Headaches/Colic: Blame irritation to blood vessels and nervesInfantile colic (intense crying, often blammed on gas pains lasting more than 3 hours a day and continuing for more than 3 weeks) is a common "diagnosis" use to explain inconsolable crying occurring during the first four or so months of life, when there are no organic or other physiologic findings.
It's disheartening; the cure for the ills of U.S. health care lies within our grasp, yet it eludes us. We cannot answer basic questions–What works? What we are paying for? Are we getting what we need? Are we getting the right care at the right time and place? QI and UM: Strange bedfellows, but both need data to communicate
The quality improvement movement has changed its focus from improving the health of patients to obtaining the greatest return for the investment. Why? Because experience has shown, time and again that the former is beyond our abilities, beyond any 'carrot and stick' approach to patient care, and beyond any contrived incentive realignments. When it comes to lifestyle management, we fail, miserably. For instance, getting people to stop smoking, the only thing that has worked is raising the pric
To make health care reasonably profitable for private payers and more affordable for patients, those who manage health care must focus on reducing cost, which is far easier than increasing the health benefit or medical loss ratio. See: "How the U.S. Health-Care System Wastes $750 Billion Annually," by Brian Fung, pub. Atlantic Mobile, 9/7/12
To make health care reasonably profitable for private payers and more affordable for patients, those who manage health care must focus on reducing cost, which is far easier than increasing the health benefit or medical loss ratio.
When it comes to health, the better-informed patient does better—Duh! What is a patient to do to reverse or ameliorate heart failure, that is, besides taking meds? ABSTRACT Context Little is known about the effects of low health literacy among patients with heart failure, a condition that requires self-management and frequent interactions with the health care system.
The Nationally accepted congestive heart failure (CHF) Clinical Guidelines have changed in the following important ways• Changes in the underlying conceptualization of the heart failure syndrome.• Recognition of the need for early and accurate detection of heart failure.• A new standard for staging disease severity and identifying reversible causes.• Emphasis on the need for prompt titration of lifesaving neurohormonal antagonists.• Recognition of the potential benefits of treating underlying an
The electronic health or medical record (EHR/EMR) boils down to data that are intended to be more complete, accurate and available, yet it often does not improve communication and information flow. To get the most out of the technology, doctors actually have to, you know, use it.
Want to simultaneously improve the quality, cost-benefit and access to care? This can only be accomplished if health care is less fractionated, the incentives are aligned and someone is measuring and managing--in other words, pay for performance (P4P).
It's easier to prescribe antibiotics in a cold, sinsitis or bronchitis than to explain why not. (It takes less time, it's expected, it's someone else's money and diagnostic confusion from partial or inappropriate treatment will likely be someone else's problem.) Advisory