Muscarinic Antagonists Plus Inhaled Steroids for Asthma Muscarinic Antagonists Plus Inhaled Steroids for Asthma
This POEM addresses the clinical question of whether long-acting muscarinic antagonists are a useful adjunct to inhaled corticosteroids in patients with persistent asthma.American Family Physician (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - November 16, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care Journal Article Source Type: news

An insider's guide to procurement for primary care providers
Understanding procurement and how to prepare a bid are critical to the future of primary care providers. Changes in recent years have made them more important than ever. More and more services are subject to a procurement process, rather than being simply directly awarded by commissioners. These include many of the “enhanced” services that GP practices could once expect to win almost by default. (Source: NHS Networks)
Source: NHS Networks - November 16, 2018 Category: UK Health Source Type: news

Mayo Clinic Gets $200 Million Donation From Turnaround Expert Mayo Clinic Gets $200 Million Donation From Turnaround Expert
The Mayo Clinic on Tuesday said it received $200 million, the largest donation the academic medical center has ever received, from Jay Alix, founder of the consulting firm Alix Partners.Reuters Health Information (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - November 15, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

Express Scripts Offers New Formulary for Lower List-Price Drugs Express Scripts Offers New Formulary for Lower List-Price Drugs
Express Scripts Holding Co on Tuesday announced a new drug reimbursement list with lower U.S. prices for brand-name medications, as a way to encourage drugmakers to move away from paying rebates after a prescription is filled. The manager of prescription drug benefits for large corporate employers and government health plans said its new National Preferred Flex Formulary will be available as o...Reuters Health Information (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - November 15, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

Breast density advocate Cappello dies
Breast density advocate Nancy Cappello, PhD, died on November 15 due to complications...Read more on AuntMinnie.comRelated Reading: Survey says: Breast density laws really do work Patients remain confused about breast density Breast density notification laws boost ultrasound use Calif. women want breast density law to stay Breast density laws mystify primary care providers (Source: AuntMinnie.com Headlines)
Source: AuntMinnie.com Headlines - November 15, 2018 Category: Radiology Source Type: news

Office Visits to Primary Care Physicians Down Sharply Office Visits to Primary Care Physicians Down Sharply
The decline in office visits to primary care physicians from 2012 to 2016 was partially offset by increases in visits to nurse practitioners and physician assistants.Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - November 15, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

Sharp Drop in Visits to Physicians for Primary Care
(MedPage Today) -- 18% decline from 2012 to 2016, while visits to NPs, PAs doubled (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - November 15, 2018 Category: Primary Care Source Type: news

Walmart, Home Depot Adopt Health Insurer Tactic in Drug Copay Battle Walmart, Home Depot Adopt Health Insurer Tactic in Drug Copay Battle
Walmart and Home Depot, two of the top 10 U.S. employers, have embraced a health insurance strategy that punishes drugmakers for using discount cards to keep patients from switching or stopping their medications.Reuters Health Information (Source: Medscape Orthopaedics Headlines)
Source: Medscape Orthopaedics Headlines - November 15, 2018 Category: Orthopaedics Tags: Family Medicine/Primary Care News Source Type: news

Prostate Problems Symptoms and Signs
Title: Prostate Problems Symptoms and SignsCategory: Diseases and ConditionsCreated: 10/16/2002 12:00:00 AMLast Editorial Review: 11/15/2018 12:00:00 AM (Source: MedicineNet Mens Health General)
Source: MedicineNet Mens Health General - November 15, 2018 Category: Primary Care Source Type: news

Prostate Problem Warning Signs
Title: Prostate Problem Warning SignsCategory: Diseases and ConditionsCreated: 10/16/2002 12:00:00 AMLast Editorial Review: 11/15/2018 12:00:00 AM (Source: MedicineNet Mens Health General)
Source: MedicineNet Mens Health General - November 15, 2018 Category: Primary Care Source Type: news

Interruption of DOACs in Preprocedural and Acute Settings Interruption of DOACs in Preprocedural and Acute Settings
How long should direct thrombin inhibitors be held prior to invasive procedures?Journal of the American Board of Family Medicine (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - November 15, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care Journal Article Source Type: news

Too Obese for Ambulatory Surgery: General Surgery News
(MedPage Today) -- Also, opioid prescriptions on the decline study finds (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - November 15, 2018 Category: Primary Care Source Type: news

Cervical smear blunder affects thousands
More than 40,000 women left in dark over screening error Related items fromOnMedica Is Capita too vital to fail? GP back-office privatisation 'put patients at risk' Capita primary care outsourcing was ‘shambles’ say MPs The HPV vaccine and cervical screening The risk factors for cervical cancer (Source: OnMedica Latest News)
Source: OnMedica Latest News - November 15, 2018 Category: UK Health Source Type: news

