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Care Management Reduces Depression and Suicidal Thoughts in Older Primary Care Patients Depression in older adults too often goes unrecognized and untreated, resulting in untold misery, worsening of medical illness, and early death. A new study has identified one important remedy: Adding a trained depression care manager to primary care practices can increase the number of patients receiving treatment, lead to a higher remission rate... view more... (2009-06-24)
Managed care is a headache for primary care physicians Managed care policies really do increase the workload and compromise the quality of the doctor-patient relationship, reports research in the Western Journal of Medicine. Sixteen internists and 10 family physicians in three different regions of California and Arizona took part in an assessment of the impact of managed care policies on their... view more... (2001-03-08)
Home chemotherapy is a viable alternative to hospital treatment Home chemotherapy is a safe and acceptable alternative to hospital treatment for patients with colorectal cancer that may improve compliance with treatment, according to a study in this week's BMJ. Of 87 patients receiving chemotherapy for colorectal cancer, 42 were treated at an outpatient clinic and 45 at home, over a 12-month period. The two... view more... (2001-04-03)
Antibiotics overprescribed by GPs GPs are unnecessarily giving patients antibiotics for respiratory tract (RT) infections which would clear up on their own. view more (2007-09-20)
Less than 50 percent of men and women with depression see a doctor for treatment Less than half of men and women in Ontario who may be suffering from depression see a doctor to treat their potentially debilitating condition, according to a new women's health study by researchers at St. Michael's Hospital and the Institute for Clinical Evaluative Sciences (ICES). view more (2009-09-30)
US STUDY QUANTIFIES PAIN EXPERIENCED BY TERMINALLY ILL PATIENTS (pp 1304, 1311) The proportion of terminally ill patients in the USA who experience pain may not be as great as perceived, conclude authors of a study in this week's issue of THE LANCET. Terminally ill patients commonly experience substantial pain. Unresolved pain has been cited as evidence that end-of-life care is of poor quality, although the evidence on which... view more... (2001-04-25)
Computerised guidelines are no "magic bullet" Computerised guidelines do not improve care for patients with chronic diseases, and are unlikely ever to be the "magic bullet" that answers all questions, finds a study in this week's BMJ. Martin Eccles and colleagues set out to evaluate the use of a computerised decision support system delivering evidence based guidelines for asthma and... view more... (2002-10-22)
Patient expectations rise according to a new study carried out by The National Primary Research and Development Centre Research conducted by The National Primary Care Research and Development Centre at The University of Manchester has highlighted the increasing expectations patients have of the NHS. The report, published in the British Medical Journal, analysed 21,905 responses to a patient survey asking about patients' experiences of getting an appointment, and... view more... (2003-01-30)
Disclosing violence to primary care or obestetrics/gynecology physicians most beneficial Researchers from Boston University School of Medicine (BUSM) and Boston Medical Center (BMC) found that patients who disclose intimate partner violence (IPV) to their clinicians of any type did not experience serious harm. view more (2008-07-07)
Read with mother Three 20 minute 'paired reading' sessions (when parent and child read alongside each other) per week, for a period of six weeks, are sufficient to significantly improve a child's reading capabilities. These are the findings of Gillian Robertson and Jim Boyle of the University of Strathclyde who present their work today, Saturday 25 November to The... view more... (2000-11-17)
Study spotlights efficacy of questionnaire to identify patients at high risk for lung cancer A study featured in the November issue of the Journal of Thoracic Oncology confirms the success of a simple questionnaire designed to identify patients at high risk of lung cancer. view more (2009-11-02)
Giving doctors the complete picture During the course of a hospitalization, patients are seen by a variety of specialists in addition to the physician who has primary responsibility for their care. However, faulty communication, inappropriate timing, inadequate details, illegibility, lost paperwork or other problems may keep the specialists' recommendations from being evaluated and... view more... (2009-03-09)
NHS dentistry in crisis as UK lags behind Europe and US The shortage of NHS dentists in the UK is dramatically illustrated this week by an article published in International Journal of Health Geographics. The 'traffic light' maps show shockingly low numbers of NHS dentists across England and Wales, with only 26 of the 304 English primary care trusts and none of the Welsh local health boards comparing... view more... (2004-05-07)
Crucial information lacking in chest pain referrals Important information that could optimise the diagnosis and management of chest pain patients is often lacking on referral between primary and secondary care, according to an influential multidisciplinary working group of the Angina Forum. In a bid to tackle the situation, the group has developed a template for use by both general practices and... view more... (2005-03-08)
Innovative program focuses on improved care for children with ADHD An innovative program is helping busy primary care physicians improve the care they provide for school-aged children with Attention-Deficit/Hyperactivity Disorder (ADHD), according to a study led by researchers at Cincinnati Children's Hospital Medical Center and published in the July edition of Pediatrics. view more (2008-07-07)
New opportunity for health workers The University of Leicester and Loughborough College are working together to provide a new Foundation Degree in Health and Illness. This degree will enable people working in, or aspiring to work in the health sector, to take the first steps on a 'skills escalator' which could lead them eventually to hospital consultant. The degree will equip... view more... (2003-02-26)
NHS set for "airline style" transformation UK health care may soon be transformed by the introduction of new providers, just as low-cost airlines Ryanair and Easyjet have radically changed European air travel in recent years, suggests an article in this week's BMJ. view more (2004-02-05)
Survival after melanoma not affected by surgical background Survival of melanoma patients does not depend on the surgical background of the person removing the primary tumour, concludes a study in this week’s BMJ. view more (2002-11-27)
Depressed Patients May Need Treatment for both Physical and Emotional Symptoms Physical symptoms (such as headache, back pain, stomach problems, joint or muscle pains, and dizziness) are nearly as common in depression as emotional symptoms and are the predominant complaint depressed patients present with in the primary care setting. view more (2004-09-08)
Syphilis survey reveals need for accurate testing for early infection Although syphilis is one of the oldest known diseases, most health professionals do not have access to the tests necessary to reliably diagnose it in its earliest and most infectious stage. view more (2009-10-23)
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