicrobial stewardship practices related to molecular respiratory panel testing in adults with lower respiratory tract infections at acute care hospitals. Most respondents reported use of rapid respiratory panels, but related stewardship practices were uncommon and the real-world impact of respiratory panels were difficult to quantify.

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National Economic Burden Associated with Management of Periodontitis in Malaysia

International Journal of Dentistry ◽

10.1155/2016/1891074 ◽

2016 ◽

Vol 2016 ◽

pp. 1-6 ◽

Cited By ~ 4

Author(s):

Tuti Ningseh Mohd Dom ◽

Rasidah Ayob ◽

Khairiyah Abd Muttalib ◽

Syed Mohamed Aljunid

Keyword(s):

Societal Perspective ◽

Economic Burden ◽

Census Data ◽

Adult Population ◽

National Level ◽

Indirect Costs ◽

Treatment Costs ◽

High Prevalence ◽

National Economic ◽

The Cost

Objectives. The aim of this study is to estimate the economic burden associated with the management of periodontitis in Malaysia from the societal perspective.Methods. We estimated the economic burden of periodontitis by combining the disease prevalence with its treatment costs. We estimated treatment costs (with 2012 value of Malaysian Ringgit) using the cost-of-illness approach and included both direct and indirect costs. We used the National Oral Health Survey for Adults (2010) data to estimate the prevalence of periodontitis and 2010 national census data to estimate the adult population at risk for periodontitis.Results. The economic burden of managing all cases of periodontitis at the national level from the societal perspective was approximately MYR 32.5 billion, accounting for 3.83% of the 2012 Gross Domestic Product of the country. It would cost the nation MYR 18.3 billion to treat patients with moderate periodontitis and MYR 13.7 billion to treat patients with severe periodontitis.Conclusion. The economic burden of periodontitis in Malaysia is substantial and comparable with that of other chronic diseases in the country. This is attributable to its high prevalence and high cost of treatment. Judicious application of promotive, preventive, and curative approaches to periodontitis management is decidedly warranted.

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