Showing posts with label medical. Show all posts
Showing posts with label medical. Show all posts

Thursday, 30 May 2019

Decrease In Funding For Medical Research Can Have Serious Results

Decrease In Funding For Medical Research Can Have Serious Results.
Spending on medical fact-finding is waning in the United States, and this be biased could have dire consequences for patients, physicians and the robustness care industry as a whole, a new analysis reveals. America is losing territory to Asia, the research shows. And if left unaddressed, this decline in spending could ransack the world of cures and treatments for Alzheimer's disease, diabetes, depression and other conditions that irritate the human race, said lead author Dr Hamilton Moses III, originator and chairman of the Alerion Institute, a Virginia-based think tank.

A great expansion in medical research that began in the 1980s helped revolutionize cancer mitigating and treatment, and turned HIV/AIDS from a fatal bug to a chronic condition. But between 2004 and 2012, the rate of investment growth declined to 0,8 percent a year in the United States, compared with a nurturing rate of 6 percent a year from 1994 to 2004, the discharge notes. "Common diseases that are devastating are not receiving as much of a push as would be occurring if the earlier rank of investment had been sustained".

America now spends about $117 billion a year on medical research, which is about 4,5 percent of the nation's sum up health care expenses, the researchers report Jan 13, 2015 in the Journal of the American Medical Association. Cuts in rule funding are the absolute cause for flagging investment in research, they found. Meanwhile, the share of US medical research funding from withdrawn industry has increased to 58 percent in 2012, compared with 46 percent in 1994.

This has caused the United States' add up to share of global research funding - both social and private - to decline from 57 percent in 2004 to 44 percent in 2012, the communication noted. While the United States still maintains its preeminence in medical research, Asian countries daunt to take the lead. Asia - particularly China - tripled investment from $2,6 billion in 2004 to $9,7 billion in 2012, according to the report.

Friday, 15 February 2019

In Some Regions Of The US Patients Spend On Medicine Is Much More

In Some Regions Of The US Patients Spend On Medicine Is Much More.
Medicare patients in some regions of the United States lavish significantly more on drugs than older folks abroad in the country, a supplementary report finds. But higher medication spending doesn't mean they spend less on doctor visits or hospitalizations, the researchers say. "Our findings augment the importance of understanding the drivers of geographic variation, since increases in medical spending or pharmaceutical spending do not appear to be associated with offsetting savings in the other realms," said place researcher Yuting Zhang, an second professor of health economics at the University of Pittsburgh Graduate School of Public Health.

So "Spending on pharmaceuticals itself is changeable and thus warrants scrutiny similar to that given to medical spending in fiat to glean lessons about optimal prescribing, insurance characteristics, and resource allocation". The put out is published online June 9 in the New England Journal of Medicine.

For the study, Zhang's troupe looked at spending on drugs and other medical services among Medicare patients in 2007 at 306 hospital-referral regions across the country. "Widespread geographic variations exist, with some regions spending almost twice as much as others".

As behalf of their calculations, the researchers considered factors such as differences in costs, security and overall healthiness in the different geographic areas. Overall, drugs accounted for more than 20 percent of sum up medical costs, but the researchers found substantial regional variations in drug spending.

Manhattan, in New York City, had the highest Medicare spending on drugs at $2973 per firm a year, while Hudson, Fla, had the lowest at $1854, the investigators found. Los Angeles, Montana, Alaska and Hawaii were other areas of huge knock out spending by Medicare beneficiaries, while regions of common spending include parts of Arizona, New Mexico, Oregon and Maine, according to the report.

Wednesday, 12 December 2018

The American Oncologists Work More Than 50 Hours Per Week

The American Oncologists Work More Than 50 Hours Per Week.
Most cancer doctors are satisfied with their career, but nearly half require they have savvy at least one token of work-related burnout, a new study finds in June 2013. Researchers surveyed 3000 US oncologists between October 2012 and January 2013, and found that they worked an normal of 51 hours a week. Oncologists in scholarly medical centers saw an average of 37 cancer patients per week, while those in restrictive practice saw an average of 74 patients per week. Those in visionary settings spent much of their time doing research and teaching.

While 83 percent of the oncologists in the scrutiny said they were satisfied with their career, 45 percent reported experiencing at least one foreshadowing of burnout, including emotional exhaustion and depersonalization. The study was presented Sunday at the annual congress of the American Society of Clinical Oncology in Chicago.

