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The Case For Annual Eye Exams: Normal Vision Doesn’t Guarantee Healthy Eyes

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You probably see your primary care physician once a year, and your dentist twice a year. But how often do you see your eye doctor? Vision is the most valued of the 5 senses, and yet Americans don’t seem to be making regular eye exams a priority. A recent CDC survey suggests that as many as 34.6% of adults over the age of 40 (with moderate to severe visual impairment) believe that they don’t need regular eye exams. About 39.8% of the respondents said that they didn’t get regular exams because they were too costly, or because their health insurance didn’t cover the expense.

Although cost may play a role in peoples’ thinking, a comprehensive eye exam costs as little as $45-50 at retail outlets. I suspect that the real reason why people don’t get regular eye exams is because they incorrectly believe that if their vision is stable, their eyes are healthy.

A comprehensive eye exam is a type of medical check up – it is not just a vision assessment. Eye care professionals can diagnose everything from glaucoma and cataracts to high cholesterol, diabetes, high blood pressure, and even neurologic conditions such as brain tumors and multiple sclerosis. The eyes are more than a “window to the soul” but a window to general physical health. And the good news is that exams are relatively inexpensive and painless – so please consider making them part of your yearly health maintenance routine.

And to my primary care friends – don’t forget to encourage your patients to get annual eye exams. As the CDC notes:

Recommendations from primary-care providers can influence patients to receive eye-care services; persons who had visual screening during routine physical examinations had better eye health because of reminders to visit eye specialists. Public health interventions aimed at heightening awareness among both adults aged ≥65 years and health-care providers might increase utilization rates among persons with age-related eye diseases or chronic diseases that affect vision such as diabetes.

I myself have had an unexpected diagnosis during an eye exam, and feel passionate about the importance of preventive screening. In fact, I’ll be the upcoming host of a new eye health education initiative – a radio show called, “Healthy Vision with Dr. Val Jones” supported by ACUVUE brand contact lenses. The first show will be released here today, and it’s also available at Blog Talk Radio.

References:

Reasons for Not Seeking Eye Care Among Adults Aged ≥40 Years with Moderate-to-Severe Visual Impairment — 21 States, 2006–2009. Morbidity & Mortality Weekly Report, May 20, 2011. 60(19);610-613

Alexander RL Jr., Miller NA, Cotch MF, Janiszewski R. Factors that influence the receipt of eye care. Am J Health Behav 2008;32:547–56

Strahlman E, Ford D, Whelton P, Sommer A. Vision screening in a primary care setting. A missed opportunity? Arch Intern Med 1990;150:2159–64


Disclosure: Dr. Val Jones is a paid consultant for VISTAKON®, Division of Johnson & Johnson Vision Care, Inc.

The Top Ranked Health Blogs – By Wikio.com

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Even if you’re not into blog rankings, Wikio.com’s ranked list includes links to many solid sites. This blog rose a bit in the rankings in the past month. We’re pleased to be included in a list of so many quality blogs.

1 Well
2 Kevin, M.D. – Medical Weblog
3 Respectful Insolence
4 Science-Based Medicine
5 The Health Care Blog
6 Pharmalot
7 John Goodman’s Health Policy Blog
8 In the Pipeline
9 Age of Autism
10 Better Health
11 Health Beat
12 Dr. Wes
13 Healthcare Economist
14 The Covert Rationing Blog
15 Gary Schwitzer’s HealthNewsReview Blog
16 Movin’ Meat
17 Health Business Blog
18 Running a hospital
19 Diabetes Mine
20 Shrink Rap
21 Brain Blogger
22 The Last Psychiatrist
23 The Carlat Psychiatry Blog
24 Health Care Renewal
25 The Medical Quack
26 The Happy Hospitalist
27 InsureBlog
28 StevePavlina.com
29 Doctor Anonymous
30 ScienceRoll

Ranking made by Wikio

Wikio’s fine print on how ratings are compiled: Read more »

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

Memorial Day: Thank You To Those Who Serve(d)

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Better Health salutes the U.S. military for their service to our country. Blog posts will resume tomorrow.

