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The U.S. Physician Shortage Is Only Going to Get Worse. Here Are Potential Solutions
If you’ve recently had to wait longer to see a doctor than you used to, that may not be entirely because of the COVID-19 pandemic. America is experiencing a physician shortage, and it’s only expected to get worse—a concerning situation that could lead to poorer health outcomes for many patients.
Data published in 2020 by the Association of American Medical Colleges estimates that the U.S. could see a shortage of 54,100 to 139,000 physicians by 2033. That shortfall is expected to span both primary- and specialty-care fields.
“The physician shortage can justly be characterized as a looming public-heal...
Source: TIME: Health - July 25, 2022 Category: Consumer Health News Authors: Elaine K. Howley Tags: Uncategorized freelance Health Care healthscienceclimate Source Type: news
Physician Payments Sunshine Act: Organizations Respond to CMS
September 2nd marked the last day for comments on CMS’ proposed rule to eliminate the accredited continuing medical education (CME) exemption from Sunshine Act reporting. In an overwhelming display of support for the exemption, over 800 comments were submitted encouraging the agency to either maintain or expand the current exclusion.
-Total comments supporting maintenance or expansion of the CME exemption: 820
-Total comments supporting elimination of the CME exemption: approximately 20
-Percentage of comments supporting the CME exemption: 98%
We have followed this issue closely, and recentl...
Source: Policy and Medicine - September 8, 2014 Category: American Health Authors: Thomas Sullivan Source Type: blogs
Development of a Collaborative Partnership to Improve Communication and Access to Obstetric and Pediatric Patient Care Information for High‐Risk Referrals
Poster PresentationPurpose for the ProgramIn a multihospital, high‐risk obstetric (OB) service with 3600 births annually, coordinating high‐risk consultations and having those consults available for review by more than 150 OB and pediatric providers in a semicomputerized system has presented many challenges. This program was developed to surmount the challenges of identifying high‐risk mothers and newborns, making patient care information available to OB and pediatric providers in a timely manner, and spanning the gaps created by two different health care organizations caring for obstetric and neonatal patients.Propo...
Source: Journal of Obstetric, Gynecologic, and Neonatal Nursing - June 4, 2015 Category: Nursing Authors: Deborah A. Gingras Tags: Newborn Care Source Type: research
Twenty-First Century Medicaid: The Final Managed Care Rule
With enrollment reaching 74 percent of all beneficiaries, it is clear that managed care has become the standard organizing mechanism for a Medicaid program whose welfare roots are behind it and that now functions as a principal source of public insurance. Given this broad national policy direction, a strong yet flexible regulatory framework for Medicaid managed care becomes a fundamental policy goal, particularly as state programs continue to evolve toward structures capable of managing care for the highest need populations.
The modern contours of a 21st century regulatory framework finally came into full view on April 25 ...
Source: Health Affairs Blog - May 5, 2016 Category: Health Management Authors: Sara Rosenbaum Tags: Costs and Spending Featured Health Professionals Medicaid and CHIP Medicare Payment Policy Quality federal regulations MACRA MACRA final rule managed care organizations medical loss ratio Source Type: blogs
Addressing health care inequities in Canadian critical care through inclusive science: a pilot tool for standardized data collection
ConclusionWe developed a standardized, practical, and convenient demographic data collection tool for critical care research studies. Questions and response options can be adapted by researchers for inclusion in individual study questionnaires or case report forms.
Source: Canadian Journal of Anesthesia - May 10, 2023 Category: Anesthesiology Source Type: research
Direct Cost of Critical Illness Associated Healthcare Expenditures among Children Admitted in Pediatric Intensive Care Unit in Rural India
Conclusions
There is a high direct expenditure incurred by families of children receiving intensive care when seen in perspective of high rates of extreme poverty in rural India. These high expenditures make critical care unaffordable to majority of the population lacking insurance cover in resource limited regions with limited universal health coverage, which ultimately leads to suboptimal care and high childhood mortality. It is highly imperative for the governments and global health organizations to be sensitive towards this issue and to plan strategies for the same across different nations.
Source: Indian Journal of Pediatrics - May 31, 2016 Category: Pediatrics Source Type: research
20 Years of Pediatric Anterior Cruciate Ligament Reconstruction in New York State
Conclusion:
This study is the first to quantify the increasing rate of ACL reconstructions in the skeletally immature. Only ACL reconstructions were assessed, and it is possible that some ACL tears in children are not diagnosed or are treated nonoperatively. The rate of ACL tears in New York State is likely higher than the rate of reconstructions reported in this study.
Significance:
This study quantifies the increasing rate of ACL reconstruction in the skeletally immature and suggests that there may be some disparities in care based on insurance status.
