HOME >> MEDICINE >> NEWS
Efficiency, not more doctors, is the prescription for aging population

base to examine 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 ef
'"/>

Contact: Andy Nordhoff
Mednews@dartmouth.edu
603-653-0784
Dartmouth Medical School
7-Mar-2006


Page: 1 2 3

Related medicine news :

1. Drug company sales visits influenced doctors, study finds
2. Controlling prescription drug expenditures: a case report of success
3. Researchers find deadly prescription drug effects 6 years before FDA
4. Drug labels are prescriptions for mistakes
5. OPICAN study in seven Canadian cities reveals prescription opioid abuse more prevalent than heroin
6. New study on relationship between literacy and understanding of prescription labels
7. FDA approves prescription Zaditor for over-the-counter relief from itchy eyes
8. UGA researchers find high rates of off-label prescriptions
9. Hormones could be prescription for living longer
10. US suicide rates fell as fluoxetine prescriptions increased
11. Mayo Clinic leaders offer health reform vision, prescriptions

Post Your Comments:
*Name:
*Comment:
*Email:
TAG: Efficiency not more doctors the prescription for aging population

(Date:4/18/2014)... 18, 2014) ― A new study in the ... in health-related Google searches reveals a recurring pattern that ... , Investigators from San Diego State University, the ... Campaigns, analyzed "healthy" Google searches (searches that included the ... originating in the U.S. from 2005 to 2012. They ...
(Date:4/17/2014)... identified the first genetic variant specifically associated with ... for around 10-15 per cent of all breast ... the breast cancer sub-type, called invasive lobular carcinoma, ... of this particular kind of breast cancer, which ... published today (Thursday) in the journal PloS ...
(Date:4/17/2014)... the University of California, San Diego School of Medicine ... have suffered a recent major loss are more likely ... , The study is published in this month,s issue ... , Because compassionate behaviors are associated with better health ... insights into ways to improve the outcomes of individuals ...
(Date:4/17/2014)... New Rochelle, NY, April 17, 2014U.S. military personnel ... "blast plus impact" concussive traumatic brain injury (TBI) ... were evacuated for other medical reasons. Differences in ... and depression 6-12 months after injury are reported ... , a peer-reviewed journal from Mary Ann Liebert, ...
(Date:4/17/2014)... 17, 2014 By discovering a new mechanism that ... stroke, researchers at UC Irvine and the Salk Institute ... limit or prevent stroke-induced brain damage. , A complex ... of death and primary reason for disability in the ... stroke and lets blood-borne material into the brain, causing ...
Breaking Medicine News(10 mins):Health News:New research shows people are thinking about their health early in the week 2Health News:First genetic link discovered to difficult-to-diagnose breast cancer sub-type 2Health News:First genetic link discovered to difficult-to-diagnose breast cancer sub-type 3Health News:The ilk of human kindness 2Health News:Long-term effects of battle-related 'blast plus impact' concussive TBI in US military 2Health News:Study IDs new cause of brain bleeding immediately after stroke 2
(Date:1/15/2014)... , January 15, 2014 Shire plc (LSE: ... the Office of Fair Trading (OFT) approval condition to the announced ... (NASDAQ: VPHM).   As a result of the waiver, ... expects to complete the tender offer on January 24, 2014 following ...
(Date:1/15/2014)... LOUISVILLE, Ky. , Jan. 15, 2014  Manufacturers, ... technologies must be able to protect their most ... (Logo: http://photos.prnewswire.com/prnh/20130716/CL46586LOGO ) Because ... Industry, it steadfastly remains one of the most ...
(Date:1/15/2014)... , Jan. 15, 2014 MultiCell Technologies, Inc. ... a U.S. provisional patent application concerning composition of matter, ... achieve targeted tumor cell death.  This ... noncoding double stranded RNA molecules (VSRNAs) which interfere with ...
Breaking Medicine Technology:Shire Waives OFT Condition Relating to the Acquisition of ViroPharma Inc. 2Shire Waives OFT Condition Relating to the Acquisition of ViroPharma Inc. 3Intellectual Property Insurance for Medical-related Products and Services 2MultiCell Technologies Files Patent Application Covering New Class of RNA Therapeutics 2MultiCell Technologies Files Patent Application Covering New Class of RNA Therapeutics 3
Cached News: