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Undisclosed Conflicts of Interest by Physicians Creating the CDC Opioid Prescribing Guidelines: Bad Faith or Incompetence?
We described above how changes in opioid policy aimed at reducing Washington State’s Medicaid and Workers Compensation costs contributed to an increase in methadone deaths between 2003 and late 2014 (23-25). Focusing on similar cost reductions, the Centers for Medicar e and Medicaid Services (CMS) proposed rules for 2019 including several directives intended to reduce " Opioid Overutilization, ” including adoption of the “90 morphine milligram equivalent (MME) threshold cited by the 2016 CDC Opioid Guideline (147, 148). Simply put, reduced prescribing reduces costs for prescribed medications.Chou received research fu...
Source: Pallimed: A Hospice and Palliative Medicine Blog - September 12, 2022 Category: Palliative Care Tags: health policy judy kollas opioids research schechtman Source Type: blogs
Weekly Overseas Health IT Links –10th September, 2022.
This article is adapted fromVoices in the Code: A Story About People, Their Values, and the Algorithm They Made,out Sept. 8 from Russell Sage Foundation Press.In May 2021, I got a call I never expected. I was working on abook about A.I. ethics, focused on the algorithm that gives out kidneys to transplant patients in the United States. Darren Stewart —a data scientist from UNOS, the nonprofit that runs the kidney allocation process—was calling to get my take: How many decimal places should they include when calculating each patient’s allocation score? The score is an incredibly important number, given it determines w...
Source: Australian Health Information Technology - September 10, 2022 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs
Two patients with chest pain. Do either of them need emergent reperfusion? Both? Neither?
Written by Pendell MeyersHere is a quick comparison / quiz post. It will be easy for long time blog readers. The two ECGs below are both from middle aged patients with acute chest pain. Do either, neither, or both patients have an ECG diagnostic of OMI, warranting emergent reperfusion therapy?Patient #1:Patient #2:Distinguishing subtle OMI from normal variant ST elevation can be a difficult but important skill that is achieved through supervised pattern memorization and recognition. As in the cases above, the distinction CANNOT BE MADE BY AMOUNT OF MILLIMETERS. Patient #1 has a totally normal, normal variant ECG...
Source: Dr. Smith's ECG Blog - September 9, 2022 Category: Cardiology Authors: Pendell Source Type: blogs
How An A.I.-Based Skin Checking App Can Work With A National Healthcare System
You might be already familiar with skin checking apps, we too have discussed them quite extensively recently. Skin checking applications allow users to take pictures of their suspicious skin lesions, upload these pictures to a server, the images are first evaluated by an A.I. algorithm and the results will be later validated by a dermatologist.
However, this time there is something new under the sun: AIP Labs and Semmelweis University (Hungary’s leading medical university) developed a skin checking application that offers several features we have not seen before. It was launched to work integrated with the natio...
Source: The Medical Futurist - September 8, 2022 Category: Information Technology Authors: Andrea Koncz Tags: TMF Artificial Intelligence in Medicine Digital Health Research E-Patients Future of Medicine Healthcare Design Healthcare Policy Telemedicine & Smartphones AI dermatology skin skin cancer skin checker skin checking app digital Source Type: blogs
The Macro View – Health, Economics, and Politics and the Big Picture. What I Am Watching Here And Abroad.
September 08, 2022 Edition-----In the US we are seeing the outcomes of Climate Change really of and running with droughts and fires etc. Biden amped up the partisan divide with a fiery anti-Republican speech!In Russia the last leader of Soviet Russia died.In the UK we have a new PM while in Europe the energy crisis is just getting worse.In OZ we have survived the Jobs and Skills Summit with 36 prearranged outcomes. Stage management +++ in action. The GP crisis is not being addressed fully and worries regarding the Global Economy - esp. China - worsen.-----Major Issues.-----https://www.afr.com/work-and-careers/educati...
Source: Australian Health Information Technology - September 8, 2022 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs
Top 10 Research Topics To Pursue In Digital Health
The question we most frequently get at The Medical Futurist Institute is easily the one asking for guidance on potential research topics. In fact, we face it so often that we decided to write a summary of our thoughts to provide an overview and some insights to anyone who is willing to dive deep into digital health but is unsure about the best direction to take.
Whatever you choose, take a look at these four criteria first
Find a nicheAim for uncharted territoriesLook for ease of entrySeek answers to important questions
We compiled a list of ten research topics we believe are in line with the above principles and ...
Source: The Medical Futurist - September 1, 2022 Category: Information Technology Authors: Andrea Koncz Tags: TMF Forecast Artificial Intelligence in Medicine Digital Health Research E-Patients Future of Medicine Health Sensors & Trackers Healthcare Design Healthcare Policy Portable Medical Diagnostics Telemedicine & Smartphones AI EMR v Source Type: blogs
The Macro View – Health, Economics, and Politics and the Big Picture. What I Am Watching Here And Abroad.
September 01, 2022 Edition-----This week it is all about weather and climate change with floods, heatwaves and droughts in Parkistan, Europe and China. In the US drought is causing all sorts of food supply issues and price rises.In the EU was a seeing all sorts of energy supply problems.In Australia we have a feast of investigations into ScoMo, RoboDebt and so on. Lots to browse!-----Major Issues.-----https://www.afr.com/policy/foreign-affairs/us-alliance-fear-that-dare-not-speak-its-name-20220818-p5bat8US alliance fear that dare not speak its nameUneasiness about divided, inward-looking America fulfilling its security gua...
