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#inpatient

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ajaxStardust

*US vs Geisinger*

7. How would patients be hurt by the transaction?
Hospitals compete to attract patients to their facilities by offering high quality care, a broad #scope of #services, #amenities, #convenience, customer service, and attention to patient satisfaction. This competition improves access to #healthcare, reduces wait times, and improves the quality of care for all patients, including commercially insured, #Medicare, #Medicaid, and #uninsured #patients. #Hospitals also compete to be included in health insurers’ networks and this #competition enables insurers to #negotiate lower #reimbursement rates and other terms that reduce healthcare costs, all for the benefit of patients. This transaction permanently and fundamentally alters the competitive relationship between #Geisinger and #Evangelical by linking them together in a number of ways that, taken together, raise the likelihood of coordination and reduce #Geisinger
#incentivetocompete #aggressive against each other... The transaction is likely to lead to #highprices, #lowquality, and #reducedaccess to high-quality #inpatient hospital services for patients in central Pennsylvania. In addition, the transaction creates incentives for Geisinger to raise prices to commercial insurers and other #purchasers inpatient acute care...

justice.gov/opa/press-release/

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Auscandoc

“ health benefits were documented in the local population, including a 42% immediate drop in cardiovascular department () visits from the pre-closure mean. A longer-term downward trend was also observed for overall emergency visits at −0.14 visits per week rate of decrease after the closure. Similarly, cardiovascular per year showed a decrease after closure (−27.97) [95% CI: −46.90, −9.04], qoto.org/@jljcolorado/11085392

Qoto MastodonProf. Jose-Luis Jimenez (@jljcolorado@qoto.org)Attached: 1 image Sudden DECREASE IN AIR POLLUTION improves HEALTH immediately & over 3 yrs Pittsburgh: a highly polluting coke plant is suddenly closed - Emergency visits for cardiovascular disease decreased 42% immediately, continued over 3 yrs - No change in control http://dx.doi.org/10.1088/2752-5309/ace4ea
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Auscandoc

Hospital admissions linked to SARS-CoV-2 infection in children and adolescents: cohort study of 3.2 million first ascertained infections in England | The BMJ bmj.com/content/382/bmj-2022-0 “ was the cause or a contributory factor in 21 000 of 29 230 (71.8%) participants who were admitted to and only 380 (1.3%) participants acquired as an and 7855 (26.9%) participants were admitted with SARS-CoV-2 infection."

The BMJ · Hospital admissions linked to SARS-CoV-2 infection in children and adolescents: cohort study of 3.2 million first ascertained infections in EnglandObjective To describe hospital admissions associated with SARS-CoV-2 infection in children and adolescents. Design Cohort study of 3.2 million first ascertained SARS-CoV-2 infections using electronic health care record data. Setting England, July 2020 to February 2022. Participants About 12 million children and adolescents (age <18 years) who were resident in England. Main outcome measures Ascertainment of a first SARS-CoV-2 associated hospital admissions: due to SARS-CoV-2, with SARS-CoV-2 as a contributory factor, incidental to SARS-CoV-2 infection, and hospital acquired SARS-CoV-2. Results 3 226 535 children and adolescents had a recorded first SARS-CoV-2 infection during the observation period, and 29 230 (0.9%) infections involved a SARS-CoV-2 associated hospital admission. The median length of stay was 2 (interquartile range 1-4) days) and 1710 of 29 230 (5.9%) SARS-CoV-2 associated admissions involved paediatric critical care. 70 deaths occurred in which covid-19 or paediatric inflammatory multisystem syndrome was listed as a cause, of which 55 (78.6%) were in participants with a SARS-CoV-2 associated hospital admission. SARS-CoV-2 was the cause or a contributory factor in 21 000 of 29 230 (71.8%) participants who were admitted to hospital and only 380 (1.3%) participants acquired infection as an inpatient and 7855 (26.9%) participants were admitted with incidental SARS-CoV-2 infection. Boys, younger children (<5 years), and those from ethnic minority groups or areas of high deprivation were more likely to be admitted to hospital (all P<0.001). The covid-19 vaccination programme in England has identified certain conditions as representing a higher risk of admission to hospital with SARS-CoV-2: 11 085 (37.9%) of participants admitted to hospital had evidence of such a condition, and a further 4765 (16.3%) of participants admitted to hospital had a medical or developmental health condition not included in the vaccination programme’s list. Conclusions Most SARS-CoV-2 associated hospital admissions in children and adolescents in England were due to SARS-CoV-2 or SARS-CoV-2 was a contributory factor. These results should inform future public health initiatives and research. This analysis was performed according to a prespecified analysis plan published on GitHub. Supplementary table A provides all the ICD-10 codes used to define admission types and additional technical details, which are publicly available with analytical code on GitHub <https://github.com/BHFDSC/CCU029_01>.[62][1] The data used in this study are safeguarded in NHS England’s Trusted Research Environment (TRE) for England, but as restrictions apply the data are not publicly available (<https://digital.nhs.uk/coronavirus/coronavirus-data-services-updates/trusted-research-environment-service-for-england>). The CVD-COVID-UK/COVID-IMPACT programme, led by the British Heart Foundation Data Science Centre, (<https://www.hdruk.ac.uk/helping-with-health-data/bhf-data-science-centre/>) received approval to access data in NHS England’s TRE for England from the Independent Group Advising on the Release of Data (IGARD) (<https://digital.nhs.uk/about-nhs-digital/corporate-information-and-documents/independent-group-advising-on-the-release-of-data>) via an application made in the Data Access Request Service (DARS) Online system (ref DARS-NIC-381078-Y9C5K) (<https://digital.nhs.uk/services/data-access-request-service-dars/dars-products-and-services>). The CVD-COVID-UK/COVID-IMPACT Approvals and Oversight Board (<https://www.hdruk.ac.uk/projects/cvd-covid-uk-project/>) subsequently granted approval of this project to access the data within NHS England’s TRE for England. The deidentified data used in this study were made available to accredited researchers only. Those wishing to gain access to the data should contact bhfdsc{at}hdruk.ac.uk in the first instance. [1]: #ref-62
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Autism News International

Autistics Incarcerated: The dark underbelly of the NHS

emergentdivergence.com/2023/03

#MentalHealthTreatmentRights #AutisticsIncarcerated #AutisticWellbeing #institutionalised #actuallyautistic #carcerativecare #AutisticRights #institution #psychiatric #disability #Healthcare #psychiatry #inpatient #psychward #autistic #Society

Emergent DivergenceAutistics Incarcerated: The dark underbelly of the NHS - Emergent DivergenceThis evening, I took it upon myself to watch Channel 4's documentary on the abuse of Autistic people in psychiatric institutions. As I sit here reflecting on the way the Autistic participants were treated by those meant to care for them, I will confess that I have shed some tears of my own. I am
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