Experts Urge More Focus on Social Determinants of Health
(MedPage Today) -- " We need to change up our game, and we need to do it fast " (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - November 14, 2018 Category: Primary Care Source Type: news

Our Health Systems Aren ’t Ready for the Rising Demand for Mental Health Services
November 19, 2018Need is growing by the hour.The stomachache started soon after she gave birth to her last child, and it didn ’t stop for years. When she finally made her way to a hospital, the doctors performed a hysterectomy—but it didn’t go well. A day later, she realized she was leaking urine.“I told them something wasn’t right,” the woman tells us. “But they told me everything was fine and that I needed to go home.”The woman says all this in a monotone as we sit under a tree outside the hospital.The surgery had caused an obstetric fistula, which persisted over the next f...
Source: IntraHealth International - November 14, 2018 Category: International Medicine & Public Health Authors: mnathe Source Type: news

Screen All Adults for Unhealthy Alcohol Use, Says USPSTF
The U.S. Preventive Services Task Force has posted a final recommendation statement that calls for primary care clinicians to screen all adults, including pregnant women, for unhealthy alcohol use. (Source: AAFP News)
Source: AAFP News - November 14, 2018 Category: Primary Care Source Type: news

Vasculitis Remission Predicts Long-Term Risks
(MedPage Today) -- Remission at months 3 and 6 protected against death and end-stage renal failure (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - November 14, 2018 Category: Primary Care Source Type: news

Indian Health Service Seeks to Boost Access to MAT
The Indian Health Service has developed a new controlled substance provider designation policy to allow for the use of telemedicine to prescribe medication-assisted treatment using buprenorphine. (Source: AAFP News)
Source: AAFP News - November 14, 2018 Category: Primary Care Source Type: news

Health Highlights: Nov. 14, 2018
Here are some of the latest health and medical news developments, compiled by the editors of HealthDay: Primary Care Doctors Should Screen Adult Patients for Unhealthy Drinking: Task Force Primary care doctors should screen all adult patients for... (Source: Drugs.com - Daily MedNews)
Source: Drugs.com - Daily MedNews - November 14, 2018 Category: General Medicine Source Type: news

All adults should be screened for unhealthy alcohol use
You can expect a "drinking checkup" when you visit the doctor. All adults, including pregnant women, should be screened for unhealthy alcohol use by their primary care physicians, the United States Preventive Services Task Force advises. For those patients who drink above the recommended limits, doctors should provide brief counseling to help them reduce their drinking, according to the new task force statement published Tuesday in the medical journal JAMA. (Source: CNN.com - Health)
Source: CNN.com - Health - November 14, 2018 Category: Consumer Health News Source Type: news

More adults are using complementary and alternative medicine in England but access is unequal, finds survey
Use of practitioner-led complementary and alternative medicine (CAM), such as acupuncture, massage, osteopathy and chiropractic treatment, rose from 12 per cent of the population in 2005 to 16 per cent of the population in 2015, according to a survey led by researchers at the University of Bristol's Centre for Academic Primary Care. However, access to these treatments was unequal, with women, those who are better off and those in the south of England more likely to use CAM. (Source: University of Bristol news)
Source: University of Bristol news - November 14, 2018 Category: Universities & Medical Training Tags: Research, International; Faculty of Health Sciences, Faculty of Health Sciences, Population Health Sciences; Press Release Source Type: news

Urinary tract infection: diagnostic tools for primary care
Public Health England has published reference materials for primary care on diagnosing and understanding culture results for urinary tract infections (UTI). (Source: NHS Networks)
Source: NHS Networks - November 14, 2018 Category: UK Health Source Type: news

Improving access and continuity in general practice
A report by the Nuffield Trust sets out the evidence on continuity of care, its impact on clinical outcomes and wider health services, its importance to patients and GPs, and the relationship between improved access initiatives and continuity of care within general practice. (Source: NHS Networks)
Source: NHS Networks - November 14, 2018 Category: UK Health Source Type: news

USPSTF: Screen Adults, Pregnant Women for Unhealthy Alcohol Use USPSTF: Screen Adults, Pregnant Women for Unhealthy Alcohol Use
The US Preventive Services Task Force (USPSTF) recommends primary care-based screening and counseling of adults, but cites insufficient evidence to recommend interventions for adolescents.Medscape Medical News (Source: Medscape FamilyMedicine Headlines)
Source: Medscape FamilyMedicine Headlines - November 13, 2018 Category: Primary Care Tags: Family Medicine/Primary Care News Source Type: news

