Word: patients
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Dates: during 2000-2009
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Your article described my efforts to identify mental illness in children. One point I'd like to emphasize is that while my initial interest in families was stimulated by the negative effects certain types of families had on young patients, our current intervention is based on the remarkable strengths families can bring to treatment, rehabilitation and even prevention. Family members buffer the stresses that can negatively affect vulnerable youth. Most important, family members are often the first to notice something is not quite right and can make early referrals, enabling preventive treatment. We see the family...
Republicans worry that a public plan would amount to a "government takeover" of health care that would bureaucratize the doctor-patient relationship...
...contrast, Prometheus, funded by a $6 million grant from the Robert Wood Johnson Foundation, calculates compensation for hospitals and doctors based not on the specific treatments a patient receives but on the care a patient should receive "per episode." (Prometheus's calculation model is an open-source program that is already garnering interest from insurers in Minnesota, Pennsylvania and elsewhere...
Taking the congestive-heart-failure example, here's how the payment scheme would work: A slightly overweight 60-year-old heart-failure patient comes in with coronary-artery disease and acid-reflux disease. According to a Prometheus algorithm, this patient should cost $20,750 a year to treat - including office visits, medications, blood-pressure monitoring and an allowance for complications. The incentive for the heart patient's doctor to spend less than $20,750 is that he gets to keep a portion of the difference (assuming that the patient was managed properly and happy with the outcome). And the best...
...simple idea that makes sense in theory. And yet no patient wants to believe that his own doctor is this focused on the bottom line. While data indicate that up to 30% of U.S. health-care spending is for unneeded and even dangerous treatments, the truth is that most doctors aren't purposely ordering up tests or treatments just for the cash. "The system is asking them to do what's right for a system that lives off of excess, as opposed to what's right for the patient," says De Brantes. See pictures from an X-ray studio...