Word: patiently
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...discuss if there is some interval at which a patient should come in. One of the major goals of my work was to bring together consensus in the physician community. But until we come to some consensus, what should patients do? My sense is that they should have a discussion with their physicians about this. First, make sure they're up to date with the preventive health services that everyone in the physician community supports, including mammograms and colon cancer screening. But, then, if their physician tells them, "You don't need to come in next year...
...five clinical areas. The hospitals performing in the top quintile received bonuses of an unspecified amount. In findings released in January, researchers following the project concluded that quality scores in the five measured clinical areas had improved on average 17%, and costs had been reduced $1,000 per patient on average. Researchers estimated that if all American hospitals adopted similar bonus schemes, we could save 70,000 patient lives per year and $4.5 billion in hospital costs annually...
...jury is also still out on whether pay-for-performance plans ultimately benefit patients. On one hand, Shaman says that if doctors' performance measures were standardized and made available, patients could become better consumers of medicine. But, on the other, Neubauer worries that some patients could be denied necessary care under the new regime. "A doctor may just decide not to see a difficult patient who brings down his averages on certain measures," Neubauer says...
There's at least one undeniable benefit of pay-per-performance programs: they're forcing doctors and hospitals to pay closer attention to quality controls. Rosenthal points to diabetes care as an example. "Doctors may not yet be convincing every patient to have their blood sugar tested annually," she says. "But at least now [they're more aware of] which patients need to be tested." So while pay-for-performance may be an imperfect solution in an imperfect system, she adds, "At least it's a step in the right direction...
...inspiration for the good-natured, endlessly patient Mommy in the syndicated comic Family Circus, Thelma Keane first met her cartoonist husband Bil Keane during World War II while the American artist was stationed in her native Australia. After they married and returned to the U.S., Thelma managed all her husband's business affairs throughout his career. She is immortalized in Bil's work--which gets an assist from their son, Jeff Keane, and now appears in some 1,500 newspapers...