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The Genetic Disease Screening Program of the California Department of Public Health works to protect and improve the health of all Californians. This is the largest screening program in the world and sets the standard in delivering high-quality, cost-effective genetic services to all Californians. The mission of the Genetic Disease Screening Program is "To serve the people of California by reducing the emotional and financial burden of disability and death caused by genetic and congenital disorders.". The Clinical Laboratory Improvement Amendments (CLIA) are federal requirements that regulate laboratory testing and require clinical laboratories to be certificated by their state as well as the Center for Medicare and Medicaid Services (CMS) before they can accept human samples for diagnostic testing. Laboratories can obtain multiple types of CLIA certificates, based on the kinds of diagnostic tests they conduct.. ...
The First Nations Health Authority (FNHA) is a health service delivery organization responsible for administering a variety of health programs and service for First Nations people living in BC. The FNHA is part of a First Nations Health Governance Structure in BC that includes the First Nations Health Council and First Nations Health Directors Association. The First Nations Health Authority emerged from a number of Tripartite agreements between BC First Nations, the Province of BC, and the Government of Canada that included the Transformative Change Accord: First Nations Health Plan [2006],[1] Tripartite First Nations Health Plan [2007],[2] and the Tripartite Framework Agreement on First Nations Health Governance.[3] A first for Canada, the FNHA is the first province-wide First Nations Health Authority in Canada. The FNHA plans, designs, manages and funds the delivery of First Nations health programs and services in BC. These community-based services are largely focused on health promotion and ...
Yesterday, the Medicare Payment Advisory Commission (MedPAC) voted to adopt several recommendations on outpatient therapy payment reform. These recommendations will be included in a report to Congress that may be used to inform future policy related to outpatient therapy services. Congress has the discretion to determine whether or not to pass legislation that incorporates any of these recommendations. The Centers for Medicare and Medicaid Services also can choose to enact MedPAC's recommendations. APTA will continue to work diligently over the next couple of months with Congress to extend the exceptions process for therapy services in 2013 and to avoid any payment cuts. Overall, MedPAC commissioners expressed appreciation of the value of outpatient therapy services for Medicare beneficiaries and recognized that a "hard cap" with no exceptions would be detrimental and severely impede access to medically necessary therapy services. Several commissioners also acknowledged that, if applied ...
Outpatient parenteral antimicrobial therapy with ceftriaxone for acute tonsillopharyngitis: efficacy, patient satisfaction, cost effectiveness, and safety Samah Al Alawi,1 Somaya Abdulkarim,1 Hazem Elhennawy,1 Anwar Al-Mansoor,2 Ahmed Al Ansari3,4,5 1Department of Family Medicine, 2Department of Dietetics and Nutrition, 3Training and Education Department, Bahrain Defence Force Hospital, Riffa, 4Arabian Gulf University, Manama, 5Royal College of Surgeons of Ireland, Busaiteen, Kingdom of Bahrain Background: Outpatient parenteral antimicrobial therapy (OPAT) is the administration of intravenous antimicrobial therapy to patients in an outpatient setting. It may be used for patients who have infections that require parenteral treatment but who are otherwise stable enough to not require admission as inpatients. Objective: We aimed to review the treatment of patients with acute tonsillopharyngitis at the OPAT health care clinic in the Bahrain Defense Force Royal Medical Services (BDF-RMS), with regard to
White coat hypertension, more commonly known as white coat syndrome, is a phenomenon in which patients exhibit a blood pressure level above the normal range, in a clinical setting, though they don't exhibit it in other settings. It is believed that the phenomenon is due to anxiety that those afflicted experience during a clinic visit. The patient's daytime ambulatory blood pressure is used as a reference as it takes into account ordinary levels of daily stress. Many problems have been incurred in the diagnosis and treatment of white coat hypertension. The term "masked hypertension" can be used to describe the contrasting phenomenon, where a patient's blood pressure is above the normal range during daily living, although it isn't above the normal range when the patient is in a clinic setting. In studies, white coat hypertension can be defined as the presence of a defined hypertensive average blood pressure in a clinic setting, although it isn't present when the patient is at home. Diagnosis is ...
West Nile virus (WNV) is a vector-borne illness that can severely affect human health. After introduction on the East Coast in 1999, the virus quickly spread and became established across the continental United States. However, there have been significant variations in levels of human WNV incidence spatially and temporally. In order to quantify these variations, we used Kulldorff's spatial scan statistic and Anselin's Local Moran's I statistic to uncover spatial clustering of human WNV incidence at the county level in the continental United States from 2002-2008. These two methods were applied with varying analysis thresholds in order to evaluate sensitivity of clusters identified. The spatial scan and Local Moran's I statistics revealed several consistent, important clusters or hot-spots with significant year-to-year variation. In 2002, before the pathogen had spread throughout the country, there were significant regional clusters in the upper Midwest and in Louisiana and Mississippi. The largest and
Price: US$ 3,995.00. Report Sample Abstract: Kalorama Information is a leading diagnostic market research provider, and its analysis covers products sold to physician office labs by major IVD manufacturers, including devices and reagents, as opposed to what labs charge or earn from testing. Kalorama Information defines a physician office lab as anything from small physician practices performing a few rapid tests to large practices of some 200 physicians that operate labs similar to small hospital laboratories. While broad, the definition captures much of the testing that occurs at the point of care, where results can be relevant to clinical decisions.. "Properly managed, it contributes to better patient outcomes through faster test turnaround and more efficient delivery of health care," said Rosen.. Dipstick urinalysis, and glucose and pregnancy tests are the type of nearly error-free tests that are most conducted in physician offices, though a few can conduct more complex tests. The field is ...
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Background: Masked hypertension is associated with an increased risk of cardiovascular events, while white coat hypertension is considered to be a relatively lower risk condition; both are defined by the difference between awake ambulatory blood pressure (ABP) and office blood pressure (OBP). We review evidence on the relationship of this difference to age.. Method: We performed a systematic review of papers in PubMed using the combination of terms "office and ambulatory or home blood pressure (HBP)," and selected articles in which the OBP and awake ABP (or HBP) were presented. A random effects model was used for the meta-analyses.. Results: In the 18 studies of adults (N=8779), OBP was higher than awake ABP (the difference; 2.0±0.04/1.0±0.03 mmHg, both P,0.001); however, in the 5 studies of children and youth (N=1829), awake ABP was higher than OBP (7.9±0.12/7.9±0.10 mmHg, both P,0.001). In studies of general populations, OBP became higher than awake ABP after age 49.1/43.0 in women ...
TY - JOUR. T1 - Threshold for diagnosing hypertension by automated office blood pressure using randomsample population data. AU - Wohlfahrt, Peter. AU - Cífková, Renata. AU - Movsisyan, Narine. AU - Kunzová, Šárka. AU - Lešovský, Jiří. AU - Homolka, Martin. AU - Soška, Vladimír. AU - Bauerová, Hana. AU - Lopez-Jimenez, Francisco. AU - Sochor, Ondřej. N1 - Funding Information: Disclosure: he study was supported by a grant awarded by the Ministry of Health of the Czech Republic (NT13434-4/2012), by the project no. LQ1605 from the National Program of Sustainability II (MEYS CR) and by the project FNUSAICRC no. Z.1.05/1.1.00/02.0123 (OP VaVpI) Publisher Copyright: Copyright © 2016 Wolters Kluwer Health, Inc. All rights reserved.. PY - 2016. Y1 - 2016. N2 - Objective: Manual office blood pressure (BP) is still recommended for diagnosing hypertension. However, its predictive value is decreased by errors in measurement technique and the white-coat effect. The errors can be eliminated by ...
TY - JOUR. T1 - Development and validation of scales for attitudes, self-reported practices, difficulties and knowledge among home care nurses providing palliative care. AU - Shimizu, Megumi. AU - Nishimura, Misako. AU - Ishii, Yoko. AU - Kuramochi, Masayo. AU - Kakuta, Naoe. AU - Miyashita, Mitsunori. PY - 2016/6/1. Y1 - 2016/6/1. N2 - Purpose: Although educational programs for nurses are required to ensure high-quality home care, there is currently no scale to appropriately evaluate such programs for home care nurses providing palliative care. We developed and validated four scales to evaluate home care nurses' attitude, self-reported practices, difficulties, and knowledge regarding home palliative cancer care, and identified factors associated with home care nurses' attitude, self-reported practices, and difficulties. Method: The scale items were generated based on literature review and a cross-sectional questionnaire survey was conducted. Experienced home care nurses from visiting nurse ...
