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So what can we do about health care costs?
By MATTHEW HOLT Last week Jeff Goldsmith wrote a great article in part explaining why health care costs in the US went up so much between 1965 and 2010. He also pointed out that health care has been the same portion of GDP for more than a decade (although we haven’t had a major recession in that time other than the Covid 2020 blip when it went up to 19%). However, it’s worth remembering that we are spending 17.3% of GDP while the other main OECD countries are spending 11-12%. Now it’s true that the US has lots of social problems that show up in heath spending and also that those other countries probably spend ...
Source: The Health Care Blog - February 20, 2024 Category: Consumer Health News Authors: matthew holt Tags: Health Policy Matthew Holt Buzz Cooper Datmouth health spending Jeff Goldsmith John Wennberg Medicare Price controls Source Type: blogs

Beyond Ozempic: Why one size doesn ’t fit all in weight loss
I grew up in Birmingham, Alabama, which is generally associated with a diet of all fried food. Prior to medical school, I thought many adults around me would eventually succumb to a diagnosis of hypertension and diabetes since they didn’t appear to think either was a big deal. However, my medical education quickly revealed that Read more… Beyond Ozempic: Why one size doesn’t fit all in weight loss originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - February 19, 2024 Category: General Medicine Authors: Tags: Conditions Obesity Source Type: blogs

The difficult balance between evidence-based healthcare … and person-centred self-management
For decades I’ve been an advocate for evidence-based healthcare because the alternative is ’eminence-based healthcare’ (for healthcare, read ‘medicine’ in the original!). Eminence-based healthcare is based on opinion and leverages power based on a hierarchy from within biomedicine (read this for more!). EBHC appealed because in clinical practice I heard the stories of people living with chronic pain who had experienced treatment after treatment of often invasive and typically unhelpful therapies, and EBHC offered a sifting mechanism to filter out the useless from the useful. Where has EBHC...
Source: HealthSkills Weblog - February 18, 2024 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Chronic pain Clinical reasoning Coping strategies Pain conditions Professional topics Research Science in practice pain management Therapeutic approaches Source Type: blogs

Fight Aging! Newsletter, February 19th 2024
This study aimed to explore the metabolic mechanisms and potential biomarkers associated with declining HGS among older adults. We recruited 15 age- and environment-matched inpatients (age, 77-90 years) with low or normal HGS. Liquid chromatography-mass spectrometry (LC-MS) and 16S ribosomal DNA (rDNA) gene sequencing were performed to analyze the metabolome of serum and stool samples and the gut microbiome composition of stool samples. Spearman's correlation analysis was used to identify the potential serum and fecal metabolites associated with HGS. We assessed the levels of serum and fecal metabolites belonging to...
Source: Fight Aging! - February 18, 2024 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs

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https://fb.watch/qeEcQRDcMn/Pardon typos and spelling errors-sent from iPhone***************************************** Kevin S. McGrew, PhD Educational& School Psychologist Director Institute for Applied Psychometrics (IAP)https://www.themindhub.com ****************************************** (Source: Intelligent Insights on Intelligence Theories and Tests (aka IQ's Corner))
Source: Intelligent Insights on Intelligence Theories and Tests (aka IQ's Corner) - February 16, 2024 Category: Neuroscience Source Type: blogs

Concerning Health IT Trends: What Can We Do and What Happens if We Do Nothing?
There are so many exciting new ideas and technologies being implemented in the field of healthcare. For the most part, these changes can be the very necessary answer to a problem we’ve been facing for a long time. But sometimes, these changes can be concerning. While everyone seems to be excited about it, you might be left with questions and concerns about what its impact will be. These worries and concerns can be very isolating when the topic is trending with seemingly everyone else being excited for it. But you are not alone with your doubts – so let’s unburden ourselves and air out these concerns. What...
Source: EMR and HIPAA - February 15, 2024 Category: Information Technology Authors: Grayson Miller Tags: AI/Machine Learning C-Suite Leadership Health IT Company Healthcare IT Hospital - Health System AVIA Health Brent Dover Calian IT & Cyber Solutions Carenet Health Carta Healthcare Caryn Hewitt CenTrak Christopher Rogers Dave Benn Source Type: blogs

Best books on brain health and cognitive fitness according to ChatSpot and ChatGPT
Out of curiosity we queried a couple popular AI chatbots, ChatSpot and ChatGPT free versions, about the best books in a couple of key topics we discuss a lot in this blog. Here are the fascinating results, and some brief commentary at the end. (Links open corresponding Amazon book pages.) Best books on brain health, per ChatSpot: There are several great books on brain health that provide valuable insights and practical tips. Here are some highly recommended ones: 1. “The Brain That Changes Itself” by Norman Doidge: This book explores the concept of neuroplasticity and how the brain can rewire itself to overcome various...
Source: SharpBrains - February 14, 2024 Category: Neuroscience Authors: SharpBrains Tags: Books Education & Lifelong Learning brain-books Brain-Fitness brain-health-books ChatGPT ChatSpot cognitive-fitness cognitive-health-books neuroplasticity Source Type: blogs