Monday, 16 July 2018

Awareness Against The Global Problem Of Antibiotic Resistance

Awareness Against The Global Problem Of Antibiotic Resistance.
Knowing when to tolerate antibiotics - and when not to - can servant fight the rise of deadly "superbugs," impart experts at the US Centers for Disease Control and Prevention. About half of antibiotics prescribed are non-essential or inappropriate, the agency says, and overuse has helped create bacteria that don't respond, or rejoin less effectively, to the drugs used to fight them. "Antibiotics are a shared resource that has become a rare resource," said Dr Lauri Hicks, a medical epidemiologist at the CDC.

She's also medical top banana a of new program, Get Smart: Know When Antibiotics Work, that had its launch this week. "Everyone has a lines to play in preventing the spread of antibiotic resistance". The stakes are high, said Dr Arjun Srinivasan, CDC's mate director for health care-associated infection restraining programs. Almost every type of bacteria has become stronger and less responsive to antibiotic treatment.

The CDC is urging Americans to use the drugs nicely to help prevent the global problem of antibiotic resistance. To that end, the US Food and Drug Administration (FDA), numerous nationalistic medical and methodical associations, as well as state and local health departments have collaborated on the CDC's Get Smart initiative.

Most strains of antibiotic-resistant bacteria are still found in condition care settings, such as hospitals and nursing homes. Yet superbugs, including MRSA (methicillin-resistant staphylococcus aureus) - which kills about 19000 Americans a year - are increasingly found in community settings, such as vigour clubs, schools, and workplaces, said Hicks.

Community-associated MRSA (CA-MRSA), a impair that affects fine fettle people outside of hospitals, made headlines in 2008, when it killed a Florida turned on school football player. Referring to late reports of sinusitis caused by MRSA, Hicks said that "people who would normally be treated with an spoken antibiotic are requiring more toxic medications or, in some instances, admission to a hospital. We've seen this with pneumonia, too, and I nails we'll start to see it with other types of infections as well".

Sunday, 1 July 2018

Shortage Of Physicians First Link Increases In The United States

Shortage Of Physicians First Link Increases In The United States.
Amid signs of a growing want of primordial care physicians in the United States, a inexperienced study shows that the majority of newly minted doctors continues to gravitate toward training positions in high-income specialties in urban hospitals. This is occurring regardless of a government ambitiousness designed to lure more graduating medical students to the field of primary care over the past eight years, the inquiry shows. Primary care includes family medicine, general internal medicine, undetailed pediatrics, preventive medicine, geriatric medicine and osteopathic general practice.

Dr Candice Chen, escort study author and an assistant research professor in the department of well-being policy at George Washington University in Washington, DC, said the nation's efforts to shove the supply of primary care physicians and encourage doctors to practice in rural areas have failed. "The approach still incentivizes keeping medical residents in inpatient settings and is designed to aid hospitals recruit top specialists".

In 2005, the Medicare Prescription Drug, Improvement and Modernization Act was implemented with the object of redistributing about 3000 residency positions in the nation's hospitals to primeval care positions and rural areas. The study, which was published in the January issue of tabloid Health Affairs, found, however, that in the wake of that effort, care positions increased only somewhat and the relative growth of specialist training doubled.

The goal of enticing more new physicians to Arcadian areas also fell short. Of more than 300 hospitals that received additional residency positions, only 12 appointments were in agrarian areas. The researchers used Medicare/Medicaid data supplied by hospitals from 1998 to 2008. They also reviewed material from teaching hospitals, including the crowd of residents and primary care, obstetrics and gynecology physicians, as well as the number of all other physicians trained.

The US authority provides hospitals almost $13 billion annually to help support medical residencies - training that follows graduation from medical college - according to study background information. Other funding sources comprise Medicaid, which contributes almost $4 billion a year, and the US Department of Veterans Affairs, which contributes $800 million annually, as of 2008. Together, the charge of funding bachelor medical education represents the largest public investment in health carefulness workforce development, the researchers said.

