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Under Affordable Care Act, Americans have had more preventive care for heart health, UCLA study finds
By reducing out-of-pocket costs for preventive treatment, the Affordable Care Act appears to have encouraged more people to have health screenings related to their cardiovascular health,a UCLA study found. Comparing figures from 2006 through 2013, researchers found that more people were screened for diabetes, high cholesterol, cigarette use and high blood pressure — all risk factors for heart disease — after the ACA was implemented than before.But the research, published in the peer-reviewed American Journal of Managed Care, also revealed a disparity between men and women in one key area. Although more men who ...
Source: UCLA Newsroom: Health Sciences - November 23, 2017 Category: Universities & Medical Training Source Type: news

GP online consultations: not the panacea policy makers are hoping for
Online GP consultation systems may not be the silver bullet for reducing GP workload and patient waiting times that government policymakers are hoping for, NIHR-funded research from the University of Bristol has found. These systems offer the potential to revolutionise use of primary care, but only with careful implementation and effective marketing, the researchers concluded. (Source: University of Bristol news)
Source: University of Bristol news - November 23, 2017 Category: Universities & Medical Training Tags: Health, International, Research; Faculty of Health Sciences, Faculty of Health Sciences, Population Health Sciences; Press Release Source Type: news

GPs ignored in 2017 budget as NHS England hints at cuts to services
GP leaders hit out at chancellor Philip Hammond for ignoring general practice in his 2017 budget, as NHS England officials hinted that a 'disappointing' £2.8bn funding hike for the health service could force cuts. (Source: GP Online News)
Source: GP Online News - November 22, 2017 Category: Primary Care Tags: Practice News Source Type: news

AAFP Gives CMS Pointed Advice About New Payment Models
The AAFP recently offered CMS specific recommendations based on a set of guiding principles for payment models that improve care while reducing administrative burden and costs. (Source: AAFP News)
Source: AAFP News - November 22, 2017 Category: Primary Care Source Type: news

Study: HPV Vaccine Prevents Childhood Respiratory Disease
Researchers in Australia have found that the HPV vaccine prevents juvenile-onset recurrent respiratory papillomatosis, an uncommon but incurable condition, in that nation's children. (Source: AAFP News)
Source: AAFP News - November 22, 2017 Category: Primary Care Source Type: news

Planned Babylon pilot ditched by CCGs after test with patients
Commissioners in London have ditched a planned pilot of Babylon Health’s primary care app after patients in a test “tried speed up GP access, rather than [use] the symptom checker”. (Source: HSJ)
Source: HSJ - November 22, 2017 Category: UK Health Source Type: news

Budget must supply funding for GPs to tackle winter pressures, RCGP says
The RCGP has written to chancellor Philip Hammond urging him not to overlook general practice for emergency winter funding in his autumn budget speech today. (Source: GP Online News)
Source: GP Online News - November 22, 2017 Category: Primary Care Tags: Practice News Source Type: news

The Importance of Generalists as Primary Care Physicians The Importance of Generalists as Primary Care Physicians
In this commentary, the author underscores the clinical and economic value of generalists in the care of older adults with multiple and complex conditions.Journal of the American Geriatrics Society (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - November 22, 2017 Category: Consumer Health News Tags: Internal Medicine Journal Article Source Type: news

Nearly Half of All Cancers Tied to Modifiable Risk Factors Like Smoking
Nearly half of all new cancers and cancer-related deaths in the U.S. are due to potentially modifiable risk factors, according to a study in... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - November 21, 2017 Category: Primary Care Source Type: news

Your NEJM Group Today: When a Young MD's Child Codes / Guidelines on Ventilation During CPR / New Mexico Hospitalist Opportunity
Take a look at today's offering from NEJM Group: NEJM Clinical Practice Center: Perspective: As his colleagues perform a code on his 2-year-old... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - November 21, 2017 Category: Primary Care Source Type: news

FDA Approves 2-Drug HIV Regimen
The FDA has approved a fixed-dose tablet (Juluca) containing dolutegravir and rilpivirine, making it the first two-drug HIV treatment. Juluca is approved for... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - November 21, 2017 Category: Primary Care Source Type: news

Study Details Striking Rise in Self-Injury Among U.S. Girls
Rates of nonfatal self-injury among young U.S. girls rose sharply between 2009 and 2015, according to a research letter in JAMA. Using a national... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - November 21, 2017 Category: Primary Care Source Type: news

CDC: Everyone Who Drank Udder Milk's Raw Milk Products Should Receive Antibiotics
Everyone who may have consumed raw milk or milk products from the company Udder Milk in the past 6 months should receive postexposure prophylactic antibiotics... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - November 21, 2017 Category: Primary Care Source Type: news

