Many Adults in 50s, Early 60s Worried About Health Insurance

Many adults aged 50 to 64 years are concerned about being unable to afford the cost of health insurance.

Low-Priced Generic Drugs Most Likely to Have Shortages

The lowest-priced generic drugs are more likely to experience shortages.

Initiative Can Cut Gender Gap in Medical School Faculty Salaries

An institutional gender equity initiative can reduce gender-based salary gaps among medical school faculty.

"Gender Panic" in Clinical Settings: Protecting Public Accommodations Access for Transgender Individuals

By Emily Pond

There is substantial discussion in the United States regarding the use of public accommodation laws to legislate bathroom access for transgender individuals.

Update on Medical Overuse Highlights Practices That May Harm More Than Help

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The review, which was the fifth annual update discussing medical care overuse, aimed to identify and highlight research articles and literature published in 2017 related to medical overuse in adult patients.

Affordable Care Act Sign-Ups Higher Than Expected

Despite numerous difficulties, early figures show that sign-ups for health coverage next year under the Affordable Care Act are higher than expected.

Increase in Telemedicine Use Observed From 2005 to 2017

From 2005 to 2017, there was a substantial increase in telemedicine use, although use was still uncommon in 2017.

Navigating Social Media Issues in Medical Practice: An Expert Interview

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Issues that affect employees in all industries are compounded by a unique set of additional concerns that affect employees of medical practices.

Exclusion of Doctors From Public Health Insurance Up 2007 to 2017

From 2007 to 2017, the number of physicians excluded from Medicare and state public insurance programs increased.

Medication Errors Resulting in Death Most Common in Elderly

Medication errors in acute care that result in death occur most often in patients older than 75 years, with the most common error category being omitted medicine or ingredient.

Patient-Reported Outcome Measures May Aid Communication

Patient-reported outcome measures can be useful for measuring symptoms in primary care clinics if clinicians use these measures to improve care.

CDC: Top 10 Drugs Involved in Drug Overdose Deaths

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Using data from the 2011 to 2016 National Vital Statistics System-Mortality files, the authors conducted a literal text analysis of death certificates to identify drugs mentioned as contributing to the cause of overdose death.

Enrollment Under the Affordable Care Act Down From Last Year

Enrollment for health insurance under the Affordable Care Act is down with just days left to sign up.

2017 Saw Slowing in National Health Care Spending

National health care spending slowed in 2017.

U.S. Medical Schools See Increase in Diversity

After implementation of the Liaison Committee on Medical Education (LCME) diversity accreditation standards, U.S. medical schools saw increasing percentages of female, black, and Hispanic matriculants.

HIT-Related Stress Linked to Burnout Among Physicians

Stress related to use of health information technology (HIT) is common and predictive of burnout among physicians.

Overcoming the Barriers to Including Pregnant Women in Clinical Trials

By Emily Pond

Pregnant women are considered a "vulnerable" population in the eyes of clinical researchers.

EMS Times Longer for Patients From Poorest Neighborhoods

Patients with cardiac arrest from the poorest neighborhoods have longer emergency medical service (EMS) times.

Most Insured Patients Not Using Online Portals

Nearly two-thirds of insured adults with a previous health care visit did not use an online patient portal in 2017.

Patient Education Can Improve Chronic Disease Management

An educational intervention can improve patients' ability to self-manage their chronic diseases.

Wikipedia in Medical Education: An Educator's Guide to Crowdsourcing

By Emily Pond

With the proliferation of online medical information, educators and students alike struggle to discern the legitimacy of "e-health" sources.

AMA Survey Collects Advice for Physicians Approaching Retirement

By Frank J. Connor

The transition from the workforce into retirement is always challenging, but for physicians accustomed to working long or odd hours, it can be especially difficult.

Many Patients Withhold Information From Clinicians

Many patients intentionally withhold information from clinicians.

Popularity of NPs and PAs Associated With Decrease in Primary Care Visits

Among patients with employer-sponsored insurance, there was a decline in visits to primary care physicians from 2012 to 2016.

Can Examining Marginalization Identify Gaps in Medical or Nutritional Care?

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Healthcare interventions should assess the multiple layers of a person's life, rather than simply classifying marginalized groups as vulnerable.

