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Shared exasperation is cathartic
Fifteen years ago I got an unexpected invitation to write a column for a dermatology newspaper aimed at practicing clinicians. Because dermatology is a concrete field that lends itself to punning, I called the column “Under My Skin.” Continue reading ... Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how.
Source: Kevin, M.D. - Medical Weblog - May 30, 2014 Category: Journals (General) Authors: Tags: Physician Dermatology Source Type: blogs

ACOs, Bundled Payment Lead Health Affairs Blog August Most-Read List
Posts on payment and delivery reform head the Health Affairs Blog top-fifteen list for August. Suzanne Delbanco and David Lansky’s post on accountable care organizations was the most-read post, followed by Tom Williams and Jill Yegian’s post on bundled payment, written in response to an article published in the August issue of Health Affairs. Next is Health Affairs’ Editor-in-Chief Alan Weil’s post on the five engagements that will define the future of health, drawn from his keynote presentation at the 2014 Colorado Health Symposium. This is followed by Rosemarie Day and coauthors’ post on the private health insu...
Source: Health Affairs Blog - September 12, 2014 Category: Health Management Authors: Tracy Gnadinger Tags: All Categories Blog Health Care Delivery Health Reform Insurance Payment Quality Source Type: blogs

Exploring the Angelina Jolie effect in breast cancer screening
Up to this point, it had only been a hypothesis: That celebrity firepower can definitively drive consumer health behavior in a certain direction. The case here concerns whether women wish to embark on a genetic hunting expedition to see if they are at high risk of developing a particular disease such as breast cancer, and the motivator in this case is Angelina Jolie. Continue reading ... Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how.
Source: Kevin, M.D. - Medical Weblog - September 26, 2014 Category: Journals (General) Authors: Tags: Conditions Cancer Source Type: blogs

Drug treatment for female sexuality not about equality but profits
We’ve come a long way, baby. Eighty five years ago (October 18, 1929) women were declared “persons” in Canada. On that day women in Canada became eligible to be appointed to the Canadian Senate, which up to that time, had been the sole dominion of men because women were not deemed “persons” under the law.  Five Alberta women, Emily Murphy, Irene Parlby, Louise McKinney, Henrietta Muir Edwards and Nellie Mcclung declared a major victory in being able to say, quite simply: “We are persons too!” Continue reading ... Your patients are rating you online: How to respond. Manage your online reputat...
Source: Kevin, M.D. - Medical Weblog - November 6, 2014 Category: Journals (General) Authors: Tags: Meds Medications OB/GYN Source Type: blogs

Part II: THE IMITATION GAME meets HOW I CAME TO HATE MATH/ Comment J’ai Détesté Les Maths Moral Relativism vs Beneficence and Justice: Maths and Economics
HOW I CAME TO HATE MATH/ Comment J'ai Détesté Les Maths is a film Directed by Olivier Peyon and written along with Amandine Escoffier. It  is a documentary whose initial purpose seems hijacked by historical events. Its parallel to the fictional historical biopic thriller, THE IMITATION GAME, screened at the Mill Valley Film Festival 2014, need be made.  The MATH story, like in THE IMITATION GAME, begins lightly with young people who are awkward. Some of them, like Alan Turing,  grow into the lovely eccentricity that those who both love and understand maths often bear. Peyton’s film tours...
Source: blog.bioethics.net - December 16, 2014 Category: Medical Ethics Authors: September Williams, MD Tags: Health Care syndicated Source Type: blogs

Jeb Bush and Rand Paul on a Broader GOP
David Boaz Both Jeb Bush and Rand Paul are talking about broadening the appeal of the Republican Party as they move toward presidential candidacies. Both say Republicans must be able to compete with younger voters and people of all racial backgrounds. Both have talked about the failure of welfare-state programs to eliminate urban poverty. But they don’t always agree. Bush sticks with the aggressive foreign policy that came to be associated with his brother’s presidency, while Paul wants a less interventionist approach. Bush calls for “smarter, effective government” rather than smaller government, while Pau...
Source: Cato-at-liberty - February 8, 2015 Category: American Health Authors: David Boaz Source Type: blogs

How Institutional Conflicts of Interest Exacerbate the Anechoic Effect - the Example of ASCO Fearing "Biting the Hand that Feeds You"
As we recently discussed (here, here, here and here), in May, 2015, the New England Journal of Medicine, arguably the world's foremost medical journal, published an editorial and a three-part commentary arguing that current concerns about the effects of financial conflicts of interest (COI) on health care are overblown(1-4).  On June 1, the Wall Street Journal published a report on the 2015 meeting of the American Society of Clinical Oncology (ASCO) that provided a vivid example of why these concerns should not be dismissed.Questioning Drug Prices at the ASCO MeetingThe main issue in the article was:In a sign of growi...
Source: Health Care Renewal - June 26, 2015 Category: Health Management Tags: American Society of Clinical Oncology anechoic effect conflicts of interest health care prices institutional conflicts of interest medical societies You heard it here first Source Type: blogs

