159 Matching Annotations
  1. Aug 2023
  2. Feb 2023
    1. “It makes me feel like I need a disclaimer because I feel like it makes you seem unprofessional to have these weirdly spelled words in your captions,” she said, “especially for content that's supposed to be serious and medically inclined.”

      Where's the balance for professionalism with respect to dodging the algorithmic filters for serious health-related conversations online?

      link to: https://hypothes.is/a/uBq9HKqWEe22Jp_rjJ5tjQ

  3. Dec 2022
    1. to lowered economic productivity through reduced earnings. In addition,increased health costs amount to $192 billion, whereas costs associated withincreased crime and incarceration (increased victimization costs of street crime;increased corrections and crime deterrence; increased social costs of incarcer-ation) total $406 billion.

      Childhood poverty results in an annual loss of $294 billion due...

  4. Nov 2022
    1. We’re dedicated to providing the highest standards of safety to protect you and your family during your visit to Founders Family Medicine. We screen all patients for COVID-19 symptoms. We also require masks and social distancing at our clinic.

      We’re dedicated to providing the highest standards of safety to protect you and your family during your visit to Founders Family Medicine. We screen all patients for COVID-19 symptoms. We also require masks and social distancing at our clinic.

  5. Oct 2022
    1. Unlike many note taking manuals, Goutor advises that within the small list of rules and standards which he's laid out, one should otherwise default to maximizing the comfort of their note taking system. This may be as small as using one's favorite writing instruments or inks. (p28)

      It's nice to see him centering self-care and small things which contribute to the researchers' mental health within note taking design and user interface.

  6. Aug 2022
  7. Jul 2022
    1. Urgent Care Treatment with X-Rays in Castle Rock

      Founders Family Medicine and Urgent Care offer same-day care to patients who have urgent medical problems. Our medical center offers diagnostic testing, including x-ray and an on-site lab. Patients receive diagnosis and treatment from our professional medical team.

  8. Jun 2022
    1. Castle Rock Urgent Care and Family Medicine Founders Family Medicine

      Founders Family Medicine and Urgent care in Castle Rock is a full-service medical clinic. It is our goal to provide efficient and cost-effective care for the insured as well as the uninsured.

  9. Apr 2022
    1. Allyson Pollock [@AllysonPollock]. (2022, January 4). The health care crisis is of governments making over three decades. Closing half general and acute beds, closing acute hospitals and community services,eviscerating public health, no service planning. Plus unevidenced policies on testing and self isolation of contacts. @dthroat [Tweet]. Twitter. https://twitter.com/AllysonPollock/status/1478326352516460544

    1. In her 2002 dissertation, and then in a series of articles published in medicaljournals, Pape made a case for imitating this practice. “The key to preventingmedication errors lies with adopting protocols from other safety-focusedindustries,” Pape wrote in the journal MEDSURG Nursing in 2003. “The airlineindustry, for example, has methods in place that improve pilots’ focus andprovide a milieu of safety when human life is at stake.”

      In a 2002 dissertation and subsequent articles, Tess Pape proposed imitating solutions proposed by the FAA in airline accidents as a means of limiting distractions during medicine dispensing by nurses and medical staff to limit preventable medical errors.

    1. Dr. Syra Madad. (2021, February 7). What we hear most often “talk to your health care provider if you have any questions/concerns on COVID19 vaccines” Vs Where many are actually turning to for COVID19 vaccine info ⬇️ This is also why it’s so important for the media to report responsibly based on science/evidence [Tweet]. @syramadad. https://twitter.com/syramadad/status/1358509900398272517

    1. Kamlesh Khunti. (2021, February 14). Our pre-print publication on #COVIDVaccine hesitancy in health care workers. Vaccination rates: White 70% South Asian 59% Black 37% ⬆️ rates in Allied HCPs & administrative/exe staff vs Drs Urgently need to identify barriers & overcome these https://t.co/hBYJFCBzyi https://t.co/OLeNZrswcN [Tweet]. @kamleshkhunti. https://twitter.com/kamleshkhunti/status/1360926907978682372

    1. Marc Lipsitch. (2021, July 20). At the risk of boiling down too much and certainly losing some detail, one way to summarize this wonderful thread is that when we think about vaccine effectiveness, we should think of 4 key variables: 1 which vaccine, 2 age of the person, 3 how long after vax, 4 vs what outcome. [Tweet]. @mlipsitch. https://twitter.com/mlipsitch/status/1417595538632060931

  10. Feb 2022
    1. Nursing professionals are facing with severe sleep problems during the covid 19 pandemic time. Nurses were asked to work in an environment that had a more increased level of risk than ever before. Depression and anxiety from the workplace could affect the confidence of healthcare workers in themselves as well as general trust in the healthcare system. This will lead to their turnover intention which may undermine the efforts of the governments to control the COVID-19 pandemic. The rising concern may change the working schedules of healthcare workers, offering more occupational healthcare support.

    1. “When I moved to Kansas,” Roberts said, “I was like, ‘holy shit, they’re giving stuff away.’”

      This sounds great, but what are the "costs" on the other side? How does one balance out the economics of this sort of housing situation versus amenities supplied by a community in terms of culture, health, health care, interaction, etc.? Is there a maximum on a curve to be found here? Certainly in some places one is going to overpay for this basket of goods (perhaps San Francisco?) where in others one may underpay. Does it have anything to do with the lifecycle of cities and their governments? If so, how much?

  11. Jan 2022
  12. Dec 2021
  13. Nov 2021
  14. Oct 2021
    1. Tartof, S. Y., Slezak, J. M., Fischer, H., Hong, V., Ackerson, B. K., Ranasinghe, O. N., Frankland, T. B., Ogun, O. A., Zamparo, J. M., Gray, S., Valluri, S. R., Pan, K., Angulo, F. J., Jodar, L., & McLaughlin, J. M. (2021). Effectiveness of mRNA BNT162b2 COVID-19 vaccine up to 6 months in a large integrated health system in the USA: A retrospective cohort study. The Lancet, 398(10309), 1407–1416. https://doi.org/10.1016/S0140-6736(21)02183-8

  15. Sep 2021
    1. ? We should, perhaps, turn the problem around once again, and place it within the evolution of the Puritan ethic.

      This immediately brings to mind Max Webber, but before thinking about that,

      What about the overall discussion of the relation of time to Christianity in general. Early Christians practiced eschatology and were concerned with the imminent end of the world. How has that affected our relationship with time?

      Even the rise of health care has dramatically extended our lives, thus making time a bit less valuable overall, but have we seen that effect psychologically?

  16. Aug 2021
    1. Bergwerk, M., Gonen, T., Lustig, Y., Amit, S., Lipsitch, M., Cohen, C., Mandelboim, M., Gal Levin, E., Rubin, C., Indenbaum, V., Tal, I., Zavitan, M., Zuckerman, N., Bar-Chaim, A., Kreiss, Y., & Regev-Yochay, G. (2021). Covid-19 Breakthrough Infections in Vaccinated Health Care Workers. New England Journal of Medicine, 0(0), null. https://doi.org/10.1056/NEJMoa2109072

  17. Jul 2021
    1. Rodolfo: I'm a victim of sexual abuse in the United States and there was a police report made and everything. And I've also been a victim of gang violence. I was never, you can check my background and everything. I was never into gangs or anything, but around the area I lived in there was a bunch of gangs and... I was beat up two or three times bad just by walking home. And it was all documented, I had police reports and everything. And because of that I was in therapy for while. My mother sought out a help from a psychiatrist because of the sexual abuse I had as a child in California, as a matter of fact.Rodolfo: I took Risperdal and a Ritalin, Risperdal for the anxiety and the Ritalin and for the ADHD. So, we tried everything. The mental health side, the mental health asylum, everything. But it was just going to take longer and longer and longer and I was tired of it. I didn't want to be locked up anymore. So, finally I just told my mom, “You know what man, that's it, I'm done. I don't want to do this anymore.” She asked me, “Is this what you want to do?” And I told her, “Yeah.”Rodolfo: She told me, “You know what? I'd much rather see you over there and be free then not being able to see you here at all.” Because there was a lot of people that went to go visit their loved ones and they used to get picked up. Sometimes they wouldn't even let you see your loved ones and right away ask you for your identification, your social security card, your nationality and everything and they would get picked up.Rodolfo: And I always told my mom, “Don't ever come visit me. Don't ever come visit me because if you do, chances are they're going to take you too.” And you know, that would always break my heart because I would want to see my mom. I'd want to see my dad and everything, but I wasn't able to. So, that experience was just horrible.Sergio: When you were in the detention center what were the conditions? Did you have access the medicine you needed? Did you have access to food and water?Rodolfo: The company that made the jail was called GEO Corp and they were actually, I'm not going to lie to you, they actually were pretty good, health-wise, not so much security-wise. A lot of things would happen in there that definitely shouldn't have ever happened. But with the food and everything, it was good. In my opinion it was because of the company. I feel as though if it was up to the government... Thank God it was an independent company that was hired by DHS as opposed to if DHS were to make their own jail, I feel they would be completely different.Rodolfo: It was [Pause] a pleasantly... there's no way to describe it, it was bad. It was bad, but for what it was I guess it was okay. I don't see there being an in-between or any pretty way to paint that picture as to how good or bad it was in there. Because at the end of the day you're deprived of your freedom. You can't just pick up the phone whenever you want and call your loved ones because you've got to pay for that too. You got pay for that. And if you want to take a shower, you have to buy your soap, right? You've got to buy it yourself, you've got to buy everything. And now you're becoming a liability for your family, you're becoming another bill.Rodolfo: You're becoming another bill and that's what I didn't want. So, that's why I started working. And now, older, I'm becoming another bill. So, I don't get it. You're taking us away from the jobs that we have and everything. You know? So, take us back to our country. And I'm not sure if it this is a fact or not, but I was reading when I first got in here, there was a time where there wasn't enough field workers for, I think, avocado—or, not avocado, I think it was oranges or something like that.Rodolfo: And I remember me saying, “Well, there goes all the deportees. There goes all the people you guys deported. Where are the people that were so outraged because we took your jobs? Go ahead, there you go. There are a lot of vacancies, making these open for those jobs, go ahead, man. All yours buddy, knock yourself out.”Rodolfo: But nobody wants to work those jobs, right? You see what I'm saying though, right?

      Leaving the US, Reason for Return, Deportation, Voluntary departure, Family decision, No hope for a future in the US, Detention, Treatment by; Time in the US, Violence, Sexual Abuse, Gangs, Bullying, Fear of, Jobs/employment/work

  18. Jun 2021
  19. May 2021
    1. Howard, J., Huang, A., Li, Z., Tufekci, Z., Zdimal, V., Westhuizen, H.-M. van der, Delft, A. von, Price, A., Fridman, L., Tang, L.-H., Tang, V., Watson, G. L., Bax, C. E., Shaikh, R., Questier, F., Hernandez, D., Chu, L. F., Ramirez, C. M., & Rimoin, A. W. (2021). An evidence review of face masks against COVID-19. Proceedings of the National Academy of Sciences, 118(4). https://doi.org/10.1073/pnas.2014564118

  20. Apr 2021
  21. Mar 2021
  22. Feb 2021
  23. Jan 2021
    1. Despite some implementation challenges, patient portals have allowed millions of patients to access to their medical records, read physicians’ notes, message providers, and contribute valuable information and corrections.

      I wonder if patients have edit - or at least, flag - information in their record?

  24. Dec 2020
  25. Oct 2020
  26. Sep 2020
    1. Most instructors will have the experience and knowledge of their students’ situation to make wise choices about activities that will work best.

      Academic professors are acknowledging their students well-being which is important and shows care from both sides of the professor and student. This allows the student know that even though the professor is mainly involved with education, they still care.

  27. Aug 2020
  28. Jul 2020
  29. Jun 2020
    1. Beachum, L., national, closeLateshia B. assignment reporter E. H. closeAlex H. assignment reporter covering, & newsEmailEmailBioBioFollowFollow, breaking. (n.d.). Is social isolation getting to you? Here’s how to know — and what experts say to do. Washington Post. Retrieved April 9, 2020, from https://www.washingtonpost.com/health/2020/04/04/social-isolation-mental-health-help/

  30. May 2020
    1. That’s why the escape hatch is so appealing. Self-insured companies can tailor their health benefits to meet the needs of their workers. They don’t have to pay for services their employees neither need nor want. And self-insured plans pay their own medical costs, without having to subsidize the health-care costs of other groups.
    2. The administration and its allies fear that the more people gravitate toward the successful, free-market self-insurance approach, the worse their government-engineered health “reform” will look. We’re already seeing the beginning of this trend.
  31. Apr 2020
  32. Nov 2019
    1. It needs to be fully repealed, because the first step out of the gate for Obamacare is a step in the wrong direction and that is for government control over every aspect of health care, so it’s hard to fix the system that they have put in place without ending that premise that government ought to be running and controlling health care.
  33. Aug 2019
    1. ObamaCare, is the product of a Conservative Think-Tank. 60% of citizens get private insurance from their employers, 15% receive Medicare (65 and older), and the federal gov’t funds Medicaid for low-income families (the allocation to this fund has been declining).

      Lucky, Trump removed that

    2. United States and its Health care:      The gov’t has some government-run programs and private insurance.

      U.S. health care system

    3. Health care spending was 12.4% of GDP in 2016. That is approximately $7,919.00 per person. There were 11.6% of people who skipped prescriptions because of cost.