Wednesday, 27 December 2017

Cancer Is One Of The Most Expensive Disease, And It Is Becoming More And More Expensive

Cancer Is One Of The Most Expensive Disease, And It Is Becoming More And More Expensive.
Millions of Americans with a portrayal of cancer, peculiarly commonalty under age 65, are delaying or skimping on medical care because of worries about the outlay of treatment, a new study suggests. The finding raises troubling questions about the long-term survival and eminence of life of the 12 million adults in the United States whose lives have been forever changed by a diagnosis of cancer. "I of it's concerning because we recognize that cancer survivors have many medical needs that keep up for years after their diagnosis and treatment," said study lead inventor Kathryn E Weaver, an assistant professor in the Department of Social Sciences & Health Policy at Wake Forest University Baptist Medical Center in Winston-Salem, NC.

The sign in was published online June 14 in Cancer, a record of the American Cancer Society. Cost concerns have posed a portent to cancer survivorship for some time, particularly with the advent of new, life-prolonging treatments. Dr Patricia Ganz, a professor in the Department of Health Services at the University of California, Los Angeles School of Public Health, served on the Institute of Medicine body that wrote the 2005 report, From Cancer Patient to Cancer Survivor: Lost in Transition. "One of the things that we positively emphasized was scarcity of insurance, specifically for follow-up care".

CancerCare, a New York City-based nonprofit corroborate group for cancer patients, provides co-payment assistance for positive cancer medications. "Cancer is a vey expensive disease and it's becoming more and more expensive," said Jeanie M Barnett, CancerCare's headman of communications. "The costs of the drugs are booming up. So, too, is the proportion that the patient pays out of pocket".

A March 17 commentary in the Journal of the American Medical Association, titled "Cancer's Next Frontier - Addressing High and Increasing Costs," reported that the categorical costs of cancer had swelled from $27 billion in 1990 to more than $90 billion in 2008.

Tuesday, 3 October 2017

How Many Doctors Will Tell About The Incompetence Of Colleagues

How Many Doctors Will Tell About The Incompetence Of Colleagues.
A philanthropic inquiry of American doctors has found that more than one-third would hesitate to turn in a ally they thought was incompetent or compromised by substance abuse or mental health problems. However, most physicians agreed in proposition that those in charge should be told about "bad" physicians. As it stands, said Catherine M DesRoches, auxiliary professor at the Mongan Institute for Health Policy at Massachusetts General Hospital and Harvard Medical School in Boston, "self-regulation is our best alternative, but these findings suggest that we honestly demand to strengthen that. We don't have a good alternative system".

DesRoches is lead author of the study, which appears in the July 14 come of the Journal of the American Medical Association. The American Medical Association (AMA) and other veteran medical organizations hold that "physicians have an ethical obligation to report" impaired colleagues. Several states also have essential reporting laws, according to background information in the article.

To assess how the widely known system of self-regulation is doing, these researchers surveyed almost 1900 anesthesiologists, cardiologists, pediatricians, psychiatrists and forebears medicine, general surgery and internal medicine doctors. Physicians were asked if, within the recent three years, they had had "direct, personal knowledge of a physician who was impaired or inexpert to practice medicine" and if they had reported that colleague.

Of 17 percent of doctors who had direct awareness of an incompetent colleague, only two-thirds actually reported the problem, the survey found. This without considering the fact that 64 percent of all respondents agreed that physicians should report impaired colleagues. Almost 70 percent of physicians felt they were "prepared" to account such a problem, the study authors noted.

Wednesday, 14 June 2017

Statistics Of The Earliest Opportunity To Diagnose Asymptomatic Life-Threatening Disease

Statistics Of The Earliest Opportunity To Diagnose Asymptomatic Life-Threatening Disease.
Medical imaging procedures conducted as unit of clinical trials accidentally sense tumors, aneurysms or infections in nearly 40 percent of participants, but in many cases the fettle impact of these "incidental findings" is unclear, a additional study finds. Researchers analyzed the medical records of 1,426 folk who underwent an imaging procedure related to a study conducted in 2004 and found that suspicious chance findings occurred in 39,8 percent of the patients.

The likelihood of an incidental finding increased with age, and the highest rates were in the midst patients undergoing CT scans of the abdomen and pelvic area, CT scans of the chest, and MRIs of the head. Clinical deed was taken for 6,2 percent of the patients in which imaging turned up tumors or infections uncoupled to the clinical trial. In 4,6 percent of the cases, the medical forward or risk was unclear. "Clear medical benefit" was seen in six patients, and "clear medical burden" - roughly characterized by harm, unnecessary therapy and/or the excess cost of investigating suspicious findings - was seen in three patients, the researchers found.

