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Think the System for Paying U.S. Doctors Is Rigged to Favor Surgeons? New Study May Surprise You

A new study pulls back the curtain on one of the most contentious issues in health care: differences in payment between physicians who perform operations and those who don’t. Contrary to perception, the research indicates, the physician payment system is not inherently “rigged” to favor surgeons.

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Online Ratings Influence Parents’ Choices of Physicians for Their Children

Almost three-quarters (74%) of parents are aware of online rating sites for physicians, and more than one-quarter (28%) have used those online ratings to choose a healthcare provider for their children, according to U-M research published today in Pediatrics.

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Survey: Fortune 500 Employees Can Expect to Pay More for Health Insurance

The results of a HR@Moore survey of chief HR officers at Fortune 500 companies provides the first factual data on how firms have been impacted by PPACA and how they are responding to the rising costs they report.

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“Compassionate Use” and Other Means of Accessing Unproven and Unapproved Treatments Could Impact Long-Term Medical Benefits

Patients facing death or irreversible disease progression – most of whom have exhausted all approved treatment options -- sometimes seek access to unapproved and unproven interventions. This type of access, often referred to as “compassionate use,” is unregulated by federal authorities, subject to corporate pharmaceutical policies that change mid-stream, and could potentially adversely affect clinical care in the future, according to preliminary studies conducted by researchers and bioethicists at NYU Langone Medical Center (NYULMC).

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For Racially Diverse Patients with Disabilities, Increased Barriers to Health Care

It's well established that Americans with disabilities and those in underserved racial/ethnic groups face significant disparities in access to health care. Now, researchers are beginning to examine the unique patterns of health care inequalities experienced by racially and ethnically diverse patients with disabilities, according to a special October supplement to Medical Care. The journal is published by Lippincott Williams & Wilkins, a part of Wolters Kluwer Health.

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Good Home Care by Nurses Prevents Hospital and Nursing Home Admissions

In the largest study of its kind, a University of Pennsylvania School of Nursing (Penn Nursing) investigation shows that home health agencies providing organizational support to their nurses get better outcomes. The best outcomes for patients, including fewest hospitalizations and transfers to nursing homes, are achieved by home health agencies that provide supportive work environments, enabling nurses to focus on patient care.

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Cutting Health Care Costs One Appendix at a Time

A new study shows that when given the choice between a less costly “open” operation or a pricier laparoscopy for their children’s appendicitis, parents were almost twice as likely to choose the less expensive procedure – when they were aware of the cost difference.

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Study: Role of Emergency Contact Is Mistaken for Advance Directive

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More than 95 percent of patients treated in an Emergency Department mistake their emergency contact as the designated medical decision maker for end-of-life care, according to a new study by Henry Ford Hospital in Detroit.

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Penn Researcher and CVS Health Physician Urge New Payment Model for Costly Gene Therapy Treatments

Hoping to encourage sufficient investments by pharmaceutical companies in expensive gene therapies, which often consist of a single treatment, a Penn researcher and the chief medical officer of CVS Health outline an alternative payment model.

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Life

Social and Behavioral Sciences

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Toward a Theory of Child Well-Being

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For most of us, being healthy is more than lack of disease. It is a state of physical and mental well-being. But what is well-being? Can a comprehensive picture of well-being be established? And how can a deeper understanding of the nature of well-being help further its measurement? Ramesh Raghavan, MD, PhD, associate professor at the Brown School at Washington University in St. Louis, and Anna Alexandrova, PhD, a philosopher of science at Cambridge University, attempt to tackle those questions in a recent paper titled “Toward a Theory of Child Well-Being.”

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