      Switzerland Health Care System

    4. Mandate: The gov’t mandates that everyone buy health insurance, funding comes from payroll taxes.

      3

    5. Health care spending was 11% of GDP in 2016. Approximately $4,600.00 per person. 7.8% of patients skipped prescriptions because of cost. The life expectancy was 85.5 years in 2015.  

      France health care system

    6. 2-Tier: The gov’t pays two-thirds, and the private sector pays one-third.  

      2

    7. Health Care spending was 10.6% of Canada’s GDP in 2016 and 10.5% of patients skipped prescriptions because of cost.

      Canada health care system

    8. Single-Payer: The gov’t taxes its citizens to pay for health care.

      1

    9. Single-Payer, 2-Tier, and Mandate systems.

      three definitive models for Universal Health Care

  34. Mar 2019
    1. The HMO Act of 1973 changed that premise. It authorized for-profit IPA-HMOs in which HMOs may contract with independent practice associations (IPAs) that, in turn, contract with individual physicians for services and compensation. By the late 1990s, 80 percent of MCOs were for-profit organizations, and only 68 percent or less of insurance premiums went toward medical care.

      The HMO Act of 1973 resulted in for profit health care.

    1. Nixon signed into law, the Health Maintenance Organization Act of 1973, in which medical insurance agencies, hospitals, clinics and even doctors, could begin functioning as for-profit business entities instead of the service organizations they were intended to be. 

      In the 1970s health care was allowed to change from a non-profit to a for profit.

    1. a group of teachers created a program through Baylor University Hospital where they would agree to pre-pay for future medical services (up to 21 days in advance). The resulting organization was not-for-profit and only covered hospital services. It was essentially the precursor to Blue Cross.

      Baylor University's teacher's created one of the first "employee insurance companies" which turned into Blue Cross.

    2. Since U.S. businesses were prohibited from offering higher salaries, they began looking for other ways to recruit new employees as well as incentivizing existing ones to stay. Their solution was the foundation of employer-sponsored health insurance as we know it today.

      The result of the Stabilization Act of 1942 was for employers to provide health care benefits to employees.

    1. Because health benefits could be considered part of compensation but did not count as income, workers did not have to pay income tax or payroll taxes on those benefits. Thus, by 1943, employers had an increased incentive to make health insurance arrangements for their workers, and the modern era of employer-sponsored health insurance began

      After WWII companies started providing health insurance to employees. Somewhere along the way this translated into employers co-oping with private insurance companies to provide health insurance as opposed to paying the employees medical bills or providing their own doctors and clinics.

  35. Nov 2018
    1. Polls show that doctors are trusted by the public more than politicians, which means it’s hard for public policy to shape the healthcare system unless medical associations sign off on it.
    1. “It’s about embracing the inscrutable nature of human interactions,” says Chang. Evidence-based medicine was a massive improvement over intuition-based medicine, he says, but it only covers traditionally quantifiable data, or those things that are easy to measure. But we’re now quantifying information that was considered qualitative a generation ago.

      Biggest challenges to redesigning the health care system in a way that would work better for patients and improve health

    2. “Our biggest opportunity is leaning into that. It’s either embracing the qualitative nature of that and designing systems that can act just on the qualitative nature of their experience, or figuring how to quantitate some of those qualitative measures,” says Chang. “That’ll get us much further, because the real value in health care systems is in the human interactions. My relationship with you as a doctor and a patient is far more valuable than the evidence that some trial suggests.”

      Biggest challenges to redesigning the health care system in a way that would work better for patients and improve health

    3. Duffy points to the increase in health care interactions online and adds that he would like to see a pervasive culture of in-person care as last resort. “If every organizational decision, technology decision, process decision — assuming all the payment stuff, that’s kind of ticket of entry, transpires — if you view in-person as last resort, that will help pull systems across the country to a more consumer-forward Uber-like experience,” he says

      Biggest challenges to redesigning the health care system in a way that would work better for patients and improve health

    1. As with other forms of value-based health care, patient-centered care requires a shift in the way provider practices and health systems are designed, managed, and reimbursed. In keeping with the tenets of patient-centeredness, this shift neither happens in a vacuum, it driven by traditional hierarchies in which providers or clinicians are the lone authority. Everyone, from the parking valet and environmental services staff to c-suite members, are engaged in the process, which impacts hiring, training, leadership style, and organizational culture. Patient-centered care also represents a shift in the traditional roles of patients and their families from one of passive “order taker” to one of active “team member.” One of the country’s leading proponents of patient-centered care, Dr. James Rickert, has stated that one of the basic tenets of patient-centered care is that “patients know best how well their health providers are meeting their needs.” To that end, many providers are implementing patient satisfaction surveys, patient and family advisory councils, and focus groups, and using the resulting information to continuously improve the way health care facilities and provider practices are designed, managed, and maintained from both a physical and operational perspective so they become centered more on the individual person than on a checklist of services provided. As the popularity of patient- and family-centered health care increases, it is expected that patients will become more engaged and satisfied with the delivery of their care, and evidence of its clinical efficacy should continue to mount.

