Adults who received care from a medical home in 11 Westernized countries were less likely to report medical errors and were happier with their care, according to a new Commonwealth Fund international survey.
The 2011 survey included more than 18,000 ill adults in Australia, Canada, France, Germany, the Netherlands, New Zealand, Norway, Sweden, Switzerland, the United Kingdom, and the United States. It included people who reported they were in fair or poor health, had surgery or had been hospitalized in the past two years, or had received care for a serious or chronic illness, injury or disability in the past year. The vast majority had seen multiple physicians.
A medical home was defined as patients reporting a regular source of care that knows their medical history, is accessible and helps coordinate care received from other providers. Results were published in Health Affairs.
Sicker adults in the U.S. were the most likely to Read more »
*This blog post was originally published at ACP Internist*
Big news from Down Under: the Sydney Morning Herald reports that a group of fifty consumer health advocates has unanimously backed an “opt-out” process for enrollment in electronic health records, reversing their previous position.
The issue is whether by default all patients have an EHR. “Opt-out” means you’re in by default – your records will be stored electronically – and you can opt out if you want. “Opt-in” means you do not have an EHR unless you specifically ask for one.
The group, the Consumer Health Forum, cites evidence from the neighboring country of New Zealand, in which Read more »
*This blog post was originally published at e-Patients.net*
Dynamic Controls out of Christchurch, New Zealand, has developed a system by which wheelchair users can control their iPhone using the chair’s own joystick.
Additionally, the iPhone can display important information about the wheelchair, such as the battery charge state, speed, seat adjustment, and heading direction.
All this is communicated via Bluetooth between the iPhone and the wheelchair. The new version of the iPortal system will be unveiled at Rehacare 2010 in Dusseldorf, Germany, next month.
Read more »
*This blog post was originally published at Medgadget*
Yesterday, I borrowed liberally from Dr. Seuss’ “Oh, the Places You Will Go” to describe the “weirdish, wild space” – The Waiting Place – in which we now find health reform.
This got me thinking about The Waiting Place in a different context: the time it takes to get an appointment with a physician. Anyone one of us who has had to wait weeks, or even months, for an appointment would agree that The Waiting Place is, as Dr. Seuss described it, a “most useless place” to be.
Critics of the pending health reform bills, like Conservatives for Patient Rights argue that they will lead to longer wait times for appointments. Their argument being that “government-run” health care, as exists in Canada or the United Kingdom, has been demonstrated to result in long waits for medical appointments.
I would dispute the premise that the reforms being considered by Congress are akin to the systems in place in Canada or the United Kingdom. Read more »
*This blog post was originally published at The ACP Advocate Blog by Bob Doherty*