Archives
All entries, chronologically...

Patients who feel that their physicians treat them with respect and fairness, communicate well and engage with them outside of the office setting are more active in their own health care, finds a new study published in the journal Health Services Research. The study looked at how role relationships between patients and their physicians, which traditionally have followed a passive-patient and dominant-physician model, affect patient engagement.

A new analysis of national survey data finds that less than one-quarter of parents of overweight children recall ever being told by a doctor or other health care provider that their children were overweight. And although that percentage has increased over the last 10 years, more improvement is needed, said Eliana M. Perrin, MD, MPH, associate professor in the University of North Carolina at Chapel Hill School of Medicine, pediatrician at North Carolina Children’s Hospital, and lead author of the study.

The American College of Physicians (ACP) today told the 112th Congress to “go big” by reforming Medicare payments, including enacting a permanent end to scheduled Medicare sustainable growth rate (SGR) physician payment cuts. The urgent need for Congress to act was demonstrated by today’s release of a Medicare final rule, announcing a 27.4 percent across-the-board cut in Medicare payments to doctors on January 1, 2012.
A survey of U.S. primary care physicians shows that many believe that their own patients are receiving too much medical care and many feel that malpractice reform, realignment of financial incentives and having more time with patients could reduce pressures on physicians to do more than they feel is needed, according to a report in the September 26 issue of Archives of Internal Medicine, one of the JAMA/Archives journals.
In a study that included nearly three-fourths of all internal medicine residents in the U.S. in a recent academic year, suboptimal quality-of-life and dissatisfaction with work-life balance were commonly reported, as were burnout symptoms of emotional exhaustion, which were associated with higher levels of educational debt, according to a study in the September 7 issue of JAMA, a medical education theme issue.

Only half of obese Mexican-American adults receive diet and exercise advice from their physicians, although obesity is on the rise for this group. “Among this obese population, not seeing 100 percent of people receiving advice is discouraging. There is a much higher risk of having negative health consequences,” said Ha Nguyen, Ph.D., an assistant professor of family and community medicine at the Wake Forest School of Medicine.

As required under the Patient Protection and Affordable Care Act of 2010, millions of people will soon be added to the ranks of the insured. However, this rapid expansion of coverage is colliding with a different, potentially problematic trend that could end up hampering access to health care. Since 2005, doctors have been accepting fewer and fewer patients with health insurance, according to a new study published in the June 27th issue of Archives of Internal Medicine.

Sixty-six percent of publicly-insured children were unable to get a doctor’s appointment for medical conditions requiring outpatient specialty care including diabetes and seizures, while children with identical symptoms and private insurance were turned away only 11 percent of the time, according to an audit study of 273 specialty physician practices in Cook County, Ill. conducted by researchers from the Perelman School of Medicine and the School of Social Policy and Practice at the University of Pennsylvania. The findings are published in the June 16 issue of the New England Journal of Medicine.