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The National Physician Survey (NPS) gathers opinions of physicians, medical residents and students across Canada. It is the largest census survey of its kind and provides insight from current and future doctors on a wide range of health care issues. It is produced in collaboration between the College of Family Physicians of Canada (CFPC), Canadian Medical Association (CMA) and the Royal College of Physicians and Surgeons of Canada (Royal College).
In a meeting with APTA yesterday, the Centers for Medicare and Medicaid Services (CMS) clarified the impact of the therapy cap on patients who receive outpatient therapy services in critical access hospitals (CAHs). CMS stated that for 2013, when a patient receives outpatient therapy services from a critical access hospital, the services will count toward dollars accrued toward the therapy cap. For example, if a patient receives $2,000 of outpatient therapy services in a CAH and upon discharge goes to a private practice to continue therapy services, the private practice would need to obtain an exception (in this case use the KX modifier). However, CMS clarified that for 2013 the therapy cap does not apply to outpatient therapy services provided within CAHs themselves. This means that if the patient continued treatment in the critical access hospital, after exceeding $1,900 in therapy services, there would be no need to seek an exception through the automatic process. That is, the CAH would not ...
Search 565 Physician jobs in Brooklyn Ny at Ladders. Join Ladders to find the latest Brooklyn Ny Physician jobs such as Physician Assistant, Medical Director, Family Medicine Physician and get noticed by over 22,000 recruiters.
Practice Name: Tufts Ambulatory Service. City/State: Woodstock, CT. Contact Person: Dr. Julia Wilkinson. Phone: 860-974-2780. Email: [email protected] Job Description: August 14, 2017. Internship at Tufts Ambulatory Service. The Tufts Ambulatory Service at the Cummings School of Veterinary Medicine invites applications for an internship position in large animal ambulatory medicine. Tufts Ambulatory Service is a ten-doctor practice located in Woodstock CT and is a primary clinical and teaching unit of the Cummings School of Veterinary Medicine in North Grafton, MA. Woodstock, CT is in the northeast "quiet corner" of Connecticut, a nice rural setting with a quick easy commute into major cities. The bovine practice focuses on dairy production medicine and primary care for both beef and dairy cattle. The equine practice focuses on preventative medicine, lameness, field surgery and reproduction. There is also a sizable case load in small ruminants and camelids to make the intern a ...
OBJECTIVE: The aim of this study was to estimate the heritability of 24-h ambulatory blood pressure and office blood pressure phenotypes in Swedish families. METHODS: We measured ambulatory and office blood pressure in 260 siblings without antihypert
DAYTON, OHIO-Wright State Physicians Obstetrics & Gynecology will offer an educational session about polycystic ovary syndrome (PCOS) on Thursday, Sept. 1, 6:30 to 7:30 p.m., in Classroom 1 on the second floor of the Wright State Physicians Health Center (725 University Blvd., Fairborn, OH 45324) on the campus of Wright State University. The session is free and open to the public.. The speaker is Steven R. Lindheim, M.D., M.M.M., director of the Wright State Physicians Obstetrics and Gynecology Fertility Program. He is a reproductive endocrinologist who is known nationally and internationally for his expertise in infertility, in-vitro fertilization, third-party reproduction, oncofertility, cryopreservation, bioethics and minimally invasive surgery. Lindheim also is a professor of obstetrics and gynecology at the Wright State University Boonshoft School of Medicine.. Lindheim will lead a discussion about PCOS, a condition in which a woman's hormones are imbalanced. This can cause problems with a ...
Pharmacovigilance Physician Jobs - Check out latest ✔ Pharmacovigilance Physician job vacancies @monster.com.ph with eligibility, salary, location etc. Apply quickly to various Pharmacovigilance Physician job openings in top companies!
