Nursefriendly.com: Primary Care Physicians (PCP)

Showing posts with label Primary Care Physicians (PCP). Show all posts

Friday, June 10, 2011

Top 5 Don’ts for Doctors in Primary Care - By RONI CARYN RABIN-NYTimes.com

Antibiotics for sore throats and CT scans for minor head injuries in children are among the most wasteful practices in primary care medicine, a national physicians’ group said last week. Among the others are electrocardiograms performed routinely on healthy adults and widespread prescribing of brand-name statins to reduce L.D.L., or “bad” cholesterol.

Related

More Vital Signs Columns

The group issuing the report, the National Physicians Alliance, an organization of some 22,000 physicians, developed three separate “Top 5” lists for primary care doctors — internists, family doctors and pediatricians — that were essentially lists of medical “don’ts.” The lists were published online in The Archives of Internal Medicine.

via nytimes.com

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Friday, May 27, 2011

More primary care tied to lower death rates | Reuters

Seniors living in areas with more primary care have slightly lower death rates and are less likely to end up in the hospital with a preventable disease, U.S. researchers have found.

In contrast to some earlier studies, which have yielded mixed results, the new work looked at how much primary care was actually delivered to patients -- not just how many primary care physicians were in a certain area.
"The magic is not in how many primary care physicians there are, it is what they do," said Dr. Barbara Starfield of the Primary Care Policy Center at Johns Hopkins University in Baltimore, who was not involved in the study.

via reuters.com

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Sunday, May 1, 2011

Opioid-related Overdose Deaths Are a National Epidemic

A report on the increase in unintentional drug overdoses emphasizes the role of nonmedical opioid abuse, but also says physicians share some blame.
A recently released report authored by experts from the CDC, the University of North Carolina at Chapel Hill School of Medicine, and Duke University Medical Center shows that in 40% of US states, unintentional drug overdoses kill more people than motor vehicle accidents and suicides.
Calling this trend a “national epidemic,” the authors of the report, published on the website of the Journal of Clinical Psychiatry, wrote that one potential contributor to the dramatic increase in unintentional overdose deaths in the US in the last two decades is that “psychiatrists and many primary care physicians might not be familiar with existing evidence-based guidelines for opioid prescribing or with programs designed to reduce the abuse of prescription drugs such as state prescription drug monitoring programs.”
A University of North Carolina at Chapel Hill School of Medicine news release accompanying the publication of the report noted that prescription opioid pain medications “are driving this overdose epidemic,” with data showing that in 2007 “unintentional deaths due to prescription opioid pain killers were involved in more overdose deaths than heroin and cocaine combined.”

via hcplive.com

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Wednesday, April 27, 2011

7 Things Your Doctor Might Not Explain You

Visiting a doctor periodically for a check-up and getting tested alone does not prevent you from illnesses or risks. You have to get your medical examiner to be open and honest with you about the risks that you are facing if you do not commit to the said lifestyle changes, if there is a need for doing so.

1. The Facts Behind 'Quit Smoking'

Any doctor is not going to be an alarmist and so the general advice would be to 'Quit smoking'. What he might not be telling you are the facts and the benefits behind quitting smoking. For instance, research has established that even a man who has been smoking for more than 20 years can reduce his risk of suffering a stroke hardly a year after quitting smoking. After a full year, your risk of suffering a heart attack will be equal to that of a non-smoker. It is up to you to decide if your health and your family’s happiness are as important to you as the 2.5 inches of nicotine rush or not.

2. The Truth Behind 'Exercise and Workout'

Typically whether you weigh the right amount for your age and height or not, your doctor is prone to advise you to 'Exercise and Work out'. If you are fit and exercise regularly, he is likely to ask you to keep it up. On the other hand, if you are overweight and do not exercise, he is going to insist that you start on an exercise regime immediately and keep pushing yourself just a little bit harder outside your comfort zone for best results. But what he might not tell you is that just three strenuous workouts a week are enough for you to show significant results in your overall health. But remember, not to exert yourself too much as it will have an adverse effect on your health.

via lifemojo.com

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Monday, April 11, 2011

Patient complaints do not fit the primary care office visit

by Kevin Pho, MD
Primary care physicians often have to see patients with a litany of issues. Often within a span of a 15-minute office visit.
This places the doctor in the middle of a tension — spend more time with the patient to address all of the concerns, but risk the wrath of patients scheduled afterwards, who are then forced to wait.
And, in some cases, it’s simply impossible to adequately address every patient question during a given visit.
It’s a situation that internist Danielle Ofri wrote recently about in the New York Times.
In her essay, she describes a patient, who she initially classified as the “worried well”:

via kevinmd.com

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Wednesday, April 6, 2011

Electronic Health Records: Status, Needs and Lessons – 2011 Report Based on 2010 Data

The use of electronic health records (EHRs) by medical practices and other organizations in the United States has increased measurably in the past decade. Despite the potential to improve the quality of patient care and enhance practices' financial performance, the technology remains far from universal.

