Asthma in Primary Care: Spirometry Underused in Diagnosis

Asthma in Primary Care: Spirometry Underused in Diagnosis

Spirometry may be underused for the diagnosis and monitoring of asthma in the primary care setting.

COPD Prevalence, Hospitalizations, and Deaths in Rural Areas

COPD Prevalence, Hospitalizations, and Deaths in Rural Areas

Rural areas have a significantly higher prevalence of chronic obstructive pulmonary disease.

Infused Chemotherapy Trends During 10-Year Period

Infused Chemotherapy Trends During 10-Year Period

During a 10-year period, there was an increase in the rate of commercially insured patients receiving infused chemotherapy in hospital outpatient departments.

Asthma Guideline Adherence: Improvement Needed in Both Specialists, PCPs

Asthma Guideline Adherence: Improvement Needed in Both Specialists, PCPs

Although adherence to asthma guidelines tended to be higher in specialists, both specialists and primary care physicians had low adherence to specific core recommendations.

EHRs Fall Short on Analytics and Interoperability

EHRs Fall Short on Analytics and Interoperability

Many physicians are concerned about using electronic health records, noting that they were designed for a fee-for-service healthcare model and do not capture information needed to report for alternative payment models.

Preventing Health Care Cyberattacks: What You Need to Know

Preventing Health Care Cyberattacks: What You Need to Know

From 2016 to 2017, the health care industry saw a rise in the likelihood of cyberattacks, due to the industry's low preparedness levels and valuable confidential data.

Physician Suicides: A Public Health Crisis

Physician Suicides: A Public Health Crisis

Every year, suicide takes the lives of close to 400 physicians, and takes medical care from as many as 1 million patients.

Prior Authorization for Medication, Procedures a Source of Frustration

Prior Authorization for Medication, Procedures a Source of Frustration

Prior authorizations for medications and diagnostic imaging continue to be a source of frustration for providers.

FDA Approves Technology to Produce MRI Isotope in the United States

FDA Approves Technology to Produce MRI Isotope in the United States

A long-feared shortage of a substance used in millions of medical imaging procedures each year in the United States appears to have been avoided.

Medical Journals Should Require Conflict-of-Interest Disclosures

Medical Journals Should Require Conflict-of-Interest Disclosures

Medical journals should require article authors to include conflict-of-interest statements as a way to enhance transparency.

Palliative Care for COPD: Physicians' Views and Treatment Patterns

Palliative Care for COPD: Physicians' Views and Treatment Patterns

Researchers conducted an anonymous survey of medical trainees with a case vignette to determine attitudes regarding palliative care for chronic obstructive pulmonary disease.

Physician-Hospital Consolidation May Increase With 340B Drug Pricing Program Participation

Physician-Hospital Consolidation May Increase With 340B Drug Pricing Program Participation

Physician-hospital consolidation may increase with 340B drug pricing program participation.

Characteristics Associated With Inappropriate Antibiotic Prescribing

Characteristics Associated With Inappropriate Antibiotic Prescribing

Patient, practice, and provider characteristics are associated with inappropriate antimicrobial prescribing in the outpatient setting.

Influenza Testing Ordered Less Often in Older Hospitalized Adults

Influenza Testing Ordered Less Often in Older Hospitalized Adults

Patients who received provider-ordered influenza testing were more likely to be younger and present with fever and "influenza-like illness."

Influenza Vaccination Rates May Increase With Reminder, Recall Systems

Influenza Vaccination Rates May Increase With Reminder, Recall Systems

Patient reminder and recall systems seem to be effective for improving receipt of immunizations.

Patient and Provider Experiences With Electronic Communication

Patient and Provider Experiences With Electronic Communication

Providers who give patients their e-mail addresses have higher satisfaction, but this does not appear to affect patient satisfaction.

Researchers Publishing "Unfavorable" Results May Face Legal Action From Pharmaceutical Companies

Researchers Publishing "Unfavorable" Results May Face Legal Action From Pharmaceutical Companies

Researchers continue to be the targets of legal action from pharmaceutical, medical device, and nutraceutical companies when their studies frame products in an unfavorable light.

