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National health care spending slowed in 2017

2017 Saw Slowing in National Health Care Spending

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Slower growth in health care spending mainly due to use and intensity of goods and services
Enrollment for health insurance under the Affordable Care Act is down with just days left to sign up

Enrollment Under the Affordable Care Act Down From Last Year

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In most states, Saturday is the sign-up deadline for coverage beginning Jan. 1
Free flap breast reconstruction is a viable and safe procedure in elderly patients

Free Flap Breast Reconstruction Safe in Elderly Patients

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Older women want breast reconstruction at rates similar to those of nonelderly breast cancer patients
After implementation of the Liaison Committee on Medical Education diversity accreditation standards

U.S. Medical Schools See Increase in Diversity

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More female, black, and Hispanic matriculants seen after diversity accreditation standards implemented
Policies for paid childbearing or family leave for residents are lacking at top-ranking medical schools and may be exacerbated by lack of direction from specialty boards

Paid Childbearing Policies Lacking for Residents

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Policies optimizing competing goals and defining training competency needed
Stress related to use of health information technology is common and predictive of burnout among physicians

HIT-Related Stress Linked to Burnout Among Physicians

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Odds of burnout up with report of poor/marginal time for documentation, time spent on EHR at home
Nearly two-thirds of insured adults with a previous health care visit did not use an online patient portal in 2017

Most Insured Patients Not Using Online Portals

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Socioeconomic disparities exist in use of patient portals; privacy concerns cited for nonuse
For appropriately selected patients

Functional Nasal Surgery Can Improve Headache Symptoms

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Eighty-five percent of patients report partial or complete resolution of headaches postoperatively
Only 15.4 percent of physicians work in practices that use telemedicine for a wide spectrum of patient interactions

Few Physicians Work in Practices That Use Telemedicine

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Specialty and larger practice size are correlates of telemedicine use
Many patients intentionally withhold information from clinicians

Many Patients Withhold Information From Clinicians

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Reasons for nondisclosure include not wanting to be judged or lectured, being embarrassed