Allostatic Load as a Correlate of Aging
Allostatic load is the concept of wear and tear on the body that emerges from stresses via overactivation of the neuroendocrine system. Causative stresses can range from starvation to psychological stress to a high burden of age-related dysfunction. At some point reactions to stress that are compensatory tip over into being themselves damaging. Thus one could expect allostatic load to correlate with degenerative aging and risk of mortality to at least some degree. In practice, however, there is little agreement on how to measure allostatic load, particularly in human patients, which makes it hard to compare results from st...
Source: Fight Aging! - February 14, 2024 Category: Research Authors: Reason Tags: Daily News Source Type: blogs

Let ’ s Think of Patient-Centered Care, Not Value-Based Care
This article explores some fundamental changes that could accompany this shift in terminology, revolutionizing how we handle data and patient interventions. Engagement For Life We know that maintaining health is an endeavor that takes years, even decades. A successful endeavor must survive the departure of clinicians who have built relationships with the patient, as well as the patient’s own geographic moves, changes of provider, and changes of insurance. Treatment recommendations should also be tailored to the psychology of each patient. Is there a message in this exhortation for people working with data and healt...
Source: EMR and HIPAA - February 13, 2024 Category: Information Technology Authors: Andy Oram Tags: Analytics/Big Data C-Suite Leadership Communication and Patient Experience Health IT Company Healthcare IT Hospital - Health System Interoperability Chronic Care Management Patient Centered Care Patients Society for Participatory Medic Source Type: blogs

Circling back to supported self-management
I’ve been writing a bit about supported self-management over the last few months. Partly because it’s topical given that medications and exercise offer very small reductions in pain and disability, and people do have lives outside of swallowing a pill and doing 3×10 reps! And partly because it is what we end up doing. It is the bulk of what people living with pain use to have lives. Self-management refers to a broad range of strategies people with pain use in their daily lives to help them live well. I’m aware of the multiple definitions that exist for self-management, and that the level of agreem...
Source: HealthSkills Weblog - February 11, 2024 Category: Anesthesiology Authors: BronnieLennoxThompson Tags: Chronic pain Coping strategies Pain conditions Professional topics Research Science in practice biopsychosocial Health self-management Source Type: blogs

Fight Aging! Newsletter, February 12th 2024
In conclusion, frailty is a dynamic process, and improved frailty and remaining robust are significantly associated with lower risk of all-cause mortality and cardiovascular death in older people. « Back to Top Greater Individual Wealth Correlates with Longer Life Expectancy https://www.fightaging.org/archives/2024/02/greater-individual-wealth-correlates-with-longer-life-expectancy/ Individual wealth correlates with life expectancy, with an effect size that is in the same ballpark as those related to lifestyle choices involving exercise, diet, and consequences thereof. It remains unclear...
Source: Fight Aging! - February 11, 2024 Category: Research Authors: Reason Tags: Newsletters Source Type: blogs

How doctors can have successful crucial conversations
One thing that all those years of education, medical training, and textbook studying can never quite fully prepare us for as physicians is crucial conversations with our patients. There’s an element to mastering these conversations that comes with being an attending physician, bearing sole provider responsibility, and having them ourselves. They may start off clunky Read more… How doctors can have successful crucial conversations originally appeared in KevinMD.com. (Source: Kevin, M.D. - Medical Weblog)
Source: Kevin, M.D. - Medical Weblog - February 10, 2024 Category: General Medicine Authors:
The following is a guest article by Dr. Musheer Ahmed, Founder and CEO at Codoxo New Generative AI Use Cases are Emerging, Including to Transform Healthcare Payments, it’s up to the Industry to Embrace Adoption for Next-Level Cost Containment Outcomes The healthcare system in America is confronted with significant challenges, including a steep rise in healthcare expenditures. In 2023, healthcare costs are projected to surge by almost 6%. A vast majority of healthcare workers are reporting job burnout. While these and other obstacles may seem insurmountable, we are already seeing how advancements in technology — partic...
Source: EMR and HIPAA - February 9, 2024 Category: Information Technology Authors: Guest Author Tags: Administration AI/Machine Learning Ambulatory Health IT Company Healthcare IT Hospital - Health System Revenue Cycle Management Codoxo Dr. Musheer Ahmed Generative AI Healthcare ChatGPT Healthcare Costs Healthcare Generative AI P Source Type: blogs

Occupational therapy education: How to navigate in a Perfect Storm
Please click on and read all of the links - they include critical information that is required for this analysis.  A little over four years ago I stated thatthere are too many occupational therapy educational programs in New York State.  At the NYSOTA conference legislative information session in 2023 I stood up and suggested that we should all stop taking jobs at these institutions that were seeking to develop new programs.  I thought that if we did not take those jobs that the problem would be solved. That was neither realistic or correct, even if the intention was good.Well karma tends to strike...
Source: ABC Therapeutics Occupational Therapy Weblog - February 8, 2024 Category: Occupational Health Tags: OT Education Source Type: blogs