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Care-staff shortages persist

What some are calling the worst U.S. health care labor crisis in memory is sharpening concerns about attrition from resistance to vaccination mandates even in the medical mecca of Massachusetts, where covid-19 cases remain well within hospital capacity. ....

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Study lays out challenges of achieving equity in communication for diverse patients at hospital discharge


Study lays out challenges of achieving equity in communication for diverse patients at hospital discharge
A new study by research, quality improvement and health equity experts at Massachusetts General Hospital (MGH) in
The American Journal of Managed Care lays out the challenges of achieving equity for diverse patients in communication at hospital discharge. A survey of 224 recently discharged patients was conducted in five languages just before the COVID-19 pandemic and highlighted challenges, including limited understanding of medications; lack of available professional medical interpreters and translated patient instructions at discharge; and worries about support for at home after hospitalization.
Major findings include: ....

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A community health worker intervention reduces hospital readmissions


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BOSTON - The Community CAre Transitions (C-CAT) clinical trial, which paired community health workers (CHWs) with patients admitted to Massachusetts General Hospital (MGH), has found that fewer intervention group participants were readmitted within 30 days than control group participants. The effect was significant for those discharged to short-term rehabilitation but not for those discharged home. The study has been published in
These results indicate that CHW interventions may help reduce hospital readmissions and improve preventive care among some clinically complex patients within an accountable care organization, says lead author and C-CAT trial principal investigator Jocelyn Carter, MD, MPH, a physician-scientist in the MGH Division of General Internal Medicine. ....

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