Wednesday, May 1, 2013

The Medical Home: In Theory And Practice

Yes, Virginia, There is a Medical Home by Sandy Hausman. Virginia Public Radio/Kaiser Health News.  May 1, 2013.

Defining The Medical Home:  A Patient-Centered Philosophy That Drives Primary Care Excellence.  Patient-Centered Primary Care Collaborative.

The key is to remember that a "medical home" is not a place but a philosophy of care.  The theory is presented in the second link.  A real-world example is presented in the first.

Aetna Sees Slow Ramp-up For Obamacare Online Marketplaces

Aetna Cuts Predictions For Obamacare Enrollment by Jay Hancock.  Kaiser Health News.  April 30, 2013.

Deliberation seems to be the approach in Aetna's approach.  The CEO  predicts a two-year ramp-up before customers become comfortable with the exchanges or marketplaces.

Diverse Reactions To Plan B Contraception Decision

Critics And Supporters React To Decision To Expand OTC Access To Plan B by Alexandra Sifferlin. Time.  May 1, 2013.

Reactions to the over-the-counter availability of Plan B provokes strong reactions.  The article includes responses from Planned Parenthood, Concerned Women For American, National Women's Law Center, March for Life and several others.

American Medical Association Opposes Force Feeding At

AMA Opposes Force Feedings At Guantanamo by Carol Rosenberg.  The Miami Herald.  April 30, 2013.

The president of the AMA in his letter to Secretary Hagel cited his organization's long-time support for the World Medical Association Declaration of Tokyo which states:  "Where a prisoner refuses nourishment and is considered by the physician as capable of forming an unimpaired and rational judgment concerning the consequences of such a voluntary refusal of nourishment, he or she she shall not be fed artificially."

Tuesday, April 30, 2013

Mediterranean Diet Linked To Preserving Cognitive Function

Mediterranean Diet Linked To Preserving Memory by Bo Shepard.  UAB News.  April 29, 2013.

The significance of this study is summarized by the lead author:  Since there are no definitive treatments for most dementing illnesses, modifiable activities, such as diet, that may delay the onset of symptoms of dementia, are very important."

Implantation of Bioengineered Windpipe The First For The United States

Groundbreaking Surgery For Girl Born Without Windpipe by Henry Fountain.  The New York Times.  April 30, 2013.

The windpipe was made of plastic fibers bathed in stem cells from bone marrow.

Motivational Interviewing Used By Doctors To Change Behaviors, Treat Chronic Conditions

To Motivate Patients To Change, Doctors Stop Scolding.  The Wall Street Journal.  April 29, 2013.

Changing behavior is the key to managing many chronic management diseases.  Scolding does not motivate.  So health-care providers are borrowing the technique of motivational interviewing from weight-loss counseling, smoking cessation, and addiction counseling to confront such conditions as diabetes.