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The patient-centered medical home, electronic health records, and quality of care.
CONCLUSION: The PCMH was associated with modest quality improvement. The aspects of the PCMH that drive improvement are distinct from but may be enabled by the EHR. PRIMARY FUNDING SOURCE: The Commonwealth Fund and the New York State Department of Health. PMID: 24887615 [PubMed - in process]
Source: Annals of Internal Medicine - June 3, 2014 Category: Internal Medicine Authors: Kern LM, Edwards A, Kaushal R Tags: Ann Intern Med Source Type: research

In Observance of Jessie Gruman
On July 14th, 2014 we lost a truly outstanding woman to her battle with a long time illness. Jessie Gruman was the president and founder of the Center for Advancing Health. A true patient advocate, she promoted not only patient engagement but the use of evidence-based medicine to support the adoption of healthy behavior.  In addition to her professional career, Gruman defined herself as a musician, avid reader of poetry and interested in foreign policy, the media and global health. She was a true disruptive woman. Gruman advocated for policies and practices to overcome the challenges we all face in finding good care and g...
Source: Disruptive Women in Health Care - July 16, 2014 Category: Consumer Health News Authors: DW Staff Tags: Advocacy Caregiving Champions Chronic Conditions Consumer Health Care Patients' Rights Policy Source Type: blogs

Primary care physician characteristics associated with cancer screening: a retrospective cohort study in Ontario, Canada
This study highlights certain physician characteristics that are associated with cancer screening for eligible patients, including immigrant patients, and that should be considered when designing physician‐targeted interventions. We have also highlighted an ethnic community, South Asians, which requires particular attention, both among its patients and its primary care providers. Future research should further explore the reasons for these findings. This study identified primary care physician characteristics associated with cancer screening for their eligible patients. In multivariable analyses, physicians who attended...
Source: Cancer Medicine - October 1, 2014 Category: Cancer & Oncology Authors: Aisha K. Lofters, Ryan Ng, Rebecca Lobb Tags: Original Research Source Type: research

We waste a lot of dollars on unnecessary medical care
It is well known that Medicare expenditures threaten the financial solvency of the U.S. government. And it is pretty well agreed upon that some of our Medicare spending goes towards wasteful medical care. But which medical care is wasteful and how much is such care costing us?  A study in JAMA Internal Medicine provides a sneak peek at answers to these important questions. The research, led by Aaron Schwartz, a graduate student at Harvard, focused on interventions that medical experts deem to provide little or no health benefit. For example, the Choosing Wisely campaign, promoted by medical societies, has concluded t...
Source: Kevin, M.D. - Medical Weblog - November 26, 2014 Category: Journals (General) Authors: Tags: Policy Cancer Heart Medicare Primary care Source Type: blogs

Geographic variation in cancer-related imaging: veterans affairs health care system versus medicare.
CONCLUSION: Use of cancer-related imaging was lower in the VA health care system than in fee-for-service Medicare, but lower use was not associated with less geographic variation. Geographic variation in service use may not be a reliable indicator of the extent of overuse. PRIMARY FUNDING SOURCE: Doris Duke Charitable Foundation and Department of Veterans Affairs Office of Policy and Planning. PMID: 25437407 [PubMed - in process]
Source: Annals of Internal Medicine - December 2, 2014 Category: Internal Medicine Authors: McWilliams JM, Dalton JB, Landrum MB, Frakt AB, Pizer SD, Keating NL Tags: Ann Intern Med Source Type: research

Disparities in Cancer Incidence, Stage, and Mortality at Boston Health Care for the Homeless Program
Conclusions Efforts to reduce cancer disparities in homeless people should include addressing tobacco use and enhancing participation in evidence-based screening.
Source: American Journal of Preventive Medicine - July 3, 2015 Category: Global & Universal Source Type: research

Private Medicine in India is a Free Market
BY SAURABH JHA, MD Once, a farmer from a village in Bihar was diagnosed with colon cancer. He came to Patna, the capital city, to have the tumor removed. Because he was poor, my father recommended a young surgeon who trained in the UK. The surgeon was competent and idealistic. He was a Fellow of the Royal College of Surgeons. His charges were the lowest. He did not charge the extremely poor. The farmer declined, saying “if this babu is treating patients for free, he can’t be a good surgeon.” The farmer chose the most famous surgeon in the city, whose charges were not astronomical in comparison, but certainly higher....
Source: The Health Care Blog - October 1, 2015 Category: Consumer Health News Authors: John Irvine Tags: THCB Source Type: blogs

