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ER Doctors And Burnout

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Via Balkans Business News:

One in two emergency care doctors will suffer a burnout during their career, according to a survey of French physicians, published online in Emergency Medicine Journal. The research was funded in part by the NEXT NURSES’ EXIT STUDY (‘Sustaining working ability in the nursing profession – investigation of premature departure from work’) project, which received more than EUR 2 million under the ‘Quality of life and management of living resources’ Programme of the EU’s Fifth Framework Programme (FP5).

The responses showed that the prevalence of burnout was high, with 1 in 2 emergency care doctors identified as suffering from it, compared with more than 4 out of 10 of the representative sample. Physicians had the highest burnout rate in the two age groups, between 35 and 44 and between 45 and 54.

Expectedly, it’s international…

*This blog post was originally published at GruntDoc*

HRT: No Wonder Women Are Confused

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Confused about hormone replacement therapy (HRT)? I can’t imagine why…

*This blog post was originally published at tbtam*

Rationed Care, Denied Treatment, And “Death Panels”

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One of the canards slung at the Affordable Care Act is that it creates “death panels” that would allow the government to deny patients lifesaving treatments, even though two independent and non-partisan fact-checking organizations found it would do no such thing.

I don’t bring this up now to rehash the debate, but because the New York Times had a recent story on Arizona’s decision to deny certain transplants to Medicaid enrollees — “death by budget cuts” in the words of reporter Marc Lacey. His story profiles several patients who died when they were unable to raise money on their own to fund a transplant. Lacey quotes a physician expert on transplants who flatly states: “There’s no doubt that people aren’t going to make it because of this decision.”

Arizona Medicaid officials told the Times that they “recommended discontinuing some transplants only after assessing the success rates for previous patients. Among the discontinued procedures are lung transplants, liver transplants for hepatitis C patients and some bone marrow and pancreas transplants, which altogether would save the state about $4.5 million a year.” Read more »

*This blog post was originally published at The ACP Advocate Blog by Bob Doherty*

Decline In Stroke Deaths Reinforces “Brain Attack” Prevention

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Stroke killed 2,000 fewer Americans in 2008 (the last year with complete numbers) than it did in 2007, the Centers for Disease Control and Prevention (CDC) said yesterday in its latest annual Deaths report. That dropped stroke from the third leading cause of death in the United States to the fourth.

Good news? Yes and no. It’s always good news when fewer people die. The reduction suggests a payoff for efforts to prevent stroke and improve the way doctors treat it.

Yet the drop from third to fourth place is due largely to an accounting change. The CDC reorganized another category, “chronic lower respiratory diseases” (mainly chronic bronchitis and emphysema), to include complications of these diseases such as pneumonia. The change substantially increased the number of deaths in this category, which had long trailed stroke as the fourth leading cause of death.

More worrisome is that the decline in deaths from stroke isn’t matched by a decline in the number of strokes. On the rise since 1988, stroke now strikes almost 800,000 Americans a year, and that is expected to grow. Read more »

*This blog post was originally published at Harvard Health Blog*

Women’s Health In The U.S. Gets An “F”

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The Oregon Health and Science University has published its fifth report card since 2000. It grades and ranks the United States on 26 health-status indicators for women. In 2010, not one state received an overall “satisfactory” grade for women’s health, and just two states — Vermont and Massachusetts — received a “satisfactory-minus” grade. Overall, the nation is so far from meeting the goals set by the U.S. Department of Health and Human Services that it receives an overall grade of “unsatisfactory.”

The national report card uses status indicators to assess women’s health:

  • Women’s access to healthcare services (medically under-served area, no abortion provider, no health insurance and first trimester prenatal care)
  • Wellness  (screening mammograms, colorectal cancer, pap smears, cholesterol)
  • Prevention (leisure time physical activity, obesity, eating five fruits and veggies/day, binge drinking, annual dental visits, smoking)
  • Key conditions (coronary heart disease death rate, lung cancer death, stroke death, breast cancer death)
  • Chronic conditions (high blood pressure, diabetes, AIDS, arthritis, osteoporosis)
  • Reproductive health (chlamydia, maternal mortality, unintended pregnancies)
  • Mental health
  • Violence against women 
  • Infant mortality rate
  • Life expectancy
  • Poverty
  • High school completion
  • Wage gap
  • The score on these varied status indicators fluctuated depending upon which state a woman lives. California and New Jersey ranked highest on state health policies, while Idaho and South Dakota ranked last on policies. Read more »

    *This blog post was originally published at EverythingHealth*

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