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http://dx.doi.org/10.1111/bjh.16805 | DOI Listing |
JAMA Netw Open
September 2025
Department of Population Health Sciences, University of Utah School of Medicine, Salt Lake City.
Importance: Advances in diagnostics have enabled the detection of more gastrointestinal pathogens, but misuse of diagnostics can lead to inappropriate antibiotic use and excess financial burdens. Ensuring appropriate use of diagnostics is crucial for optimizing patient care and promoting stewardship of health care resources.
Objective: To elicit parents' and clinicians' perspectives on expectations for care of pediatric diarrhea with a focus on diagnostic testing and to evaluate the potential for an electronic clinical decision support tool (ECDST) to improve appropriate use of diagnostics.
BMJ Open
September 2025
IDIAP Jordi Gol, Barcelona, Catalonia, Spain
Background: Respiratory tract infection tests are increasingly available in primary care and are expected to expand in the future. However, there is limited understanding of clinicians' views on their benefits and how to effectively integrate them into daily clinical practice.
Objectives: The aim of this study was to explore healthcare professionals' views on using respiratory tract infection tests to safely reduce unnecessary antibiotic prescriptions for respiratory tract infections in primary care based on their experience in routine practice.
Palliat Med Rep
May 2025
Department of Supportive Care, Division of Palliative Care, University Health Network, Toronto, Canada.
Background: Serious illness communication skills (SICS) are essential competencies for clinicians to possess. Unfortunately, SICS teaching is not routinely taught and many clinician teachers (CTs) never received training on how to teach them. We funded two cohorts of CTs to learn an evidence-based approach to SICS teaching to scale a unified approach to such training.
View Article and Find Full Text PDFPalliat Med Rep
April 2025
Department of Quantitative Health Sciences, Mayo Clinic, Rochester, Minnesota, USA.
Background: Collaborative methods are necessary to meet patient palliative care (PC) needs because of the inadequate supply of PC specialists.
Objective: This study aimed to conduct a needs assessment and determine primary care, emergency, and hospital physicians' general attitudes about primary PCs, confidence in managing common PC scenarios, and preferences for interaction with specialty PCs.
Design: A sequential mixed-methods study design was used, whereby individual qualitative interviews informed the content of a quantitative survey.
Health Equity
September 2025
Division of Maternal-Fetal Medicine Department of Obstetrics & Gynecology, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, North Carolina, USA.
Introduction: The persistent disparities in the field of obstetrics and gynecology (OBGYN) have become increasingly visible in the public eye, while at the same time public discourse regarding the appropriateness and efficacy of diversity, equity and inclusion (DEI) education has become increasingly politically polarized.
Background: While it has long been accepted that DEI training is an essential component of curricula offered in academic OBGYN departments, there remains a great deal of uncertainty regarding the best practices for developing and provisioning such training.
Methods: In this article, the authors outline lessons learned from the process of developing an evidence-based department-wide needs assessment in order to evaluate the knowledge, attitudes, and behavior of members of a large academic OBGYN department, including an evaluation of the impact of prior DEI educational programming.