Homeopathic Products Will Undergo New FDA Regulations

Homeopathic Products Will Undergo New FDA Regulations

The FDA announced a new enforcement strategy to regulate drug products labeled as homeopathic.

Practicing Defensive Medicine to Avoid Litigation: How Far Should We Go?

Practicing Defensive Medicine to Avoid Litigation: How Far Should We Go?

Evaluating the pros and cons of defensive medicine, the practice of recommending tests or treatments for the purpose of avoiding or mitigating litigation.

Solving Medical Problems Using Conscious and Unconscious Thinking

Solving Medical Problems Using Conscious and Unconscious Thinking

Evaluating the difference between unconscious and conscious problem solving in medicine.

Wearable Fitness Technology: One Tool Among Many for Better Health

Wearable Fitness Technology: One Tool Among Many for Better Health

Evaluating the benefits of wearable fitness technology.

Computerized Decision Support Systems Aid Clinicians in Initial Diagnoses

Computerized Decision Support Systems Aid Clinicians in Initial Diagnoses

Evaluating the use of computerized decision support systems in medical practice.

Complying With Law Enforcement While Also Protecting Patient Rights

Complying With Law Enforcement While Also Protecting Patient Rights

Healthcare professionals must be well versed in law and institutional policy when complying with law enforcement demands for evidence from patients.

Adult Vaccinations: Improving Public Perception and Awareness

Adult Vaccinations: Improving Public Perception and Awareness

Educational campaigns regarding the value of vaccines should integrate social psychological considerations with health communication principles.

Addressing Healthcare Inequalities in the United States

Addressing Healthcare Inequalities in the United States

Evaluating contributing factors to healthcare inequality in the United States.

Medical Research Set to Comply With New Code of Ethics in 2018

Medical Research Set to Comply With New Code of Ethics in 2018

Clinical trial research is set to comply with a new code of ethics in 2018.

Patient Satisfaction Affected by Clinician Denial of Certain Requests

Patient Satisfaction Affected by Clinician Denial of Certain Requests

Patient satisfaction was reportedly worse when clinicians denied certain requests.

Older Patients Often Experience Hospital Discharge Discrepancies

Older Patients Often Experience Hospital Discharge Discrepancies

Frequent discrepancies between the electronic discharge summaries and the discharge prescriptions were found at a regional hospital in Australia.

Hospital Readmissions May Be Predicted by Reported Post-Discharge Symptoms

Hospital Readmissions May Be Predicted by Reported Post-Discharge Symptoms

Post-discharge symptoms self-reported by frail, elderly adults may predict 30-day hospital readmission visits.

Precision Medicine May Pave the Way for Better Treatment in Asthma, COPD

Precision Medicine May Pave the Way for Better Treatment in Asthma, COPD

At a research seminar held by the European Respiratory Society in February 2017, a group of investigators discussed how precision medicine may improve treatment in asthma and COPD.

US Physician Salaries and Rising Healthcare Costs

US Physician Salaries and Rising Healthcare Costs

Evaluating US physician salaries and their effect on rising healthcare costs.

Physician Value-Based Payment Modifier Program: First Year Results

Physician Value-Based Payment Modifier Program: First Year Results

Almost 30% of eligible practices failed to register and report data in the first year of the Physician Value-Based Payment Modifier program.

Pharmacist Presence in Medical Home Practices May Improve Patient Outcomes

Pharmacist Presence in Medical Home Practices May Improve Patient Outcomes

Integrating clinical pharmacists into primary care medical home practices helps patients achieve better disease management for high blood pressure and diabetes mellitus.

Healthcare Spending Trends in 2016

Healthcare Spending Trends in 2016

Healthcare spending growth slowed in 2016 compared to faster growth in 2014 and 2015.

The Potential Pitfalls of Machine Learning Algorithms in Medicine

The Potential Pitfalls of Machine Learning Algorithms in Medicine

The ability of machine learning programs to diagnose medical conditions and predict outcomes is discussed in an opinion article.

