‘Don’t Cut Me!’: Discouraged By Experts, Episiotomies Still Common In Some Hospitals
Overall rates are falling in California and nationally but data point to certain hospitals with extremely high percentages.
Doctors
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Study Finds Doctors Quick To Change Practice For Breast Cancer Patients
Despite the usual view that physicians are slow to alter their routines based on new scientific evidence, researchers found that breast cancer surgeons quickly adopted advice to not remove lymph nodes after a landmark clinical trial in 2011.
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Doctors Wrestle With Mixed Messages When Deciding Whether To Prescribe Painkillers
Though the CDC’s new prescribing guidelines follow a theme of less is more, another federal agency’s patient satisfaction surveys include questions about pain management that some say encourage doctors to prescribe the highly addictive medicines.
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Screen Flashes And Pop-Up Reminders: ‘Alert Fatigue’ Spreads Through Medicine
Electronic health records increasingly include automated alert systems pegged to patients’ health information. In some cases, though, the sheer volume of these messages has become unmanageable.
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For Doctors-In-Training, A Dose Of Health Policy Can Help The Medicine Go Down
Medical residents at George Washington University spend three weeks examining and diagnosing the nation’s health care system.
By Julie Rovner -
A New Sort Of Consultant: Advising Doctors, Patients On California’s Aid-In-Dying Law
A Berkeley doctor begins an unusual practice as a law takes effect this week permitting doctors to prescribe lethal medications to terminally ill patients who request them.
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Calif. Senate Nixes Bill Requiring Disclosures From Disciplined Doctors
The proposal would have required physicians and other medical clinicians to tell their patients if they were on probation for serious offenses.
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A Doctor Yearns For A Return To The Time When Physicians Were ‘Artisans’
Dr. Abraham Nussbaum, author of a new book examining the drive toward quality metrics such as checklists, says he fears medicine could become just another job and not a “calling.”
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Sharing Your Doctor With A Group
With “shared appointments,” patients can get more time with less-harried providers, enjoy mutual support and see better outcomes. But the approach has its skeptics.
By Anna Gorman -
Aid-In-Dying: Not So Easy
In June, California will become the fifth state to allow terminally ill patients to end their lives with prescriptions from their doctors, but getting those prescriptions will require serious effort.
By Emily Bazar -
FAQ: Medicare Lays Out Plans For Changing Doctors’ Pay
The effort, which will replace a controversial reimbursement schedule that began in 1997, is designed to move away from paying for quantity of services and focus instead on quality.
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Three Hospitals Hope To Spark A Reduction In Surgeries By Inexperienced Doctors
The prestigious facilities are seeking to improve patient safety by getting surgeons and hospitals to pledge to meet minimum thresholds for 10 high-risk procedures.
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Administration Says New Rules For Medicaid Plans Will Improve Service For Enrollees
Private insurers that administer Medicaid for the poor also face limits on profits and requirements to provide sufficient doctors.
By Jay Hancock -
At Teaching Hospitals, Aggressive Screening May Lead To Medicare Penalties
Nearly half of academic medical centers will be penalized by the government this year for high rates of infections and other avoidable complications, but the hospitals say it shows they screen better for problems.
By Jordan Rau -
Rise In Oncologists Working For Hospitals Spurs Higher Chemo Costs: Study
Researchers found that the facility fees hospitals and their clinics routinely add to the bill helps drive the price increases.
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Most Doctors Unsure How To Discuss End-of-Life Care, Survey Says
They recognize the responsibility, but some may need training.
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Hospital Software Often Doesn’t Flag Unsafe Drug Prescriptions, Report Finds
A survey conducted by the Leapfrog Group finds that though many hospitals have computer-based medication systems in place to protect against errors, many still fall short in highlighting possible problems.
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Patients’ Assessment Of Their Health Is Gaining Importance In Treatment
As medicine moves to a patient-centered model, doctors and other health providers are slowly adding patients’ self-reports to the other tests and exams they use to determine care.
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UnitedHealth Tries Boutique-Style Health Plan
Harken Health, a new UnitedHealthcare subsidiary, offers members free unlimited doctor visits and health coaches at 10 clinics in Chicago and Atlanta.
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Study: Primary Care Doctors Often Don’t Help Patients Manage Depression
Physicians were less likely to use “care management processes” with patients who have depression than with those who had other chronic conditions, the researchers found.