What is prediabetes and why does it matter?
When I’m seeing a new patient, I am especially alert to certain pieces of their history. Do they have a strong family history of diabetes? Are they of Latino, Asian, Native-American, or African-American ethnicity? Did they have diabetes in pregnancy? Are they overweight or obese? Do they have polycystic ovarian syndrome (PCOS)?
Why do I care about these things? Because they may be clues that the patient is at risk for developing adult-onset (type 2) diabetes, and that can lead to multiple major medical problems.
Many people have heard of type 2 diabetes, a disease where the body loses its ability to manage sugar levels. ...
Source: Harvard Health Blog - January 25, 2017 Category: Consumer Health News Authors: Monique Tello, MD, MPH Tags: Diabetes Diet and Weight Loss Exercise and Fitness Healthy Aging Prevention Source Type: blogs
If your baby is crying, what do you do? Stick pins in it
Jump to follow-up
This piece is almost identical with today’s Spectator Health article.
This week there has been enormously wide coverage in the press for one of the worst papers on acupuncture that I’ve come across. As so often, the paper showed the opposite of what its title and press release, claimed. For another stunning example of this sleight of hand, try Acupuncturists show that acupuncture doesn’t work, but conclude the opposite: journal fails, published in the British Journal of General Practice).
Presumably the wide coverage was a result of the hyped-up press release issued by the journal, BMJ Acu...
Source: DC's goodscience - January 20, 2017 Category: Science Authors: David Colquhoun Tags: acupuncture Bad journalism badscience Bait and switch BMJ BMJ Group CAM Dangerous advice evidence false discovery rate honesty Michael Cummings Quackery statistics TCM alternative medicine false positives George Lewith Source Type: blogs
If your baby is crying, what do you do? Stick pins in it
Jump to follow-up
This piece is almost identical with today’s Spectator Health article.
This week there has been enormously wide coverage in the press for one of the worst papers on acupuncture that I’ve come across. As so often, the paper showed the opposite of what its title and press release, claimed. For another stunning example of this sleight of hand, try Acupuncturists show that acupuncture doesn’t work, but conclude the opposite: journal fails, published in the British Journal of General Practice).
Presumably the wide coverage was a result of the hyped-up press release issued by the journal, BMJ Acu...
Source: DC's goodscience - January 20, 2017 Category: Science Authors: David Colquhoun Tags: acupuncture Bad journalism badscience Bait and switch BMJ BMJ Group CAM Dangerous advice evidence false discovery rate honesty Michael Cummings Quackery statistics TCM alternative medicine false positives George Lewith Source Type: blogs
Benefits of delegated commissioning: case studies
NHS England - Delegated commissioning is the level of co-commissioning that assumes the greatest level of responsibility for commissioning GP services. CCGs that apply for delegated commissioning take on full responsibility for general practice commissioning. This series of case studies show how five CCGs are using delegated commissioning to improve care for local people. Case studies (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - January 19, 2017 Category: UK Health Authors: The King ' s Fund Information & Knowledge Service Tags: Commissioning Source Type: blogs
Improving patient access to general practice
This report concludes that the Department of Health and NHS England have a high-level vision for improving patient access to general practice and have increased the funding available, but are seeking to extend access despite failing to provide consistent value for money from existing services.ReportSummary reportNational Audit Office - press release (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - January 10, 2017 Category: UK Health Authors: The King ' s Fund Information & Knowledge Service Tags: NHS finances and productivity Patient involvement, experience and feedback Source Type: blogs
Remind Me Please Of The Evidence That The myHR Is Fit For Purpose For Complex Patient Care Management.
Dr Edwin Kruys has kindly provided a table from the DoH covering the requirements for the Health Care Home Trials Here is the link to his blog and some good commentary on the general care home issue:https://doctorsbag.net/2016/12/11/health-care-homes-not-yet-where-the-heart-is/In a nutshell these trials aim to test using a capitation payment approach where a GP or practice undertakes to provide holistic care to patients with chronic disease. Here is the link to the Government release:http://health.gov.au/internet/main/publishing.nsf/Content/health-care-homesPractices have to apply to be part of the trials (applications now...
Source: Australian Health Information Technology - December 12, 2016 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs
Moving Outpatient Care into the Community
A prominent feature of NHS England policy, “ moving care into the community ” means that care traditionally provided in hospitals is moved into primary care, such as general practice. This can benefit patients, but it is also important to look at the costs. (Source: The RAND Blog)
Source: The RAND Blog - December 7, 2016 Category: Health Management Authors: RAND Corporation Source Type: blogs
The Signals As To Just Where The myHR Is Up To Are A Bit Confusing At Present. I Wonder What Is Really Going On?
A few days I noticed this from the AMA:Maximising My Health Record.22 Nov 2016There is no doubt the evolution of the shared electronic medical record, or the My Health Record as it is now known, has been a costly exercise, with more than $1 billion spent to date. Many observers would argue that is a lot of buck for little or no bang.Certainly, the My Health Record is not yet perfect. But a recent demonstration of its use to the AMA Council of General Practice (AMACGP) was promising, and GPs who had previously dismissed it might consider taking a second look.We all want the My Health Record to work. It has the potential to ...
Source: Australian Health Information Technology - November 26, 2016 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs
The Amazing Future of Dentistry and Oral Health
Amazing new technologies such as virtual or augmented reality, 3D-printing or CRISPR will revolutionize dentistry and our whole attitude towards oral health in the future. Let’s look at the top 8 digital technologies.
One of the most common childhood nightmares is going to the dentist. Who would not understand it? You have to sit in a huge chair illuminated by all-seeing light. You have to endure that someone looks inside and pokes around in your mouth using edgy and frightening devices. And finally, when the torture is over, that same someone tells you not to eat your favorite sweets and brush your teeth regularly. Grr....
Source: The Medical Futurist - November 24, 2016 Category: Information Technology Authors: nora Tags: Future of Medicine 3d printing augmented reality CRISPR dentistry digital GC1 genomics Healthcare oral health technology virtual reality Source Type: blogs
By choice - not by chance: supporting medical students towards future careers in general practice
This report, commissioned in partnership with the Medical Schools Council, investigates how general practice is taught in medical schools and makes recommendations for HEE and other key partners. It emphasises the need to tackle long held views about general practice which is often perceived as a less valued career and that change is key to making sure that the future GP workforce is assured. ReportHEE publications (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - November 8, 2016 Category: UK Health Authors: The King ' s Fund Information & Knowledge Service Tags: Developments in primary and community care Workforce and employment Source Type: blogs
General practitioner recruitment and retention: an evidence synthesis
This report presents an evidence synthesis on GP revruitment, retention and re-employment. It finds that overall the published evidence focuses primarily on attracting GPs to rural areas however the literature does provide some useful insights to factors that may support the development of specific strategies for the recruitment and retention of GPs. The report suggests that medical students should be exposed to successful GP role models and general practice and that supporting intrinsic motivational factors and career determinants can influence recruitment.ReportPRUComm publications (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - November 3, 2016 Category: UK Health Authors: The King ' s Fund Information & Knowledge Service Tags: Workforce and employment Source Type: blogs
Responding to the needs of patients with multimorbidity: a vision for general practice
This report reviews how effectively the current health system serves patients living with multiple long-term conditions and explores the experiences of these patients. It highlights the barriers that prevent the quality of their care improving such as lack of time and resources for GPs and provides recommendations to overcome these barriers. The report also recommends improving communication between primary and secondary care; increasing exposure of delivering care for those with multimorbidity in GP training; and developing improved decision making tools.ReportPress release (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - November 3, 2016 Category: UK Health Authors: The King ' s Fund Information & Knowledge Service Tags: Developments in primary and community care Source Type: blogs
Here Is A Call For Progress In A Domain The ADHA Should Put At The Top Of Their List.
This appeared during the last week:RACGP calls time on faxes and letters22 September 2016 THE RACGP is calling time on the era of the fax machine and the letter, officially telling the government and other health services to catch up and integrate with the electronic communication systems of general practices.The shift should happen within three years, the college says in a new position statement, citing cases where a lack of timely communication between general practice and other health services have put patient safety at risk.In one well-known case, a South Australian coroner found that a specialist's "archaic" practice ...
Source: Australian Health Information Technology - September 26, 2016 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs
It Is My View The Labor Party I Being Way Too Ideological and Impractical On Major Health System Initiatives.
Last week the Labor Party said they would oppose the Legislation authorising the new planned national screening register.Telstra's $178m cancer register deal under attackBy Allie Coyne on Sep 15, 2016 3:01PM Labor, Greens want operation in government hands.Labor and the Greens are fighting the government's $178 million plan to outsource its new national cancer screening register to Telstra, arguing the sensitive data should not reside with a private company.Telstra won the five-year contract for implementation and maintenance of the system, which will record the cancer screening results of 11 million patients, in May....
Source: Australian Health Information Technology - September 19, 2016 Category: Information Technology Authors: Dr David More MB PhD FACHI Source Type: blogs
What Makes Up High-Quality Primary Palliative Care in Oncology?
by Ross AlbertI ' m surprised that I ’m not hearing more about the recent ‘Guidance Statement ’ put out by the collaboration of ASCO and AAHPM on “Defining High-Quality Palliative Care in Oncology Practice.” (OPEN ACCESS PDF) It ’s a report that provides some very interesting insight into what pieces of primary palliative care should be part of general medical oncologists’ practice.When I read it the report, I was pleased to see that it waspublished in ASCO ’s journal, and I noted the impressive list of authors. My eyes briefly glazed over as the discussion moved to Delphi methodology, but a few quick ...
Source: Pallimed: A Hospice and Palliative Medicine Blog - September 7, 2016 Category: Palliative Care Tags: AAHPM ASCO breast cancer colorectal cancer lung cancer oncology Source Type: blogs