Practice is an essential part of music training, but critical content-based analyses of practice behaviors still lack tools for conveying informative representation of practice sessions. To bridge this gap, we present a novel visualization system, the Music Practice Browser, for representing, identifying, and analysing music practice behaviors. The Music Practice Browser provides a graphical interface for reviewing recorded practice sessions, which allows musicians, teachers, and researchers to examine aspects and features of music practice behaviors. The system takes beat and practice segment information together with a musical score in XML format as input, and produces a number of different visualizations: Practice Session Work Maps give an overview of contiguous practice segments; Practice Segment Arcs make evident transitions and repeated segments; Practice Session Precision Maps facilitate the identifying of errors; Tempo-Loudness Evolution Graphs track expressive variations over the course of a
Looking for online definition of Diplomate of the Homeopathic Association of Naturopathic Physicians in the Medical Dictionary? Diplomate of the Homeopathic Association of Naturopathic Physicians explanation free. What is Diplomate of the Homeopathic Association of Naturopathic Physicians? Meaning of Diplomate of the Homeopathic Association of Naturopathic Physicians medical term. What does Diplomate of the Homeopathic Association of Naturopathic Physicians mean?
TY - JOUR. T1 - Impact of functional testing results on prescription patterns of anti-anginal medication after coronary artery bypass graft surgery. T2 - Results from the ROSETTA-CABG Registry. AU - Wou, Karen. AU - Nguyen, Hiep. AU - Duerr, Robert. AU - Del Core, Michael. AU - Fourchy, Dominique. AU - Huynh, Thao. AU - Lader, Ellis. AU - Rogers, Felix J.. AU - Chaudhry, Rashid. AU - Pilote, Louise. AU - Eisenberg, Mark J.. N1 - Copyright: Copyright 2008 Elsevier B.V., All rights reserved.. PY - 2006/6. Y1 - 2006/6. N2 - BACKGROUND: Although coronary artery bypass graft surgery (CABG) is known to reduce angina, previous studies have suggested that anti-anginal medication use is not significantly reduced after CABG. However, it is unclear how functional testing results have an impact on anti-anginal medication prescription patterns. OBJECTIVES: To determine whether post-CABG functional testing results impact prescription patterns of anti-anginal medication during the 12 months after CABG. ...
Our state of the art Andrology and Embryology Laboratory offers various services for those who are struggling with infertility. We have a team of specialists who work hard in offering the most accurate results. Our infertility laboratory uses state of the art equipment to optimize results for our lab tests and procedures. Our team is dedicated to helping you achieve your dream of parenthood. Our facility is kept up to the highest standards. We are an approved facility of the College of American Pathologists (CAP), the Clinical Laboratory Improvements Amendments (CLIA) and COLA (a clinical laboratory education, consultation, and accreditation organization ...
FINAL CY 2009 PAYMENT POLICIES FOR DRUGS, BIOLOGICALS, AND RADIOPHARMACEUTICALS FOR HOSPITAL OUTPATIENT DEPARTMENTS OVERVIEW: On October 30, 2008, the Centers for Medicare & Medicaid Services (CMS) issued a final rule with comment period that updates payment policies and rates for drugs, biologicals, and radiopharmaceuticals furnished in hospital outpatient departments (HOPDs) for calendar year (CY) 2009.
We again urge you to use your discretion to revise the calculation of physician expenditures and to support efforts in Congress to replace the SGR policy. Specifically, we do not think physician expenditures should include the cost of prescription drugs furnished incident to a physician s service. As you know, drugs administered in a physician s office are not paid for under the physician fee schedule; including them in the estimates of spending under the fee schedule holds physicians accountable for an expense that is largely outside their control, and one that is rising very rapidly. In addition, we believe that the estimate of physician expenditures should be adjusted to account for increased outlays related to new national coverage decisions. Coverage decisions that expand beneficiary access to advancements in medical diagnosis and treatment should be treated in a manner similar to changes in law and regulation that are expected to affect outlays for physicians services. In our view, there ...
Kim and colleagues tracked the number of doctor visits from 2006 to 2010 made by 6,379 older adults from the Health and Retirement Study, a nationally representative panel study of people over age 50. Respondents provided background information about themselves, health history and psychological data. Respondents were asked if they agreed or disagreed with statements such as "In most ways my life is close to ideal." They also indicated how many times they saw or talked to a doctor, including emergency room or clinic visits. Most respondents who reported a high life satisfaction visited doctors about 4.6 times a year compared with 6.3 visits annually among those who had a low life satisfaction. Overall, using a scale from 1 to 6, a person could expect an 11 percent decrease in doctor visits for each level of higher life satisfaction, the study found. "If these findings are consistently replicated and done so with a wide variety of methodologies, I think it can lead to some innovative ways of ...
TY - JOUR. T1 - Predictors of Hospitalization After Ureteroscopy Plus Elective Double-J Stent as an Outpatient Procedure. AU - Salciccia, Stefano. AU - Sciarra, Alessandro. AU - Pierella, Federico. AU - Leoncini, Pier Paolo. AU - Vitullo, Patrizia. AU - Polese, Milena. AU - Maggi, Martina. AU - Perugia, Giacomo. AU - Di Marco, Pierangelo. AU - Ricciuti, Gian Piero. N1 - © 2018 S. Karger AG, Basel.. PY - 2018/11/14. Y1 - 2018/11/14. N2 - PURPOSE: To evaluate the safety and feasibility of ureteroscopy plus elective double-J stent as an outpatient procedure in an unselected population with regard to the treatment for ureteral calculi and to present a multivariate analysis of factors predict hospitalization.MATERIALS AND METHODS: Ureteroscopy was performed as an outpatient procedure on 308 consecutive patients with ureteral stones. Contraindication for day case surgery was the only exclusion criteria from the study. All causes that led to immediate hospitalization were recorded; at the same time, ...
White coat hypertension, more commonly known as white coat syndrome, is a phenomenon in which patients exhibit a blood pressure level above the normal range, in a clinical setting, though they don't exhibit it in other settings. It is believed that the phenomenon is due to anxiety that those afflicted experience, during a clinic visit. The patient's daytime ambulatory blood pressure is used as a reference as it takes into account ordinary levels of daily stress. Many problems have been incurred in the diagnosis and treatment of white coat hypertension. The term "masked hypertension" can be used to describe the contrasting phenomenon, where a patient's blood pressure is above the normal range during daily living, although it isn't above the normal range when the patient is in a clinic setting. Read more ...
At its Jan. 12, 2012, meeting, as one of its advisory recommendations to Congress on Medicare payments, the Medicare Payment Advisory Commission (MedPAC) recommended that Congress direct the Department of Health and Human Services to reduce payment rates for evaluation and management (E&M) services provided in hospital outpatient departments so that total payment rates for these visits are the same whether the service is provided in an outpatient department or a physician's office. E&M services generally include routine visits, consultations and preventive medicine visits. ...
Antibiotics are commonly prescribed to critically ill patients throughout the world, with rates as high as 60%.1 A major concern is the almost universal observation that 31 - 77% of these are inappropriate.1-5 The inappropriate use of antibiotics is associated with increased morbidity, mortality and cost, and is a major driver in the emergence of resistant pathogens. Antibiotic prescription practices in South African intensive care units (ICUs) have not been described in the public or private sectors. Apart from its economic implications, this information is relevant because of the emergence of extremely high levels of drug resistance among Gram-negative bacilli in South Africa.6. As a continuum of the National Critical Care Audit, the Critical Care Society of Southern Africa (CCSSA) undertook a 1-day prevalence study of infection as a first step to ascertain the national profile of sepsis among critically ill patients.7-11 One aspect of the study was to ascertain antibiotic prescription ...
Primary care physicians in Germany are essential participants in infectious disease surveillance through mandatory reporting. Feedback on such surveillance should reflect the needs and attitudes of these physicians. These issues were investigated in a questionnaire survey among 8,550 randomly sampled physicians in Germany in 2001. Of the 1,320 respondents, 59.3% claimed not to have received any feedback on infectious disease surveillance, and 3.7% perceived feedback as not important. Logistic regression analysis showed that physicians in the former East Germany were 2.2 times more likely to have received feedback than those in the former West Germany. Physicians preferred to receive occasional reports (e.g., in case of outbreaks, 31.6%) as opposed to actively having to search for constantly updated information on the Internet (7.8%). The preferred formats were fax (31.7%), mail (30.9%), and the official organ of the German Medical Association (Deutsches Arzteblatt) (30.5%). Feedback of surveillance data
The study will provide additional safety data for specific safety events in persons receiving intravitreal injections. The Committee for Medicinal Products for Human Use (CHMP) is interested in obtaining additional safety information when Macugen is used in real world settings by practitioners in Europe treating patients with neovascular (wet) age-related macular degeneration (AMD). The study will provide information about physician practice patterns and characteristics of patients treated with Macugen ...
On November 1, the Centers for Medicare and Medicaid Services (CMS) released the final 2013 Medicare physician fee schedule rule, which sets the therapy cap amount on outpatient therapy services for 2013 at $1,900; updates 2013 payment amounts for physicians, physical therapists, and other health care professionals; and revises other payment policies. The therapy cap exceptions process will expire on December 31 unless Congress acts to extend it. Additional policies that will impact physical therapists include implementation of new functional status codes for reporting therapy services and updates to the Physician Quality Reporting System (PQRS).. The final rule includes a 26.5% across-the-board reduction to Medicare payment rates for physicians, physical therapists, and other professionals due to the flawed sustainable growth rate (SGR) formula. Since 2003, Congress had enacted legislation preventing the reduction every year. CMS announces that it is "committed to fixing the SGR update ...
Traditional Chinese medicine (TCM) has been used by Chinese patients and in many other countries worldwide. However, epidemiological reports and prescription patterns on children are few. A cohort of 178,617 children aged 18 and under from one million randomly sampled cases of the National Health Insurance Research Database was analyzed for TCM prescription patterns. SAS 9.1 was applied and descriptive medicine utilization patterns were presented. The cohort included 112,889 children treated by TCM, with adolescents (12- to 18-year-olds) as the largest group. In the children's TCM outpatient visits, Chinese herbal remedies were the main treatment. The top three categories of diseases treated with Chinese herbal remedies were respiratory system; symptoms, signs, and ill-defined conditions; and digestive system. The top three categories using acupuncture were: injury and poisoning, diseases of the musculoskeletal system and connective tissue, and diseases of the respiratory system. Of the top ten herbal
Each state has its own individual licensing boards along with their own Physician Assistant licensure requirements. The master's degree program in Physician Assistant Studies at the University of South Carolina is provisionally accredited by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA), and by virtue of that accreditation, its graduates are eligible to sit for the Physician Assistant National Certifying Examination (PANCE). As of July 2020, all 50 states require graduation from an ARC-PA accredited program and National Commission on Certification of Physician Assistants (NCCPA) certification following the successful completion of the PANCE as conditions for initial PA licensure. Besides initial PANCE certification, we cannot confirm that the program meets any additional requirements for professional licensure in states other than South Carolina. Students seeking licensure outside of South Carolina should click here for information regarding state ...
An East Tennessee community mental health center, specializing in co-occurring substance abuse and mental health services, has an Intensive Outpatient Program (IOP) that utilizes a combination of cognitive behavioral therapy, motivational interviewing, and relapse prevention. Currently, 50% of individuals who enter the IOP program fail to graduate. The purpose of this study is to identify the factors associated with successful program completion. Methods: A secondary analysis was conducted on data from 116 participants in the IOP group. A logistic regression model was used to determine which factors were related to successful program completion. Results: The overall regression model was found to be statistically significant, (χ2 (20, N = 115) = 39.06, p | .05). Results indicate that age was a significant variable (p = .026), and with each increment in age, the odds of completion increased by almost 6%, when controlling for other variables in the model. Likewise, each increment of medication
Background: Data from trials suggest that antibiotics reduce the risk of complications of sore throat by at least 50%, but few trials for complications have been done in modern settings, and datasets of delayed antibiotic prescription are underpowered. Observational evidence is important in view of poor compliance with antibiotic treatment outside trials, but no prospective observational cohort studies have been done to date. Methods: We generated a large prospective cohort from the DESCARTE study, and the PRISM component of DESCARTE, of 12829 adults presenting with sore throat (≤2 weeks duration) in primary care. Our follow-up of the cohort was based on a detailed and structured review of routine medical records, and analysis of the comparison of three antibiotic prescription strategies (no antibiotic prescription, immediate antibiotic prescription, and delayed antibiotic prescription) to control for the propensity to prescribe antibiotics. Information about antibiotic prescription was recorded in
'Of the 4,161,697 clients who received outpatient mental health treatment services at least once in April 2016 and were still enrolled in treatment on April 29, 2016, 46 percent received services in outpatient mental health facilities and 32 percent received services in community mental health centers. VA medical centers accounted for 9 percent of clients served in less than
Prescription pattern and prevalence of potentially inappropriate medications among elderly patients in a Nigerian rural tertiary hospital Joseph O Fadare,1 Segun Matthew Agboola,2 Olumide Augustine Opeke,3 Rachel A Alabi41Department of Medical Pharmacology and Therapeutics, Obafemi Awolowo University, Ile-Ife, Nigeria; 2Department of Family Medicine, 3Department of Internal Medicine, 4Pharmacy Department, Federal Medical Centre, Ido-Ekiti, NigeriaIntroduction: Polypharmacy and inappropriate prescriptions are prominent prescribing issues with elderly patients. Beers criteria and other guidelines have been developed to assist in the reduction of potentially inappropriate medications prescribed to elderly patients. The objectives of this study were to assess the prescribing pattern for elderly Nigerian outpatients and estimate the prevalence of potentially inappropriate medications among them using the Beers criteria.Methodology: This was a prospective cross-sectional study of elderly patients (65 years
Background: Clinical practice guidelines (CPG) are thought to be an effective tool in improving efficiency and outcomes of clinical practice. Physicians' adherence to guidelines is reported to be poor. We evaluated the relationship between generalizability of guidelines on hypertension and physicians' adherence to guidelines' recommendations for pharmacological treatment. Methods: We used the Sixth Joint National Committee's (JNC VI) guidelines on hypertension to evaluate our hypothesis. We evaluated the evidence from controlled clinical trials on which the JNC VI bases its recommendation, and compared the population enrolled in those trials with the American hypertensive population. Data on this population came from the National Health and Nutritional Examination Survey III. Results: Twenty-three percent of the NHANES population had a diagnosis of hypertension, 11% had hypertension requiring drug treatment according to the JNC VI. Only half of the population requiring treatment would have been ...
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Members of the ACCME Board of Directors and executive staff participated in a meeting of the Coalition for Physician Accountability held in August in Philadelphia. James F. Burke, MD, Vice-Chair, and Edward J. Susank, Treasurer, ACCME Board of Directors; and Murray Kopelow, MD, ACCME President and Chief Executive, participated in the meeting, which was hosted by the Educational Commission for Foreign Medical Graduates. The Coalition comprises national organizations responsible for physician assessment, accreditation, licensure, and credentialing. Its purpose is to advance the quality and safety of patient care by providing a forum for dialogue among members about ways to enhance physician accountability through continuous improvement of medical education, training, and practice. The ACCME is a charter member. Other charter members include the Accreditation Council for Graduate Medical Education, the American Board of Medical Specialties, the American Osteopathic Association, the Association of ...
The incidence, mortality, and medical care costs of Clostridium difficile (C. difficile), a common and sometimes fatal health care-associated infection, are all at historic highs, according to a report released yesterday by the Centers for Disease Control and Prevention (CDC). The report shows that C. difficile is not just a problem in hospitals-it is a patient safety issue in all types of medical facilities, including nursing homes, physician offices, and outpatient facilities. C. difficile causes diarrhea linked to 14,000 American deaths each year. Almost half of the infections occur in people younger than 65, but more than 90% of deaths occur in people 65 and older. About 25% of C. difficile infections first show symptoms in hospital patients; 75% first show in nursing home patients or in people recently cared for in physician offices and clinics.. To help reduce the spread of C. difficile, CDC provides guidelines and tools to the health care community, including a podcast on 6 steps to ...
TY - JOUR. T1 - Cost effectiveness of nurse led secondary prevention clinics for coronary heart disease in primary care:follow up of a randomised controlled trial. AU - Raftery, J.. AU - Yao, L.. AU - Murchie, Peter. AU - Campbell, Neil Crawford. AU - Ritchie, Lewis Duthie. PY - 2005/2. Y1 - 2005/2. N2 - Objective To establish the cost effectiveness of nurse led secondary prevention clinics for coronary heart disease based on four years' follow up of a randomised controlled trial.Design Cost effectiveness analysis.Setting 19 general practices in north east Scotland.Participants 1343 patients (673 in intervention group and 670 in control group, as originally randomised) aged under 80 years with a diagnosis of coronary heart disease but without terminal illness or dementia and not housebound.Intervention Nurse led clinics to promote medical and lifestyle components of secondary prevention.Main outcome measures Costs of clinics; overall costs to health service; and cost per life year and per ...