Source: The American Journal of Sports Medicine - February 28, 2014 Category: Sports Medicine Authors: Dodwell, E. R., LaMont, L. E., Green, D. W., Pan, T. J., Marx, R. G., Lyman, S. Tags: Epidemiology, Knee ligaments, ACL, Pediatric sports medicine Source Type: research
Recurrent and High‐frequency Use of the Emergency Department by Pediatric Patients / Revisitas e Hiperfrecuentación del Servicio de Urgencias por Pacientes Pediátricos
ConclusionsRisk factors for recurrent ED use by children include age, race and ethnicity, and insurance status. Although asthma plays an important role in recurrent ED use, acute illnesses account for the majority of recurrent ED visits.
Resumen
ObjetivosDescribir la epidemiología y los factores de riesgo de revista e hiperfrecuentación del servicio de urgencias (SU) por parte de los pacientes pediátricos.
MetodologíaEstudio de cohorte retrospectivo mediante una base de datos de niños entre 0 y 17 años inclusive, que acudieron a 22 SU de la Pediatric Emergency Care Applied Research Network durante 2007, con un segui...
Source: Academic Emergency Medicine - April 14, 2014 Category: Emergency Medicine Authors: Elizabeth R. Alpern, Amy E. Clark, Evaline A. Alessandrini, Marc H. Gorelick, Marlena Kittick, Rachel M. Stanley, J. Michael Dean, Stephen J. Teach, James M. Chamberlain, Tags: Original Contribution Source Type: research
Risk of type 2 diabetes mellitus in patients with acute critical illness: a population-based cohort study
Conclusion
Our results suggest that patients with certain critical illnesses are associated with a high risk of developing T2DM. Clinicians should be aware of this association and intensively screen for T2DM in patients following diagnosis of critical illness.
Source: Intensive Care Medicine - September 14, 2015 Category: Intensive Care Source Type: research
Pediatric codeine prescriptions in outpatient and inpatient settings in Korea.
CONCLUSIONS: Codeine was frequently prescribed for pediatric outpatients in Korea, especially in primary care clinics. Efforts to limit codeine use in children are required to prevent the occurrence of codeine-related adverse events.
PMID: 31419098 [PubMed - in process]
Source: The American Journal of Managed Care - July 31, 2019 Category: Health Management Authors: Kim D, Song I, Yoon D, Shin JY Tags: Am J Manag Care Source Type: research
The Future Of The Affordable Care Act In A Trump Administration
This segment originally aired on The Diane Rehm Show on November 14, 2016.
The HealthCare.gov website, where people can buy health insurance, is displayed on a laptop screen. AP PHOTO/ANDREW HARNIK
Republicans in Congress have voted more than 50 times to repeal the Affordable Care Act without success. Now, they have an ally in President-elect Donald Trump, who promised on the campaign trail to “repeal and replace” the law. But over the weekend, Trump seemed to soften his stance. He told the Wall Street Journal he would consider leaving in place some provisions, including one that prohibits insurers from denying covera...
Source: Disruptive Women in Health Care - November 15, 2016 Category: Consumer Health News Authors: dw at disruptivewomen.net Tags: Affordable Healthcare Act Consumer Health Care Cost Coverage Policy Election 2016 Health Reform Source Type: blogs
Medicaid Reform: Key Considerations for Children's Health Care
Medicaid is the largest provider of public health insurance for children and adults in the United States and provides critical financial support for the nation's safety net of clinics, hospitals, and long-term care facilities serving the poor and uninsured. Medicaid is a federal entitlement program that is administered by the states and funded through state and federal partnerships (Turner, McKee, Chen,& Coursolle, 2017). Under current federal regulations, all states must provide Medicaid coverage for children under 6 years of age with family income up to 133% of federal poverty level (FPL) and children ages 6 to 18 yea...
Source: Journal of Pediatric Health Care - May 10, 2017 Category: Pediatrics Authors: Eileen K. Fry-Bowers, Karen G. Duderstadt Tags: Department Source Type: research
ACA Health Insurance Expansion Tied to Fewer Cardiac Arrests
' Extraordinary reduction ' seen among middle - aged adults after enactment of health care law
Source: Pulmonary Medicine News - Doctors Lounge - June 29, 2017 Category: Respiratory Medicine Tags: Cardiology, Family Medicine, Geriatrics, Internal Medicine, Critical Care, Emergency Medicine, Nursing, Pulmonology, Journal, Source Type: news
Analysis of trends in usage of analgesics and sedatives in intensive care units of South Korea: A retrospective nationwide population-based study
The use of analgesics and sedatives plays an important role in improving patient outcomes in the intensive care unit (ICU). Various drugs exist, each with associated differences in patient outcomes; therefore, critical and intensive care medicine societies have developed guidelines for usage of analgesics and sedatives for improved patient outcomes. However, studies investigating drug use in the ICU have been based on surveys administered to medical staff, without accurate insight into the drug use based on prescriptions and behaviors of ICU medical staff, thus failing to demonstrate the actual status of the implementation...
Source: Medicine - August 1, 2018 Category: Internal Medicine Tags: Research Article: Observational Study Source Type: research
