February 15th, 2010 by RyanDuBosar in Better Health Network, Health Policy, News
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ACP Internist continues its look at subjects important to internal medicine. Today, we follow the money.
Evidence-based medicine
The U.S. could save one-third of the $15 billion spent on stents annually if all doctors followed COURAGE trial conclusions and used generic drugs first, and stents only if pain persists. William Boden, FACP, headed that trial, and now says that reimbursement drives clinical practice. Dartmouth’s Elliott Fisher, MD, says this “perverse incentive” doesn’t improve health care. (Wall Street Journal, CNN)
Physician reimbursement reform
Following the Food and Drug Administration’s record-breaking budget allocation, seven former agency commissioners and interest groups are still saying it’s not enough to make up for years of underfunding. Even regulated industries want more funding to boost the public perception of product safety. (ACP Internist, Los Angeles Times)
*This blog post was originally published at ACP Internist*
February 12th, 2010 by Nancy Brown, Ph.D. in Better Health Network, Health Tips
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What is it about our culture that encourages newer and riskier ways to challenge our health? Public health folks have become very concerned about the latest challenge – alcoholic energy drinks. These are prepackaged beverage with alcohol and caffeine, as well as other stimulants, that look like other energy drinks but carry a much more powerful, and dangerous, punch!
There were 500 new energy drink products introduced worldwide in 2006 with average sales topping $3.2 billion. These products are targeting youth by creating brand confusion with nonalcoholic versions; providing a cheap alternative to mixing energy drinks with alcohol; and using youth-friendly grassroots and viral marketing. The names of these products say it all – Rockstar, Sparks, and Tilt. Read more »
This post, Why You Shouldn’t Mix Energy Drinks With Alcohol, was originally published on
Healthine.com by Nancy Brown, Ph.D..
February 10th, 2010 by Toni Brayer, M.D. in Better Health Network, Health Policy, Opinion
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I went to my physical therapist yesterday for knee treatment and we talked about the fact that Blue Cross is cutting their reimbursement to the point that the cost of providing care will not even be covered. All I could do was lament with him and listen. One insurer even told him (the owner of the business) to just “make the sessions shorter and don’t give as much care.” As if that is how it works…”You get little money..so just do a little”.
Clearly the insurance intermediaries, who never actually see a patient or deliver any care, haven’t got a clue how this whole health thing works. They are happy with mediocre doctors that cut time and care. Those doctors (and physical therapists) run mills, but the insurance companies are happy with them. Quality and quantity of time are not rewarded, and in fact are punished in the health care environment we have. Read more »
*This blog post was originally published at EverythingHealth*
February 10th, 2010 by SteveSimmonsMD in Primary Care Wednesdays
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I practice medicine in the suburbs west of Washington, DC, and everywhere I look I see 30 or more inches of snow. I keep reminding myself of where I am –not unlike a man pinching himself to ascertain wakefulness–because the view my window affords me is tailor made for the usual snow typical to Buffalo, NY. Two days after the snow stopped falling, schools are cancelled indefinitely, most side streets have yet to see a plow, and tens of thousands are without electricity including my partner’s family huddled together like in a dark basement enjoying the extra two or three degrees of warmth to be found there.
It is hard, but not impossible, to practice medicine when the pace of modern society grinds to a halt. Yet at least we, here, enjoy the benefits of living in a country with a well developed infrastructure prepared to rebound instead of recoiling from nature. To compare our “snowmageddon” (a term used on the news here) and the earthquake in Haiti would be both inappropriate and naïve; yet, our daily lives have distinctly altered and in that an understanding of the fragility of society and the responsibility of a physician is possible. Still, there are many differences. We ask when our power will be returned, not if; snow will melt, but buildings don’t un-crumble; and while my neighbors shiver together in their homes, many Haitians seek their loved ones with a shovel.
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February 9th, 2010 by BarbaraFicarraRN in Better Health Network, Health Tips
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Kevin Pho, MD, primary care physician in Nashua, N.H., blogs at KevinMD.com, member of USA TODAY’S board of contributors and a guest to the Health in 30® Radio Show, writes about the importance of doctors engaging in social media to communicate with patients.
He writes in an op-ed in USA TODAY “Doctors ignore Internet at their own peril” on January 27, 2010:
“Raise your hand if you’ve ever left a physician’s office without fully understanding what the doctor just told you. According to The New England Journal of Medicine, half of patients admit to not understanding what their doctor told them during an office visit.
As a primary care physician, being unable to clearly communicate with patients is frustrating. The typical, 15-minute office visit often is not sufficient for a thorough discussion. A better way to connect with patients is needed.”
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*This blog post was originally published at Health in 30*
