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Transitioning Primary Care To “Patient-Centered” Team Care

While the “patient-centered medical home” may be a good idea, it needs a better name. It sounds like a hospice, reports surgeon and columnist Pauline Chen, M.D. She outlines the initial experiences of practices making the transition to the new practice model.

One problem uncovered by pilot projects is that doctors in transition to the practice model have to spend inordinate amounts of time of things other than patients. And while the patients want and welcome the changes, they face a learning curve too, as they move from seeing just the doctor to working with a team of providers for their care. 

Physicians suggested using resources from the Patient-Centered Primary Care Collaborative, a collaborative group set up to help offices make the transition. (New York Times)

*This blog post was originally published at ACP Internist*

“Team Care” In The Patient-Centered “Medical Home?”

“Team care” has become a rallying cry for those who think the patient-centered medical home is bad for healthcare reform. Comments on a recent blog post in the New York Times provide a good example of this. When patients get sick, as the argument goes, they want to see their doctor — not some nurse or PA who they don’t know. I agree.

There are a whole bunch of things wrong with all the current focus on team care in the patient-centered medical home. Read more »

*This blog post was originally published at Mind The Gap*

One Critic’s Take On The “Multigrain” Scam

Screen shot 2010-07-12 at 2.39.53 PM.pngFreelance journalist and author Suzanne Schlosberg wrote because she was so upset over a New York Times story, “The Chip That Stacks Adds a Multigrain Twist,” that she wanted us to review it. I thought anyone who feels so strongly about something should review it herself. So she did. Here is Suzanne’s guest post:

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I was flabbergasted when I read this New York Times piece on Procter & Gamble’s new entry into the potato-chip market: multigrain Pringles. The story accepts at face value P&G’s misleading marketing pitch — that “multigrain” is equivalent to “healthy.” When I sent a link to my nutritionist friend Cynthia Sass., M.S., R.D., she replied: “Did you notice it says ‘advertising’ in the top left corner? It must be a paid ad that resembles an article.”

Actually, it’s not. It’s a business story that ran in the “Media & Advertising” section. Though the story didn’t appear on the health pages, it should have made clear that “multigrain” simply means that more than one grain is included in the product — not that the product is necessarily nutritious. Read more »

*This blog post was originally published at Gary Schwitzer's HealthNewsReview Blog*

Too Much Journalistic Enthusiasm Again For The Artificial Heart

Here we go again. And believe me, as one who’s covered the artificial heart experiments of the 1980s, I feel like I’ve been through this countless times before — but so have health news readers.

Another entrepeneurial team announces hopes for its artificial heart device and some news coverage trumpets the company’s announcement:

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NYT Artificial Heart Story

 

 

 

 

 

 

 

 

 

 

 

 

But this was in The New York Times! Now, granted — it’s in a “Global Business” section. But we don’t see why that removes the need for more scrutiny, for independent perspective, and for a better discussion of evidence. Read more »

*This blog post was originally published at Gary Schwitzer's HealthNewsReview Blog*

Patient Stories About Hair Loss

The New York Times has a series called “Patient Voices” which gives insights from the patients with the disease, physical and emotional changes in their lives, and accommodations made. The most recent series is on patients with alopecia (hair loss).

“The Voices of Alopecia” by Tara Parker-Pope (July 6, 2010):

This week, Patient Voices explores alopecia, an autoimmune disease that leads to a few bald patches to the loss of every hair on a person’s body.

To hear what it’s like to live with alopecia, listen to the Patient Voices audio slideshow that features adults, children and their parents who are coping with the condition.

Listen to these seven people tell what it’s like to live with alopecia:

– Matt Kelly, 43, lost his hair at age 38 over a 6 week time span.

– Jennifer DeFreece, 29, developed alopecia totalis as a child.

– Margaret Staib, 42, an artist with three daughters.

– Rafi Wasselman, 16, says his best medicine is his collection of caps.

– Maureen McGettigan, 47, began losing her hair at age 16.

– Annie Kazmi, 33, tells her daughter Noori’s story. Then Noori tells her own. Read more »

*This blog post was originally published at Suture for a Living*

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The Spirit Of The Place: Samuel Shem’s New Book May Depress You

When I was in medical school I read Samuel Shem s House Of God as a right of passage. At the time I found it to be a cynical yet eerily accurate portrayal of the underbelly of academic medicine. I gained comfort from its gallows humor and it made me…

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Eat To Save Your Life: Another Half-True Diet Book

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