August 1st, 2011 by Glenn Laffel, M.D., Ph.D. in Opinion, Research
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For centuries, health providers have focused on the prevention, diagnosis and treatment of disease. This time-honored paradigm has generated phenomenal advances in medicine, especially during the last 60 years. It has also created a bit of an image problem for providers. That’s because the paradigm encourages consumers to perceive health care as a negative good; an economic term describing a bundle of products and services that we use because we must, not because we want to. Recent trends towards empowered consumers are a symptom of this problem more than a solution to it, as I described here.
Recently, the concept of Positive Health has emerged as a possible antidote for the malaise.
Pioneered by University of Pennsylvania psychologist Martin Seligman, Positive Health encourages us to identify and promote positive health assets—which Seligman describes as strengths that contribute to a healthier, more fulfilling life and yes, improved life expectancy as well. According to Seligman, “people desire well-being in its own right and they desire it above and beyond the relief of their suffering.”
Proponents of Positive Health have proposed that Read more »
*This blog post was originally published at Pizaazz*
August 1st, 2011 by RyanDuBosar in News
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The World Health Organization’s new patient safety envoy will take on health care acquired infections in his new role, he announced last week. Liam Donaldson, England’s former Chief Medical Officer, pointed out in his first report as envoy that patient safety incidents occur in 4% to 16% of all hospitalized patients, and that hospital-acquired infections affect hundreds of millions of patients globally.
A WHO report outlined the problem.
High-income countries had pooled health care acquired infection rates of 7.6%. The European Centre for Disease Prevention and Control estimated that 4.1 million Europeans incur 4.5 million health care acquired infections annually. In the U.S. the incidence rate was 4.5% in 2002, or 9.3 infections per 1,000 patient-days and 1.7 million affected patients.
In Europe, these infections cause Read more »
*This blog post was originally published at ACP Hospitalist*
August 1st, 2011 by Bryan Vartabedian, M.D. in News, Opinion
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Can we teach empathy to the next generation of physicians? The University of South Florida Health thinks so and they’re putting it on the line this week with the launch of the SELECT program, a new curriculum intended to “put empathy, communication and creativity back into doctoring.”
The SELECT (Scholarly Excellence. Leadership Experiences. Collaborative Training.) program will offer 19 select students unique training in leadership development as well as the scholarly tools needed to become physician leaders and catalysts for change. During their first week on campus, instead of the old-style medical school tradition of heading to the gross anatomy lab, SELECT students are immersed in leadership training centered in empathy and other core principles of patient-centered care.
The hope is that this program will prepare the next generation of departmental chairmen, CMOs and physician thought leaders through more intense, non-traditional preparation.
Students will Read more »
*This blog post was originally published at 33 Charts*
July 31st, 2011 by Edwin Leap, M.D. in Health Policy, Opinion
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Last night I was contacted by a physician in the local urgent-care. I like him, and we made polite, but brief, conversation. ‘So, are you guys busy?’
I gave him the status report. ‘Well, yeah. We have about 25 people waiting to be seen the waiting room is full and every patient room is full. Also, we just received a gun-shot wound to the head by EMS.’
‘Wow, sounds terrible! So, here’s what I need to send you…’
What he sent was, in fact, reasonable. A young woman with signs and symptoms of meningitis (who was treated earlier in the day for and upper respiratory virus…with Amoxicillin, of course.)
She needed a lumbar puncture, which I performed and which was negative.
But I had this thought. I could probably have said, Read more »
*This blog post was originally published at edwinleap.com*
July 31st, 2011 by DeborahSchwarzRPA in News, Research
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Every year, a half million bronchoscopies are performed in the U.S. in order to investigate lesions within patients’ lungs. Because conventional bronchoscopy cannot reach the distant regions of the lungs, more invasive surgical procedures are often needed to diagnose lung nodules that may be malignant.
The General Thoracic Surgery Division at NewYork-Presbyterian/Columbia has begun using a new technology, superDimension Electromagnetic Navigation Bronchoscopy™ (ENB). ENB creates a computer-generated reconstruction of the lungs from a CT scan of the tracheobronchial tree, explains Lyall A. Gorenstein, MD, FRCS (C), FACS, Director, Minimally Invasive Thoracic Surgery. Using these reconstructed images, the system creates a visual pathway so that surgeons can guide steerable catheters to where lung nodules are located, facilitating examination and biopsy.
“This enables us to Read more »
*This blog post was originally published at Columbia University Department of Surgery Blog*
Recently, the concept of Positive Health has emerged as a possible antidote for the malaise.
