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Interventions to Increase Access to Care and Quality of Care for Women With Gestational Diabetes.

The prevalence of gestational diabetes mellitus (GDM) in the United States is increasing, and rates in some populations range from 3 to 14%.1–3 The true prevalence of GDM may be even higher because underreporting of GDM on birth certificates is well documented.1–4 Difficulties in documenting and reaching consensus on the prevalence of GDM exist for a number of reasons, including the use of vari...

Endoscopy training in primary care: innovative training program to increase access to endoscopy in primary care.

BACKGROUND AND OBJECTIVES Colorectal cancer (CRC) is a significant source of morbidity and mortality in the United States. Colonoscopy can be an extension of the care provided by a family physician to help substantially reduce CRC morbidity and mortality. Family physicians trained in colonoscopy can provide access to care in rural and medically underserved areas. METHODS The Department of Fam...

Odon device: a promising tool to facilitate vaginal delivery and increase access to emergency care

The last innovation in operative vaginal delivery happened centuries ago with the invention of the forceps and the vacuum extractor. The World Health Organization Odon Device Research Group recently published a protocol for a feasibility and safety study for a new device (Odon device) which aims to revolutionize assisted vaginal delivery. This editorial discusses the device and its pathway to g...

Telemedicine Consultations: An Alternative Model to Increase Access to Diabetes Specialist Care in Underserved Rural Communities

BACKGROUND Diabetes care in rural communities often suffers because of physician shortages. When patients need to see an endocrinologist, long-distance travel to urban centers can constitute a barrier to care. OBJECTIVE To address this problem, we tested whether diabetes telemedicine consultations would be acceptable to rural patients and their primary care providers as an alternative care mo...

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