public health
See the following -
A Burnout Fix: Occupational Health
In the midst of the doctor shortage and burnout epidemic, occupational medicine is the best-kept secret in U.S. health care. Read More »
- Login to post comments
A Few Ways The Government Shutdown Could Harm Your Health (And The World’s)
There’s going to be a lot — a lot — of coverage today on the federal shutdown, what it means and how long it might go on. I thought it might be worth quickly highlighting how it affects the parts of the government that readers here care most about: public health, global health, food safety and the spread of scary diseases. Read More »
- Login to post comments
A Lack Of Planning And Protocol Failures In Healthcare Are Not Limited To Ebola
With the two nurses now contracting Ebola at Texas Health Resources Presbyterian Hospital in Dallas, there are many lined up to criticize the CDC and their lack of planning, communication, and preparation for Ebola cases. Many are criticizing THR Presbyterian Hospital for their lack of protocols and for not having the right protective gear available for nurses and other caregivers...
- Login to post comments
A Law Professor’s Big Idea for Combating Greedy Drug Company Titans Like Martin Shkreli
In 2015, CEO of Turing Pharmaceuticals Martin Shkreli infamously raised the price of the life-saving drug Daraprim by 5,000%. Daraprim, developed more than 60 years ago, is used to treat the deadly parasitic infection toxoplasmosis. It was selling for $13.50 a pill; then Turing raised the price to $750. The move sparked massive backlash and Congressional hearings, and Shkreli himself was eventually arrested for, and convicted of, unrelated securities fraud charges. But the original, horrible problem didn’t get fixed. Turing kept the price sky-high; as of August 2016, many patients were paying $375 per pill...
- Login to post comments
A Marriage Of Data And Caregivers Gives Dr. Atul Gawande Hope For Health Care
Dr. Atul Gawande (@Atul_Gawande) has been a bard in the health care world, straddling medicine, academia and the humanities as a practicing surgeon, medical school professor, best-selling author and staff writer at the New Yorker magazine. His long-form narratives and books have helped illuminate complex systems and wicked problems to a broad audience. Read More »
- Login to post comments
A Nevada Woman Dies of a Superbug Resistant to Every Available Antibiotic in the US
If it sometimes seems like the idea of antibiotic resistance, though unsettling, is more theoretical than real, please read on. Public health officials from Nevada are reporting on a case of a woman who died in Reno in September from an incurable infection. Testing showed the superbug that had spread throughout her system could fend off 26 different antibiotics. “It was tested against everything that’s available in the United States … and was not effective,” said Dr. Alexander Kallen, a medical officer in the Centers for Disease Control and Prevention’s division of health care quality promotion...
- Login to post comments
A New Drug In The Age Of Antibiotic Resistance
Two alarming figures from a report released last month by the U.K. government: By 2050, antibiotic resistance will cost the world a projected 10 million lives and $8 trillion each year...
- Login to post comments
A New Kind of Doctor's Office Charges a Monthly Fee and Doesn't Take Insurance — and It Could Be the Future of Medicine
Dr. Bryan Hill spent his career working as a pediatrician, teaching at a university, and working at a hospital. But in March 2016, he decided he no longer wanted a boss. He took some time off, then one day he got a call asking if he'd be up for doing a house call for a woman whose son was sick. He agreed, and by the end of that visit, he realized he wanted to treat patients without dealing with any of the insurance requirements. Then he learned about a totally different way to run a doctor's office...
- Login to post comments
A Patient In Minnesota Has Lassa Hemorrhagic Fever. (Don’t Panic.)
News from the Minnesota Department of Public Health and the Centers for Disease Control and Prevention: A Minnesota traveler returning from Africa has been hospitalized with what the CDC confirms to be Lassa fever, a viral hemorrhagic fever that is often lumped together with Ebola hemorrhagic fever, though they are caused by different organisms. Read More »
- Login to post comments
A Public Health Perspective on the CMS Quality Payment Program
I have seen several pretty good summaries of the recently 0release Centers for Medicare and Medicaid Services (CMS) 2019 Inpatient Prospective Payment System Notice of Proposed Rulemaking (NPRM) to Quality Payment Program (one from AMIA, one from CDC). Here are just a few additional tidbits I picked out of the NPRM. Of course, this document is written like stereo instructions so I welcome any corrections or comments to my interpretation of what’s in the rule. I put page numbers (from final FBO version referenced above which has just been released) where relevant in parenthesis. And I apologize in advance as much of what’s here is cryptic to anyone who has not been exposed to this before and I don’t make much of an attempt to explain the context (or even the acronyms)...
- Login to post comments
A Searing New Report Claims Opioid Drugmakers Spent 8 Times as Much as the NRA on Lobbying
A searing new report from the Associated Press claims that the makers of opioid painkillers, the dangerous drugs at the center of the tragic overdose crisis, outspent the US gun lobby on lobbying and campaign contributions by 8:1. The report looked at the period from 2006 to 2015, when deaths from the drugs began to skyrocket. Here are some of its most striking findings...
- Login to post comments
A Tale of Two Epidemics — HCV Treatment among Native Americans and Veterans
In light of ongoing debates about health care budgets and rising drug prices, a current public health crisis can provide useful insights. For patients who get their health care through two separate federal agencies, the hepatitis C virus (HCV) epidemic is unfolding in vastly different ways. In recent years, the Department of Veterans Affairs (VA) health care system has mounted a response to HCV that should be the envy of any health system, public or private. On the other hand, the Indian Health Service (IHS), an agency that serves American Indians and Alaska Natives, is struggling to meet the needs of its patients with HCV...
- Login to post comments
A Web Services Approach to Public Health Clinical Decision Support
Although it is still early days, I am increasingly convinced that the movement to bring a web services approach to healthcare is real. Every week brings announcements of new efforts to create modules that do one thing well and that providers could subscribe to from within their EHR. This approach makes so much more sense than each provider working with its software vendor to recreate the wheel.This is especially appealing in the realm of clinical decision support (CDS), in which knowledge management is so time-consuming and difficult for provider organizations...
- Login to post comments
Africa: Breaking Down The Academic Paywalls, In Africa Too
Across Africa, academics and researchers face financial barriers that keep them from accessing the same knowledge their peers elsewhere in the world can afford. Read More »
- Login to post comments
Aged Care Facilities Nurturing Superbugs [Australia]
Nursing home residents appear to be significant carriers of superbug infections into hospitals, potentially putting other patients at risk. This is the latest finding in a series of Monash University studies that have investigated management of infection in Melbourne's aged care facilities, and the over-prescription of antibiotics to residents...
- Login to post comments