Hormonal treatments for prostate cancer are often given late
Men with advanced prostate cancer are typically treated with drugs that cause testosterone levels to plummet. Testosterone is a hormone that fuels growing prostate tumors, so ideally this type of treatment, which is called androgen deprivation therapy (ADT), or hormonal therapy, will stall the disease in its tracks.
For that to happen, ADT has to be administered correctly. But according to a new study, men frequently don’t get ADT at the proper dosing intervals. Too many of them get the treatments later then they should, causing testosterone levels to rise unacceptably. “Rapid increases in testosterone followin...
Source: Harvard Health Blog - August 20, 2020 Category: Consumer Health News Authors: Charlie Schmidt Tags: Health Prostate Knowledge Treatments HPK Source Type: blogs
We Seem To Have The ADHA Continuing To Fail To Live Up To Their Hype!
This appeared a few days ago. 12 August 2020 ADHA pulls brakes on eScripts Pharmacy Practice Management Technology Posted by Francine Crimmins The national rollout of eScripts has experienced a false start, with the Australian Digital Health Agency asking GP software companies to remove the electronic prescribing functionality that was only launched in late July. GPs who were early adopters and already updated their software to issue eScript tokens will still be able to use the function. But for others, the update will remain unavailable, unless your practice is one of the designated “communities of interest”. The ADHA...
Source: Australian Health Information Technology - August 15, 2020 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs
More accurate general practice appointment data
NHS England - This guidance introduces an agreed definition of an appointment, and asks general practice to start applying this now and systematically, as an important first step to improve data quality.GuidanceMore detail (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - August 11, 2020 Category: UK Health Authors: The King ' s Fund Library Source Type: blogs
General practice fellowships for GPs and nurses new to practice programme operational guidance 2020/21
NHS England - This guidance supports Integrated Care Systems and Sustainability and Transformation Partnerships, primary care networks, training hubs and other local partners to understand and continue delivery of the General Practice Fellowship programme, supporting newly-qualified GPs and nurses working in primary care.GuidanceMore detail (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - August 11, 2020 Category: UK Health Authors: The King ' s Fund Library Tags: Workforce and employment Source Type: blogs
What is ME – Myalgic Encephalomyelitis?
Myalgic Encephalomyelitis, also known as Chronic Fatigue Syndrome, is a little-understood, female-biased [1] illness. It is estimated that up to 90% of people with the condition go diagnosed [2] and about 25% of sufferers are severely ill [3]. In recognition of the profound physical and psychological impact this disease has on its victims, August 8th has been designated as a Severe ME Awareness Day.
What is Myalgic Encephalomyelitis (ME)?
The disease is best known for a state of extreme and unremitting fatigue. A range of additional symptoms may suggest the presence of an infectious disease: myalgia, nausea, cogniti...
Source: GIDEON blog - August 8, 2020 Category: Databases & Libraries Authors: Kristina Symes Tags: Identify News Source Type: blogs
How might Covid-19 affect the number of GPs available to see patients in England?
Health Foundation -This research reveals that one in three GPs who singlehandedly manage a GP practice are at high risk of death from Covid-19. It estimates that this could potentially leave 710,043 patients without face-to-face appointments with their GPs if those at high risk take the difficult decision to limit direct patient contact. It argues that CCGs must ensure that they are aware of gaps in face-to-face provision of core general practice services, and must work with practices and primary care networks to find solutions.BriefingHealth Foundation - press release (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - August 6, 2020 Category: UK Health Authors: The King ' s Fund Library Tags: Changing configuration of health services Quality of care and clinical outcomes Workforce and employment Source Type: blogs
The Dr will Zoom you now: getting the most out of the virtual health and care experience
This report was a rapid, qualitative research study designed to understand the patient experience of remote and virtual consultations. The project was led in partnership with Traverse and Healthwatch England.ReportMore detail (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - July 28, 2020 Category: UK Health Authors: The King ' s Fund Library Tags: Patient involvement, experience and feedback Source Type: blogs
It Seems There Is A Fair Bit Going On In The Telehealth Space As The Government Clamps Down.
This appeared a few days ago. Telehealth and digital health navigators – a bright future for health delivery Editor: Marie McInerneyAuthor: Peter Brooks, Stephen Duckett and Brian Oldenburgon: July 09, 2020 In: Coronavirus outbreak 2019-2020, digital technology, general practice, health workforce, Healthcare and health reform, primary health care, Public health and p opulation health, rural and remote health Introduction by Croakey: The long-awaited access to telehealth consultations in the coronavirus pandemic has been broadly embraced by patients and health care providers, though it is not without concerns. In the UK, ...
Source: Australian Health Information Technology - July 14, 2020 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs
GP Patient Survey: national report 2020
This report sets out the national headline and summary findings for the 2020 GPPS publication. For 2020 some additional analysis has been completed that looks at the impact of Covid-19 on the survey resu lts.ReportPress release (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - July 13, 2020 Category: UK Health Authors: The King ' s Fund Library Tags: Patient involvement, experience and feedback Quality of care and clinical outcomes Source Type: blogs
Weekly Australian Health IT Links – 13 July, 2020.
Here are a few I have come across the last week or so. Note: Each link is followed by a title and a few paragraphs. For the full article click on the link above title of the article. Note also that full access to some links may require site registration or subscription payment. General Comment ----- An interesting week as the Government started to try and get the Telehealth frenzy under control and manage the profiteers. Also interesting that Optus is offering 5G wireless as an alternative to the a fixed NBN connection. ----- https://croakey.org/telehealth-and-digital-health-navigators-a-bright-future-for-health-delivery/ ...
Source: Australian Health Information Technology - July 12, 2020 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs
General practice in the post Covid world: challenges and opportunities for general practice
This report makes the case that throughout the pandemic, general practice has shown it functions well with fewer bureaucratic processes, such as contractual and regulatory compliance activities. While it recognises the need for regulation and other processes to ensure patient safety and quality of care, the report says there also needs to be a shift to a ‘higher trust’ model that gives GPs more time to deliver patient care.ReportRoyal College of General Practitioners - news (Source: Health Management Specialist Library)
Source: Health Management Specialist Library - July 7, 2020 Category: UK Health Authors: The King ' s Fund Library Tags: Developments in primary and community care Patient safety Quality of care and clinical outcomes Regulation, governance and accountability Source Type: blogs
General practice in the post Covid world: challenges and opportunities for general practice
This report calls on the four governments of the UK to each produce a comprehensive plan to support GPs in managing the longer-term effects of Covid-19 in the community. The RCGP says the plans should contain: costed proposals for additional funding for general practice; solutions for how the current GP workforce capacity can manage new and pre-existing pressures; commitments to continue the reduction in regulatory burdens and ‘red tape’ which has enabled GPs to spend more time on frontline patient care during the pandemic; a systematic approach for identifying those patients who are likely to require primary care supp...
Source: Health Management Specialist Library - July 6, 2020 Category: UK Health Authors: The King ' s Fund Library Tags: Changing configuration of health services Developments in primary and community care Workforce and employment Source Type: blogs
Commentators and Journalists Weigh In On Digital Health And Related Privacy, Safety And Security Matters. Lots Of Interesting Perspectives - June 16, 2020.
----- This weekly blog is to explore the news around the larger issues around Digital Health, data security, data privacy, AI / ML. technology, social media and related matters. I will also try to highlight ADHA Propaganda when I come upon it. Just so we keep count, the latest Notes from the ADHA Board are still dated 6 December, 2018! How pathetic is that for transparency? Secrecy unconstrained! Note: Appearance here is not to suggest I see any credibility or value in what follows. I will leave it to the reader to decide what is worthwhile and what is not! The point is to let people know what is being said / published tha...
Source: Australian Health Information Technology - June 15, 2020 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs
This May Mean A Real Shake Up In The General Practice Management Systems In OZ!
This appeared last week: Advent Partners taps ex-Telstra exec for GP software investment Sarah Thompson, Anthony Macdonald and Tim Boyd Jun 4, 2020 – 3.30pm
Melbourne-based buyout firm Advent Partners has secured its "healthtech" target; medical practice software company Medtech. Advent will buy a controlling stake in the trans-Tasman business and plans to instal former Telstra Health general manager Geoff Sayer –who also held senior posit ions at HealthLink and MedicalDirector – as its new chief executive officer. Street Talk foreshadowed the looming deal last week. Medtech was founded 30 years ago and is a provide...
Source: Australian Health Information Technology - June 11, 2020 Category: Information Technology Authors: Dr David G More MB PhD Source Type: blogs
Misaligned Relationships, Rejection, Guilt, and Betrayal
One of my readers recently asked: How do you stay connected to loved ones who aren’t on a journey of curiosity and growth?
I’ll frame this more generally by addressing these question too:
How do you maintain relationships with incompatible people who expect you to stay connected?How do you manage shifting relationships while on a journey of growth?How do you deal with feelings of guilt arising from letting go of incompatible people?
To answer the first question, my answer is pretty simple. I really don’t.
If they reach out to me, I’ll be civil with them, but I don’t see the point o...
Source: Steve Pavlina's Personal Development Blog - May 27, 2020 Category: Psychiatry & Psychology Authors: Steve Pavlina Tags: Emotions Relationships Values Source Type: blogs