Please cite this data as "National Poison Data System, American Association of Poison Control Centers." Any and all print, digital, social, or visual media using this data must include the: "You can reach your local poison control center by calling the Poison Help hotline: 1-800-222-1222. To save the number in your mobile phone, text POISON to 797979." Email [email protected] or call 703-894-1863 for more information, questions, or to submit request data. ...
This is a prospective randomized study with two arms: the Conventional and Ambulatory blood pressure monitoring arm and the Home blood pressure monitoring arm. The study will include both previously treated and untreated individuals.. Before randomization and in the end of the study, measurements will be performed using all three blood pressure monitoring methods (Conventional, Ambulatory and Home) as well as assessment of target organ damage (microalbuminuria, electrocardiogram, echocardiogram, carotid-femoral pulse wave velocity and central blood pressure).. The participants will be randomized into one of the two arms. Diagnosis and titration will be decided according to either Conventional and Ambulatory blood pressure measurements or according to Home blood pressure measurements. Subjects will be followed up for one year. ...
TY - JOUR. T1 - Physician preferences and attitudes regarding different models of cancer survivorship care. T2 - A comparison of primary care providers and oncologists. AU - Cheung, Winson Y.. AU - Aziz, Noreen. AU - Noone, Anne Michelle. AU - Rowland, Julia H.. AU - Potosky, Arnold L.. AU - Ayanian, John Z.. AU - Virgo, Katherine S.. AU - Ganz, Patricia A.. AU - Stefanek, Michael. AU - Earle, Craig C.. PY - 2013/9/1. Y1 - 2013/9/1. N2 - Purpose: New strategies for delivering cancer follow-up care are needed. We surveyed primary care providers (PCPs) and oncologists to assess how physician attitudes toward and self-efficacy with cancer follow-up affect preferences for different cancer survivorship models. Methods: The survey of physician attitudes regarding the care of cancer survivors was mailed to a randomly selected national sample of PCPs and oncologists to evaluate their perspectives regarding physician roles, knowledge about survivorship care processes, and views on cancer surveillance. ...
TY - JOUR. T1 - Validating the New Primary Care Measure in the Medical Expenditure Panel Survey. AU - Olaisen, R. Henry. AU - Flocke, Susan A.. AU - Smyth, Kathleen A.. AU - Schluchter, Mark D.. AU - Koroukian, Siran M.. AU - Stange, Kurt C.. PY - 2020/1/1. Y1 - 2020/1/1. N2 - Background:The advancement of primary care research requires reliable and validated measures that capture primary care processes embedded within nationally representative datasets.Objective:The objective of this study was to assess the validity of a newly developed measure of primary care processes [Medical Expenditure Panel Survey (MEPS)-PC] with preliminary evidence of moderate to excellent reliability.Study Design:A retrospective cohort study of community-dwelling adults with history of office-based provider visit/s using the MEPS (2013-2014).Methods:The 3 MEPS-PC subscales (Relationship, Comprehensiveness, and Health Promotion) were tested for construct validity against known measures of primary care: Usual Source of ...
Expanding access to effective treatment for opioid use disorder (OUD) is essential to staunching the opioid epidemic. This brief is one of the first studies to assess patient access to treatment services for OUD at facilities that offer OUD pharmacotherapy across New Jersey. We conducted phone surveys in 2018 with substance use treatment facilities in New Jersey. This brief presents data about specific treatment service availability, wait times, and Medicaid coverage of treatment, including region- and county-specific data to assess the supply and demand of various treatment options throughout New Jersey. We estimate that only 49 percent of substance use treatment facilities offered any form of OUD pharmacotherapy-buprenorphine, methadone, or naltrexone. Overall, patients had a median wait time of two days for both regular and intensive outpatient services, but wait times varied widely across both county and service type.. ...