Word: clinicism
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...turn provide more focused, efficient and less costly medical services. An important PCMH feature is making non-emergency care - like less expensive urgent care - more 24/7 accessible to patients who really don't require emergency-level attention. (My kidney stone hit me at night, when my local urgent-care clinic was closed, leaving me with little choice but an E.R.) PCMH "is something we need to encourage because it redirects health care in ways that can save us a lot of money," says Dr. John Rock, dean of the Florida International University College of Medicine in Miami...
...much impact this would have on patient care remains to be seen," says Dr. Sundeep Khosla, a professor of medicine at the Mayo Clinic, who wrote an editorial accompanying the two studies in the Journal. But because denosumab did not result in any serious side effects, it has the potential of becoming a safer alternative, should its current profile hold up in additional studies...
...they construct a whole team approach that has proven to be very effective. So my grandmother was generally very happy with her care, and if we could actually get our health-care system across the board to hit the efficiency levels of a Kaiser Permanente or a Cleveland Clinic or a Mayo or a Geisinger, we actually would have solved our problems. Now, even in those systems, there's still going to be hard choices, right? But the fact of the matter is, ultimately, my grandmother was able to get that hip replacement even though she had terminal cancer...
What's clear is that childhood obesity cannot be solved in a single doctor's visit. Ludwig sometimes spends several sessions with a patient at his Boston clinic before coming up with a concrete plan - and persuading the child to cooperate. "Many children come in at first unwilling to talk about the problem. They feel so embarrassed," Ludwig says. But when change comes, it can make a huge difference. "With just the smallest tangible results, a sense of empowerment can grow," Ludwig says. "The child may go from denying a problem exists and fighting their parents' efforts tooth and nail...
...with disorders like depression are changing: "Among antidepressant users, the percentage who also received antipsychotic medications increased, whereas the percentage who also underwent psychotherapy declined. Together with an increase in the number of antidepressant prescriptions per antidepressant user, these broad trends suggest that antidepressant treatment is occurring within a clinic context that places greater emphasis on pharmacologic rather than psychologic dimensions of care...