FDA Warns About Serious Risks with "Medical Food" for Osteoarthritis
Used of Limbrel — a flavonoid capsule intended to manage the metabolic processes associated with osteoarthritis — is linked to potentially life-threatening conditions, the FDA warned... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - November 21, 2017 Category: Primary Care Source Type: news

How West Seattle-based GoodMed Clinic plans to avoid Qliance's fate
After primary care provider Qliance failed due to the changing health care environment and loss of contracts and patients, GoodMed Clinic is taking it slow and approaching a similar business model a little differently. (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - November 21, 2017 Category: Biotechnology Authors: Coral Garnick Source Type: news

How West Seattle-based GoodMed Clinic plans to avoid Qliance's fate
After primary care provider Qliance failed due to the changing health care environment and loss of contracts and patients, GoodMed Clinic is taking it slow and approaching a similar business model a little differently. (Source: bizjournals.com Health Care:Pharmaceuticals headlines)
Source: bizjournals.com Health Care:Pharmaceuticals headlines - November 21, 2017 Category: Pharmaceuticals Authors: Coral Garnick Source Type: news

Elderly Japanese Dying at Home Rather Than in Hospital Elderly Japanese Dying at Home Rather Than in Hospital
After he was diagnosed with leukaemia in July, Katsuo Saito decided not to treat it and opted for palliative care. He had a hard time finding a bed at a hospice or hospital, so he spent most of his remaining weeks at home.Reuters Health Information (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - November 21, 2017 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

EU Drugs Agency Move to Amsterdam Minimizes Likely Staff Losses EU Drugs Agency Move to Amsterdam Minimizes Likely Staff Losses
Amsterdam's success in winning the battle to host the European Medicines Agency (EMA), which is relocating from London because of Brexit, was welcomed by drug manufacturers on Monday hoping for the least disruption due to staff losses at the regulator.Reuters Health Information (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - November 21, 2017 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

HCR ManorCare Gets Respite From Dropped Medicare Fraud Lawsuit HCR ManorCare Gets Respite From Dropped Medicare Fraud Lawsuit
The U.S. Justice Department withdrew a Medicare fraud lawsuit against HCR ManorCare, removing a cloud over one the largest U.S. nursing home chains as it nears a deadline to settle a legal dispute with its landlord.Reuters Health Information (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - November 21, 2017 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

Shame Silences Britain's Male Slaves, Stops Them Seeking Support Shame Silences Britain's Male Slaves, Stops Them Seeking Support
Male survivors of slavery in Britain are often overlooked compared with female victims because shame stops many men speaking out and seeking support, campaigners said on Monday.Reuters Health Information (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - November 21, 2017 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

Health Staff in Southern Libya Strike After Doctor's Kidnapping Health Staff in Southern Libya Strike After Doctor's Kidnapping
Medical staff in the southern Libyan city of Sabha said on Monday they were suspending work for 10 days in protest over poor security after a doctor was kidnapped.Reuters Health Information (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - November 21, 2017 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

Blue Cross Blue Shield of Georgia enters agreement with VillageMD to lower care costs
Blue Cross Blue Shield of Georgia (BSBSGa) is partnering with primary care provider VillageMD in an effort to improve patient health and lower costs, two of today's hottest health-care topics. BSBSGa is the largest health benefits company in Georgia and first in the state to contract with Chicago-based VillageMD. VillageMD collaborated with Quality Care Providers Inc., Atlanta's largest independent network of primary care physicians. The agreement helps give BCBSGa customers access to QCPI's 1,600… (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - November 21, 2017 Category: Biotechnology Authors: Ellie Hensley Source Type: news

Blue Cross Blue Shield of Georgia enters agreement with VillageMD to lower care costs
Blue Cross Blue Shield of Georgia (BSBSGa) is partnering with primary care provider VillageMD in an effort to improve patient health and lower costs, two of today's hottest health-care topics. BSBSGa is the largest health benefits company in Georgia and first in the state to contract with Chicago-based VillageMD. VillageMD collaborated with Quality Care Providers Inc., Atlanta's largest independent network of primary care physicians. The agreement helps give BCBSGa customers access to QCPI's 1,600… (Source: bizjournals.com Health Care:Pharmaceuticals headlines)
Source: bizjournals.com Health Care:Pharmaceuticals headlines - November 21, 2017 Category: Pharmaceuticals Authors: Ellie Hensley Source Type: news

EHR Vendor Sued for $1 Billion Over Record Accuracy EHR Vendor Sued for $1 Billion Over Record Accuracy
The lawsuit against eClinicalWorks seeks class-action status for all patients whose physicians use its software, accused of messing up patient data.Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - November 21, 2017 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

Trump Open to Dropping Healthcare Provision in Senate Tax Bill Trump Open to Dropping Healthcare Provision in Senate Tax Bill
U.S. President Donald Trump would not insist on including repeal of an Obama-era health insurance mandate in a bill intended to enact the biggest overhaul of the tax code since the 1980s, a senior White House aide said on Sunday.Reuters Health Information (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - November 21, 2017 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

Resident Creates Online Resource on Death and Dying
While participating in the AAFP Foundation's Family Medicine Leads Emerging Leader Institute this year, Joshua Wienczkowski, M.D., created the End of Life Literacy website. (Source: AAFP News)
Source: AAFP News - November 21, 2017 Category: Primary Care Source Type: news

General practice has lost almost 2,000 partners in just two years
Numbers of GP partners in England crashed by almost 2,000 in the two years from September 2015 to September 2017, official NHS data reveal. (Source: GP Online News)
Source: GP Online News - November 21, 2017 Category: Primary Care Tags: Practice News Source Type: news

Sunshine Act: Are Docs Still Getting Free Lunches From Reps? Sunshine Act: Are Docs Still Getting Free Lunches From Reps?
Pharmaceutical and medical device companies are tracking their interactions with physicians; CMS is reporting that information on its website. Has the Sunshine Act achieved its desired impact?Medscape Business of Medicine (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - November 21, 2017 Category: Consumer Health News Tags: Family Medicine/Primary Care Article Source Type: news

NHS has lost 1,300 full-time GPs since 2015, official data reveal
Almost 1,300 full-time equivalent GPs have been lost from the NHS workforce over the past two years, official health service data reveal. (Source: GP Online News)
Source: GP Online News - November 21, 2017 Category: Primary Care Tags: Practice News Source Type: news

List closure 'only option' for rising number of GPs, warns BMA ahead of 2017 budget
BMA chair Dr Chaand Nagpaul highlighted the crisis facing general practice in a letter to chancellor Philip Hammond as the government prepares to unveil its budget plans on Wednesday. (Source: GP Online News)
Source: GP Online News - November 21, 2017 Category: Primary Care Tags: Practice News Source Type: news

Finance trumps patients at every level – UK healthcare needs an inquiry | Aseem Malhotra
The healthcare system faces a crisis of trust; ill-informed doctors and poor research are harming patientsThe healthcare system is facing failure, rooted in an epidemic of misinformed doctors and patients.During a recent keynote lecture at theBritish Association for Cardiovascular Prevention and Rehabilitation annual conference, I gave the example of a man who had had a heart attack and been given statins and whose months of disabling muscle pain resolved within a week of stopping taking them. His elation was cut short when his GP told him he must never stop his statin or he could die. When the audience was asked to guess ...
Source: Guardian Unlimited Science - November 21, 2017 Category: Science Authors: Aseem Malhotra Tags: Healthcare Network Work practices Workforce GPs and primary care Public health Drugs Science Society NHS Source Type: news

Anterior Palatoplasty May Be ‘ Moderately ’ Effective in OSA Anterior Palatoplasty May Be ‘ Moderately ’ Effective in OSA
Reuters Health Information (Source: Medscape Critical Care Headlines)
Source: Medscape Critical Care Headlines - November 21, 2017 Category: Intensive Care Tags: Family Medicine/Primary Care News Source Type: news

PCP Roles in Health Centers With Oral Health Care Units PCP Roles in Health Centers With Oral Health Care Units
Integrating oral health care and primary care may help in the detection of preventable dental conditions and improve overall patient health.Journal of the American Board of Family Medicine (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - November 21, 2017 Category: Consumer Health News Tags: Family Medicine/Primary Care Journal Article Source Type: news

AMA Considers Taking Action Against Anthem AMA Considers Taking Action Against Anthem
Doctors at the association's interim meeting call for negotiation, legislation, or litigation with the big national insurer for reducing payments by setting aside the E/M code modifier.Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - November 21, 2017 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

GPs encouraged to do home visits only in mornings
NHS asks GPs to avoid afternoon home visits to prevent A&E surges Related items fromOnMedica Medicine management concerns in home care New primary care model needs resources, say experts GP leader urges caution over ‘super-hub’ general practice The incredible invisible bed crisis Home care visits should last at least 30 minutes (Source: OnMedica Latest News)
Source: OnMedica Latest News - November 21, 2017 Category: UK Health Source Type: news

Vessel Sizing, Operator Technique Affect BVS Implant Outcomes Vessel Sizing, Operator Technique Affect BVS Implant Outcomes
Vessel sizing and operator dilation technique are associated with outcomes after bioresorbable vascular scaffold (BVS) implantation, according to an analysis from the ABSORB trials.Reuters Health Information (Source: Medscape General Surgery Headlines)
Source: Medscape General Surgery Headlines - November 20, 2017 Category: Surgery Tags: Family Medicine/Primary Care News Source Type: news

