http://phys.org/ en-us Phys.org internet news portal provides the latest news on science including: Physics, Nanotechnology, Life Sciences, Space Science, Earth Science, Environment, Health and Medicine. Pay-for-performance (P4P) programs are payment models that reward workers for meeting certain performance measures for quality and efficiency. In the healthcare setting, P4P programs use a variety of methods to reward physicians financially for achieving targets, including fee differentials and bonuses. http://phys.org/news185806929.html Medicine & Health Fri, 19 Feb 2010 13:02:21 EST news185806929 "The unfortunate truth is that by many measures, the State of America's health care is in decline," Joseph W. Stubbs, MD, FACP, president of the American College of Physicians (ACP), reported today at ACP's annual State of the Nation's Health Care briefing. "We have too many uninsured, too few primary care physicians, and the cost of health care is rising faster than we can afford." http://phys.org/news185632177.html Medicine & Health Wed, 17 Feb 2010 13:30:01 EST news185632177 Value-based insurance design (VBID) in which consumer payments are waived for highly effective treatments, but are raised for less effective ones, could increase the benefits of healthcare in the US without increasing expenditures, according to research published in PLoS Medicine. The costs saved by VBID could be used to subsidize coverage for the currently uninsured, providing a substantial improvement in health outcomes. http://phys.org/news185520703.html Medicine & Health Tue, 16 Feb 2010 05:34:46 EST news185520703 Do physicians provide more services to Medicare patients to make up for lower Medicare fees? With almost 42 million people enrolled in Medicare in the United States in 2008, it's a question that could have a very costly answer. http://phys.org/news185107804.html Medicine & Health Thu, 11 Feb 2010 10:50:16 EST news185107804 A new study shows that the number of hours physicians spend on the job each week is influenced by the fear of malpractice lawsuits. http://phys.org/news183913981.html Medicine & Health Thu, 28 Jan 2010 16:20:01 EST news183913981 (PhysOrg.com) -- Your car can be an effective examination room -- one that prevents the spread of infectious diseases from patient to patient, and from patient to caregiver, a new study shows. http://phys.org/news182703955.html Medicine & Health Thu, 14 Jan 2010 15:06:16 EST news182703955 Analyzing physicians' practice patterns may hold valuable clues about how to curb the nation's rising health care costs, according to a study by researchers at the Johns Hopkins University School of Medicine. http://phys.org/news182452340.html Medicine & Health Mon, 11 Jan 2010 18:40:01 EST news182452340 With an estimated four to six percent of children in the U.S. suffering from food allergies, a new study shows that pediatricians and family physicians aren't always confident they have the ability to diagnose or treat food allergies. http://phys.org/news179590231.html Medicine & Health Wed, 09 Dec 2009 14:30:16 EST news179590231 Most primary care physicians active in the Medicare program work in practices with too few patients to reliably measure significant differences in common measures of quality and cost performance, according to a study in the December 9 issue of JAMA. http://phys.org/news179513538.html Medicine & Health Tue, 08 Dec 2009 17:40:05 EST news179513538 Telemedicine facilitates communication between family physicians, hospitals and nursing services -- yet current solutions lack flexibility and are consequently very expensive. A new software program is now available that can be tailored to a range of applications. http://phys.org/news179406272.html Technology Mon, 07 Dec 2009 11:20:01 EST news179406272 Providing physicians with a computerized order entry/decision support system that provides immediate feedback regarding imaging appropriateness at the time of ordering may be an effective solution to managing imaging utilization, according to an article in the December issue of the Journal of the American College of Radiology (JACR). http://phys.org/news178348107.html Medicine & Health Wed, 25 Nov 2009 06:20:01 EST news178348107 Physicians still retain the bulk of decision-making power over nurses in Quebec - a situation that's detrimental to evolving nursing roles. According to a new study by Université de Montréal researchers, published in Recherches Sociographiques, nursing functions are still very much assigned by physicians who often oversee family medicine groups (FMGs), specialized nurse practitioners (SNP) and oncology nurse navigators (ONN). http://phys.org/news177610895.html Medicine & Health Mon, 16 Nov 2009 17:10:02 EST news177610895 (PhysOrg.com) -- Pediatricians and pediatric oncologists express differing views on religion and spirituality, largely based on the types of patients they treat, according to a survey that will appear in the current edition of the journal Social Problems. http://phys.org/news177183961.html Other Sciences Wed, 11 Nov 2009 18:00:01 EST news177183961 In a new survey of physicians who treat breast cancer patients, only one-third said they had good access to trained medical interpreters or telephone language-interpretation systems when they needed it. Poor access to interpreters can compromise physician-patient communication that is critically important in cancer care. http://phys.org/news177182071.html Medicine & Health Wed, 11 Nov 2009 17:14:57 EST news177182071 Adult primary care visits have increased in quality, duration and frequency between 1997 and 2005, according to a report in the November 9 issue of Archives of Internal Medicine. http://phys.org/news177017417.html Medicine & Health Mon, 09 Nov 2009 19:50:01 EST news177017417 As health insurers require people to base more treatment decisions on out-of-pocket costs, physicians should