How Does Accepting Blame Affect Future Medical Errors?

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Assuming blame for a medical error may help patients and families heal.

The Future Of Robot Physicians: Is Artificial Intelligence Poised to Take Over Medicine?

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By 2030, robots will likely replace 800 million workers. Will physicians make the cut?

Few Mandatory Pediatric Postmarketing Studies Completed

During a median follow-up of 6.8 years, only 33.8 percent of mandatory pediatric postmarketing studies were completed.

Should Physicians Offer Treatments Contrary to Published Guidelines?

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When deviating from published guidelines, physicians must ensure their recommendations are based on justified belief, not personal bias.

ACA Coverage Substantial, But Did Not Impact Labor Markets

Millions of workers gained insurance coverage under the Affordable Care Act (ACA) without adverse effects on labor markets.

#MeToo Movement: Public Health Challenges, Benefits Examined

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Researchers are concerned that the increased focus on sexual harassment resulting from the #MeToo campaign may cause negative health outcomes.

Novel Scoring System Facilitates Access to Biologics in Psoriasis

A new scoring system that accounts for "not relevant" responses (NRRs) on the Dermatology Life Quality Index (DLQI) for patients with psoriasis is valid for avoiding bias and can improve access to biologics.

Better Work Environment Tied to Better Patient Safety

The results of a recent survey of thousands of nurses and patients show that hospital patient safety remains a serious concern.

CDC: 8.8 Percent Uninsured in U.S. in First Half of 2018

In the first six months of 2018, 8.8 percent of U.S. individuals of all ages were uninsured, which was not significantly different from 2017.

Name-Brand Medications Driving Spike in U.S. Drug Spending

Rising drug spending in the United States is being fueled by expensive name-brand prescription medicines.

AMA to Collect Data on Suicide Among Doctors-in-Training

By collecting data on suicides by medical students, residents, and fellows, the American Medical Association hopes to identify ways to reduce suicides among doctors-in-training.

Online Tool Helps Patients With Advance Care Planning

The patient-facing PREPARE advance care planning program plus an easy-to-read advance directive significantly increases documentation of advance care planning and patient-reported engagement.

Coordinated Care Needed for Cancer Survivors, Caregivers

There is an urgent need for coordinated, comprehensive, personalized care for cancer survivors and caregivers.

Progress Toward Goals in Global Health Is Slowing

Global progress in health has slowed, and improvements in health have been unevenly distributed.

Majority of Internists Still Have Financial Ties to Industry

A majority of internists still report financial ties to industry.

Medicaid Expansion Approved in Three Republican-Leaning States

Hundreds of thousands more low-income Americans could get health insurance after voters in three Republican-leaning states approved Medicaid expansion in the midterm elections.

Poll: Patients, Caregivers Worry About Cost of Cancer Care

In addition to fear of pain and suffering, Americans worry about cancer-related expenses.

Non-Physician Practitioners Expanding Scope of Practice in Dermatology

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Investigators sought to determine whether nurse practitioners and physician assistants are expanding their scope of practice outside of primary care to perform dermatologic procedures.

Sign-Up Season Begins on HealthCare.gov

The federal government website where Americans can sign up for health insurance under the Affordable Care Act is up and running.

50 Percent of Children Aged 2 to 5 Years Fear Doctor Visits

Half of parents report that their children aged 2 to 5 years are afraid of going to the doctor.

Many Hospitals Noncompliant With Record Request Regulations

Among top-ranked U.S. hospitals, data reveal discrepancies in information provided to patients regarding medical records release processes as well as noncompliance with state and federal regulations.

Trump Administration Announces Plan to Cut Drug Prices

In an effort to cut high drug costs, the prices paid by Medicare for certain prescription drugs would be based on those in other advanced industrial nations.

Pace of Change Has Accelerated in Alternative Payment Models

Researchers found that the challenges described in 2014 have persisted, including issues related to data that constrained practices' ability to improve their performance and operational errors in payment models.

Health Enterprise Zone Initiative Cut Hospitalizations, Costs

Maryland's Health Enterprise Zone Initiative reduced hospitalizations and led to net cost savings.