Sunday, 11 September 2016

Flying With Prosthetic Limbs And Meds Can Alert Airport Security

Flying With Prosthetic Limbs And Meds Can Alert Airport Security.
Adjusting to the necessary, but on the face of it ever-changing guarding rules when traveling can be tough for anyone, but for someone traveling with a bagful of needles and vials of insulin or someone who's had a with it or knee replaced, the go can be fraught with extra worry. But Ann Davis, a spokeswoman for the US Transportation Security Administration (TSA), the intermediation responsible for ensuring the safety of the US skies, says that travelers with habitual conditions need not be concerned.

Davis said that TSA officers are well-trained and habitual with the odd baggage or screening requirements that may come with certain medical conditions. What's most mighty is that you let the screeners know what medical condition you have. "We have screening procedures to make inevitable that everything and everyone is screened properly".

For example people with pacemakers or implanted cardiac defibrillators shouldn't go through the metal detectors, but if they proclaim the TSA officers, there are other ways for them to be screened. Davis said that the TSA doesn't order a doctor's note verifying a medical condition, but that it doesn't hurt to have one.

However it is recommended that mortals with pacemakers carry a pacemaker ID card that they can get from their doctors. She also advised keeping drugs, markedly liquid medications, in the original packaging with the label that shows your name, if it's a preparation medication. But that's not a requirement, either.

The TSA recently launched what it's employment "self-select" lanes, including one for families with small children and people with medical issues. Davis said that this is the lane kinfolk should definitely be in if they need to carry with them liquids, such as insulin, that are released from the regulations restricting the amount that can be taken onboard.

Sunday, 12 June 2016

FDA Will Strengthen The Supervision Of Used Home Medical Equipment

FDA Will Strengthen The Supervision Of Used Home Medical Equipment.
As the denizens ages and medical technology improves, more the crowd are using complex medical devices such as dialysis machines and ventilators at home, adding to the emergency for better-educated patients. To dispose of this growing need, the US Food and Drug Administration announced Tuesday that it has started a inexperienced program to ensure that patients and their caregivers use these devices safely and effectively.

So "Medical thingamajig home use is becoming an increasingly important public health issue," Dr Jeffrey Shuren, concert-master of the FDA's Center for Devices and Radiological Health said during an afternoon news conference. The US citizens is aging, and more people are living longer with chronic diseases that press home care. "In addition, more patients of all ages are being discharged from the hospital to continue their responsibility at home".

Meanwhile, medical devices have become more portable and sophisticated, making it possible to treat and monitor dyed in the wool conditions outside the hospital. "A significant number of devices including infusion pumps, ventilators and grieve care therapies are now being used for home care".

Given the growing number of home medical devices, the medium plans on developing procedures for makers of home-care equipment. Procedures will count post-marketing follow-up, and other things that will encourage the safe use of these devices. The FDA is also developing instructive materials on the safe use of these devices, the agency said.

Monday, 7 December 2015

Family Doctors Will Keep Electronic Medical Records

Family Doctors Will Keep Electronic Medical Records.
More than two-thirds of classification doctors now use electronic salubriousness records, and the percentage doing so doubled between 2005 and 2011, a original study finds. If the trend continues, 80 percent of family doctors - the largest assemblage of primary care physicians - will be using electronic records by 2013, the researchers predicted. The findings require "some encouragement that we have passed a critical threshold," said review author Dr Andrew Bazemore, director of the Robert Graham Center for Policy Studies in Primary Care, in Washington, DC "The significant seniority of primary care practitioners appear to be using digital medical records in some bod or fashion".

The promises of electronic record-keeping include improved medical regard and long-term savings. However, many doctors were slow to adopt these records because of the squiffy cost and the complexity of converting paper files. There were also privacy concerns. "We are not there yet. More accomplish is needed, including better information from all of the states".

The Obama administration has offered incentives to doctors who accept electronic health records, and penalties to those who do not. For the study, researchers mined two nationalist data sets to see how many family doctors were using electronic vigour records, how this number changed over time, and how it compared to use by specialists. Their findings appear in the January-February broadcasting of the Annals of Family Medicine.

Nationally, 68 percent of family doctors were using electronic health records in 2011, they found. Rates heterogeneous by state, with a low of about 47 percent in North Dakota and a consequential of nearly 95 percent in Utah. Dr Michael Oppenheim, vice president and ringleader medical information officer for North Shore Long Island Jewish Health System in Great Neck, NY, said electronic record-keeping streamlines medical care.