Navigation Links
Efficiency, not more doctors, is the prescription for aging population

e the experience of chronically-ill people who received most of their medical care at academic medical centers, the researchers calculated the physician workforce inputs per patient during their last 6 months of life. Their analysis found that the full-time equivalent physician input per 1,000 chronically-ill patients varied by a factor of five, from about 6 per 1,000 to almost 30 per 1,000.

For example, patients treated at the Mayo Clinic used fewer than 9 physicians on average, among the lowest in the country. By contrast, patients treated at New York University Medical Center, another medical school-affiliated facility, used 28.3 physicians per 1,000 in the 6 months before death.

"Both of these models can't be 'the best'" way to provide medical care to the chronically ill," Goodman said. "We believe that, in fact, less is more, and that quality of care, rather than quantity, is the critical factor"

The research focuses on the management of severe chronic illness because it is the area where health care resources are most heavily used--about half of Medicare's budget goes to the care of chronically-ill Americans. Additionally, the need for such management is expected to increase as the population ages and baby boomers acquire a growing number of ailments such as Type II diabetes, congestive heart failure, and chronic obstructive pulmonary disease.

Prior studies by CECS, published in the Dartmouth Atlas of Health Care, have demonstrated that in some parts of the country, people with severe chronic illnesses receive more physician care in visits, hospitalizations, and procedures than people who live in areas with fewer physicians per capita. But contrary to popular belief, patients who have more doctor visits and treatments do not realize a benefit. Indeed, evidence shows they may actually be harmed by unnecessary medical care, Goodman said. If all medical practices adopted the practice style and resource use of efficient provid
'"/>

Source:Dartmouth Medical School


Page: 1 2 3

Related biology news :

1. Earth Rx: A microbial biotechnology prescription for global environmental health
2. Psychotropic drug prescriptions for teens surge 250 percent over 7 year period
3. Imaging Lymph Nodes with Nanoparticles
4. New imaging method gives early indication if brain cancer therapy is effective, U-M study shows
5. Special Imaging Study Shows Failing Hearts Are Energy Starved
6. How the environment could be damaging mens reproductive health
7. Human Cells Filmed Instantly Messaging for First Time
8. Duke engineers develop new 3-D cardiac imaging probe
9. Compounds in plastic packaging act as environmental estrogens altering breast genes
10. Confocal imaging promises early detection of skin cancer
11. Signs of aging: Scientists evaluate genes associated with longevity
Post Your Comments:
*Name:
*Comment:
*Email:
TAG: Efficiency not more doctors the prescription for aging population

