Literature Review

Up to $212,500 funding now available to researchers investigating health disparities CMS.gov - Health Equity - Grants & awards; Minority Research Grant Program; via email 1/21/25, retrieved from the internet 1/21/25 The Centers for Medicare & Medicaid Services Office of Minority Health (CMS OMH) is pleased to release the Minority Research Grant Program (MRGP) 2025 Notice of Funding Opportunity (NOFO). This grant awards funding to health equity researchers at minority-serving institutions (MSIs) investigating health disparities and improving the health outcomes of minority populations.As a grantee, you will enhance your impact and visibility in the research community, support our mission to advance health equity, and join a prestigious group of awardees whose collective MRGP-funded research has been cited in more than 190 publications. CMS will award up to six grants, totaling up to $1,275,000, in 2025. Review the notice of funding opportunity CMS-1W1-25-001 and submit your application on grants.gov by April 1, 2025.

CMS Health Equity Data Book U.S. Centers for Medicare and Medicaid Services - Office of Minority Health; by CMS Office of Minority Health; published December 2024, email notifications 1/15/25 One of the six pillars of the Centers for Medicare & Medicaid Services (CMS) 2023 Strategic Plan is to, “Advance health equity by addressing the health disparities that underlie our health system.” The CMS Office of Minority Health (OMH) aims to advance health equity by providing broader access to data about the state of health equity across CMS’ programs. This Data Book presents summary information on disparities within CMS programs as demonstrated by data related to prevalence. ... This Data Book is intended for use as a readily-available information source on health disparities within the Medicare, Medicaid, and the Health Insurance Marketplace populations. This Data Book is organized into five key sections – CMS at a Glance, Demographics, Chronic Conditions, Behavioral Health, and Social Determinants of Health – so that Data Book users can jump to the section most relevant to their data needs. Within each section, data are presented by each population type.

American Academy of Hospice and Palliative Medicine Next Gen Scholars for Equity in Hospice and Palliative Medicine Program receives grant from Adtalem Global Education Foundation PR Newswire, Chicago, IL; by American Academy of Hospice and Palliative Medicine (AAHPM); 12/30/24 The American Academy of Hospice and Palliative Medicine (AAHPM) is grateful to receive support from the Adtalem Global Education Foundation for the Next Gen Scholars for Equity in Hospice and Palliative Medicine. The Foundation supports programs and partners like AAHPM that strengthen the healthcare workforce, expand access to quality education and address healthcare disparities. The Foundation's sole member is Adtalem Global Education, the number one provider of healthcare education in the U.S. In May 2023, led by the Diversity, Equity, and Inclusion (DEI) Committee, AAHPM launched the inaugural Next Gen Scholars for Equity in Hospice and Palliative Medicine Program. This program was initiated as a response to the growing demand for HPM practitioners and the need to increase representation in the field. 

The Hastings Center’s 2024 highlights The Hastings Center; 12/26/24  It has been a successful 2024 thanks to our community of readers and supporters who trust The Hastings Center to illuminate and thoughtfully explore ethical issues in health, science, and technology. Here are some of the past year’s highlights, with a personal message from President Vardit Ravitsky.

10 Years of making the world a more livable place for all bereaved people Evermore; by Joyal Mulheron, Executive Director; 12/21/24   Fourteen years ago today, I was sitting on my couch, trying to make sense out of what just happened to our family. Our terminally ill daughter, Eleanora, had died a few weeks prior. While others sang holiday songs and gleefully exchanged gifts, it was a profoundly painful, dark, and isolating time for me. Within a few short years, I quit my career because I saw tragedies saturating our national headlines, leaving a trail of unseen and unsupported bereaved people in their wake, and I believed our nation should prioritize the needs of all bereaved people. ... This is what I set out to change. ... Evermore’s groundbreaking advocacy efforts resulted in our nation’s first Report to Congress, which provided an overview of grief and bereavement services in the United States. Next year, a report analyzing more than 8,000 scientific studies will be published, reviewing the highest quality interventions for bereaved people — which was championed by Evermore and endorsed by Congress. Editor's note: Click on the title's link to continue reading Evermore's trailblazing, state-of-the-art leadership and advocacy with Congress, the government's Substance Abuse and Mental Health Services Administration (SAMHSA), Newsweek, PBS, Harvard's Public Health magazine, Penn State, the University of California, and more. Click here to join Evermore's mailing list, and to learn from Joyal Mulhuron, Evermore's inspiring, soulful Founder/Executive Director. 

Palliative medicine for the community paramedic Journal of Emergency Medical Services (JEMS) - The Conscience of EMS; by Maurice Paquette; 12/17/24 The role of the paramedic is evolving. ... EMS has become a catch-all, a gateway into a somewhat—if not totally—fractured healthcare system. ... The landscape of healthcare is shifting as well. The pandemic, coupled with the realization of self-care, well-being, and mental health struggles has caused drastic reduction in the number of healthcare workers, and the amount of experience in skills that those healthcare workers carried with them. ... Over the past many years, we’ve seen a push for the idea of the community paramedic, as well as mobile healthcare. The establishment of a community paramedic program, especially in rural areas of the United States, would provide non-emergent care, under expanded scope and under the direction of a physician in the patient’s home.  According to a literature review in the International Journal of Paramedicine, the most common community paramedic program goals are to “aid patients in chronic disease management, reduce emergency department visits, reduce hospital admissions/readmissions, and reduce Healthcare costs.” Editor's note: Pair this with the article we posted yesterday, Characteristics of patients enrolled in hospice presenting to the emergency department.

Health gap at end of life is now wider in US than any other country Science Alert - Health; by Carly Cassella; 12/16/24 A data-crunching survey covering 183 member nations of the World Health Organization has now confirmed what some scientists feared: while years are being added to most people's lives, healthy life is not being added to most people's year. Researchers at the Mayo Clinic found that people around the world in 2019 were living 9.6 years of life burdened by disability or disease – an increase of 13 percent from 2000. In that same time frame, global life expectancy has increased 6.5 years, and yet health-adjusted life expectancy has only increased 5.4 years. In the US, the gap between lifespan and 'healthspan' is growing particularly wide. Between 2000 and 2019, life expectancy in the US increased from 79.2 to 80.7 years for women, and from 74.1 to 76.3 years for men. When adjusting for healthy years of added life, however, the span only increased by 0.6 years among men. And among women, while health-adjusted life expectancy fluctuated slightly over time, in 2019 it matched the figure seen in 2000. The expanding gap means if an American woman lived to the expected 80.7 years of age, the last 12.4 years of her life would on average be impacted by disease or disability.

15 most, least charitable states Becker's Hospital Review; by Andrew Cass; 12/6/24 Wyoming is the most charitable state, with residents spending an average of 33 hours per year volunteering and donating nearly 4% of their adjusted gross income, according to WalletHub.   WalletHub analyzed the 50 states by comparing them across 17 key indicators of charitable behavior, such as the volunteer rate and share of income donated. ... Most charitable: 1. Wyoming 2. Utah 3. Minnesota 4. Maine 5. Delaware 6. Maryland 7. Oregon 8. Colorado 9. Pennsylvania 10. Nebraska 11. Virginia 12. Illinois 13. New York 14. Iowa 15. North Dakota Least charitable: 1. New Mexico 2. Arizona 3. Nevada 4. Rhode Island 5. Mississippi 6. Louisiana 7. West Virginia 8. Florida 9. Alabama 10. Hawaii 11. California 12. Oklahoma 13. South Carolina 14. Tennessee 15. Wisconsin

Why introverted leaders outperform extroverts by 28% Forbes; by Cynthia Pong, JD; 12/8/24 Move over, charismatic showboats—introverted leaders drive 28% higher productivity from proactive, engaged teams compared to their extroverted counterparts, according to research by Adam Grant from Wharton, Francesca Gino from Harvard Business School and David Hofmann from UNC-Chapel Hill’s Business School. The finding runs counter to conventional wisdom about what makes an effective leader. While extroverts often steal the spotlight at work, introverted leaders are quietly revolutionizing modern workplaces by demonstrating how thoughtful competence can outshine performative leadership any day of the week. ... The secret sauce to introverted leaders’ success? They’re mastering:

Psyence Biomed executes binding agreements with Optimi Health Corp GlobeNewsWire, New York; Press release; 12/10/24 Psyence Biomedical Ltd. (Nasdaq: PBM) ("Psyence Biomed" or the "Company") today announced that it has progressed beyond the previously-announced non-binding Letter of Intent (LOI) and executed binding agreements with Optimi Health Corp. Under the terms of the agreements, Optimi becomes the exclusive supplier of GMP-certified, nature-derived (non-synthetic) psilocybin extract for Psyence’s global drug development and commercialization initiatives for FDA-approved uses in the Palliative Care context.

Understanding deep disadvantage at the end of life: A nationwide analysis of unclaimed deaths Social Science and Medicine; by Jennifer Bridte DrPH, Frank Heiland, PhD, and Deborah Balk PhD; 11/25/24 This is the first systematic examination of unclaimed deaths at the county level and offers a novel way to understand marginalized populations, such as the unhoused and others living in extreme social or economic deprivation. Unclaimed death rates may also provide an objective measure of social support that can be measured over time. ... This is of public health importance because unclaimed death can be seen as a negative health outcome that may be the result of cumulative disadvantage over the life course. ... Highlights:

Aged care nursing in the digital future Atlassian Jira, Australia; by Flinders University; 11/27/24 The results call for nurses to be included when digital innovations are in development, so they can actively shape their implementation and ensure high-quality, compassionate care for residents in their final stages of life. "In Australia and around the world, we have seen a significant increase in digital technologies in the health care sector," says study lead author Dr. Priyanka Vandersman, a Senior Research Fellow at Flinders University's Research Center for Palliative Care, Death and Dying (RePaDD).  "In aged care, these digital approaches can include helping with care planning and assisting with managing medication, but we need to ensure that nurses are equipped with the digital skills needed to use these tools effectively, while continuing to provide high quality, person-centered care."

Early palliative care linked to better end-of-life outcomes in ovarian cancer AJMC - The American Journal of Managed Care, Cranbury, NJ; by Brooke McCormick; 11/22/24 Initiating palliative care (PC) more than 3 months before death was associated with improved quality of care and reduced care intensity at the end of life (EOL) for decedents with ovarian cancer, according to a study published in JAMA Network Open. Alongside oncologic treatment, the American Society of Clinical Oncology recommends all patients with advanced cancer receive early, dedicated PC within 8 weeks of diagnosis. PC benefits include prolonged survival, enhanced quality of EOL care, and improved patient and caregiver quality of life (QOL). Early referral to specialist PC is also linked to less aggressive EOL care.