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Journal of General Internal Medicine @journalgim.bsky.social · 3d

Medical student Ryan Wexler reflects: Hospital routines often disrupt healing—windowless rooms, sleep interruptions, and pre-round wakeups. We must rethink practices that treat rest and sunlight as luxuries, not necessities. #MedTwitter #PatientCare #HospitalCulture Read in #JGIM: rdcu.be/eEbh9

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Journal of General Internal Medicine @journalgim.bsky.social · 4d

Obesity affects 41.7% of Americans and drives up healthcare costs. Tirzepatide, a dual GLP-1/GIP agonist, shows promise by curbing appetite and improving insulin response. #Obesity #Tirzepatide #GLP1 #PublicHealth #Diabetes
Read in #JGIM: rdcu.be/eEbhj

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Journal of General Internal Medicine @journalgim.bsky.social · 5d

Once tech tools enter clinical workflows, they’re hard to roll back. Before deploying LLMs for EHR messaging, we must consider impacts on patients, clinicians, society—and the environment. Lessons from EHR adoption matter.

Read in #JGIM: rdcu.be/eEbg0

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Journal of General Internal Medicine @journalgim.bsky.social · 6d

Primary care is at a crossroads. To meet today’s challenges, we need team-based models, proactive care transitions, and smart virtual care tools. Let’s push for policies that reward quality, not quantity. #PrimaryCare #HealthInnovation #ValueBasedCare
Read in #JGIM: rdcu.be/eEbgP

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Journal of General Internal Medicine @journalgim.bsky.social · 7d

For older adults with #Medicaid expansion coverage moving to #Medicare at age 65 may be unwanted, complicated, and for those who do not meet the more stringent criteria for supplemental Medicaid, financially burdensome. Read in #JGIM: rdcu.be/eEbgm

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Journal of General Internal Medicine @journalgim.bsky.social · 7d

In a multicenter U.S. study, treatment patterns for alcohol withdrawal syndrome exhibited considerable variability, suggesting an opportunity for comparative effectiveness studies to optimize treatment regimens. Read in #JGIM: rdcu.be/eEbfz

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Journal of General Internal Medicine @journalgim.bsky.social · 8d

Since 2020, 340B restrictions have driven up medication costs for people with type 2 diabetes in community health centers. Patients now call for navigation support & culturally competent pharmacy care. Family-focused programs may resonate more than individual ones. Read in #JGIM:

Navigating Access to Medications for Diabetes Mellitus in the Era of 340B Drug Pricing Program Restrictions: A Bilingual Qualitative Study of Patients’ Perspectives

rdcu.be

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Journal of General Internal Medicine @journalgim.bsky.social · 8d

Clinicians have unease and discomfort in treating #ChronicPain and managing opioids. eConsults are most helpful for low complexity, discrete questions from clinicians focused on reducing harm @Laila_PMD

Read in #JGIM: rdcu.be/eEbdm

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Journal of General Internal Medicine @journalgim.bsky.social · 9d

This paper in #JGIM highlights key disparities in mental health & substance use among people with recent homelessness or incarceration vs. the general population. The MNEHRC data model offers a collaborative, real-time approach to public health data. #PublicHealth #HealthEquity

rdcu.be/eEbcQ

Journal of General Internal Medicine @journalgim.bsky.social · 9d

Dr. Angelides reminds us: "...language doesn’t just distance—it diminishes. But presence restores. Every patient deserves a hand to hold, a sign that their suffering matters, no matter their age or circumstance."

Read in #JGIM: rdcu.be/eEbcC

Journal of General Internal Medicine @journalgim.bsky.social · 10d

Not all opioid overdoses end in death—some leave survivors with severe brain injury. From 2016–21, ~5% of opioid overdose hospitalizations involved hypoxic-ischemic brain injury, with high mortality and lasting disability. #OpioidCrisis rdcu.be/eAWmc

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Journal of General Internal Medicine @journalgim.bsky.social · 10d

This #JGIM #QualitativeResearch study highlighted that for technological interventions to be feasible among underserved older adults, considerations of access to devices and technology skills will be needed