(Date:7/24/2014)... many sobering examples of how wildlife loss leads to ... co-authored by Wildlife Conservation Society (WCS) Health & ... Golden, calls for an interdisciplinary approach to tackle global ... supports about 15% of the world,s people and provides ... poor. It should come as no surprise that today,s ...
(Date:7/24/2014)... SAN DIEGO , July 24, 2014 /PRNewswire-iReach/ -- ... managing data from cardiac devices, has cut emergency room ... the UC San Diego (UCSD) Medical Center, according to ... Journal. The UCSD Emergency Departments are using the suite ... such as pacemakers or defibrillators. "Using Geneva,s ...
(Date:7/24/2014)... use of native animal species for food or commercial ... significant factor in the decline of many species of ... indicates that more than half of the species being ... hornbills., "By surveying not only the meat made available ... inside the forest by hunters and brought to villages ...
Breaking Biology News(10 mins):New study draws links between wildlife loss and social conflicts 2UC San Diego Medical Center Cuts Average ER Wait Time by 92 Minutes using the Geneva Healthcare Suite 2UC San Diego Medical Center Cuts Average ER Wait Time by 92 Minutes using the Geneva Healthcare Suite 3
... 2009 Two weeks after the rains begin, an elephant family ... up for pregnancy and birth. But when they wandered off their ... that elephants couldn,t eat it, according to a University of Utah ... research which suggests how climate change and human encroachment may ...
... hide from the immune system undermine the virus,s ability to ... 13 issue of the Journal of Experimental Medicine . ... When HIV infects a cell, a complex of human immune ... T cells by displaying bits of the virus on the ...
... two groups of researchers have come to the same conclusion: ... hearing loss. The new gene - called a microRNA - ... of hundreds of other molecules within sensory hair cells of ... genetic understanding of a condition that is common in humans ...
Cached Biology News:Diet secrets of 'the Royals' 2Diet secrets of 'the Royals' 3Diet secrets of 'the Royals' 4Diet secrets of 'the Royals' 5HIV pays a price for invisibility 2New insights into progressive hearing loss 2New insights into progressive hearing loss 3New insights into progressive hearing loss 4
(Date:7/24/2014)... SAN DIEGO , July 24, 2014 /PRNewswire/ ... company, announced today the appointment of Adam ... (COO). Cypher Genomics provides rapid and comprehensive annotation ... discovery and clinical reporting. "Cypher,s technology ... to improve healthcare by enhancing diagnostic accuracy, optimizing ...
(Date:7/23/2014)... 2014 Lyfebulb, the International Pemphigus Pemphigoid ... NASDAQ OMX First North Premier, Stockholm ... a collaboration to increase awareness of unmet needs ... event attended by more than sixty patients, physicians, ... health and wellness company dedicated to serving the ...
(Date:7/23/2014)... have made great strides in saving China,s endangered national ... over 65 giant panda reserves that have been established ... just 1596 pandas remain in the wild. , ... save the panda by improving genetic diversity, avoid inbreeding ... how are these high-profile programs doing so far? , ...
(Date:7/23/2014)... /PRNewswire-iReach/ -- Think Drinks are a neuroscience-backed drink regimen ... They are the first functional focus beverage to give ... alternative to the temporary fix associated with energy drinks. ... 29, 2014, with hopes to raise $50,000 over the ... http://photos.prnewswire.com/prnh/20140723/129697 Think Drinks were ...
Breaking Biology Technology:Cypher Genomics Announces the Appointment of Adam Simpson as President and COO to Advance Transformative Genome Interpretation Technology 2Cypher Genomics Announces the Appointment of Adam Simpson as President and COO to Advance Transformative Genome Interpretation Technology 3Innovative Collaboration To Increase Awareness Of Bullous Pemphigoid, A Rare Autoimmune Disease Of The Skin 2Innovative Collaboration To Increase Awareness Of Bullous Pemphigoid, A Rare Autoimmune Disease Of The Skin 3Innovative Collaboration To Increase Awareness Of Bullous Pemphigoid, A Rare Autoimmune Disease Of The Skin 4Innovative Collaboration To Increase Awareness Of Bullous Pemphigoid, A Rare Autoimmune Disease Of The Skin 5truBrain Neuroscientists To Launch More Effective, Healthier Alternative To Energy Drinks On Indiegogo 2
... path for the conversion of sunlight to electricity ... with Lawrence Berkeley National Laboratory (Berkeley Lab) have ... effect can take place in semiconductor thin-films. This ... voltage limitation that continues to plague conventional solid-state ...
... ... bj-diagnostik, under its brand “DNA-Planet”, introduces a newly structured offer ... considers the exact analysis necessary to solve the genetic kinship relation ... relatedness based on the facts of each individual case. In addition, ...
... 2010) Scientists have discovered the world,s smallest superconductor, ... one nanometer wide. The Ohio University-led study, published Sunday ... Nature Nanotechnology , provides the first evidence that nanoscale ... used for nanoscale electronic devices and energy applications. ...
Cached Biology Technology:New path to solar energy via solid-state photovoltaics 2New path to solar energy via solid-state photovoltaics 3DNA-Planet Launches New Service for Customer-Individual Indirect DNA Paternity Testing and Kinship Analysis 2DNA-Planet Launches New Service for Customer-Individual Indirect DNA Paternity Testing and Kinship Analysis 3DNA-Planet Launches New Service for Customer-Individual Indirect DNA Paternity Testing and Kinship Analysis 4Scientists discover world's smallest superconductor 2
Human VASA Biotinylated Affinity Purified PAb...
Recombinant Mouse Matrilin-4, CF Protein Family: Extracellular Matrix Molecules, Chondrogenesis Markers...
An instrument that delivers an accurate and uniform amount of light energy to cells to photoactivate csiRNA products....
Use the DUALmembrane kit 3 to carry out DUALmembrane interaction analysis and cDNA library screening to characterize interactions between integral membrane proteins and to identify novel interaction ...
Biology Products: