Dive Brief: In today’s consumer-driven healthcare environment, knowing how to turn down patient requests could be the difference between a positive or negative physician review, a new study from UC Davis Health suggests. The researchers compared patient satisfaction when specific requests were met or denied. When requests for referrals, medications and tests were refused, patients tended to rate their doctors 10 to 20 percentage points lower than when those requests were fulfilled. The study — which involved nearly 1,700 requests by 1,141 adults making 1,319 visits to 56 family physicians — recommends communications training to help physicians create a positive experience for patients without yielding to all their requests. Dive Insight: “It is common for patients to come to the doctor’s office with specific requests in mind,” lead author Anthony Jerant, chief of the Department of Family and Community Medicine at UC Davis Health, said in a … [Read more...] about Physician ratings drop when patient requests denied, study says
Davis family physicians
I am a man of appetites. Men who ingest one cube of cheese, two olives, and a half glass of chardonnay at a cocktail party baffle me. I tend toward three beers, an armload of Cheddar, countless almonds and olives, and a cord of summer sausage. Then I go to dinner. My habit of walking to work and doing pushups to stay awake in my office is probably the only reason I manage to avoid obesity. Or at least that was the case until this past winter, when a combination of professional upheaval (I moved for a new job), personal stresses (my best friend died of cancer), and bad luck (a back injury) knocked me off my already pathetic game. See, when I'm alone, worried, and overworked, I turn to sugar, and so I quickly became a man with a saber-size sweet tooth. And it showed: I'd always been a barrel-chested 5'7", but I became barrel-bellied as well, reaching a once-unthinkable 190 on the bathroom scale. What I saw on the scale was scary enough, but I decide that an extra dose of fear might … [Read more...] about The Road Less Sweetened
Thanks to these experts, we were able to bring you more than 100 of the smartest health tips you can do for your body-- now!William T. Abraham, M.D., associate director of the Dorothy M. Davis Heart and Lung Research Institute at Ohio State University in ColumbusCurtis Allen, spokesperson for the Centers for Disease Control and Prevention in AtlantaRanda Bascharon, D.O., an orthopedic surgeon in private practice in Las VegasWendy Bazilian, Dr.PH, R.D., a nutrition specialist at Golden Door Spa in Escondido, CABenedict B. Benigno, M.D., founder of the Ovarian Cancer Institute at the Georgia Institute of Technology in AtlantaKerry G. Bennett, M.D., MPH, assistant professor at Tufts University School of Medicine in BostonJohn Berardi, Ph.D., CSCS, an adjunct assistant professor of exercise science at the University of Texas in AustinEsther Blum, M.S., R.D., dietician at the N.V. Perricone M.D. Lifestyle Center in New York CityJonny Bowden, Ph.D., C.N.S., author of The Most Effective … [Read more...] about Meet our Health Experts
Huntington's disease is an incurable, hereditary brain disorder. It is a devastating disease for which there is no currently "effective" treatment. Nerve cells become damaged, causing various parts of the brain to deteriorate. The disease affects movement, behavior and cognition - the affected individuals' abilities to walk, think, reason and talk are gradually eroded to such a point that they eventually become entirely reliant on other people for their care. Huntington's disease has a major emotional, mental, social and economic impact on the lives of patients, as well as their families. The condition used to be called Huntington's Chorea, because the involuntary movements made by patients with the disease can appear to be like jerky dancing - "chorea" comes from the Greek word choreia meaning "dancing". The English word "choreography" also comes from the Greek word choreia. Huntington's disease (HD) affects both men and women equally and more commonly appears during … [Read more...] about Huntington’s disease: Causes, Symptoms and Treatments
Sickle cell is a serious disease in which unusually shaped red blood cells obstruct smaller blood vessels, preventing blood flow and leading to pain, especially in the bones. Important organs like the brain, heart and kidneys need constant blood flow to work properly; the lack of oxygen can lead to severe complications and even death. Sickle cell (SC) is named after a C-shaped farming tool called a "sickle," with a curved, sharp edge for cutting wheat, reflecting the shape of the affected cells. When the cells become sickle-shaped, this is called "sickling." A person with sickle cell disease (SCD) will have symptoms; other people have sickle cell trait (SCT). They will have no symptoms but be carriers of the disease. The symptoms range from being mildly affected and largely free from pain, to frequent and severe pain. Until now, doctors cannot predict who will be severely affected. Although the SCT carrier is not affected in everyday life, the presence of SCT must be … [Read more...] about Sickle cell trait and disease: raising awareness