Medical Societies Urge US Congress to Preserve Medicare Part B

Medical Societies Urge US Congress to Preserve Medicare Part B

Eleven medical societies are calling on Congress to preserve patient access to Part B therapies by preventing CMS from penalizing physicians who provide these treatments.

American Heart Association: Healthcare Cuts in Tax Bill Will Have "Devastating Effects"

American Heart Association: Healthcare Cuts in Tax Bill Will Have "Devastating Effects"

The AHA has released their concerns about the Republican tax reform bill.

Searching for Geographically Relevant Healthcare Costs Online

Searching for Geographically Relevant Healthcare Costs Online

17% of websites provide geographically relevant health care price estimates.

Cancer Survival Varies by Type of Health Insurance

Cancer Survival Varies by Type of Health Insurance

Improvements in cancer survival were limited to patients with private insurance, from 1997-2014.

Influenza Vaccination Refusal Leads to Employee Termination

Influenza Vaccination Refusal Leads to Employee Termination

About 50 employees have been fired from Essentia Health, a Duluth, Minnesota-based hospital chain, for refusing to receive the flu vaccination.

Professional, Educational Achievements of Male, Female Physician Spouses

Professional, Educational Achievements of Male, Female Physician Spouses

Spouses of female physicians are typically more educated and work more than spouses of male physicians.

Increased Physician Turnover May Be Associated with Burnout Resulting in High Cost

Increased Physician Turnover May Be Associated with Burnout Resulting in High Cost

Physicians who are experiencing burnout are more than twice as likely to leave their organization within 2 years.

Traits for High-Value Oncology Practices Identified

Traits for High-Value Oncology Practices Identified

Three of 13 attributes identified had the highest potential for reduced spending without compromising care.

Healthcare Providers With Influenza-Like Symptoms Work While Sick

Healthcare Providers With Influenza-Like Symptoms Work While Sick

Interventions to target healthcare professional-associated influenza transmission, intervention may be necessary to prevent transmission.

New Checklist Classifies Useful Clinical Practice Guidelines

New Checklist Classifies Useful Clinical Practice Guidelines

The primary endpoint was to develop a user friendly checklist to identify trustworthy, relevant, and useful practice guidelines.

Improving Influenza Vaccination Rates Via Text Messaging

Improving Influenza Vaccination Rates Via Text Messaging

Text messaging may be an effective way to increase the rate of influenza vaccination.

Asthma Clinical Trials Need to Include Patient-Reported Outcomes

Asthma Clinical Trials Need to Include Patient-Reported Outcomes

More asthma clinical trials will include patient-reported outcomes as they will help guide clinicians' understanding of their patients' disease.

Primary Care Physicians vs Hospitalists: Trends in Readmission, Discharge

Primary Care Physicians vs Hospitalists: Trends in Readmission, Discharge

Patients cared for by own primary care physician have longer length of stay, lower 30-day mortality

Potential Delays in Non-Small Cell Lung Cancer Therapy

Potential Delays in Non-Small Cell Lung Cancer Therapy

Study results stress the importance of a multiethnic support system for patients needing to overcome communication barriers.

Telemedicine Effective for Allergy Management

Telemedicine Effective for Allergy Management

Further research is needed, but the position statement authors support the use of telemedicine as a method of health care delivery.

Physicians Delay Retirement for a Variety of Reasons

Physicians Delay Retirement for a Variety of Reasons

Many physicians report that they would prefer to work part time as part of their ideal retirement plans.

Assessing Electronic Health Records Use Via 6 Categories

Assessing Electronic Health Records Use Via 6 Categories

Researchers have proposed 6 metrics to measure electronic health record use.

AMA Report: Female Physicians Cite Pay Inequality as Top Challenge

AMA Report: Female Physicians Cite Pay Inequality as Top Challenge

An online survey of 500 practicing female physicians indicated pay inequality and contract negotiation were top issues.

High Percentage of Healthcare Personnel Receive Influenza Vaccination

High Percentage of Healthcare Personnel Receive Influenza Vaccination

The majority of healthcare workers receive an influenza vaccination, but more pregnant women should be vaccinated.