Source: Australian Health Information Technology - September 1, 2022 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs
Weekly Overseas Health IT Links –27th August 2022.
In this study, researchers gathered a diverse group of participants; 43 percent were Black, and 68 percent were women. They also considered factors such as age and insurance status when drawing conclusions.The study occurred through a clinical trial, where all participants were randomly assigned to have their next visit occur through either phone or video-based platforms. The central unit of measurement was visit satisfaction rate, reported on a ten-point scale. Researchers noted noninferiority data based on whether patient satisfaction between the telehealth methods exceeded a -15 percent margin.-----https://www.theverge....
Source: Australian Health Information Technology - August 27, 2022 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs
Confused About Palliative Care Vs. Hospice Care? You Aren ’t Alone
Dear Carol: My mom has advanced lung disease as well as late-stage Alzheimer’s. We know that there are no cures for either of her current conditions, but the doctors don’t seem to have any useful answers for me when I ask about how I can make her life better at this stage. She has an inhaler for her lungs, but they don’t seem willing to prescribe medications or advice other than keep her comfortable. Well, how do I go about that? Should she be on hospice? I’ve heard of something called palliative care, but I don’t understand it and no doctor has mentioned it. Can you help me? – CV
Dear CV: I’m so...
Source: Minding Our Elders - August 27, 2022 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs
Weekly Australian Health IT Links – 22 August, 2022.
Here are a few I have come across the last week or so. Note: Each link is followed by a title and a few paragraphs. For the full article click on the link above title of the article. Note also that full access to some links may require site registration or subscription payment.General Comment-----This week we seem to have more in the way of State-Based initiatives as well as the usual rubbish info sessions from the ADHA.Also the usual from of NBN news and news of #myHR Rule 42 – which I had never heard of!-----https://www.australianageingagenda.com.au/contributors/opinion/critical-staff-shortages-affect-more-than-frontli...
Source: Australian Health Information Technology - August 22, 2022 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs
Fight Aging! Newsletter, August 22nd 2022
In conclusion, application of a multi-species bat epigenetic clock provides strong evidence that hibernation is associated with slower epigenetic ageing. The multi-species clock explains 94% of the variation in the chronological ages of both hibernating and non-hibernating big brown bats; however, the clock estimates are equal to or greater than the chronological age, suggesting big brown bats age slightly faster than a 'typical' bat, especially during the active period.
Source: Fight Aging! - August 21, 2022 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs
How not go get cancer
The Global Burden of Disease project is a decades long international collaboration, based at the Institute for Health Metrics and Evaluation at the University of Washington, but involving researchers around the world. It was originally funded by the World Bank, and now receives its principal support from the Bill and Melinda Gates Foundation. GBD (not to be confused with golden brown and delicious) essentially tries to quantify the prevalence of diseases, and injuries around the world; the prevalence of associated disability; causes of death; and risk factors. They use a lot of complicated methods. If you ' re really ...
Source: Stayin' Alive - August 19, 2022 Category: American Health Source Type: blogs
Weekly Overseas Health IT Links – 13th August 2022.
Here are a few I came across last week.Note: Each link is followed by a title and few paragraphs. For the full article click on the link above title of the article. Note also that full access to some links may require site registration or subscription payment-----https://ehrintelligence.com/news/va-appoints-functional-champion-for-ehr-modernization-programVA Appoints Functional Champion for EHR Modernization ProgramThe new functional champion appointment will assist the VA EHR Modernization program as it struggles with implementation delays and cost overruns, the VA stated.BySarai RodriguezAugust 05, 2022 - The Depart...
Source: Australian Health Information Technology - August 13, 2022 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs
Second-Guessing Ourselves: A Caregiver Obsession
Photo credit Karolina Grabowska
Like most adults, I’ve second-guessed many of my own decisions. While most were made with my own future in mind, that all changed when I became a family caregiver for an ever-increasing number of older adults – a time that also coincided with raising two young children, one with health challenges.
A dying aunt, a budding son: My aunt Marion, who had no children of her own, was in the hospital dying of cancer. While my parents visited her much of the time, I’d been close to her since I first learned to walk, so I tried to see her as much as possible.
One afternoon, it had become evid...
Source: Minding Our Elders - August 10, 2022 Category: Geriatrics Authors: Carol Bradley Bursack Source Type: blogs
The Macro View – Health, Economics, and Politics and the Big Picture. What I Am Watching Here And Abroad.
August 04, 2022 Edition-----The war seems to grind on sadly and Pres. Biden is having a second round with COVID as unprecedented weather happens all over the US. It all feels rather like ‘the end of days’!In the UK we see an increasing chance of a third female PM being elected as the country seems to be struggling. We do need to remember however the UK remains a significant power with nuclear weapons and home-grown nuclear submarines!In OZ we have had last week working out how to progress the First Nations ‘Voice’ as we wrap up the 1st session of Parliament for the new Government. Comments welcome on how you think ...
Source: Australian Health Information Technology - August 4, 2022 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs
