• Filter By:
• Specialty
• Source
• Condition
• Cancer
• Infectious Disease
• Drug
• Training
• Management
• Procedure
• Therapy
• Vaccine
• Nutrition
• Country

Active diagnostic strategy for pulmonary embolism in COPD exacerbations does not significantly alter a composite clinical outcome compared to usual care
  Dr. Lublin Clinical question: Can an active diagnostic protocol including a D-dimer and computed tomography pulmonary angiogram (CTPA) for pulmonary emboli (PE) improve outcomes for patients presenting with COPD exacerbations? Background: PE are common in patients with COPD exacerbations. It is unknown if an active search for PE in every COPD exacerbation can improve outcomes. Study design: Randomized clinical trial. Setting: Eighteen hospitals across Spain, September 2014 to July 2020. Synopsis: The 746 patients hospitalized for COPD exacerbation were randomized to the active diagnostic strategy or usual care. The pri...
Source: The Hospitalist - January 7, 2022 Category: Hospital Management Authors: Lisa Casinger Tags: COPD Pulmonology Source Type: research

The RUC. "an Independent Group of Physicians?" - But It Includes Executives and Board Members of For-Profit Health Care Corporations and Large Hospital Systems
Introduction We just discussed how a major story in Politico has once again drawn attention to the opaque RUC (Resource Based Relative Value System Update Committee) and its important role in determining what physicians are paid for different kinds of services, and hence the incentives that have helped make the US health care system so procedurally oriented.  (See the end of our last post for a summary of the complex issues that swirl around the RUC.)The Politico article covered most of the bases, but notably omitted how the RUC may be tied to various large health care organizations, especially for-profit, and how the...
Source: Health Care Renewal - August 28, 2014 Category: Health Management Tags: AMA boards of directors conflicts of interest health care prices healthcare executive hospital systems perverse incentives regulatory capture RUC Source Type: blogs