List/Grid

General Medicine Subscribe to General Medicine

Increased adoption of complex care management can help meet cost savings, quality goals

Increased adoption of complex care management can help meet cost savings, quality goals

The care of patients with complex medical needs is widely regarded as one of the key factors driving increased U.S. health costs, and it is generally accepted that 10 to 15 percent of Medicare patients account for 65 to 75 percent of all Medicare spending. Many of the country’s leading health care organizations have been adopting the strategy of complex care management — assembling multidisciplinary teams of physicians, nurses, pharmacists, mental health professionals and others, with services being coordinated by care managers who work closely with patients and their family members Continue reading

Genetic variations may modify cardiovascular benefit of aspirin

Genetic variations may modify cardiovascular benefit of aspirin

Aspirin is the gold standard for antiplatelet therapy and a daily low-dose aspirin is widely prescribed for the prevention of cardiovascular disease. Now, a new study suggests that common genetic variation in the gene for catechol-O-methyltransferase (COMT) may modify the cardiovascular benefit of aspirin, and in some people, may confer slight harm Continue reading

Overuse of blood transfusions increases infection risk

Overuse of blood transfusions increases infection risk

Blood transfusions are one of the most common procedures patients receive in the hospital but the more red blood cells they receive, the greater their risk of infection, says a new study led by the University of Michigan Heath System and VA Ann Arbor Healthcare System. Researchers analyzed 21 randomized controlled trials for the study that appears in today’s Journal of the American Medical Association ( JAMA ). Continue reading

Cardiac bypass surgery superior to non-surgical procedure for adults with diabetes and heart disease

Cardiac bypass surgery superior to non-surgical procedure for adults with diabetes and heart disease

ScienceDaily (Nov. 4, 2012) — Adults with diabetes and multi-vessel coronary heart disease who underwent cardiac bypass surgery had better overall heart-related outcomes than those who underwent an artery-opening procedure to improve blood flow to the heart muscle, according to the results from an international study Continue reading

Genetic marker for placebo response identified in IBS patients

Genetic marker for placebo response identified in IBS patients

ScienceDaily (Oct. 23, 2012) — Although placebos have played a critical role in medicine and clinical research for more than 70 years, it has been a mystery why these inactive treatments help to alleviate symptoms in some patients — and not others. Continue reading

Patients feel more control of their health when doctors share notes

Patients feel more control of their health when doctors share notes

ScienceDaily (Oct. 1, 2012) — Patients with access to notes written by their doctors feel more in control of their care and report a better understanding of their medical issues, improved recall of their care plan and being more likely to take their medications as prescribed, a Beth Israel Deaconess Medical Center-led study has found. Continue reading

Common hospital-acquired infection rarely reported in the dataset used to implement hospital penalties

Common hospital-acquired infection rarely reported in the dataset used to implement hospital penalties

ScienceDaily (Sep. 5, 2012) — Aiming to cut expenses and improve care, a 2008 Medicare policy stopped paying hospitals extra to treat some preventable, hospital-acquired conditions — including urinary tract infections (UTIs) in patients after bladder catheters are placed. But a statewide analysis by the University of Michigan shows there was very little change in hospital payment due to removing pay for hospital-acquired catheter-associated UTIs. Continue reading

Common hospital-acquired infection rarely reported in the dataset used to implement hospital penalties

Common hospital-acquired infection rarely reported in the dataset used to implement hospital penalties

ScienceDaily (Sep. 5, 2012) — Aiming to cut expenses and improve care, a 2008 Medicare policy stopped paying hospitals extra to treat some preventable, hospital-acquired conditions — including urinary tract infections (UTIs) in patients after bladder catheters are placed. But a statewide analysis by the University of Michigan shows there was very little change in hospital payment due to removing pay for hospital-acquired catheter-associated UTIs Continue reading

Common hospital-acquired infection rarely reported in the dataset used to implement hospital penalties

Common hospital-acquired infection rarely reported in the dataset used to implement hospital penalties

ScienceDaily (Sep. 5, 2012) — Aiming to cut expenses and improve care, a 2008 Medicare policy stopped paying hospitals extra to treat some preventable, hospital-acquired conditions — including urinary tract infections (UTIs) in patients after bladder catheters are placed. But a statewide analysis by the University of Michigan shows there was very little change in hospital payment due to removing pay for hospital-acquired catheter-associated UTIs. Continue reading

Common hospital-acquired infection rarely reported in the dataset used to implement hospital penalties

Common hospital-acquired infection rarely reported in the dataset used to implement hospital penalties

ScienceDaily (Sep. 5, 2012) — Aiming to cut expenses and improve care, a 2008 Medicare policy stopped paying hospitals extra to treat some preventable, hospital-acquired conditions — including urinary tract infections (UTIs) in patients after bladder catheters are placed Continue reading