Juul to Pull Four E-Cig Flavors From Retail Stores
(MedPage Today) -- Move comes ahead of expected FDA action banning sale of most flavored e-cigarettes in stores (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - November 13, 2018 Category: Primary Care Source Type: news

Chapters Report Varied Approaches to Common State Issues
A roundtable at the AAFP's 2018 State Legislative Conference offered an overview of how some chapters are meeting -- and overcoming -- legislative challenges. (Source: AAFP News)
Source: AAFP News - November 13, 2018 Category: Primary Care Source Type: news

Fragmented Care Tied to IBD Readmissions (CME/CE)
(MedPage Today) -- Lack of integration contributes to increased in-patient mortality and resource use (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - November 13, 2018 Category: Primary Care Source Type: news

This NC school is one of the leaders for producing most family physicians
When it comes to family physicians, East Carolina University is producing more than its fair share. Last week, the American Academy of Family Physicians (AAFP) and the North Carolina Academy of Family Physicians (NCAFP) recognized the Brody School of Medicine for producing the highest percentage of family doctors in the last decade of any medical school in the state. Primary-care physicians ar e in rare supply. According to the AAFP, the nation is struggling with a current physician deficit that… (Source: bizjournals.com Health Care:Pharmaceuticals headlines)
Source: bizjournals.com Health Care:Pharmaceuticals headlines - November 13, 2018 Category: Pharmaceuticals Authors: Seth Gulledge Source Type: news

Pediatric AML: Early Cardiotoxicity Tied to Worse Survival
(MedPage Today) -- Evaluate cardiac function after each course of AMI chemo, specialists urge (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - November 13, 2018 Category: Primary Care Source Type: news

Hepatitis C Treatments OK for Injection Drug Users
(MedPage Today) -- Study shows high response rate even with imperfect adherence (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - November 13, 2018 Category: Primary Care Source Type: news

Novel Thyroid Beta Receptor Agonist Cut LDL-C in NAFLD Patients
(MedPage Today) -- Small phase II study also found reductions in liver fat vs placebo (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - November 13, 2018 Category: Primary Care Source Type: news

USPSTF Recommends Screening Adults for Unhealthy Alcohol Use
TUESDAY, Nov. 13, 2018 -- The U.S. Preventive Services Task Force (USPSTF) recommends that primary care clinicians screen all adults, including pregnant women, for unhealthy alcohol use and provide brief behavioral counseling to reduce unhealthy... (Source: Drugs.com - Pharma News)
Source: Drugs.com - Pharma News - November 13, 2018 Category: Pharmaceuticals Source Type: news

Pelzman's Picks: Drug Prices vs Value
(MedPage Today) -- Also, addressing problem of maternal mortality (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - November 13, 2018 Category: Primary Care Source Type: news

As Melatonin Use Rises, So Do Safety Concerns As Melatonin Use Rises, So Do Safety Concerns
Although the use of melatonin offers benefits, calls to poison centers about melatonin have increased, and it can make some drugs less effective, including antihypertensive medications.WebMD Health News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - November 13, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

Most millennials don't see primary care doctors instead choosing costly, convenient 'minute clinics'
Less than half of millennials see primary care physicians, a recent Kaiser Family Foundation study found. Minute clinics work for their acute health problems, but loyal GPs help treat chronic illness. (Source: the Mail online | Health)
Source: the Mail online | Health - November 13, 2018 Category: Consumer Health News Source Type: news

AMA Delegates Support Site-Neutral Insurance Payments
(MedPage Today) -- Proposal to send report to trustees for further discussion rejected (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - November 13, 2018 Category: Primary Care Source Type: news

All adults should be screened for unhealthy alcohol use, new guidelines say
You can expect a "drinking checkup" when you visit the doctor. All adults, including pregnant women, should be screened for unhealthy alcohol use by their primary care physicians, the United States Preventive Services Task Force advises. For those patients who drink above the recommended limits, doctors should provide brief counseling to help them reduce their drinking, according to the new task force statement published Tuesday in the medical journal JAMA. (Source: CNN.com - Health)
Source: CNN.com - Health - November 13, 2018 Category: Consumer Health News Source Type: news

Should You Opt Out of Medicare? Pros and Cons Should You Opt Out of Medicare? Pros and Cons
Many physicians are fed up with Medicare's rules, reimbursement, and reporting requirements. But before letting your patient panel go, consider the possible benefits and risks.Medscape Business of Medicine (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - November 13, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care Article Source Type: news