      Cultural shift to patient-centered care

    1. Koh et al. (11) detailed a cycle of crisis care elaborating the nature of high medical costs, possibly resulting from fear and denial. First, an individual is in need of medical help, so he or she goes to a physician's office where the staff asks the individual to fill out a complex and confusing form. The physician examines the patient and explains the condition and treatment options using medical jargon. Numerous prescriptions, laboratory tests, and referrals are given without confirmation of the patient's comprehension. The staff sends the patient home with complicated instructions. Inevitably, the patient may consume medication incorrectly or miss follow-up appointments, and his or her condition worsens. Eventually, the patient presents to the emergency department, and the hospital staff develops a new treatment plan. Again, no one confirms the patient's understanding. When the patient is discharged, he or she is likely to get sick again and repeat the cycle (11)
  36. Sep 2018
    1. medical care

      Improve medical care infrastructure and inter-provincial agreements to be able to cover LC-LD workers and their families in source, host and hub communities in a timely manner. the improvement of such services should be flexible enough to adapt to the ups and downs of the predominant industries.

  37. Aug 2018
    1. The technical and theoretical details underlying clinical informatics are beyond the scope of this chapter. What follows is a concise introduction to topics and resources of general interest in this field, presented to help clinicians use information technology for the benefit of patient care.

      This is interesting!

  38. May 2018
    1. There are many resources available to help you and your health care proxy develop a care plan. These are merely suggestions to get you thinking about possible scenarios and topics to discuss. I hope you found this blog informative, and urge you to share it with anyone who does not have a health care proxy. We always think it will never happen to us, but what if it does? It's best to be prepared!

      The article highlights the importance of what a good health proxy looks like and how they go about helping a patient in their most sensitive moments of health and later on in their lives. Potentially, this could be a good chance for a client's wishes to be fully respected by someone who knows of their values and preferences. It also encourages the reader to be prepared incase they are faced with this decision some day. Many members of the elder population are asked about healthcare proxies during the beginning of any hospitalization. More awareness of what a health proxy is and what social supports a patient can count on helps to assure quality care and dignity in health and death.

    2. Further, a doctor, medical center, hospital, EMT, and even assisted living staff can make decisions regarding your healthcare, treatment methods and type of medical care to provide you if you are not married, over 18 years old, and do not have a health care proxy in place

      Medical decision making has very specific in rules to protect the rights of the patient. The rules can vary according to a patient's age, marital status, and wether or not they signed a health care proxy document in the first place.

    3. Who would decide what was best for you? Who would advocate on your behalf?

      This is a scary question that most people in the United States have to consider at one point in their life. Trust in the person in charge of making medical decisions is essential.

    4. Health care proxy: An advance medical directive in the form of a legal document that designates another person (a proxy) to make health care decisions in case a person is rendered incapable of making his or her wishes known.

      The medical definition of a health care proxy- a legal medical document that transfers power of medical decision making from a patient to a trusted person.

    1. The question each proxy should ask when making decisions on behalf of others is, who am I truly serving — the patient or myself?

      This article really high lights the potential negatives of the concept of healthcare proxies and provides real life scenarios to help the reader relate.

    2. When the patient is unwilling or unable to make medical decisions, the health care proxy is activated and he or she is obligated to make all health choices on behalf of the patient. These may be related to withdrawing or withholding life support, instituting artificial liquid feeding, attempting resuscitation and even whether or not to participate in autopsy and organ donation.

      Any decisions regarding the care and body of the patient are headed over to their health proxy, who assumes any medical decision making responsibilities from there.

  39. May 2017
    1. Section 139A of the Internal Revenue Code of 1986 is amended by adding at the end the following new sentence: “This section shall not be taken into account for purposes of determining whether any deduction is allowable with respect to any cost taken into account in determining such payment.”.

      This is important.

  40. May 2016
    1. that doesn't mean the drugs can't be immensely profitable. Treanda is an orphan drug but also Teva's second-best seller, racking up $740 million in sales last year, according to Teva's annual report.

      Isn't the whole point of an orphan drug classification that of limited commercial viability? So if they're not commercially viable how are they profitable?

  41. Sep 2015