June 19th, 2011 by GarySchwitzer in Opinion, Research
Tags: American Cancer Society, Diagnosed, Dr. Len Lichtenfeld, Education, Facts About Prostate Cancer, Father's Day, Follow Up, Men's Health, Men's Health Month, Men's Health Week, Promotion, Prostate Cancer, Prostate Screenings, U.S. Preventive Services Task Force
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This week has been proclaimed International Men’s Health Week – the week leading up to and including Father’s Day. And it’s part of what’s more broadly been proclaimed by some as Men’s Health Month.
The campaign offers a variety of men’s health “materials” – including the squeezy prostate stress ball pictured at left – if you’re into that kind of thing.
There are also brochures like the one below. The “Facts About Prostate Cancer” state that men at high risk should begin yearly screening at age 40 – all others at age 50. The “should begin (at 50)” recommendation crosses a line not supported by the US Preventive Services Task Force and the American Cancer Society, among other organizations.
The campaign also commits fear-mongering with these statistics: Read more »
*This blog post was originally published at Gary Schwitzer's HealthNewsReview Blog*
June 18th, 2011 by Stanley Feld, M.D. in Health Policy, Opinion
Tags: Accountable Care Organizations, ACO, ACO Regulations, CBO, CMS, Department of Health Care Policy, Dr. Douglas Wood, Elliott Fisher, Harvard Medical School, HMOs, Mayo Clinic, Medicare, MedPAC, Meicare Payment Advisory Commission, Michael E. Chernew, Obama, Obamacare, Quality of Medical Care
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The sooner President Obama’s Healthcare Reform Act (Obamacare) is repealed the faster we will be able to get on with healthcare reform that will work for all stakeholders. President Obama figured that 30 existing and successful integrated medical care organizations would be in the first group of clinics to join and be included in his Accountable Care Organization (ACO) system of care.
ACOs are a critical part of Obamacare’s goal to provide affordable, universal and quality healthcare. ACOs are really HMO’s on steroids. ACOs are supposed to be better versions of HMO’s. The public and physicians despised HMO’s because of its control over patient choice and access to care. President Obama thinks Medicare will save over $500 billion dollars a year with ACOs. Unfortunately for President Obama, neither the CBO nor the Medicare actuaries believe it.
So far at least 4 of President Obama’s premier integrated healthcare organizations have Read more »
*This blog post was originally published at Repairing the Healthcare System*
June 18th, 2011 by Jessie Gruman, Ph.D. in Health Policy, Opinion
Tags: Adherence, Advance Directives, Compliance, Contraindications, Drug-Related Injuries, Informed Consent, Medication Adherence, Patient Self-Determination Act, Personal Counseling, Pharmacists, Pharmacy, Shared Decision-Making, Side Effects, smoking cessation
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I sat in a dingy pharmacy near the Seattle airport over the holidays, waiting for an emergency prescription. For over two hours I watched a slow-moving line of people sign a book, pay and receive their prescription(s). The cashier told each customer picking up more than one prescription or a child’s prescription to wait on the side. In minutes, the harried white-haired pharmacist came over to ask the person if they were familiar with these medications, described how to take them, identified the side effects to look out for and demonstrated the size of a teaspoon for pediatric medications. Then he asked the person to repeat back – often in broken, heavily accented English – what he or she had heard and patiently went over the parts they didn’t understand.
I was impressed. This is what every pharmacy should be like – except, of course, for the dinginess, the creeping line and the fact that it was so crowded I could overhear these conversations. Maybe if we got federal legislation enacted requiring pharmacists to offer counseling with each prescription filled, this kind of attention would be the norm, adherence to medication regimens would improve and drug-related injuries would be reduced.
Wait a minute. Someone already had that good idea. It was Read more »
*This blog post was originally published at Prepared Patient Forum: What It Takes Blog*
June 18th, 2011 by Edwin Leap, M.D. in Health Policy, Opinion
Tags: Business, Business Model, Client, Customer, Customer Service in Medicine, healthcare, Patient
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Customer or patient?
I can’t remember; are they patients or our customers?
Are our patients really customers? Are they clients? Does this term, borrowed from the business world, really hold water in the current climate of health care? I believe if you ask most practicing physicians and nurses, other than those in charge of administration of groups and hospitals, they would say that they have patients, not customers, and that the whole idea is driving them batty.
The customer service model is very popular. Entire lectures and conferences exist to enforce this enlightened way to view patient care. I understand the drive, to an extent. The people we see in our hospitals and emergency departments need to feel valued and need to feel we are competent and caring. This matters especially in highly competitive markets because the ones who are happy keep coming back. This also matters because people who feel valued may be less likely to sue us. There is some logic to the customer service world view.
Unfortunately, Read more »
*This blog post was originally published at edwinleap.com*
June 17th, 2011 by AnneHansonMD in Opinion
Tags: Anger, Crime, Insanity, Involuntary Treatment, Murder, Psychiatric Symptoms, Psychiatry, Psychology
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The voice at the other end of the line was angry and accusatory: “You didn’t even talk to me! You never knew my son! You didn’t talk to any of us!”
I explained to her that since she had never even met the defendant, there was no way she could have any information that would be relevant to the accused’s state of mind at the time of the crime. The victim and the defendant were total strangers and there was no apparent reason for the killing, which made the crime even more tragic. Her son was dead in a random incident, in a crime that was unquestionably motivated only by the defendant’s untreated psychiatric symptoms.
The defendant’s family was equally shocked and horrified. They were all hardworking solid citizens, with no history of criminal contacts, substance abuse or mental illness. When their daughter started getting sick Read more »
*This blog post was originally published at Shrink Rap*
