Practice Management

Regulatory Requirements Drive Dissatisfaction With EHRs

Regulatory Requirements Drive Dissatisfaction With EHRs

Regulatory requirements are likely to be an important aspect of physician dissatisfaction with electronic health records that is driving burnout.

White House Unveils Plan to Lower Cost of Prescription Drugs

White House Unveils Plan to Lower Cost of Prescription Drugs

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FDA Commissioner, Scott Gottlieb MD, said, "The FDA shares the goal of ensuring that American patients have access to quality and affordable care that meets their needs."

Study IDs Unintended Consequence of Prescription Drug Monitoring Programs

Study IDs Unintended Consequence of Prescription Drug Monitoring Programs

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All of these studies, however, had methodological shortcomings (ie, inadequate adjustment for time-invariant; time-varying confounding factors; no adjustment for competing laws/policies that may have affected overdoses).

What a Building Contractor Taught Me About Informed Consent

What a Building Contractor Taught Me About Informed Consent

Identifying a patient's preferences and goals leads to a care plan that can reflect those goals, and this may improve patient satisfaction.

Patients Prefer Doctors Who Engage in Face-to-Face Visits

Patients Prefer Doctors Who Engage in Face-to-Face Visits

Patients' perceptions of physicians' compassion were assessed after watching two standardized scripted-video vignettes of physicians.

ACP: Shifting Focus to Social Determinants of Health Can Improve Patient Care

ACP: Shifting Focus to Social Determinants of Health Can Improve Patient Care

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The ACP is focusing its efforts on improving health outcomes through the assessment of patients' social determinants of health.

April 28 Is Drug Take Back Day

April 28 Is Drug Take Back Day

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April 28, 2018 is National Prescription Drug Take Back Day.

ACP: Position Paper Recommends Solutions to Close Gender Equity Gap

ACP: Position Paper Recommends Solutions to Close Gender Equity Gap

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While overall gender diversity has improved in the healthcare profession, female physicians are still paid significantly less than their male counterparts.

Most Doctors' Offices Do Not Offer Flexibility for Uninsured

Most Doctors' Offices Do Not Offer Flexibility for Uninsured

Federally qualified health centers provided the highest rates of primary care appointment availability and discounts for uninsured low-income patients.

Recommendations Developed on Gender Equity in Medicine

Recommendations Developed on Gender Equity in Medicine

The American College of Physicians published recommendations aimed at addressing gender equity in physician compensation and career advancement opportunities.

Drug Copayments Often Cost More Than Prescription Drugs

Drug Copayments Often Cost More Than Prescription Drugs

Researchers examined the frequency of overpayments by comparing copayments with the national average reimbursements received by pharmacies for the same prescription for commercially insured patients.

Telemedicine Expands Access to Rural, Low-Income, Isolated Communities

Telemedicine Expands Access to Rural, Low-Income, Isolated Communities

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Innovations in digital health and medicine applications are contributing to expanding medical care, particularly among individuals in rural, low-income, or isolated environments.

Improving Evidence-Based Clinical Decision Making

Improving Evidence-Based Clinical Decision Making

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Academic detailing is an approach to help minimize "irrational" clinical decision making and involves educational outreach professionals who meet with physicians to discuss specific medication use scenarios.

AMA Develops Module to Address Medication Nonadherence

AMA Develops Module to Address Medication Nonadherence

Understanding nonadherence in patients and encouraging a change in attitude toward patients and their medication can improve medication adherence.

Early Trial Results Often Report Exaggerated Treatment Effects

Early Trial Results Often Report Exaggerated Treatment Effects

Trials to evaluate drugs or devices used to treat chronic medical conditions that are published early in the chain of evidence often show an exaggerated treatment effect compared with subsequent trials.

Percentage of Uninsured Americans Unchanged From 2016 to 2017

Percentage of Uninsured Americans Unchanged From 2016 to 2017

Report provides updated health insurance estimates from selected states using 2017 National Health Interview Survey data.

Expert Reflects on the Crisis of Physician Suicides

Expert Reflects on the Crisis of Physician Suicides

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

Prior Authorizations Are Creating a Challenge for Clinicians

Prior Authorizations Are Creating a Challenge for Clinicians

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One physician shares his experience in dealing with the challenge of prior authorizations for medications and diagnostic imaging, which he calls "a thorn in the side of the practice of medicine."

Patients Report Major Concerns With Physicians

Patients Report Major Concerns With Physicians

The Physicians Foundation commissioned a survey of health care consumers to examine attitudes on the physician-patient relationship, the cost of health care, social determinants, and lifestyle issues.

Rising Health Care Costs to Blame for Increased Spending

Rising Health Care Costs to Blame for Increased Spending

From 2012 to 2016, cumulative spending growth was 15% and was primarily due to price increases, especially for administered drugs, emergency room visits, and surgical hospital admissions.

Effects of Medicaid Expansion on Coverage, Out-of-Pocket Expenses

Effects of Medicaid Expansion on Coverage, Out-of-Pocket Expenses

States that expanded Medicaid cut the probability of non-elderly near-poor adults being uninsured and lowered average out-of-pocket spending.

Physicians Prefer Communication With Patients via Email

Physicians Prefer Communication With Patients via Email

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

New Nutrition Science Course Available for Physicians From AMA

New Nutrition Science Course Available for Physicians From AMA

The American Medical Association is offering a 3-hour online nutrition course for physicians to help patients make the nutritional changes they need to prevent and help treat heart disease, diabetes, and high blood pressure.

Do Computerized Decision Support Systems Have a Place in Medicine?

Do Computerized Decision Support Systems Have a Place in Medicine?

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Decision support systems in clinical settings can dramatically decrease the time and manpower needed to perform a variety of tasks, but do they cause more harm than good?

Limitations of Machine Learning Algorithms in Medicine

Limitations of Machine Learning Algorithms in Medicine

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Evaluating the pros and cons of medical machine learning algorithms in medicine.

Advisors to Senator Bernie Sanders Weigh in on Healthcare Inequalities in the United States

Advisors to Senator Bernie Sanders Weigh in on Healthcare Inequalities in the United States

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Several factors contribute to healthcare inequalities in the United States. David Himmelstein, MD, from the City University of New York School of Urban Public Health at Hunter College, weighs in on the issue.

Changes to the Common Rule and Modern Clinical Research

Changes to the Common Rule and Modern Clinical Research

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The 2017 revisions to the Common Rule deal largely with improving the transparency and clarity of intended uses under the current standard of informed consent while introducing a new concept of "broad consent" that can significantly expand the reach of research that continues to yield new and important information.

Statistical vs Clinical Significance: Examining the Streetlight Effect in Medical Research

Statistical vs Clinical Significance: Examining the Streetlight Effect in Medical Research

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Evidence of the streetlight effect can be found across several fields, where investigators draw conclusions from analysis of irrelevant or most readily available data.

Call Upon Congress to Prevent Merit-Based Incentive Payment Systems to Part B Therapies

Call Upon Congress to Prevent Merit-Based Incentive Payment Systems to Part B Therapies

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The current Part B drug payment structure already makes it difficult for some providers, particularly those in small practices or working in rural settings, to procure and administer expensive Part B drugs

Wide Variation Noted in Total, Partial Thyroidectomy Rates by US Region

Wide Variation Noted in Total, Partial Thyroidectomy Rates by US Region

A 6.2-fold variation in thyroidectomy rates was noted throughout the US.

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