Journal of general internal medicine
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Many hospitals have implemented Discharge by Noon (DBN) programs to improve hospital throughput but have had mixed results. ⋯ Successful DBN programs include specific core functions. Our findings can guide system recommendations about optimal DBN intervention structures to maximize effectiveness and resource stewardship.
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External incentives increasingly encourage hospitals to address health-related social needs, yet limited evidence exists about whether social needs interventions are associated with quality indicators like potentially preventable admissions. ⋯ Hospital meal delivery was associated with significantly lower probability of potentially preventable hospitalizations, with larger effects for Medicaid beneficiaries. Meal delivery may support hospital quality. More nuanced understanding about the reach of social needs interventions is needed to further examine the impact of these hospital-based services on patient outcomes.
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COVID-19 increased the burden of childcare on parents, leaving women vulnerable to increased disparities in the division of domestic labor. Women healthcare workers may be at heightened risk of worsening gender parity in the workplace as a result. ⋯ We observed significant gender-based disparities in the division of household labor among healthcare workers, with negative impacts on work performance, focus, and academic productivity. Our results support the notion that the COVID-19 pandemic worsened gender parity in the homes of healthcare workers, thus negatively affecting gender parity in the medical workplace.