| February 21, 2023, Issue #851 One in seven in-hospital delivery stays for non-Hispanic White women included a diagnosis of a mental health disorder in 2020 (14 per 100 delivery stays), the highest rate among any race/ethnicity group. In-hospital delivery stays for Asian/Pacific Islander women included the lowest diagnosis rate, at just 3.6 per every 100 stays (Source: AHRQ Healthcare Cost and Utilization Project Statistical Brief #302, Mental Health Disorders Among Delivery Inpatient Stays by Patient Race and Ethnicity, 2020.) Training materials recently developed by AHRQ to help hospitals enroll more heart disease patients in cardiac rehabilitation are highlighted in the most recent AHRQ Views blog. Released during American Heart Month, the blog emphasizes that only about a quarter of eligible patients participate in cardiac rehab despite its potential lifesaving benefits. Additional resources from the agency's TAKEheart initiative include Tools for Change, a collection of resources to help improve care for patients with heart conditions, and Integrating Cardiovascular Disease Risk Calculators into Primary Care, a guide for assessing patients' risk of a cardiovascular disease event. These efforts complement AHRQ's EvidenceNow: Advancing Heart Health project, an initiative to improve care in small- and medium-sized primary care practices. Access the blog authored by Tess Miller, Dr.P.H., acting director of AHRQ's Center for Evidence and Practice Improvement, and Michael I. Harrison, Ph.D., a senior social scientist in the Center for Evidence and Practice Improvement. To receive all blog posts, submit your email address.  Despite attention drawn to structural racism, cultural attitudes and racial-ethnic biases, low rates of mental health treatment among Black and Hispanic people continue to persist, according to an AHRQ study published in Psychiatric Services. Researchers used data from the 2018–2019 AHRQ Medical Expenditure Panel Survey to compare national rates and patterns of use for outpatient mental healthcare among Hispanic, non-Hispanic Black, and non-Hispanic White patients. They found that non-Hispanic Black and Hispanic patients are approximately half as likely to receive outpatient mental healthcare as non-Hispanic White patients. In addition, non-Hispanic Black and Hispanic patients are less likely to receive psychotropic medications but are more likely to receive psychotherapy. Achieving equity may necessitate developing culturally centered integrated primary care and specialty mental health services that help nurture trusting patient-provider partnerships in environments that respect and appreciate patients' ethnic and cultural diversity. Access the abstract. |  A study published in the Journal of the American Geriatrics Society found that residents who live in assisted living communities with high online ratings spent more time at home—and less time in hospitals, nursing homes and other institutional settings—compared with those who live in assisted living communities that had no or low ratings. The study, which included 59,831 Medicare beneficiaries in 12,143 assisted living communities, was based on Google searches conducted on assisted living communities between 2013 and 2017 and linked to 2018–2019 Medicare data. Assisted living communities are an important and a growing part of the U.S. residential care system. With no state or federal mandatory reporting requirements for assisted living communities, customers make decisions based on price and amenities, not quality, study authors noted. Access the abstract. | Health services researchers committed to improving the quality, safety and equity of healthcare can explore a variety of AHRQ funding opportunities to support this work. Notice of Funding Opportunities includes Research Grants (R series), Career Development Awards (K series) and Research Training and Fellowships (T & F series). Current opportunities include: AHRQ's Patient Safety Network (PSNet) highlights journal articles, books and tools related to patient safety. Articles featured this week include: Review additional new publications in PSNet's current issue or access recent cases and commentaries in AHRQ's WebM&M (Morbidity and Mortality Rounds on the Web). Voluntary data submission for AHRQ's Surveys on Patient Safety Culture™ (SOPS®) Databases opens June 1–22 for the SOPS Ambulatory Surgery Center Survey and Sept. 1–22 for the SOPS Medical Office Survey. The SOPS program is designed to help healthcare organizations assess how providers and staff perceive various aspects of patient safety culture. Participating organizations will receive a feedback report displaying their results and aggregated results from all database participants. Access general information about the SOPS Databases. For technical assistance on data submission, call 1-888-324-9790 or email DatabasesOnSafetyCulture@westat.com. | AHRQ in the Professional Literature Mandatory prescription drug monitoring programs and overlapping prescriptions of opioids and benzodiazepines: evidence from Kentucky. Nguyen T, Meille G, Buchmueller T. Drug Alcohol Depend. 2023 Feb 1;243:109759. Epub 2022 Dec 28. Access the abstract on PubMed®. Evaluation of a protocol for eliciting narrative accounts of pediatric inpatient experiences of care. Martino SC, Reynolds KA, Grob R, et al. Health Serv Res. 16 Jan 2023. [Epub ahead of print.] Access the abstract on PubMed®. Cannabis-based products for chronic pain: a systematic review. McDonagh MS, Morasco BJ, Wagner J, et al. Ann Intern Med. 2022 Aug;175(8):1143-53. Epub 2022 Jun 7. Access the abstract on PubMed®. Low rates of structured advance care planning documentation in electronic health records: results of a single-center observational study. Wu A, Huang RJ, Colón GR, et al. BMC Palliat Care. 2022 Nov 22;21(1):203. Access the abstract on PubMed®. Outcomes associated with rural emergency department provider-to-provider telehealth for sepsis care: a multicenter cohort study. Mohr NM, Okoro U, Harland KK, et al. Ann Emerg Med. 2023 Jan;81(1):1-13. Epub 2022 Oct 15. Access the abstract on PubMed®. Association of medical assistant-supported virtual rooming with successful video visit connections. Lieu TA, Warton EM, Levan C, et al. JAMA Intern Med. 2022 Jun;182(6):680-2. Access the abstract on PubMed®. The association of strained ICU capacity with hospital patient racial and ethnic composition and federal relief during the COVID-19 pandemic. Levinson Z, Cantor J, Williams MV, et al. Health Serv Res. 2022 Dec;57(Suppl 2):279-90. Epub 2022 Jul 25. Access the abstract on PubMed®. Pre-existing anxiety and depression in injured older adults: an under-recognized comorbidity with major health implications. Ortiz D, Perkins AJ, Fuchita M, et al. Ann Surg Open. 2022 Dec 7;3(4):e217. Access the abstract on PubMed®. Contact Information For questions or comments about AHRQ News Now, contact Bruce Seeman, (301) 427-1998 or Bruce.Seeman@ahrq.hhs.gov. |
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