White House Unveils New Insurance Option for Small Firms

A plan to allow small businesses to use tax-free accounts to provide health coverage for employees was announced by the Trump administration.

Limited Success for Changing Diet and Exercise Among Nurses

Implementation of a workplace intervention to change diet and physical activity behavior was partially successful among nurses, with the ability to change both diet and PA at the same time described as challenging.

Change in Shelter Eligibility Policy Tied to More ED Visits

A policy change to Massachusetts' shelter eligibility was tied to increased pediatric emergency department visits for homelessness and substantial health care costs.

Without Medicaid Expansion, Poor Patients Forgo Medical Care

Doing without medical care is much more common among low-income residents of states that have not expanded Medicaid than among low-income people in other states.

2006 to 2015 Saw Decrease in Medicare Beneficiary ICU Use

From 2006 to 2015, there was a significant decrease in intensive care unit (ICU) admissions among Medicare fee-for-service beneficiaries.

Active Pharmaceuticals ID'd in >700 Dietary Supplements

Dietary supplements often include active pharmaceuticals, even after warnings from the U.S. Food and Drug Administration.

Multicomponent Intervention Can Reduce Sitting Time at Work

A multicomponent intervention (Stand More At [SMArT] Work) can reduce sitting time over the short, medium, and long terms.

Spending Often Persists in High-Cost Medicare-Medicaid Eligible

More than half of patients who are dually eligible for Medicare and Medicaid and are designated as high-cost in one year remain persistently high-cost over three years.

Trump to Sign Bills Lifting Drug Price 'Gag Orders' on Pharmacists

Two bills that allow U.S. pharmacists to disclose drug prices to customers to help them save money are expected to be signed today by President Donald Trump.

Accepted Manuscripts Meet More Criteria for Research Reporting

Accepted manuscripts for observational studies have better adherence to the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) checklist compared with rejected manuscripts.

Aetna-CVS Merger Approved

A $69 billion merger between health insurer Aetna and pharmacy manager CVS Health has been approved.

Minority Residents Experience Burdens Linked to Race/Ethnicity

Minority residents describe burdens associated with race/ethnicity, including microaggressions and bias on a daily basis.

Industry-Funded Trials Often Involve Employees in Studies

Industry employees are often involved in the design, conduct, and reporting of industry-funded trials in high-impact journals.

Price Hikes Noted in Small Subset of Generic Drugs

A small but growing subset of generic drugs experienced sudden large price increases from 2007 to 2013.

Three-Quarters of Health Care Workers Got Flu Shot Last Year

Just over three-quarters of health care personnel received a flu vaccine last season.

Tips Provided for Budgeting in Medical Residency

Medical residents should start budgeting and save for the future.

Uninsured Rate at 8.8 Percent in First Quarter of 2018

In the first quarter of 2018, the uninsured rate was 8.8 percent, not significantly different from a year earlier.

For Employer-Based Plans, Spending Across Services Steady

Despite large health policy changes, the distribution of spending across service areas has remained fairly consistent over the past 10 years for those enrolled in employer-sponsored insurance.

Interviews Can Help Ensure Physician Candidates Fit Culture

In preparing to interview to hire a new physician, practices must understand their own cultures.

Number of Health-Related Data Breaches Increasing

Health plans had most records breached from 2010 to 2017, but providers breached most often.

The Open Access Debate: Should Patients Freely Access Research?

By

Patients and their families are advocating for their right to access the latest medical research papers to help find potential treatments and understand health conditions.

Hospital Privacy Curtains Become Increasingly Contaminated

Curtains surrounding patient beds become progressively contaminated with bacteria.

Variations in Influenza Vaccination Coverage Among Healthcare Employees Reported

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Wide variations in influenza vaccine coverage have been noted across healthcare personnel based on occupation and worksite.

More Non-Elderly Americans Uninsured in 2017 Versus 2016

From 2016 to 2017, there was an increase in the number of uninsured non-elderly Americans.

Physicians Often Don't Address Their Burnout

More than half of physicians experience burnout, and many do not seek treatment for burnout.

Implementing EMRs Affects Time Spent With Patients in Clinic

Following a six-month learning period to implement an electronic medical record system, outpatient orthopedic clinics return to pre-implementation efficiency, but there may be other lasting effects on productivity.

