August 16th, 2010 by DavidHarlow in Better Health Network, Health Policy, News, Opinion
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The Queen of Soul famously wailed about being a link in a “chain of fools.” The lead story in the August 13th Boston Globe tells us about another sort of link in the chain — the weakest link in the chain of custody of patient records.
In brief, a pathology billing service bought out by another service apparently dumped all records more than a year old in a town dump. A Globe photographer taking out his own trash noticed that the paper records (which he was looking at because he thought they ought to be recycled rather than dumped) had identifiable patient data and represented at least four hospitals from across Eastern Massachusetts. Clearly, these records ought to have been shredded or otherwise destroyed before disposal. Read more »
*This blog post was originally published at HealthBlawg :: David Harlow's Health Care Law Blog*
August 16th, 2010 by BobDoherty in Better Health Network, Health Policy, News, Research
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Yes, according to a study in today’s Health Affairs. (The full text of the study is available only to subscribers, but Kaiser Health News Daily has a good summary of its findings and links to other news reports.)
The study compares inpatient death rates and lengths of stay for patients with congestive heart failure or acute myocardial infarction when provided by U.S. citizens trained abroad, citizens trained in the United States, and non-citizens trained abroad. Treatment was provided by internists, family physicians, or cardiologists. The differences were striking, according to the authors:
“Our analysis of 244,153 hospitalizations in Pennsylvania found that patients of doctors who graduated from international medical schools and were not U.S. citizens at the time they entered medical school had significantly lower mortality rates than patients cared for by doctors who graduated from U.S. medical schools or who were U.S. citizens and received their degrees abroad.”
Read more »
*This blog post was originally published at The ACP Advocate Blog by Bob Doherty*
August 16th, 2010 by KevinMD in Better Health Network, Health Policy, Opinion
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I’ve written previously that many doctors are finding the physical exam obsolete, and are favoring more technologically-advanced, and expensive, tests. In fact, I alluded to traditional physical exam advocates as “arguing for staying with a horse and buggy when cars are rapidly becoming available.”
In a recent piece from the New York Times, internist Danielle Ofri says we need to look past the lack of evidence supporting the physical exam. The benefits of touching the patient, and listening to his heart and lungs, cannot be quantitatively measured:
Does the physical exam serve any other purpose? The doctor-patient relationship is fundamentally different from, say, the accountant-client relationship. The laying on of hands sets medical practitioners apart from their counterparts in the business world. Despite the inroads of evidence-based medicine, M.R.I.s, angiograms and PET scanners, there is clearly something special, perhaps even healing, about touch. There is a warmth of connection that supersedes anything intellectual, and that connection goes both ways in the doctor-patient relationship.
Great point. Read more »
*This blog post was originally published at KevinMD.com*
August 15th, 2010 by Steven Roy Daviss, M.D. in Better Health Network, Humor, Opinion, True Stories
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By Dr. ClinkShrink
I took my car in to the shop last week to visit his Car Momma. I’ve been going to this garage for years and I know most of the mechanics. I’ve run into Car Momma at the hair salon with her head wrapped in a towel. I’ve heard about her son, his school activities and her home renovation projects. She’s heard about my vacations and seen my climbing pictures. I’ve always been on a first name basis with the people I know there.
This time, I had to leave the car and get a rental. I left a voice message with the rental desk and when the rental guy called me back at work I answered the phone with my usual “Dr. ClinkShrink.” Now, my garage knows what I do for a living, and it’s just never been an issue or really even a topic of conversation once the novelty wore off. Read more »
*This blog post was originally published at Shrink Rap*
August 15th, 2010 by Berci in Better Health Network, Health Policy, News, Research
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A report on the future of health was presented to the United Nations Children’s Fund (UNICEF) by PSFK, a trends research and innovation company. It features a wide range to topics including distant learning, diagnostics, gaming for health, offline web, DIY checkup, and many others:
(Hat Tip: iMedicalApps)
*This blog post was originally published at ScienceRoll*