Survey Reveals More Than 20% of US Adults Experience Medical Errors

Survey Reveals More Than 20% of US Adults Experience Medical Errors

Of the more than 2500 adults surveyed, 21% reported personally experiencing a medical error.

Theft and Embezzlement Widespread in Medical Practices

Theft and Embezzlement Widespread in Medical Practices

Red flags for embezzlement in medical practices include secretive behavior, sudden displays of wealth, and refusal to take vacations.

The Appeal of Concierge Medicine to Physicians and Patients

The Appeal of Concierge Medicine to Physicians and Patients

Concierge medicine provides patients with medical care services that is not covered by their health insurance.

Debating the Role of Medical Scribes in Clinical Practice

Debating the Role of Medical Scribes in Clinical Practice

Medical scribes have been viewed as effective in improving a variety factors in the clinical setting; however, some healthcare professionals have concerns about their role.

Case Report: Hypoxia Following Chronic Self-Dosing of Apricot Kernel Extract

Case Report: Hypoxia Following Chronic Self-Dosing of Apricot Kernel Extract

Self-prescribed apricot kernel extract was administered daily for 5 years by the patient.

Clinical Trial Eligibility Criteria: Barriers for People With Lung Cancer

Clinical Trial Eligibility Criteria: Barriers for People With Lung Cancer

A retrospective study of lung cancer clinical trials found that trials continue to increase their eligibility criteria, creating barriers to patient access.

An Ounce of Prevention: Protecting Vulnerable Healthcare Data

An Ounce of Prevention: Protecting Vulnerable Healthcare Data

Considered low-hanging fruit by hackers, the health care sector is particularly vulnerable to attack.

Transesophageal Echocardiography Training for Critical Care Fellows

Transesophageal Echocardiography Training for Critical Care Fellows

Transesophageal echocardiography can be used safely and effectively by critical care fellows to assess and manage cardiopulmonary failure when transthoracic echocardiography fails to provide adequate views.

Quality of FDA Device Approval Studies Examined

Quality of FDA Device Approval Studies Examined

Approving high-risk medical device modifications and granting accelerated drug approval requires high-quality evidence.

Respiratory Therapist Autonomy With Noninvasive Ventilation May Improve COPD Outcomes

Respiratory Therapist Autonomy With Noninvasive Ventilation May Improve COPD Outcomes

Timely selection and early intervention, attention to comfort, and frequent checks improved outcomes in patients with chronic obstructive pulmonary disease who were treated with noninvasive ventilation.

Specialist Access Among Medicaid Managed Care Enrollees: Do Access Standards Help?

Specialist Access Among Medicaid Managed Care Enrollees: Do Access Standards Help?

The adoption of access standards does not improve access to specialist care among patients participating in Medicaid manage care.

Reduced Hospital Readmissions and Mortality Rates: How Are They Linked?

Reduced Hospital Readmissions and Mortality Rates: How Are They Linked?

Researchers analyzed data from hospitalized Medicare patients with acute MI, heart failure, or pneumonia between 2008 and 2014.

Reducing Clinician Burnout Via Patient-Centered Communication Methods

Reducing Clinician Burnout Via Patient-Centered Communication Methods

A recent AMA report highlighted the efficacy of the ICARE method for reducing clinician burnout.

Uninsured Rates Continue to Rise Among Young Adults in US

Uninsured Rates Continue to Rise Among Young Adults in US

About 20 million people gained coverage under the Affordable Care Act.

Adopting an Active Medical Device Saftey Surveillence System in the US

Adopting an Active Medical Device Saftey Surveillence System in the US

Medical devices such as thermometers and pacemakers are regulated differently than pharmaceuticals in the US.

How Important Is It To Report Negative Data from Clinical Trials?

How Important Is It To Report Negative Data from Clinical Trials?

Pharmaceutical research has made vast improvements in genetic studies and patient-targeted therapies.

Does Physician Age Impact Patient Mortality?