Business Degree Increasingly Useful for Doctors

Having a Master of Business Administration degree (M.B.A.) can help doctors with important, practice-related decisions.

Practices Should Set Rules for Staff Social Media Use

Medical practices can take steps to avoid problems related to use of social media by staff members.

Burnout, Career Choice Regret Prevalent in U.S. Residents

Symptoms of burnout and career choice regret are prevalent among U.S. resident physicians.

Surgeon Experience Aids Assessment of Futility

More experienced surgeons are more confident in their assessments of perceived futility.

In 2016, Proportion of Uninsured Americans Down to 10 Percent

From 2013 to 2016 there was a reduction in uninsurance among Americans from 17 to 10 percent.

Physician-Group ACOs Generate Medicare Savings

Physician-group accountable care organizations (ACOs) participating in the Medicare Shared Savings Program (MSSP) generated significantly more savings for Medicare that grew from 2012 to 2015 compared with hospital-integrated ACOs.

Components of Pharmacist-Led Discharge Counseling Vary

Components of pharmacist-led discharge counseling vary widely, and reporting is often poor.

Residents Should Take Advantage of Paid Time Off

Although there are many demands on residents, taking advantage of paid vacation time is one of the perks and should be maximized.

Simplifying Medicare Plan Finder Improves Plan Selection

Simplifying an internet-based decision support tool provided by the Centers for Medicare & Medicaid Services to help older adults make good plan choices in the Medicare prescription drug (Part D) program could result in selection of lower-cost plans.

Research Links Doctor Burnout to Patient Safety Incidents

Physician burnout is associated with increased risk of patient safety incidents, poorer quality of care due to low professionalism, and reduced patient satisfaction.

Some Clinicians, Patients Record Clinic Visits for Patient Use

A considerable proportion of clinicians and patients report having recorded a clinic visit for the patient's personal use.

California Lawsuit Claims AbbVie Paid Doctors to Prescribe Humira

A lawsuit filed Tuesday in California claims that pharmaceutical company AbbVie used cash, gifts, and services to induce doctors to overprescribe the widely used drug Humira, ignoring the medicine's potentially lethal side effects.

Medicaid Expansion Linked to Gains in Insurance Coverage

Medicaid expansion was associated with gains in insurance among low-income adults with substance use disorders, but corresponding treatment gains were not seen.

Hospitals Charge 479 Percent of Cost of Drugs on Average

On average, hospitals mark up drugs by 479 percent of their cost.

Patient Health Information Often Shared Electronically

The most common electronically sent and received types of patient health information include laboratory results and medication lists.

Scribes Improve Physician Workflow, Patient Interaction

Use of medical scribes is associated with decreased physician documentation burden, improved work efficiency, and improved patient interactions.

Drug Prices Increase More Than Expected After Shortages

Prices for drugs under shortage increase more than twice as quickly as expected in the absence of a shortage.

Situation Framing, Language Can Influence Decision-Making

How a situation is framed and the language used to describe risks can influence patients' decision-making.

Compliance With Requirement to Report Results on EUCTR Is Poor

Half of trials on the European Union Clinical Trials Register (EUCTR) are non-compliant with the European Commission's requirement that all trials post results to the registry within 12 month of completion.

Geographic Disparities Seen in Distribution of Dermatologists

There are substantial disparities in the geographic distribution of dermatologists that are worsening with time.

Gains in Insurance Coverage Seen for Lesbian, Gay, Bisexual Adults

Lesbian, gay, and bisexual adults report continued problems affording care despite coverage gains offered by the Affordable Care Act.

Residents Working Long Hours Can Increase Alertness

Medical residents can take steps to maintain their energy and alertness during long shifts.

Six-Step Analysis Can Help Improve Practice Logistics

A six-step analysis can help redesign and improve the outpatient health care process.

Medicaid Work Requirements Don't Impact Many Enrollees

Medicaid work requirements will only impact a small proportion of persons and may only generate minimal savings.

Many Opportunities for Doctors Using Twitter

Doctors can use Twitter to build networks and learn more about research in real time, according to a blog post published by Penn Medicine News

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