l leads to improved patient outcomes, can overcome community stakeholder concerns, and is sustainable.

Whether high burden of subclinical vascular disease (SVD) is associated with increased premature mortality among middle-aged adults is not adequately understood. The association of midlife SVD burden with premature mortality among middle-aged adults free of clinical cardiovascular disease (CVD) could provide further insights into stratifying premature death beyond clinical CVD.

To determine whether high burden of subclinical vascular disease is associated with increased premature mortality among middle-aged adults.

We leveraged data from the Atherosclerosis Risk in Communities Study.

Thirteen thousand eight hundred seventy-six community-dwelling blacks and whites aged 45-64years from the Atherosclerosis Risk in Communities Study.

Each SVD measure-ankle-brachial index, carotid intima-media thickness, and electrocardiogram-was scored 0 (no abnormalities), 1 (minor abnormalities), or 2 (major abnormalities). An index was constructed as the sum of three measures, ranging from 0 (lowest burden) to 6 (hig for reducing premature mortality.

Midlife SVD burden was associated with premature mortality and it could stratify premature death beyond clinical CVD. It is important to take SVD into account when designing interventions for reducing premature mortality.

Prospective patients are increasingly going to health systems’ online directories to find their next primary care providers (PCP), making this channel of communication important to assess to determine if it is meeting patients’ needs. When seeking a new PCP, patients want to know not only educational credentials but also providers’ communication traits, and personal information to showcase providers as real people. Offering this information, to help patients find providers best suited to meet their needs, is a key attribute of patient-centered care.

To analyze whether health systems’ online PCP biographies are including the information prospective patients deem important when selecting a PCP.

Using the AHRQ’s Compendium of US Health Systems, 523 health systems’ PCP biographies were content analyzed (n = 5004 biographies) from December 2019 to March 2020.

Forty-eight unique pieces of information were coded for either their presence or absence (e.g., education, photo, languages spoken, insurance accepteHealth systems could make simple changes to their providers’ online biographies in order to help patients make more informed decisions of PCPs. Doing so may decrease doctor shopping, and also lead to a greater likelihood of developing longer-term relationships with PCPs.

While in some studies, the patient-centered medical home has been linked with increased receipt of preventive services among other populations, there is a paucity of literature testing the effectiveness of medical homes in serving the healthcare needs of autistic adults.

To compare the receipt of preventive services by patients at a patient-centered medical home specifically designed for autistic adults (called the Center for Autism Services and Transition “CAST”) to US national samples of autistic adults with private insurance or Medicare.

Retrospective study of medical billing data.

The study sample included CAST patients (N = 490) who were propensity score matched to Medicare-enrolled autistic adults (N = 980) and privately insured autistic adults (N = 980) using demographic characteristics. The median age of subjects was 21 years old, 79% were male, and the median duration of observation was 2.2 years.

The primary outcome measure was the receipt of any preventive service, as defined by the Medicials are needed to rigorously assess the impact of primary care-based initiatives to improve care for autistic adults.

Autistic adults receiving care through CAST were significantly more likely to recieve preventive care services than national samples of autistic adults. Future comparative effectiveness trials are needed to rigorously assess the impact of primary care-based initiatives to improve care for autistic adults.

Financial burden can affect healthcare utilization. Few studies have assessed the short-term associations between material (debt, trouble paying rent) and psychological (worry or distress about affording future healthcare) financial risks, and subsequent outpatient and emergency healthcare use. see more Worry was defined as concerns about affording future healthcare.

Examine whether worry about affording healthcare is associated with healthcare utilization when controlling for material risk and general anxiety DESIGN Longitudinal observational study PARTICIPANTS Kaiser Permanente members with exchange-based federally subsidized health insurance (n = 450, 45% response rate) MAIN MEASURES Survey measures of financial risks (material difficulty paying for medical care and worry about affording healthcare) and general anxiety. Healthcare use (primary care, urgent care, emergency department, and outpatient specialty visits) in the 6 months following survey completion.

Emergency department and primary care visits wereentions to reduce worry about cost of care.

Screening for both general anxiety and financial worry may assist with specialty care utilization. Identifying these concerns may provide more opportunities to assist patients. Future research should examine interventions to reduce worry about cost of care.

There is great interest in identifying factors that are related to positive patient experiences such as physician communication style. Documented gender-specific physician communication and patient behavior differences raise the question of whether gender concordant relationships (i.e., both the provider and patient share the same gender) might affect patient experiences.

Assess whether patient experiences are more positive in gender concordant primary care relationships.

Statewide telephone surveys. Linear mixed regression models to estimate the association of CAHPS scores with patient gender and gender concordance.

Two probability samples of primary care Medicaid patients in Connecticut in 2017 (5/17-7/17) and 2019 (7/19-10/19).

Clinician and Group Consumer Assessment of Healthcare Providers and Systems (CG-CAHPS) survey augmented with questions about aspects of care most salient to PCMH-designated organizations and two questions to assess access to mental health services.

There were no significant effects of gender concordance and differences in experiences by patient gender were modest.