Does Physician Age Impact Patient Mortality?

Reseachers analyzed hospitalized patients between 2011 and 2014.

Call for New Infection Diagnosis Criteria in Emergency Department

Call for New Infection Diagnosis Criteria in Emergency Department

Infections, including lower respiratory infections, are often over- or underdiagnosed in older adults in emergency departments.

Is There A Correlation Between Menopausal Status and Accelaration of Decline in Lung Function?

Is There A Correlation Between Menopausal Status and Accelaration of Decline in Lung Function?

Serum samples, spirometry, and questionnaire data were used to assess the relationship between respiratory function and reproductive health.

Q&A: Informed Consent in Medical Research

Q&A: Informed Consent in Medical Research

Informed consent is known to obe ethically essential in most medical research, despite it being a new concept for the US.

How Common Are Conflicts of Interest in Patient Advocacy Groups?

How Common Are Conflicts of Interest in Patient Advocacy Groups?

Susannah L. Rose, PhD discusses her thoughts of industry funded patient advocacy organizations and what clinicians should keep in mind when interpreting results of research.

Improving Care for Medicaid Patients Under the ACA

Improving Care for Medicaid Patients Under the ACA

Medicaid expansion under the American Care Act decreased uninsurance rates but patient care lacks improvement on coverage.

Do Bundled Payments Cut COPD Readmissions?

Do Bundled Payments Cut COPD Readmissions?

No difference was noted in all-cause readmission rates in the intervention vs non-intervention groups.

Concerns Surround Cost of High-Risk Pools in US Health Care

Concerns Surround Cost of High-Risk Pools in US Health Care

Legislation proposed as part of the AHCA is not likely to lead to reduced health care costs.

Fighting Against the Supression of Science and 'False Claims'

Fighting Against the Supression of Science and 'False Claims'

"Forced to choose between recognizing what is known to science and maintaining our group identity, most of us choose the latter."

Pressure to Achieve Causing Undue Stress Among Medical Students

Pressure to Achieve Causing Undue Stress Among Medical Students

Such measures will be unsuccessful in improving students' mental health if how performance and achievement are measured at the school is not also changed.

Why I Have a Problem With Preoperative "Clearance"

Why I Have a Problem With Preoperative "Clearance"

The term clearance implies that a patient can proceed with surgery and will have no risk for complications — which is a fictional state.

Potential Conflicts of Interest Between Medical Organizations and Industry

Potential Conflicts of Interest Between Medical Organizations and Industry

Approximately 83% of patient-advocacy organizations reported that they received financial support from drug, device, and technology companies.

Evidence-Based Resident Work Hour Changes Supported by Policy Experts

Evidence-Based Resident Work Hour Changes Supported by Policy Experts

"The recent ACGME rules are based on stronger evidence that ought to inform policy of such reach."

Curbside Consults Lead to Questions of Legality

Curbside Consults Lead to Questions of Legality

The answer to the question regarding legal responsibility seems to revolve around the issue of whether or not a physician-patient relationship exists.

Trump Administration Threatens Current Vaccination System

Trump Administration Threatens Current Vaccination System

"It is foreseeable that in the coming weeks, challenges to our vaccination system will come from three directions at once."

Q&A: A Discussion of Sexism in Medicine

Q&A: A Discussion of Sexism in Medicine

Personal opinion and examples of sexism experienced by Elise Barney, DO

Medical Malpractice Reform: Is Now the Right Time?

Medical Malpractice Reform: Is Now the Right Time?

Medical malpractice reform should focus on cost, access, and imprecision of the system, according to experts.

Medical Product Marketing Language Guidance From FDA

Medical Product Marketing Language Guidance From FDA

In the guidance documents, the FDA advised against using any marketing language that may be "misleading" or has potential to cause patient harm.

Is Smoking Cessation Therapy Coverage Affected by Medicaid Policies?

Is Smoking Cessation Therapy Coverage Affected by Medicaid Policies?

Policies requiring patients to attend counseling in before receiving smoking cessation medications negatively affect use of these medications.

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