September 22nd, 2010 by DrRob in Better Health Network, Health Policy, News, Opinion, Research, True Stories
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The man who twirled with rose in teeth
Has his tongue tied up in thorns
His once expanded sense of time and
Space all shot and torn
See him wander hat in hand –
“Look at me, I’m so forlorn –
Ask anyone who can recall
It’s horrible to be born!
– Bruce Cockburn, from song “Shipwrecked at the Stable Door”
I found the discussion around my recent post about treating colds very interesting. Sick people come to the office to find out how sick they are. Most people don’t want to be sick, and when they are sick they want doctors to make them better.
Most people.
Some people want to be sick, and some doctors want to make people sick. I am not talking about hypochondriacs — people who worry that they may have disease and become fixated on being sick. I am not talking about malingerers — people who pretend to be sick so they can get medications. I am talking about the slippery slope of defining disease. Read more »
*This blog post was originally published at Musings of a Distractible Mind*
September 21st, 2010 by RamonaBatesMD in Better Health Network, Health Policy, Health Tips, News, Opinion, Research
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Some interesting items this week involving hands. The one which has gotten much news coverage is the issue of handwashing. Take a look at some of the headlines:
High five! Handwashing on rise (Chicago Sun-Times)
For Many, ‘Washroom’ Seems to Be Just a Name (The New York Times)
93% of women wash their hands vs. 77% of men (USA Today)
All the above are reporting on the same study, but the difference in presentation is amazing to me.
The study doesn’t involve handwashing in a hospital or doctor’s office setting. The JAMA article (2nd reference below) does, but this article focuses on whether public reporting of handwashing compliance is helpful or not. Do we inflate our numbers to make ourselves look better? Read more »
*This blog post was originally published at Suture for a Living*
September 21st, 2010 by BobDoherty in Better Health Network, Health Policy, News, Opinion, Research
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Citing a new study by the Dartmouth Atlas, the Wall Street Journal’s health blog provocatively asks: “Has the notion of ‘access’ to primary care been oversold?”
The Dartmouth researchers found “that there is no simple relationship between the supply of physicians and access to primary care.” That is, they found that having a greater supply of primary care physicians in a community doesn’t mean that the community necessarily has better access to primary care. Some areas of the country with fewer primary care physicians per population do better on access than other areas with more primary care physicians.
The researchers also report that the numbers of family physicians is more positively associated with better access than the numbers of internists, although they call the association “not strong.” Although both general internists and family physicians are counted as primary care clinicians, “in [regions] with a higher supply of family physicians, beneficiaries were more likely to have at least one annual primary care visit. In [regions] with a higher supply of general internists, fewer beneficiaries had a primary care visit on average.” Read more »
*This blog post was originally published at The ACP Advocate Blog by Bob Doherty*
September 20th, 2010 by StevenWilkinsMPH in Better Health Network, News, Opinion, Research
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According to Marshall Becker, PhD, MPH, a one-time professor of mine and prime mover behind the Health Belief Model (HBM), four things must be in place for health behavior change to occur. I am paraphrasing here:
- A person has to know that they have a particular health condition.
- A person has to believe that having said health condition is bad.
- A person must perceive the benefits of behavior change to outweigh the difficulties of behavior change.
- There must be a “call to action” to spark the change.
Absent any one of these steps and the likelihood that behavior change will occur is diminished. Read more »
*This blog post was originally published at Mind The Gap*
September 17th, 2010 by DavedeBronkart in Better Health Network, Health Tips, News, Opinion
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On Monday, NPR’s Scott Hensley posted:
“Between the Internet and all the data insurance companies and the government collect on doctors, you’d think it would be a lot easier than it used to be to find a good one. But it’s not.”
Sound familiar around here? See his thoughts: “3 Tips For Picking A Slightly Better Doctor.”
(Thanks to friend Cindy Johnson for the tip.)
*This blog post was originally published at e-Patients.net*
