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Clinician denial of some types of tests requested by patients is associated with worse patient satisfaction with the clinician

Clinician Denial of Patient Requests Impacts Satisfaction

Worse satisfaction in association with denial of request for referral, pain meds, other meds, lab tests
A workgroup from the Joint Task Force on Practice Parameters has reviewed evidence and provided guidance for health care providers regarding treatment of seasonal allergic rhinitis in patients aged 12 years or older. The clinical guideline was published online Nov. 28 in the Annals of Internal Medicine.

Guidance Issued for Seasonal Allergic Rhinitis Pharmacologic Tx

Recommendation for monotherapy with intranasal corticosteroid over intranasal corticosteroid combo
New solutions are needed to address burnout among health care team members

New Workflows Have Potential to Address Provider Burnout

Change fatigue is the leading cause of care team burnout, yet new solutions needed
Seemingly benign

Essay Adds to Discourse on Impact of Suggestive Jokes

Authors say commonplace suggestive jokes normalize, dismiss sexual misconduct experiences
Functional genes in the upper airway microbiome may be tied to childhood asthma

Researchers ID Microbiome Genes Tied to Asthma

Upper airway microbiota differs in children with asthma, asthma remission, and no asthma
Spouses of female physicians are on average more educated and work more hours outside the home than spouses of male physicians

Female Physicians’ Spouses More Likely to Work

May explain need for female physicians to make more personal and professional adjustments
In patients with birch pollen allergy

Intranasal Omalizumab Does Not Increase Serum IgE Levels

No relevant change in allergen-specific/total IgE levels for subjects challenged with omalizumab
Physicians who are experiencing burnout are more than twice as likely to leave their organization within two years

High Costs Associated With Physician Burnout, Attrition

Economic loss at Stanford over two years expected to range from $15.5 million to $55.5 million
Short message service reminders are a moderately effective way to increase the rate of influenza vaccination among high-risk patients

SMS Reminders Moderately Effective for Flu Vaccination

One additional high-risk patient immunized for every 29 SMSs sent, costing $3.48
Probiotic and peanut oral immunotherapy has a sustained beneficial effect on psychosocial impact of food allergy after end-of-treatment

Psychosocial Benefit Seen With Probiotic, Peanut Oral Immunotx

Sustained positive psychosocial impact for food allergy at 3 and 12 months after end-of-treatment