Popular Articles

Reducing Medical Residents' Hours Would Cost $2.5B Annually, Study Says
Implementing proposed reductions in the number of hours medical residents work could cost as much as $2.5 billion annually, according to a recent study published in the New England Journal of Medicine, the Baltimore Sun reports. The study follows an Institute of Medicine report that proposed reducing the maximum hours that residents can work without sleep from 30 to 16, increasing the number of days they must take off and improving their supervision (Desmon, Baltimore Sun, 5/21). In 2003, the Accreditation Council for Graduate Medical Education reduced the number of hours residents at teaching hospitals could work weekly from more than 100 hours to 80 hours. In the recent study, which was partially funded by IOM, researchers examined post-2003 literature on resident work hours and patient harm and evaluated it against additional labor costs. The authors concluded that the IOM recommendations "would be costly, and their effectiveness is unknown" (Shishkin, Wall Street Journal, 5/21). Teryl Nuckols, the lead author of the study, said that teaching hospitals would most likely need to hire more residents and experienced physicians to take care of patients, which would likely cost each teaching hospital $3.2 million annually (Baltimore Sun, 5/21). The study was accompanied by an NEJM editorial in which the authors "strongly disagree" with the IOM recommendations, claiming that reducing resident work hours "leads to an increase in the number of handoffs in care, and this increase outweighs the potential benefits of reducing residents" fatigue." The accreditation council said that more research is needed before it decides whether to adopt the IOM recommendations. The council"s decision will be announced in February 2010 (Wall Street Journal, 5/21).

Structure Of Antibiotic Ramoplanin Reveals Promising Mechanism
With the "last resort" antibiotic Vancomycin now plagued by the first signs of bacterial resistance, a scientific collaboration centered at Duke University has identified how a candidate successor antibiotic known as Ramoplanin A2 can kill pathogenic bacteria by interrupting how they form their cell membranes.
News of the day
Flawed Patient Survey Will See Millions In Funding Lost To General Practice, Says BMA, UK
Despite results which show patients are very happy with access to their GP, this year"s patient survey will result in millions of pounds being lost to general practice, potentially damaging attempts to improve GP access, the BMA said yesterday (Tuesday 30 June 2009). This year"s patient access survey results published today found nine in ten (91%) of patients were satisfied with the care they received at their surgery, nearly 17 out of 20 (84%) could get an appointment within 48 hours, and three quarters (76%) were able to book an advanced appointment. It is not possible to compare this year"s results with previous years" because the wording of the questions has changed.
Public Health

Hispanics In Massachusetts Less Likely To Visit Physicians, Survey Finds

Hispanics in Massachusetts are less likely than whites to have visited a physician in the last year, according to a survey that was funded by the Blue Cross-Blue Shield of Massachusetts Foundation, the Commonwealth Fund and the Robert Wood Johnson Foundation, the Springfield Republican reports. The survey also found that Hispanics were about twice as likely as whites to visit an emergency department for a nonemergency condition. The survey, which was conducted last fall, included 4,041 adults ages 18 to 64 in Massachusetts. Overall, the survey found that people living in western Massachusetts had more difficulty accessing health services than people living in other areas of the state, in part because of a shortage of primary care physicians. While the survey found that nearly all state residents have health insurance, more than 25% of residents in four western counties reported that providers either would not accept their insurance or were not accepting new patients. The survey did not find significant differences across the state in the ability of residents to pay medical bills. In addition, the survey did not find any evidence that health care costs are more of a burden to Hispanics and blacks than to whites (McAuliffe, Springfield Republican, 5/28). Reprinted with kind permission from http://www.kaisernetwork.org. You can view the entire Kaiser Daily Health Policy Report, search the archives, or sign up for email delivery at http://www.kaisernetwork.org/dailyreports/healthpolicy. The Kaiser Daily Health Policy Report is published for kaisernetwork.org, a free service of The Henry J. Kaiser Family Foundation. © 2009 Advisory Board Company and Kaiser Family Foundation. All rights reserved.


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