Results Of ShrinkRap Blog’s Survey On Attitudes Towards Psychiatry

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Aloha from the American Psychiatric Association’s Annual Meeting in Honolulu! The weather is gorgeous here and it’s been a great meeting. Yesterday, I heard Archbishop Desmond Tutu speak, and today, I listened to “Conversations” with Lorraine Bracco–also known as Dr. Melfi from The Sopranos. The beach is nice, too, and Clink has been scuba diving. Should I tell you she just learned to swim this past winter? She is amazing!

In a few hours, we will be giving our workshop, The Accessible Psychiatry Project: The Public Face of Psychiatry in New Media. We are telling the audience that the survey we did was not validated, was not statistically analyzed, and is not real science. Mostly, it was about how cool it is that we can even do this at all (ask questions, interact with readers, have an impact). I thought I’d share the survey results with everyone here. If you took the survey, thank you, again.

702 responses Summary See complete responses Read more »

*This blog post was originally published at Shrink Rap*

Announcing Better Health’s New Spanish Content Partner: Diario Médico

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Diario Medico

I am so pleased to announce a new content partnership between Better Health and Diario Médico (DM), Spain’s leading news outlet for physicians. We will now be featuring regular content from the DM bloggers, translated for our readers from Spanish to English. The medical blogging community is a global family, and we proudly embrace our Spanish innovators overseas.

I first met the DM team two years ago on Twitter. Their lead social media guru, Alain Ochoa-Torres (@alainochoa), was the first to reach out to me – eager to learn about social media trends in the United States. We arranged to do a live “Twitterview” to talk about how U.S. physicians are engaging in social media, especially blogging. That Twitterview (screen shot shown to the left) was translated into Spanish and became the beginning of an exciting international collaboration.

In the future, Better Health hopes to find ways to make Spanish health content available to our readers… and with DM’s help I’m sure that we will expand our understanding of global health, while making friends with our new Spanish blogging colleagues!

Please join me in welcoming our new blog contributors:

Sergio Minué, MD.

General Practitioner (GP). Management professor at Andalusian School of Public Health (Escuela Andaluza de Salud Pública, EASP) since July, 2000.

In the last eleven years Dr. Minué has been involved in several projects related to education, investigation and consulting both at national and international level. He has worked in projects for Dominican Republic, Uruguay, Chile, Argentina, Morocco and El Salvador, and collaborated with Pan American Health Organization (PAHO) in other actions.

At the present he is Director of the Expertise in Healthcare Management program at University of Granada and coordinates healthcare management module in European Master ‘Erasmus Mundus’ Europubhealth.

Served as Director of Medical Care Management Department at EASP from February 2009 to May 2010.

Worked as Teaching and Investigation Director at EASP from 2003 to 2007.

From 1993 to 2000 held different management positions at Insalud (now-defunct Spanish national healthcare authority): Medical Director of Primary Care Team at Barajas (1991-1993), Assistant Medical Director of Primary Care of Madrid’s Area 4 (1993-1994), Medical Director of the same regional area (1994-1996) and finally Medical Director of Primary Care for Madrid’s Area 2 (1996-2000).

Quality Pilot in European Master ‘Erasmus Mundus’ Europubhealth (2006-2010). During that time he coordinated Quality Committee of Virtual Campus of Public Health in Latin America organized by PAHO.

Member of Patient Safety groups at Cochrane and Spanish Primary Care Association (Semfyc). At Semfyc he is also member of the Knowledge Management group and coordinates Project ARA, focused on MD re-certification.

Member of Internet and Healthcare investigation group at EASP, he is currently working in several investigation projects on how doctors can use new technologies, social media and Web 2.0. He is also involved in projects related to best practices in teaching, safety, clinical decision-making and Primary Care. He is the leading author of an ongoing investigation on decision-making and mistakes in diagnosis. Reviewer for ‘Gaceta Sanitaria’ magazine. Participates in expert groups in Spain, Europe and the Americas.

