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Patient expectations of care may exceed government targets
Patients may have expectations for access to primary care in excess of current government targets, finds a study in this week's BMJ. Patients also have high expectations of continuity of care. Researchers analysed data from general practice research studies and routine quality assessment activities undertaken by practices and primary care trusts.... view more... (2003-01-29)
Home visiting to older people reduces death rates and the need for long-term institutional care
Home visits to older people appear to reduce their risk of death and admission to long term institutional care, reports a study in this week's BMJ. Given the shortcomings and inconsistencies of previous studies the research team at the University of Nottingham's Faculty of Medicine decided to review and compare the results of 15 previous studies... view more... (2001-09-26)
Disparities in prostate cancer treatment suggest ways to improve care
Quality of care varies greatly for the treatment of men with early-stage prostate cancer by region of the country and category of health care facility, suggesting the potential for improved patient outcomes with more standard treatment protocols. view more (2008-08-04)
Families, relationships and emotions
Families and the effects they have on long term romantic relationships, grieving and the way we deal with difficulties were discussed at the meeting of The British Psychological Society, South West Branch, held at the Royal Cornwall Hospital, Truro, Cornwall today Saturday 1 December. The speakers were Dr Janet Reibstein, Dr Tony Carr and Dr Rudi... view more... (2001-11-23)
Drug-Resistant Bacteria Patterns in Intensive Care Units Changing Nationally
A dangerous drug-resistant bacterium is becoming more prevalent in many intensive care units, according to an article in the Feb. 1 issue of Clinical Infectious Diseases, now available online. view more (2006-01-06)
Primary care provides patients with better outcomes at lower cost
A white paper, How is a Shortage of Primary Care Physicians Affecting the Quality and Cost of Medical Care?, released today by the American College of Physicians (ACP) documents the value of primary care by reviewing 20 years of research. view more (2008-11-20)
Cancer patients in India cheated of appropriate care
A letter in this week's BMJ charges the medical community in India with a "commercialisation of suffering and prolongation of lucrative illness." Dr Chatuverdi, Assistant Surgeon at Tata Memorial Hospital in Mumbai states that, in a country with 3 million cancer sufferers - of whom 80 per cent are incurable - there are only 20 dedicated... view more... (2003-05-21)
Discussing adverse events with patients improves how they rate their hospital care
A survey of patients had who experienced some sort of adverse event during their hospitalization found that, although caregivers discussed the event with patients less than half the time, those patients to whom the adverse event had been disclosed rated the quality of their care higher than did patients whose caregivers did not address the problem. view more (2009-11-10)
Sexual problems rarely addressed by internists caring for cancer survivors
Few internists who care for cancer survivors address issues of sexual dysfunction with their patients, according to a study led by Massachusetts General Hospital (MGH) researchers. view more (2009-10-22)
Larger GP practices do not provide better care
It is widely known that fewer patients die in larger hospitals that do more operations, but does a similar association between volume of treatment and quality exist in primary care? In this week’s BMJ, Azeem Majeed and colleagues set out to test whether large general practices or those that treat more people provide better care. view more (2003-02-12)
Nerve prosthesis developed in Ume'å
The first clinical study ever with a new type of nerve prosthesis has been launched at Northern Sweden University Hospital. It is being carried out by a research team from Ume'å University under the leadership of Professors Jan-Olof Kellerth and Mikael Wiberg. The team, at the Department of Integrative Medical Biology and the Department of... view more... (2003-11-11)
Poor health, poverty and minority status are major factors in depression
Preliminary results from the STAR-D project, one of the nation's largest studies of depression, show that chronic depressive episodes are common and are associated with poorer physical health, lower quality of life, socioeconomic disadvantage and minority status. view more (2005-11-30)
New asthma predictors needed to determine future risk in certain patients
Screening tests used to predict asthma activity in patients may have little tracking success when applied to people with persistent disease who are adhering to their health care regimens, UT Southwestern Medical Center physician report. view more (2009-09-01)
Cancer Patients Asked For Views On Out-of-hours Palliative Care
A new study, aimed at improving care in the community for patients with cancer, has begun, headed by a team of University of Edinburgh researchers, clinicians and lecturers. The research will look at the out-of-hours medical, nursing and social work services needs of patients and their carers, who need help with a range of problems including pain... view more... (2002-04-24)
Makeshift medicine at a distance
In the October Journal of Telemedicine and Telecare, Australian doctors describe a unique case study of a boy in a remote part of Queensland who was badly burnt and needed specialist care from a burns centre over 1100km away. Using a desktop scanner hooked up to the family computer, the boy`s mother was able to take pictures of his injuries and... view more... (2002-09-24)
Study supports the use of mechanical assistance for acute or chronic heart failure in high-risk patients
The success of long-term implantable ventricular assist devices (LVAD) or artificial hearts has led to their increased use in patients previously thought to be unsuitable for mechanical support. This study documents the shift in the demographic profile of patients in need of artificial hearts to a more high-risk group. Looking at clinical records... view more... (2004-11-10)
Delirium in non-ventilated patients - predictor of longer hospital stay
A study published today in the journal Critical Care reveals for the first time that nearly half of non-ventilated patients in intensive care units (ICU) experience delirium, which is also an independent predictor of longer hospital stay. view more (2005-05-31)
Interventional methods may increase the use of Evidence-based practice to improve patient outcomes by 28%
Results of a recent study have shown multiple barriers to evidence-based practice, a method of patient care that can improve outcomes by 28%, previous data supports. A key barrier is lack of nurses' knowledge of and belief in EBP suggesting that introducing interventions in health care settings can positively influence use of EBP. Additionally,... view more... (2004-10-26)
Depression screening for cancer patients too often falls between the cracks
Depression is known to be associated with cancer yet too many cancer patients are not screened for this mental disorder. view more (2007-12-11)
Can rapid malaria diagnostic tests improve health outcomes in practice?
A new study, carried out in primary care units in Zanzibar and published in this week's issue of PLoS Medicine, evaluates the impact of rapid malaria tests on prescribing practice and clinical outcomes. view more (2009-04-28)
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