To better understand the current state of EHR use, MGMA conducted a study funded by PNC Bank to explore the barriers and benefits of EHR adoption. MGMA collected data between Oct. 1, 2010, and Nov. 9, 2010, from 4,588 healthcare organizations nationwide that responded to the survey. The data represent the aggregate experience of more than 120,000 physicians in medical practice.

via blog.mgma.com

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Tuesday, April 5, 2011

Find Health Care Options - Public Information - MOHLTC

A Nurse Practitioner-Led Clinic can provide ongoing care while helping promote disease prevention and healthy living. Nurse practitioners can diagnose and treat common injuries and illnesses, write some prescriptions and order blood and diagnostic tests. You can also find nurse practitioners working throughout the province in Family Health Teams and other types of clinics.

Tip : If you’re without a family doctor, try Health Care Connect. They can help you find a nurse practitioner or family doctor in your area.

Mobile

Use this option

As an alternative to a traditional doctor’s office or walk-in clinic

To schedule a checkup including routine screening tests for cancer, etc

When you need support in managing a chronic condition

via health.gov.on.ca

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Want Medicare To Pay For Home Care? See Your Doctor : Shots - Health Blog : NPR

Starting next month, seniors getting health care in their homes will have to see a doctor to make sure they actually need the service. Otherwise Medicare won't pay.

Sounds logical, right?

Not so, says a coalition of health providers and consumer groups that complains the rule is overly burdensome on seniors and doctors.

Home health agencies, doctor and consumer groups say frail, homebound seniors won't be able to get to a doctor's office because of their health status or lack of doctors in rural areas.

They also worry that many doctors are either unaware of the new regulation or won't know how to comply with its documentation requirements that call on physicians to certify they or another health care provider, such as a nurse practitioner, have seen a patient for the specific reason of certifying the need for home health care.

"There is a lot of confusion out there, and patients may lose access to their care," said Nora Super, an AARP lobbyist.

via npr.org

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Sunday, April 3, 2011

Men avoid the doctor, survey finds - Chicago Sun-Times

Almost half of men 18 to 50 don’t have a primary-care physician, and a third haven’t had a checkup in more than a year, a new survey shows.
About 40 percent of men in their 40s have never had their cholesterol tested, and 70 percent have never had a prostate exam, according to the national survey of 519 men commissioned by Esquire magazine.

“It’s a stereotype about men that they don’t like to go to the doctor, that they’d rather just go when there’s a problem,” says Esquire’s Ryan D’Agostino.

The survey found that 45 percent of the men surveyed didn’t have a primary-care doctor. Among other findings:

via suntimes.com

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Wednesday, March 2, 2011

How patients and doctors can improve the primary care office visit

Consumer Reports recently released a survey of both patients and primary care doctors, regarding their perceptions of each other.
Some interesting findings, as summarized by the WSJ’s Health Blog:
On the issue of respect and appreciation, 70% of doctors said they were getting less of it from patients than when they started practicing. For patients, meantime, the more they reported being treated respectfully and listened to, the more satisfied they were with their physician.
Respect matters. Treating health professionals in a courteous manner definitely helps when receiving medical care. On the flip side, physicians also need to respect patents, as it positively impacts patient satisfaction. Both parties need to improve in this area.
Doctors said insurance paperwork topped their list of things that interfere with their ability to provide the best possible care. Financial pressure was No. 2.

via kevinmd.com

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Friday, June 10, 2011

Top 5 Don’ts for Doctors in Primary Care - By RONI CARYN RABIN-NYTimes.com

Related

More Vital Signs Columns

Friday, May 27, 2011

More primary care tied to lower death rates | Reuters

Sunday, May 1, 2011

Opioid-related Overdose Deaths Are a National Epidemic

Wednesday, April 27, 2011

7 Things Your Doctor Might Not Explain You

1. The Facts Behind 'Quit Smoking'

2. The Truth Behind 'Exercise and Workout'

Monday, April 11, 2011

Patient complaints do not fit the primary care office visit

Wednesday, April 6, 2011

Electronic Health Records: Status, Needs and Lessons – 2011 Report Based on 2010 Data

Tuesday, April 5, 2011

Find Health Care Options - Public Information - MOHLTC

Use this option

Want Medicare To Pay For Home Care? See Your Doctor : Shots - Health Blog : NPR

Sunday, April 3, 2011

Men avoid the doctor, survey finds - Chicago Sun-Times

Wednesday, March 2, 2011

How patients and doctors can improve the primary care office visit

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