Read more for free ⬇️:
rdcu.be/eAWgD

Journal of General Internal Medicine @journalgim.bsky.social · 11d

CGMs improve outcomes in type 2 diabetes. But if primary care isn’t set up to manage them, patients may miss out. @VA_CHOIR studied PCPs’ perspectives after the VA’s 2023 CGM policy change #Diabetes #PrimaryCare rdcu.be/eEbbw

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Journal of General Internal Medicine @journalgim.bsky.social · 11d

Aggregated EHR data sound like a goldmine for research—but are they? This paper highlights hidden challenges, best practices, & when pooling across health systems may (or may not) make sense. #ClinicalResearch rdcu.be/eAWkj

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Journal of General Internal Medicine @journalgim.bsky.social · 12d

#Medicare Advantage vs. traditional Medicare: does either reduce disparities in preventive care? Our study shows Black and Hispanic beneficiaries with cardiovascular disease or risk factors still received fewer services than White beneficiaries. #HealthEquity rdcu.be/eAWjj

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Reposted by Journal of General Internal Medicine

Society of General Internal Medicine (SGIM) @societygim.bsky.social · 25d

🗣️ Your feedback matters!
Help shape the future of the Journal of General Internal Medicine by taking our short, anonymous survey. You’ll also be entered for a chance to win one of five $100 gift cards.

📝 Take the survey now: buff.ly/6K99q2T

@journalgim.bsky.social

#JGIM #MedicalResearch #GIM

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Journal of General Internal Medicine @journalgim.bsky.social · 12d

Thanks for sharing! We think it's a pretty great paper!

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Journal of General Internal Medicine @journalgim.bsky.social · 12d

High-deductible health plans may save money upfront—but at a cost. Our study finds HDHP enrollment delayed diabetes diagnosis (by ~2 months for women) and raised out-of-pocket costs by >50% around diagnosis. #HealthPolicy #Diabetes rdcu.be/eEat0

Journal of General Internal Medicine @journalgim.bsky.social · 13d

What if the first lesson in medicine wasn’t anatomy, but relationships? This study finds that early patient encounters help students cultivate empathy, reciprocity, and holistic care. #RelationshipCenteredCare #MedEd rdcu.be/eAWiM

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Journal of General Internal Medicine @journalgim.bsky.social · 13d

What helps hospital clinicians treat OUD? This 12-site survey, a multi-faceted intervention increased trust in the evidence, improved processes, reduced concerns about MOUD, & raised readiness to initiate treatment. Learn how here: rdcu.be/eEbbZ #HospitalMedicine

Journal of General Internal Medicine @journalgim.bsky.social · 14d

In BC, this study of #COPD pharmacotherapy found maintenance inhaler use is declining—with big differences by drug class and striking regional variation in prescribing. Learn more here: rdcu.be/eAWkT

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Journal of General Internal Medicine @journalgim.bsky.social · 15d

To reduce risks in opioid-naïve hospitalized patients, consider subcutaneous over IV opioids when oral isn't an option. At @YNHH, a QI initiative across 12 medicine units led to a 62% drop in IV opioid use without worsening pain #MedTwitter #Opioids #QIMedicine rdcu.be/eEbaU

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Journal of General Internal Medicine @journalgim.bsky.social · 16d

New study finds discrimination harms refugee health, per national survey. Workplace bias was most common—women, Hispanic individuals, and those in the U.S. South reported higher impact. @MGHNeurology @MonganInstitute @MassGenBrigham @ElnickiDM rdcu.be/eAWjX

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Reposted by Journal of General Internal Medicine

Center for Pharmaceutical Policy and Prescribing @pittcp3.bsky.social · 20d

New @journalgim.bsky.social study: VA clinicians cite evidence uncertainty, patient expectations, and system barriers as drivers of low-value care. Clearer guidance, education & aligned incentives may help reduce it.

link.springer.com/article/10.1...

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Journal of General Internal Medicine @journalgim.bsky.social · 18d

Promoting patient #trust in clinicians can improve health outcomes, and promoting clinician #trust in patients may empower patients in their care and reduce clinician burnout

Read the free full-text of this #JGIM #QualitativeResearch study on organizational factors that impact trust ⬇️
rdcu.be/eAWeX

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