The number of new coronavirus cases is growing in most states. As the pandemic continues to strain U.S. health care systems, a tool developed by RAND researchers can help hospitals prepare for the worst.
Ambulance data is a new form of intelligence which may have value for violence prevention or reduction activities. Police forces can use this data to help identify violent crime that goes unreported to police, and aid problem-solving activities to reduce and prevent violence.
Police forces in England and Wales may not be aware of a large proportion of violent incidents taking place in their areas. Ambulance data could contribute to a more complete picture of violent crime and help police target resources more effectively.
After Hurricane Harvey, challenges to the health of affected communities and the health care systems that serve them are expected to grow. Among the problems are closures of hospitals, pharmacies, and dialysis centers. Lessons from Hurricanes Katrina and Sandy could help relief efforts.
Given the persistent risk of terrorist attacks, it is critical to learn from past incidents to prepare for future ones. Medical and nonmedical first responders need more training in basic lifesaving skills. Open communication lines such as a dedicated radio frequency could help responders better coordinate. Disaster drills are also essential.
Many Americans struggle to receive acute care when they need it. The health care system is not focused on meeting unscheduled needs. Reforming acute care delivery will require making it a policy and research priority.
When Hurricane Matthew swept across Haiti, it left a resurgence of cholera in its wake. Tackling cholera head-on should be on the short list of health priorities for disaster relief in the island nation.
Natural and man-made mass-casualty incidents are a growing threat. Evaluating successes and shortcomings after each crisis can contribute to the design and implementation of robust and resilient response systems and ensure the best possible outcomes for individuals and impacted communities.
Leadership, coordination, communication, and involvement of local stakeholders are critical in order to mount an informed response to natural disasters. Improved disaster management in Nepal could help limit the suffering of impacted communities and help secure a more successful recovery in the long run.
There are times when no amount of care, however cutting-edge it is, will save a patient. In these instances, further critical care is said to be “futile.” This type of treatment is not uncommon in intensive care units, and that raises some uncomfortable questions.
The dependent coverage provision of the Affordable Care Act is working as intended, say Andrew Mulcahy and Katherine Harris. In 2011, it spared individuals and hospitals from $147 million in emergency room costs.
Three mass-casualty events occurring in three very different settings show that disaster preparedness should not be limited to large cities or “target” areas in the United States. One trait that is common to all such events is the need for coordinated, responsive trauma care for victims.
It is likely that communities with low rates of non-urgent ED use not only have better access to primary care, but patients who are educated about appropriate care seeking and convenient alternatives for acute care, writes Lori Uscher-Pines.
If a medical treatment worked only a fraction of the time and resulted in bad outcomes more often than not, practitioners would not make this treatment the default approach. Yet that is exactly what has happened when it comes to CPR for individuals 85 years and older who suffer cardiac arrest in a community setting.
Absent from the discussion about health care during the first debate between President Barack Obama and Governor Mitt Romney was any mention of one of the main providers of care for America's uninsured: emergency rooms. What does research tell us about the use of ERs and the relevant implications on health care access and cost?
In a recent article in the New England Journal of Medicine, we argue that attempts by states to save money by seeking to lock Medicaid enrollees out of the emergency department are likely to backfire. We argue that a better solution is to reverse what for many years has been a trend of shrinking access to primary care for Medicaid beneficiaries.