December 23rd, 2010 by Medgadget in Better Health Network, News, Research
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Although medical professionals get used to it, the way laboratory data is presented in reports can be quite confusing to the patient. Typically, it is a few columns of black text with poor organization and little guidance to help the patient discern any meaning.
The folks at Wired agreed, and they brought together some Dartmouth physicians and a group of designers to bring a new look to these drab reports. We got to see their refreshing results at TEDMED, but now these prototype reports have been published online:
Link: The Blood Test Gets a Makeover…
*This blog post was originally published at Medgadget*
December 22nd, 2010 by Lucy Hornstein, M.D. in Better Health Network, Health Tips, Opinion, True Stories
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The most moving speaker at the American Academy of Family Physicians (AAFP) convention I went to in Denver a few months ago was a doctor with Stage 4 cancer who had survived well past all expectations for his disease. While talking about achieving happiness through balance in life, he pulled out of his wallet a card made for him by his daughter, a preschool teacher.
“This is the C card,” he told us. “It says: ‘I have cancer. I can do whatever I want.’”
What a great idea, I thought. As much as it resonated with me, though, I couldn’t help but feel there was more to it than that.
Recently I was comforting a dear friend who had lost her mother. Remembering this handout from the AAFP, I held her close and said: “You’re a mourner now. You can do whatever you want.” I might as well said: “You have the M card.”
There’s this crotchety old guy in his eighties whom I’ve known for years. He does whatever he wants. I don’t think he actually carries a card in his wallet that says: “This is the O card. I am old. I can do whatever I want,” but he might as well. He is indeed old, and so he is entitled. Read more »
*This blog post was originally published at Musings of a Dinosaur*
December 22nd, 2010 by DrRob in Better Health Network, Opinion, True Stories
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“I need you to do me a favor,” my nurse asked me at the end of our day on Friday.
“Sure,” I answered. “What do you want?”
“Please have a better week next week,” she said with a pained expression. “I don’t think I can handle another one like this week.”
It was a bad week. There was cancer, there was anxiety, there were family fights, there were very sick children. It’s not that it’s unusual to see tough things (I am a doctor), but the grouping of them had all of us trudging home drained of energy. Spent.
I think this is one of the toughest thing about being a doctor (and nurse, by my nurse’s question): The spending of emotional reserves. I’m not physically active at work, yet I come home tired. I don’t have to be busy to feel drained. It’s not the patients’ fault that I feel tired. They are coming to me to get the service I offer to them, and I think I do that job well. The real problem is in me. The real problem is that I care. Read more »
*This blog post was originally published at Musings of a Distractible Mind*
December 19th, 2010 by StevenWilkinsMPH in Better Health Network, Health Tips, Opinion, Research, True Stories
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It seem like everyone these days is focused on changing some aspect of patient health behavior. You know — getting patients to get a mammogram or PSA test, exercise more, take medications as prescribed, or simply becoming more engaged in their healthcare. If only we could change unhealthy patient health behaviors, the world would be a better place.
I agree with the sentiment, but I think that patients and their health behavior often get a “bad rap” from healthcare professionals. I would even go so far as to say that much (not all) of what we attribute to poor patient behavior is more correctly attributable to ineffective doctor communications with patients.
In my last post I talked about the link between strong physician advocacy, e.g., I recommend, and desirable health outcomes, i.e., patients getting more preventive screening.
Here’s what I mean. Mammography studies have consistently shown that screening mammograms rates would be much high if more physicians “strongly recommended” that women get screened, e.g., “I recommend” you get a mammogram. In studies where physicians advocated for screening, mammography screening rates were always higher compared to physicians that did not advocate for them. The same phenomenon can be found in studies dealing with exercise, weight loss, colorectal cancer screening, HVP immunization, and patient participation in clinical trials. Read more »
*This blog post was originally published at Mind The Gap*
December 17th, 2010 by RyanDuBosar in Better Health Network, Research
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Six of the nation’s leading healthcare systems will collaborate on outcomes, quality, and costs across eight common conditions or procedures in an effort to share best practices and reduce costs with the entire healthcare system.
Cleveland Clinic, Dartmouth-Hitchcock, Denver Health, Geisinger Health System, Intermountain Healthcare, and Mayo Clinic will to share data among their 10 million patients with The Dartmouth Institute, which will analyze the data and report back to the collaborative and the rest of the country, according to a press release.
The collaborative will focus on eight conditions and treatments for which costs have been increasing rapidly and for which there are wide variations in quality and outcomes across the country. The first three conditions to be studies are knee replacement, diabetes, and heart failure. They will be followed by asthma, weight loss surgery, labor and delivery, spine surgery, and depression.
*This blog post was originally published at ACP Internist*
