Word: physicians
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...physician, I believe obesity is a far greater public-health hazard than tobacco. It is associated with an increase in cancer, diabetes, heart disease, arthritis, skin problems, depression, gastrointestinal disorders, heart failure - the list goes on. We should attack obesity exactly as we have gone after tobacco - with a national advertising campaign, more self-help groups, taxes on certain foods and the right to sue food manufacturers and restaurants. John M.R. Kuhn, M.D., Weston, Wisconsin...
...physician, I believe obesity is a far greater public-health hazard than tobacco. It is associated with an increase in cancer, diabetes, heart disease, depression, gastrointestinal disorders, heart failure--the list goes on. We should attack obesity exactly as we have gone after tobacco--with a national advertising campaign, more self-help groups, taxes on certain foods and the right to sue food manufacturers and restaurants. John M.R. Kuhn, WESTON...
...Health in Seattle, a nonprofit health care system that helps patients find appropriate care and coverage, found that patients with high blood pressure who were given access to a pharmacist and a Web-based self-monitoring system were able to control their hypertension better than patients who underwent traditional physician care, which involved several office visits per year. The self-check group was able to drop nearly 30 points off its readings on average over the year-long study period...
Among the more than 700 patients in the study, 258 were put into a standard physician-care group, with regular office visits. The remainder were divided into two self-care groups: in the first, patients had access to their electronic medical records and were instructed to measure their own blood pressure two to three times each week; patients then sent the results to their physician, who recorded the readings in files the patients could review. In the other group, patients performed the same self-measurements, but were also provided access to a pharmacist who evaluated their readings and helped patients...
...some fundamental changes in the way health care is delivered before the study findings can be instituted. For one thing, relying on Web-based systems could potentially widen the gap in access to health care between wealthier patients and those who can't afford computers. In addition, not every physician will want to monitor e-mails or conduct virtual exams without being reimbursed for his or her time and expertise. "Our overall health-care system is poorly designed for prevention," says Jones. "We need to look again at the whole system to find effective and efficient ways to deliver this...