Brain Pathway Makes Head and Face Pain Very Draining Brain Pathway Makes Head and Face Pain Very Draining
If head and facial pain seem stronger and scarier than pain elsewhere, it ’ s because a special pathway in the brain is heightening our emotions from pain at those sites, according to studies in mice.Reuters Health Information (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - November 20, 2017 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

CMS Resources Help Practices, Patients Transition to New Cards
CMS is offering physicians free resources to help prepare patients for the new Medicare cards that are coming in April 2018. (Source: AAFP News)
Source: AAFP News - November 20, 2017 Category: Primary Care Source Type: news

CMS Resources Help Practice, Patients Transition to New Cards
CMS is offering physicians free resources to help prepare patients for the new Medicare cards that are coming in April 2018. (Source: AAFP News)
Source: AAFP News - November 20, 2017 Category: Primary Care Source Type: news

Congress Passes Bill to Fast Track Medications for Military Congress Passes Bill to Fast Track Medications for Military
The legislation repealed a provision that would have allowed the Pentagon to bypass the FDA and approve some of their own medical products.Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - November 20, 2017 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

AAFP Summarizes 2018 Medicare Physician Fee Schedule
Because few family physicians have time to read all 396 pages of the 2018 final Medicare physician fee schedule, the AAFP has released a four-page executive summary. (Source: AAFP News)
Source: AAFP News - November 20, 2017 Category: Primary Care Source Type: news

FP Finds Resilience in Reflection on Setbacks
A family physician described how disappointment eventually led to restoration in the November/December issue ofAnnals of Family Medicine. (Source: AAFP News)
Source: AAFP News - November 20, 2017 Category: Primary Care Source Type: news

Four Bloody Noses: Current Concepts in Epistaxis Four Bloody Noses: Current Concepts in Epistaxis
Is it just a bloody nose? These scenarios demonstrate the latest thinking about the prevention, diagnosis, and management of epistaxis.Medscape Family Medicine (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - November 20, 2017 Category: Consumer Health News Tags: Family Medicine/Primary Care Article Source Type: news

The future of primary care: A return to its patient-centered roots
What if we told you that the best path forward for American healthcare innovation is to get back to its roots – starting in the hometown doctor’s office? Chances are it wouldn’t surprise you at all. We hear it over and over from our members, who tell us they want a human connection in the healthcare experience. That’s why Blue KC believes primary care is at the heart of a strong, patient-centered and integrated healthcare system that is team based and community aligned. Studies since the… (Source: bizjournals.com Health Care:Physician Practices headlines)
Source: bizjournals.com Health Care:Physician Practices headlines - November 20, 2017 Category: American Health Authors: Greg Sweat Source Type: news

Better value primary care is needed now more than ever
This BMJ analysis explores how the value based healthcare framework can help decisions about how to allocate resources, and the importance of good evidence not only for patient treatment but for the organisation of health services. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - November 20, 2017 Category: Consumer Health News Source Type: news

FDA Approves First Adjuvant Therapy for Renal Cell Carcinoma
The FDA has approved sunitinib malate (Sutent) as an adjuvant therapy for adults at risk for recurrent renal cell carcinoma following nephrectomy. Sunitinib, a kinase... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - November 20, 2017 Category: Primary Care Source Type: news

Intermittent Letrozole Similar to Continuous Administration for Extended Breast Cancer Therapy
Taking temporary treatment breaks from letrozole following endocrine therapy for breast cancer is associated with similar disease-free survival as taking letrozole continuously, according to... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - November 20, 2017 Category: Primary Care Source Type: news

Your NEJM Group Today: Diuretic Treatment in HF / Treatment-Resistant Schizophrenia? / Montana Internist/Hospitalist Opportunities
Have a look at what we've selected for you today: NEJM Clinical Practice Center: Review: This review discusses current pharmacologic principles of diuretic therapy, integrates... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - November 20, 2017 Category: Primary Care Source Type: news

Anti-Diarrheal Medication Recalled Over Potency Concerns
Greenstone has recalled several lots of its diphenoxylate hydrochloride and atropine sulfate tablets because they may be super- or subpotent. If the tablets, which are... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - November 20, 2017 Category: Primary Care Source Type: news

From the Blogs: ID/HIV Items to Be Grateful For, 2017 Edition
Here's a quick look at what the NEJM Journal Watch bloggers are talking about right now: HIV and ID Observations: What are you grateful for... (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - November 20, 2017 Category: Primary Care Source Type: news