Another affirms how important it is that everyone pay more money for worse health insurance - except people who actually have diseases. A new paper says many survivors of adolescent and young adult cancers avoid routine medical care because it's too expensive, despite the fact that they have health insurance. The results in CANCER indicate that expanding insurance coverage for young cancer survivors may be insufficient to safeguard their long-term health without efforts to reduce their medical cost burdens.
Culture
Researchers describe the development and validation of an instrument to measure continuity of care from the patient's perspective.
The measure, they conclude, reliably captures nine dimensions of continuity experienced by patients when they encounter multiple caregivers in various places.
Drawing from interviews with 23 recent stroke victims, researchers explore common disease trajectories, or longitudinal patterns of psychological distress and recovery, in the 12 months following stroke.
They identify four distinct trajectories — resilience, ongoing mood disturbance, emergent mood disturbance and recovery from mood disturbance.
Recovery from mood disturbance, they note, was facilitated by gains in independence and self-esteem and by having an internal health locus of control.
Direct mailing of fecal occult blood test (FOBT) kits to patients eligible for colorectal cancer screening appears to be efficacious for improving screening in historically underserved (government codespeak for 'poor') communities.
Patients in New York, a state where patients must actively consent to having their data accessed through health information exchange, are generally supportive of the electronic sharing of health information and are willing to have their health information automatically stored in an HIE; however, they want to have control over the privacy and security of that information.
The telephone survey of 170 residents found more than two-thirds of people surveyed were willing to have their health information automatically stored in an HIE.
A systematic review of the growing body of evidence regarding the United Kingdom's Quality and Outcomes Framework, the most comprehensive national primary care pay-for-performance scheme in the world, finds modest improvements in quality of care since its introduction in 2004.
The review, which included 94 studies, found the QOF was associated with an increased rate of improvement of quality of care for incentivized conditions during the first year of implementation, returning to preintervention rates of improvement in subsequent years.
Chronic illness diagnoses have shot up to 45 percent of the U.S. population and 40 percent of people older than 60 are now taking five or more medications.
Researchers have raised questions about the nature of the relationship between the expanding definition of chronic illness and the explosion in pharmaceutical use in the United States.
While patient studies show that cancer survivors don't even want to use a primary care physician for anything more elaborate than shining a light in their ear, service surveys show that doctors are already trying to see too many patients - a problem that will only get worse when the Afforadable Care Act mandates go into force.
Patients want the best treatment at the lowest cost; if they are not paying for it, because either insurance or the government is, every patient wants the best doctor in the world. For cancer survivors, that includes seeing a specialist even if they may not need it.
Nearly one-third of office visits for cancer are handled by primary care physicians, yet this study finds cancer survivors have concerns about seeing their primary care physician for cancer-related follow-up care.
As an election with the Affordable Care Act at its core draws near, a new analysis will be cause for concern to doctors: patients who have access to a regular source of health care that offers evening and weekend hours have significantly lower health expenditures than those who do not.
That means doctors could be forced to work a lot more weekends and evenings.
September 21, 2012 – (BRONX, NY) – The promise of adult stem cells, iPS and even hESC seems limitless. Adult and iPS can already be coaxed into rebuilding organs, repairing damaged spinal cords and restoring ravaged immune systems, and these malleable cells could revolutionize medical treatment. But stem cell research is still in its relative infancy as scientists seek to better understand the role of these cells in normal human development and disease.
A novel blood thinner recently approved by the FDA, dabigatran (Pradaxa), has been rapidly adopted into clinical practice, yet thus far has had little impact on improving treatment rates for atrial fibrillation. This is according to a new study led by researchers from the Johns Hopkins Bloomberg School of Public Health that examined national trends in oral anticoagulant use. They found that despite rapid adoption of dabigatran for the treatment of atrial fibrillation, a large proportion of patients–two in five–did not receive oral anticoagulant therapy.
Three political essays by one of the greatest British statesmen of the last 250 years have been discovered by a historian at Queen Mary, University of London.
The new finds constitute the earliest political writings by Edmund Burke (1729-97), dating from around 1757, when he was 27-years-old, a period often described as the 'missing years' of his biography.
Professor Richard Bourke, from the School of History at Queen Mary, came across the early essays among a series of notebooks belonging to William Burke, a close friend and distant relation of parliamentarian, Edmund.
Researchers from Mount Sinai School of Medicine have identified reliable predictors of pain by surveying patients throughout their hospital stays about the severity of their pain and their levels of satisfaction with how their pain was managed by hospital staff.
New research published in Psychological Science claims intriguing insights into some of the factors that influence how we make moral judgments.
>Reappraising Our Emotions Allows Cooler Heads to Prevail
We might like to think that our judgments are always well thought-out, but research suggests that our moral judgments are often based on intuition.
Our emotions seem to drive our intuitions, giving us the gut feeling that something is 'right' or 'wrong.' In some cases, however, we seem to be able to override these initial reactions.