Seven days ago, at a mission in the north of Haiti, I watched a nurse remove oxygen from a premature baby boy in order to give it to a woman in labor. The heartbeat of the baby who was about to be delivered had dropped dangerously low and there was only one working oxygen machine.
Perhaps the cord was wrapped around the baby’s neck or there was some other problem. A Caesarian section — which can quickly and safely deliver a baby who is in trouble — was not an option. The public hospital was at least an hour’s drive away over bumpy roads.
These kinds of cruel triage decisions are commonplace in Haiti and existed long before the earthquake struck on January 12th. The poorest country in the Western Hemisphere has never had an effective public health system. Thousands of non-governmental organizations (NGOs) — by some counts more than 10,000 — are trying to plug holes in the ship. What’s really needed is a new ship. Read more »
Unbound Medicine has teamed up with the American Public Health Association (APHA) to release a mobile and web version of Control of Communicable Diseases Manual (CCDM).
Like other Unbound titles, CCDM is available on most popular mobile phone platforms and is optimized for the unique nature of each device type.
Control of Communicable Diseases Manual for Mobile + Web includes Medline Journals, which allow users to view citations and abstracts from the latest issues in selected journals such as the American Journal of Public Health, the Journal of Tropical Medicine, and the Bulletin of the World Health Organization (WHO), then link to full-text articles.
CCDM for Mobile + Web also includes RSS news feeds from relevant sites such as APHA, WHO, and the Centers for Disease Control and Prevention (CDC). Read more »
*This blog post was originally published at Medgadget*
Nurse practitioners are demanding a wider scope of practice and even to be called “doctor” if they have a doctorate. And 28 states are considering giving them what they want, to which physician societies object.
Health policy analyst Jack Needleman (a Ph.D., so he gets to be called doctor, too), says the quality of care is the same. (He’s also an honorary fellow of the American Academy of Nursing.) AMA president-elect and internist Cecil B. Wilson, M.D., a Master of the American College of Physicians, (who is definitely called doctor) says the primary care shortage is a call for more physicians, not for fewer. Read more »
*This blog post was originally published at ACP Internist*
If you think the overcrowding in emergency rooms across the country is because of the uninsured, think again.
A new study in the Annals of Emergency Medicine reports that of patients who are frequent users (over 4 times a year) of emergency departments (ED), the uninsured represent only 15 percent of those frequent users.
Also, the frequent ED users were more likely than occasional users to have visited a primary care physician in the previous year.
They also found that most patients who frequently use the ED have health insurance and the majority of users (60 percent) were white. These findings contradict the widely held assumption that frequent users are minorities or illegal immigrants without insurance. Read more »
This past Monday, I was drawn to an article in the Wall Street Journal: “Medical Schools Can’t Keep Up.” The article detailed the growing shortage of primary care doctors in our country and reminded me that we in the U.S. may have something called “insurance reform” now, but without physicians to translate insurance access into healthcare, the state of our healthcare system will continue to beg additional attention and reform.
Although new medical schools are opening and some schools have increased enrollment numbers, there are a limited number of residency positions in this country. The government has always funded these residency positions and our new reform law tries to address the primary care shortage with “slot redistribution,” whereby money from unused residency positions will be deferred to primary care or general surgery residency programs. Read more »
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Unbound Medicine has teamed up with the American Public Health Association (APHA) to release a mobile and web version of Control of Communicable Diseases Manual (CCDM).