learn to talk to patients about money, according to researchers at Wake Forest University School of Medicine. http://phys.org/news176650902.html Medicine & Health Thu, 05 Nov 2009 14:20:02 EST news176650902 A national survey of physicians' experience with hospital chaplains found that the vast majority of doctors were satisfied with the spiritual services provided. Physicians in the Northeast and those with a dim view of religion's effects on patients, however, were less likely to be pleased. http://phys.org/news175794713.html Medicine & Health Mon, 26 Oct 2009 16:52:37 EST news175794713 Primary care physicians face limitations when evaluating patients for voice problems including hoarseness (dyphonia), according to new research presented at the 2009 American Academy of Otolaryngology-Head and Neck Surgery Foundation (AAO-HNSF) Annual Meeting & OTO EXPO, in San Diego, CA. http://phys.org/news173988014.html Medicine & Health Mon, 05 Oct 2009 23:00:02 EST news173988014 Routine use of electronic health records may improve the quality of care provided in community-based primary care practices more than other common strategies intended to raise the quality of medical care, according to a new study by RAND Corporation researchers. http://phys.org/news173987022.html Medicine & Health Mon, 05 Oct 2009 19:00:05 EST news173987022 Results of a Mayo Clinic survey published in the New England Journal of Medicine shows that while physicians are open to being involved in health care reform discussions, some opposition may exist. http://phys.org/news173012926.html Medicine & Health Thu, 24 Sep 2009 12:20:01 EST news173012926 A ranking of obstetrics and gynecology training programs based on the maternal complication rates of their graduates' patients found these rankings consistent across individual types of complications, suggesting that these rates may reflect measures of overall quality, according to a study in the September 23/30 issue of JAMA, a theme issue on medical education. http://phys.org/news172856490.html Medicine & Health Tue, 22 Sep 2009 17:50:05 EST news172856490 (PhysOrg.com) -- Training in mindfulness meditation and communication can alleviate the psychological distress and burnout experienced by many physicians and can improve their well-being, University of Rochester Medical Center researchers report in this week's issue of the Journal of the American Medical Association (JAMA). http://phys.org/news172855325.html Medicine & Health Tue, 22 Sep 2009 16:40:01 EST news172855325 (PhysOrg.com) -- A new study led by a Yale School of Nursing researcher recommends changes in nursing schools and the work environment to reduce the number of novice nurses who opt to leave the profession. http://phys.org/news172498885.html Medicine & Health Fri, 18 Sep 2009 13:21:49 EST news172498885 (PhysOrg.com) -- Johns Hopkins biomedical engineering students have demonstrated a practical way to embed a patient’s own adult stem cells in the surgical thread that doctors use to repair serious orthopedic injuries such as ruptured tendons. The goal, the students said, is to enhance healing and reduce the likelihood of re-injury without changing the surgical procedure itself. http://phys.org/news167326190.html Medicine & Health Mon, 20 Jul 2009 18:30:01 EST news167326190 When hospitalists use discharge communication software, patients and the outpatient doctors who carry out the care have better perceptions of the quality of the discharge process, according to new research published in the August issue of the Journal of Hospital Medicine. http://phys.org/news167026777.html Medicine & Health Fri, 17 Jul 2009 05:20:02 EST news167026777 Partnering with local physicians, working with local clinics, and conducting educational seminars and health fairs were found to be the most effective tools in recruiting people for Alzheimer's clinical studies, according to new research reported today at the Alzheimer's Association 2009 International Conference on Alzheimer's Disease (ICAD 2009) in Vienna. http://phys.org/news166631753.html Medicine & Health Sun, 12 Jul 2009 15:35:53 EST news166631753 Physicians can and should play a leading role in achieving health care reform by working towards comprehensive reform of the way health care is paid for and delivered, helping achieve a guaranteed 1.5 percent annual savings in health care costs that would pay for covering all Americans, according to a New England Journal of Medicine Perspective piece published online today. http://phys.org/news162059041.html Medicine & Health Wed, 20 May 2009 17:25:23 EST news162059041 In an era when people are more informed about their care and more assertive with their physicians, an impasse can develop over issues as simple as a patient insisting on unnecessary tests or medications or as complicated as end-of-life care. http://phys.org/news160661720.html Medicine & Health Mon, 04 May 2009 13:15:52 EST news160661720 In a national survey conducted by the University of Minnesota, primary care physicians report that they are more likely to ask patients with autism about complementary alternative medicine (CAM) use and desire more CAM education for this population. The study of 539 U.S. physicians, published this week in Springer's Journal of Autism and Developmental Disorders, explores the attitudes and practices of primary care physicians caring for children with autism using CAM treatments. http://phys.org/news156084212.html Medicine & Health Thu, 12 Mar 2009 13:44:41 EST news156084212 Arizona has the ability to expand colorectal cancer screening capacity; this potential increase was more pronounced in rural as compared to urban regions, according to data presented at the American Association for Cancer Research conference on the Science of Cancer Health Disparities. http://phys.org/news153059751.html Medicine & Health Thu, 05 Feb 2009 12:36:23 EST news153059751