He authored articles published in scientific journals both in Spain and abroad, and is a frequent lecturer and speaker in scientific congresses all over the world and is still actively writing and publishing in his field of expertise. He writes in two personal blogs (‘El Gerente de Mediado’ and ‘La Cara Ve’) and is a regular contributor to other healthcare blogs and Diario Médico.

Miguel Ángel Máñez, Economist.

Miguel Ángel Máñez is an economist and currently holds the position of Finance and Human Resources Assistant Manager of the Health Department of Alicante-Sant Joan d’Alacant in Alicante, Spain. He is also the Coordinator of the ‘2.0 Office’ for Valencia’s regional health authority, responsible for the implementation of Web 2.0 tools aimed at patients and healthcare professionals. He is the author of a well-known blog in Spain about healthcare management called ‘Salud con Cosas’. He has taken an active part in courses and seminars about Internet and healthcare, marketing, and strategies of healthcare management. He is the author of several articles on healthcare and Web 2.0.

Vicente Baos, MD.

General Practitioner (GP) in Collado Villalba Pueblo (near Madrid), writes ‘El supositorio’ (‘The Suppository’) since 2007, one of Spain’s most influential healthcare blogs.

Graduated in 1982 at Universidad Autónoma de Madrid, completed his training at Puerta de Hierro Hospital (Madrid) in 1987. Member of Editorial Board at ‘Therapeutiction in Spanish Healthcare System’ (‘Información Terapéutica del Sistema Nacional de Salud’), a journal published by Spain’s Ministry of Health since 1994.

Dr. Baos also coordinates Prescription Drug Use group at Spanish Primary Care Association (Semfyc) since its creation in 2003. He is a consultant at Spain’s Drug Agency (‘Agencia Española de Medicamentos y Productos Sanitarios’). Author of several books on prescription drug use (some of them for MD’s and others targeted at general public) and a long list of scientific articles.

His main areas of interest are Primary Care and the analysis and evaluation of pharmacological therapies.

Frederic Llordachs, MD.

MD with MBA, specialized in Healthcare Management and Marketing. Direct experience with healthcare insurance, and healthcare management, and interested in venture capital. Also involved in early-stage start-ups, like Doctoralia (http://www.doctoralia.com), the global platform for healthcare search, and also other pre-seed projects like Lexpertia (http://www.lexpertia.com), the search engine for lawyers in Spain.

Julio Mayol, MD, PhD.
Julio M. Mayol MD, PhD, graduated with honor from Universidad Complutense de Madrid Medical School in 1988. He received his training in General Surgery at Hospital Clinico San Carlos and Beth Israel Hospital, taking further postgraduate training as research fellow in Surgery at Harvard Medical School. Currently, he he has an appointment as Professor of Surgery at Universidad Complutense de Madrid Medical School. He serves as Chief Innovation Officer and Chief of the Division of Colorectal Surgery at Hospital Clinico San Carlos. He is a member of the Spanish Royal Academy of Medicine and European Expert on Cell Therapy at European Medicines Agency.

About Diario Medico:

Since 1992, Diario Médico has been Spain’s leading news outlet for physicians. Part of one of Spain’s most important publishing groups (Unidad Editorial, publisher of El Mundo ), Diario Médico is both a website and a free newspaper distributed Monday to Friday in all hospitals and general practitioner offices across Spain.

The publication covers a wide range of subjects, from breaking scientific news to health policy, in-depth interviews, scientific meetings, clinical practice, legal issues, management, and health IT.
Diario Médico reaches 2.4 million paper readers and 450 thousand website visitors (more than 500 thousand pageviews/month).

The brand strives to be a cutting-edge reference tool for all healthcare professionals in Spain, and its website is constantly innovating. Diario Médico provides online courses as well as speciality-specific newsletters, video reports and Web 2.0 content such as Twitterrviews and a medical blogging platform (Médica Blogs).

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