“Areas with higher social mobility have a smaller life expectancy gap between rich and poor individuals, according to a study published in JAMA Internal Medicine. “While we cannot prove cause and effect, this study — along with others from our group — suggests that hope for a better future may translate into better health,” Atheendar Venkataramani, MD, PhD, an assistant professor in the department of medical ethics and health policy at the Perelman School of Medicine at the University of Pennsylvania, told Healio Primary Care.” Read more at Healio
“In general, ED clinicians follow opioid prescribing guidelines and small changes, if baseline amounts already are low, may not have a huge effect on reducing risks associated with overprescribing, noted Kit Delgado, MD, MS, of the University of Pennsylvania in Philadelphia, who wasn’t involved with the study.” Read more at MedPageToday
“Oncologists’ adoption and use of bevacizumab (Avastin) in the years after its approval was greater if their peer physicians were earlier adopters, according to an investigation published in JAMA Network Open. As organizations continue to strive toward better care at lower costs, interventions that influence physician ties may help to promote adoption of high-value use of new cancer treatments and unemployment of low-value therapies.” Read more at Cancer Network, Cure Today, and Cancer Therapy Advisor
“Now, we can stay up as long as we’d like. In fact, the blue light emitted by most of the screens we stare into for much of our waking hours suppresses the secretion of melatonin. In other words, our devices are not only a diversion, but they also keep us alert much later than is healthy. In data collected on Character Lab Research Network, the more hours teens spend on social media and video games, the less they sleep.” Read more at Thrive Global
From RNZ: “Smoking causes lung cancer and heart disease. Regular exercise reduces the risk of obesity, type 2 diabetes, and high blood pressure. The proof is out there, yet some people resist making changes to improve their health. Why is it so hard to make healthy decisions? Answering this question is the mission of behavioural economist David Asch.” Listen to the interview here.
“For decades ever more patients have been arriving at emergency departments (EDs). As concern has mounted, and emergency department crowding – most evident in wait times – has increased, fingers have been pointed. Health systems, politicians and researchers have blamed the decline of primary care, “inappropriate” use of the ED, a fragmented health system, and more recently, social determinants of health. The solutions offered follow from these diagnoses. Improve primary care access, encourage patients and their doctors to use more primary care, penalize patients who are deemed retrospectively by simple algorithms to have used the ED inappropriately, improve care coordination,…
“Medicare’s voluntary bundled-payment program for hip and knee replacements reduced spending by 1.6% from 2013 to 2016 — less than previously estimated — with no overall change in quality, according to a new study in Health Affairs. Another new Health Affairs study reported that lower extremity joint replacement is the only type of clinical episode in Medicare bundled-payment programs that has produced savings so far. The meta-analysis found no evidence of reduced spending or quality improvement for other clinical episodes. The two studies highlight the challenges facing federal policymakers, hospitals and physicians in using bundled payments to achieve cost savings and…