Getting patients and physicians to ask the right questions
Overtesting — it’s an epidemic threatening consumers of U.S. health care. The notion that testing can be anything but beneficial belies the common assumption that more information is always better, as exemplified by billionaire Mark Cuban’s proclamation earlier this year that he obtains “baseline” quarterly blood tests and encourages others to do so. Knowledge is power, right? Not always. Aside from adding economic strain to our already beleaguered health care system, overtesting can harm patients from the adverse effects of the test itself or as a result of the interventions that ensue. In an effort to curb ...
Source: Kevin, M.D. - Medical Weblog - September 9, 2015 Category: Journals (General) Authors: Tags: Physician Cancer Pediatrics Source Type: blogs

This Visit May Be Recorded
By ALAN SCHWARTZ and SAUL WEINER In their 1993 book, Reinventing Government, David Osborne and Ted Gaebler entitled a section “what gets measured gets done.” Unfortunately, when it comes to improving health care quality, safety, and costs, we often fail to observe the real work of care, and miss the chance to get it done better. To make a real difference, we need to begin measuring care when and where it happens – behind the curtain. Why We Must Directly Observe Patient Care For the last 10 years, our work in research and quality improvement has used concealed audiorecorders to capture what actually happens during pa...
Source: The Health Care Blog - December 21, 2015 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

What I've Learned From 'Log for Life'
Alan Johnson was part of the team at start-up company Gnoso Inc. that won the DiabetesMine Design Challenge in 2008, with an online tool called LogforLife. We've stayed in touch, and I've asked Alan, who is not diabetic, to share his journey with ...
Source: Diabetes Mine - August 4, 2010 Category: Endocrinology Authors: Amy Tenderich Source Type: blogs

Got Content? An Innovative Forum Provides Food For Thought
Editor’s note: This post is part of a series of several posts related to the Center for Healthcare Management’s 5th Forum: Learning from each other – Scaling ideas up to the next level, to be held in Berlin, Germany on June 9 and 10, 2016. Please contact the center for more information or to request your personal invitation. Form follows function. Structure follows strategy. These long-used management mantras imply that content, such as strategy, function, and vision come first, and the medium that conveys the message—the “packaging”—comes second. They should be chosen carefully, so as to serve t...
Source: Health Affairs Blog - June 3, 2016 Category: Health Management Authors: Katharina Janus Tags: Global Health Health Professionals Center for Healthcare Management 5th Forum conferences Source Type: blogs

Dementia Care Coping with sadness after leaving my husband at the Memory Care Facility
Caregivers often feel guilty after placing their loved one in a memory care facility. Should they? By Rachael Wonderlin Alzheimer's Reading Room The following question was asked by one of our readers. The answer is supplied by our expert - Rachael Wonderlin. "Alan is so happy when I visit him, which is about 4 times a week for 3 or 4 hours at a time. I take him out in the car, play his favorite discs and he tries to sing and waves his hands in time to the music." Memory Care Facility Subscribe to the Alzheimer's Reading Room Email: "We sometimes have a meal out, but he can't sit still for very long, a...
Source: Alzheimer's Reading Room, The - July 25, 2016 Category: Neurology Tags: Alzheimer's Communication Alzheimer's Dementia alzheimers care dementia care dementia help for caregivers family caregiving help alzheimer's help with dementia help with dementia care Source Type: blogs

An open letter to Psychological Medicine, again!
In conclusion, noted Wilshire et al., “the claim that patients can recover as a result of CBT and GET is not justified by the data, and is highly misleading to clinicians and patients considering these treatments.” In short, the PACE trial had null results for recovery, according to the protocol definition selected by the authors themselves. Besides the inflated recovery results reported in Psychological Medicine, the study suffered from a host of other problems, including the following: *In a paradox, the revised recovery thresholds for physical function and fatigue–two of the four recovery measures–were so lax ...
Source: virology blog - March 23, 2017 Category: Virology Authors: Vincent Racaniello Tags: Commentary Information adaptive pacing therapy CFS chronic fatigue syndrome clinical trial cognitive behavior therapy Dave Tuller exercise graded exercise therapy mecfs myalgic encephalomyelitis outcome PACE trial recovery Source Type: blogs

Choosing To Die: A Personal Story: Elective Death by Voluntarily Stopping Eating and Drinking (VSED) in the Face of Degenerative Disease
I have written and spoken about the real (and perceived) legal  obstacles to hastening death by Voluntarily Stopping Eating and Drinking (VSED).  But please check out this new family perspective (Amazon). In Choosing To Die: A Personal Story: Elective Death by Voluntarily Stopping Eating and Drinking (VSED) in the Face of Degenerative Disease, Phyllis Shacter courageously shares the first personal story ever written about VSED. This memoir and guidebook follows the journey she took with her husband, Alan, once he decided to VSED so he didn’t have to live into the late stages of Alzheimer...
Source: blog.bioethics.net - May 2, 2017 Category: Medical Ethics Authors: Thaddeus Mason Pope, JD, PhD Tags: Health Care syndicated Source Type: blogs