Pediatric Colorectal Carcinoma is Associated With Excellent Outcome in the Context of Cancer Predisposition Syndromes
ConclusionChildren and adolescents with CRC are frequently diagnosed in advanced stages and have an unfavorable prognosis. In this study, a high percentage of pediatric CRC patients presented with a tumor predisposition syndrome and showed an especially favorable OS.
Source: Pediatric Blood and Cancer - November 17, 2015 Category: Cancer & Oncology Authors: Marie L. Weber, Dominik T. Schneider, Sonja Offenmüller, Peter Kaatsch, Hagen Graf Einsiedel, Martin Benesch, Alexander Claviez, Martin Ebinger, Christof Kramm, Christian Kratz, Jennifer Lawlor, Ivo Leuschner, Susanne Merkel, Markus Metzler, Rainer Nuste Tags: Research Article Source Type: research

Association Between Primary Care Visits and Colorectal Cancer Screening Outcomes in the Era of Population Health Outreach
Conclusions Patients with a greater number of PCP visits had higher rates of both incident CRC screening and colonoscopy after positive FIT/FOBT, even in health systems with active population health outreach programs. In this era of virtual care and population outreach, primary care visits remain an important mechanism for engaging patients in cancer screening.
Source: Journal of General Internal Medicine - June 7, 2016 Category: Internal Medicine Source Type: research

What Is Using IBM Watson In Everyday Medicine Like?
Artificial intelligence will determine the future of medicine – no question about it – and there are already some medical professionals who use the technology in their practice. I asked practitioners what using IBM Watson in medicine is like. Do you remember the battle of man vs. machine in the world of chess? The project of creating a computer to beat the greatest human chess player Garry Kasparov? At first, Deep Thought was handily defeated. But then IBM went back to work and developed Deep Blue, which was able to challenge Kasparov through its ability of continuous learning. By now, the question is not whether ar...
Source: The Medical Futurist - July 26, 2016 Category: Information Technology Authors: nora Tags: Artificial Intelligence in Medicine Future of Medicine Healthcare Design gc4 Hospital ibm watson Innovation technology Source Type: blogs

2017 Health Care Heroes finalist: Dr. Opeolu Adeoye
Dr. Opeolu Adeoye Associate professor of Emergency Medicine; co-director of UC Stroke Team; founder of Sense Diagnostics LLC University of Cincinnati and Sense Diagnostics LLC Adeoye provides stroke patients with clinical care, trains physicians in the care of stroke patients and researches new treatments. What inspired your career in health care? My father had a stroke at 45 and my mother died of colon cancer at 40. So, at a young age, I was very curious about health and the failings of the…
Source: bizjournals.com Health Care:Physician Practices headlines - February 24, 2017 Category: American Health Authors: Nikki Kingery Source Type: news

Retrospective Evaluation of Palifermin Use in Nonhematopoietic Stem Cell Transplant Pediatric Patients
Conclusion: Palifermin may provide benefit as secondary prophylaxis in pediatric patients to prevent chemotherapy-induced mucositis.
Source: Journal of Pediatric Hematology Oncology - April 26, 2017 Category: Hematology Tags: Online Articles: Original Articles Source Type: research

Gastrointestinal tract carcinoma in pediatric and adolescent age: The Italian TREP project experience
ConclusionsThis prospective report on pediatric GI tract carcinomas confirms the rarity and biological aggressiveness of these diseases in pediatric and adolescent age. Further prospective studies are needed to explore the distinct biology of tumor in this age group in order to find new therapeutic targeted agents.
Source: Pediatric Blood and Cancer - May 31, 2017 Category: Cancer & Oncology Authors: Alice Indini, Gianni Bisogno, Giovanni Cecchetto, Marco Vitellaro, Stefano Signoroni, Maura Massimino, Giovanna Riccipetitoni, Marco Zecca, Patrizia Dall'Igna, Maria Debora De Pasquale, Alessandro Inserra, Stefano Chiaravalli, Eleonora Basso, Calogero Vir Tags: RESEARCH ARTICLE Source Type: research

Emesis in patients receiving acupuncture, sham acupuncture or standard care during chemo-radiation: A randomized controlled study.
CONCLUSION: Patients treated with verum acupuncture needed less antiemetics and experienced milder nausea than other patients. Our study was small and many analyses lacked statistical power to detect differences; we welcome further sham-controlled efficacy studies and studies regarding the role of non-specific treatment components for experiencing antiemetic effects of acupuncture. PMID: 28917369 [PubMed - in process]
Source: Complementary Therapies in Medicine - September 19, 2017 Category: Complementary Medicine Authors: Widgren Y, Enblom A Tags: Complement Ther Med Source Type: research