Melissa A. Greiner, Bradley G. Hammill, Gregg C. Fonarow, David J. Whellan, Zubin J. Eapen, Adrian F. Hernandez, Lesley H. Curtis. . (2012) Predicting Costs Among Medicare Beneficiaries With Heart Failure. 109, 705-711.
Mark J. Ricciardi, Faith Selzer, Oscar C. Marroquin, Elizabeth M. Holper, Lakshmi Venkitachalam, David O. Williams, Sheryl F. Kelsey, Warren K. Laskey. . (2012) Incidence and Predictors of 30-Day Hospital Readmission Rate Following Percutaneous Coronary Intervention (from the National Heart, Lung, and Blood Institute Dynamic Registry). 110, 1389-1396.
Muoi T. Nguyen, Winnie Y. Chan, Courtney Keeler. . (2015) The Association Between Self-Rated Mental Health Status and Total Health Care Expenditure. 94, e1410.
This was not, however, the way the woman’s primary-care physician approached her condition. Dr. Katherine Rose was a young, freckle-faced physician two years out of training, with a precise and methodical air. “I’m not sure I know what’s going on,” she admitted to the woman.
The woman’s symptoms disappeared after two weeks. A physician assistant figured out why: the patient had run out of naproxen, an analgesic medication she took for her migraine attacks, which in rare instances can produce soft-tissue swelling, through both allergic and nonallergic mechanisms. She would have to stay off all medications in that class. An urgent-care team wouldn’t have figured this out. Now Rose contacted the Graham Headache Center to help identify an alternative medication for the woman’s migraines.
Doctors in other settings—say, an emergency room or an urgent-care clinic—would use a “rule out” strategy, running tests to rule out possible conditions, especially dangerous ones, as rapidly as possible. We would focus first on the chest pain—women often have less classic symptoms of a heart attack than men do—and order an EKG, a cardiac stress test, and the like to detect coronary-artery disease. Once that was ruled out, we might give her an antihistamine and watch her for a couple of hours to see if the symptoms went away. And, when that didn’t work, we would send her home and figure, Oh, well, it’s probably nothing.
David Greenfield, Deborah Debono, Anne Hogden, Reece Hinchcliff, Virginia Mumford, Marjorie Pawsey, Johanna Westbrook, Jeffrey Braithwaite. . (2015) Examining challenges to reliability of health service accreditation during a period of healthcare reform in Australia. 29:7, 912-924.
David M. Janicke, Alyssa M. Fritz, Ronald H. Rozensky. . (2015) Healthcare Reform and Preparing the Future Clinical Child and Adolescent Psychology Workforce. 44, 1030-1039.
Though, due to its empirical applications and focus, statistics is typically regarded as a distinctive math’s sciences and not only a math’s branch (Chance et al, 2005) Therefore, in certain tasks a statistician use is less mathematical; for example, ensuring that collection of data is carried out in a way that yie...
Daniel D. Matlock, Traci E. Yamashita, Sung-Joon Min, Alexander K. Smith, Amy S. Kelley, Stacy M. Fischer. . (2016) How U.S. Doctors Die: A Cohort Study of Healthcare Use at the End of Life. 64:5, 1061-1067.
Steven Thompson, Rajiv Kohli, Craig Jones, Nick Lovejoy, Katharine McGraves-Lloyd, Karl Finison. . (2015) Evaluating Health Care Delivery Reform Initiatives in the Face of “Cost Disease”. 18, 6-14.
“They walk out the door thinking you’re a shaman,” Asaf said, grinning. Everyone loves to be the hero. Asaf and his colleagues can deliver on-the-spot care for hundreds of conditions and guidance for thousands more. They run a medical general store. But, Asaf insisted, that’s not really how primary-care clinicians save lives. After all, for any given situation specialists are likely to have more skill and experience, and more apt to follow the evidence of what works. Generalists have no advantage over specialists in any particular case. Yet, somehow, having a primary-care clinician as your main source of care is better for you.
Cherinne Arundel, Phillip H. Lam, Rahul Khosla, Marc R. Blackman, Gregg C. Fonarow, Charity Morgan, Qing Zeng, Ross D. Fletcher, Javed Butler, Wen-Chih Wu, Prakash Deedwania, Thomas E. Love, Michel White, Wilbert S. Aronow, Stefan D. Anker, Richard M. Allman, Ali Ahmed. . (2016) Association of 30-Day All-Cause Readmission with Long-Term Outcomes in Hospitalized Older Medicare Beneficiaries with Heart Failure. 129:11, 1178-1184.
People came in with leg pains, arm pains, belly pains, joint pains, head pains, or just for a checkup. I met an eighty-eight-year-old man who had survived a cardiac arrest in a parking lot. I talked to a physician assistant who, in the previous few hours, had administered vaccinations, cleaned wax out of the ears of an elderly woman with hearing trouble, adjusted the medications of a man whose home blood-pressure readings were far too high, and followed up on a patient with diabetes.