This NC school is one of the leaders for producing most family physicians
When it comes to family physicians, East Carolina University is producing more than its fair share. Last week, the American Academy of Family Physicians (AAFP) and the North Carolina Academy of Family Physicians (NCAFP) recognized the Brody School of Medicine for producing the highest percentage of family doctors in the last decade of any medical school in the state. Primary care physicians ar e in rare supply. According to the AAFP, the nation is struggling with a current physician deficit that… (Source: bizjournals.com Health Care News Headlines)
Source: bizjournals.com Health Care News Headlines - November 13, 2018 Category: Health Management Authors: Seth Gulledge Source Type: news

This NC school is one of the leaders for producing most family physicians
When it comes to family physicians, East Carolina University is producing more than its fair share. Last week, the American Academy of Family Physicians (AAFP) and the North Carolina Academy of Family Physicians (NCAFP) recognized the Brody School of Medicine for producing the highest percentage of family doctors in the last decade of any medical school in the state. Primary care physicians ar e in rare supply. According to the AAFP, the nation is struggling with a current physician deficit that… (Source: bizjournals.com Health Care:Biotechnology headlines)
Source: bizjournals.com Health Care:Biotechnology headlines - November 13, 2018 Category: Biotechnology Authors: Seth Gulledge Source Type: news

Primary care merger halted after 'fierce' criticism of CCG leaders
The establishment of a new primary care organisation in Greater Manchester has been halted after an independent review heard “fierce” criticism of those leading the project. (Source: HSJ)
Source: HSJ - November 13, 2018 Category: UK Health Source Type: news

Flipped Discharge Model May Decrease Hospital Stay: HealthLeaders Media
(MedPage Today) -- Also, reasons to start an asthma initiative (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - November 13, 2018 Category: Primary Care Source Type: news

The Confident Leader
programme is designed for those who have, or aspire to, a leadership role in primary care, integrated care systems, sustainability and transformation partnerships (STP) or as commissioners of services. (Source: NHS Networks)
Source: NHS Networks - November 13, 2018 Category: UK Health Source Type: news

Deprivation cuts 10 years off healthy life in England
Having four or more health conditions triples number of primary care appointments per year Related items fromOnMedica Patients with multiple health problems make up most GP consultations People with multiple health conditions get raw deal, says report Deprivation cuts chance of recovering from mental illness Deprivation strongly linked to mortality, report shows Deaths among under-fives more likely in England than in Sweden (Source: OnMedica Latest News)
Source: OnMedica Latest News - November 13, 2018 Category: UK Health Source Type: news

Most GPs in Wales concerned about patient care this winter
GPs say increasing workload will negatively affect ability of stretched workforce to deliver patient care Related items fromOnMedica Boards overspend to operate managed GP practices Report into failings of Welsh NHS digital systems is ‘wake-up call’ GP out-of-hours service in Wales floundering GPs demand funding 'step change' for sustainable primary care Wales gets early cash boost to ease winter pressures (Source: OnMedica Latest News)
Source: OnMedica Latest News - November 13, 2018 Category: UK Health Source Type: news

On and on and on
NHS England ’s Personalised Care Group clinical director gives his view on how a personalised self care approach makes self-management achievable and rewarding Related items fromOnMedica Four factors to deal with the problem of long-term health conditions Over 90% of people recognise importance of self-care Self-care: a win-win scenario Urging GPs towards prevention and self-care (Source: OnMedica Views)
Source: OnMedica Views - November 13, 2018 Category: Primary Care Source Type: news

Patients Have at Least One Prescription for Longer Than Needed Patients Have at Least One Prescription for Longer Than Needed
Nearly half of primary care patients were prescribed any of three common drug types for longer than necessary, contributing to a form of inappropriate polypharmacy termed'legacy prescribing. 'Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - November 12, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

Nearly Half of Patients Have Rx Longer Than Needed Nearly Half of Patients Have Rx Longer Than Needed
Nearly half of primary care patients were prescribed any of three common drug types for longer than necessary, contributing to a form of inappropriate polypharmacy termed'legacy prescribing. 'Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - November 12, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

Most, Not All, PCPs Willing to See Transgender Patients Most, Not All, PCPs Willing to See Transgender Patients
Age, experience predict physicians'comfort with transgender patients; clinicians and office staff should learn sensitive ways of communicating with this population, expert says.Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - November 12, 2018 Category: Consumer Health News Tags: Family Medicine/Primary Care News Source Type: news

House Dems in New Seats of Power Will Steer Health Policy House Dems in New Seats of Power Will Steer Health Policy
Democrats owe much of their midterm takeback to healthcare issues and have trained their sights on skyrocketing drug prices, among other policy conundrums.Kaiser Health News (Source: Medscape FamilyMedicine Headlines)
Source: Medscape FamilyMedicine Headlines - November 12, 2018 Category: Primary Care Tags: Family Medicine/Primary Care News Source Type: news