Dive Brief: After a delay which frustrated some of the organization's users, Kaiser Permanente Northern California has signed on to Epic System Corp.'s Care Everywhere network; the network allows providers who use Epic to share patient health information across organizational boundaries. Other Kaiser divisions have already been participating in the network, which debuted in California in 2008; it includes Sutter Health and other major regional players such as Stanford Hospital and Clinics, UCSF Medical Center and UC Davis Health System, Modern Healthcare notes. The move brings participants real-time access to patient and family medical histories, previous diagnoses, lab tests, physician notes and other health data. The data will be shared online through an encrypted connection. Dive Insight: Joining the Care Everywhere network sounds like a good idea for Kaiser, particularly given Epic's massive market share in California. However, experts note that connecting providers … [Read more...] about Kaiser finally connects to Epic’s EMR network
Dive Brief: Mount Sinai Health System is starting the first phase of its over $500 million project to rebuild Mount Sinai Beth Israel and create the new Mount Sinai Downtown network in New York City, which will include expansion and renovation at three major sites with more than 35 operating and procedure rooms and 16 physician practice locations. Mount Sinai CEO Kenneth Davis said the project will transform how patients access and receive care services in downtown New York. Construction on a brand new hospital will begin in 2018, and is expected to be completed in 2020. Dive Insight: The massive Mount Sinai project is representative of larger trends in healthcare toward evidence-based design and outpatient services. The increasing amount of evidence that shows physical design has an impact on outcomes has caused health systems to pay more attention to the architecture of their facilities. Meanwhile, the introduction of value-based reimbursement models is driving … [Read more...] about Mount Sinai launches $500M rebuilding project
Filed under "news that surprised few," a new study published in the New England Journal of Medicine found that increased Medicaid reimbursement for primary care led to an increased number of appointments for beneficiaries. "Our findings suggest that providing higher Medicaid payments is an effective strategy for ensuring access to enrollees among already participating primary care providers," the authors wrote. By the numbers: Available primary-care appointments for Medicaid beneficiaries in the surveyed areas grew from 59% to 66% between the period of November 2012 through March 2013 and the period of May 2014 through July 2014. During that second period, states had been ordered to ratchet up their Medicaid payments, receiving around $12 billion in additional federal funding over 2013 and 2014. Following the pay boost, appointment availability grew significantly, according to the study. Notably, the size of the reimbursement increase was correlated with … [Read more...] about The Friday Dive: Will the new Medicaid reimbursement study lead to boosted rates?
Dive Brief: A new California law aims to save money and expand provider choices available to low-income women for pregnancy and childbirth. Senate Bill 407, signed this week by Gov. Jerry Brown (D), allows licensed midwives to provide comprehensive services to Medi-Cal patients. An analysis of the bill suggess a birth with a licensed midwife, at a home or birth center, is up to 80% less expensive than a hospital birth. Dive Insight: The law appears to be a win-win in reducing healthcare costs while also providing patients a sought-after option. “We are thrilled that, thanks to the passage of SB 407, California families of all income levels will have increased access to licensed midwives and the low-cost, high-value care that they provide in birth centers and home births,” said Sarah Davis of the California Association of Midwives, which sponsored the bill. California state law allows licensed midwives … [Read more...] about California law allows midwives to care for Medi-Cal patients
Bakeapples. The tart amber berries were the talk of Newfoundland last August, not the splendid summer weather or even the approach of Hurricane Bill, who blew in much earlier in the season than tropical storms normally do. Both the weather and the untimely storm were unusual, and either might have turned the talk to climate change. Instead, it was all bakeapples, all the time—just because there were none, or almost none. Where had they gone, and why? Newfoundlanders love their bakeapples, especially those from Labrador, since they seem to taste better “the colder you go.” Growing in northern and alpine climates around the world, they’re tough, weathering -40 C and beyond. They love sun and acidic bogs, but not drought. Bakeapples—elsewhere called cloudberries—look like golden raspberries. They’re stuffed with antioxidants, but they’re also a guilty circumpolar pleasure. In Norway they’re loaded onto waffles and ice cream and … [Read more...] about Too Hot to Heal?