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Markets with greater increases in physician-hospital integration show greater increases in spending for outpatient care

Outpatient Spending Higher With Physician-Hospital Integration

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Authors say increased spending attributable to price increases, not utilization changes
The pros and cons of the annual physical are discussed in two perspective pieces published online Oct. 14 in the New England Journal of Medicine.

Pros and Cons of Annual Physical Discussed

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Pros include fostering of therapeutic relationship; cons include lack of evidence for benefits
More than half of American doctors do not feel confident that they can spot the reason for a stroke that strikes in the absence of a clearly established cause. The survey results were to be reported Friday at the American Heart Association and the American Stroke Association-sponsored Cryptogenic Stroke Public Health Conference in Washington

Many Doctors Struggle With Treating Cryptogenic Stroke

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Between 51 and 70 percent of survey respondents say they do not feel confident
The Guidelines International Network has developed principles for disclosure and management of conflicts of interest during the clinical practice guideline development process

Guidelines Developed for Managing Conflicts of Interest

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Core principles developed for managing COIs during the clinical practice guideline development process
Humanism

Modern Health Care Environment Challenges Humanistic Practice

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Important to maintain focus on humanistic practices in modern health care environment
Modification of the traditional Subjective-Objective-Assessment-Plan presentation to consider value can help medical students learn to practice high-value

Modified SOAP Ups Student Awareness of Health Care Costs

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Modification of traditional SOAP presentation to include discussion of value helps medical students
In order to minimize risk when practicing telemedicine

Providers Must Understand Legal Limits of Telemedicine

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Providers should ensure they hold proper medical license and have medical liability coverage
Some institutions are asking physicians to solicit donations from patients

Some Oncologists Are Being Asked to Solicit Donations

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About three-quarters of oncologists feel that this will affect the physician-patient relationship
A new report commissioned by the U.S. government contends that most Americans will encounter at least one diagnostic error in their lifetime

IOM: Most U.S. Patients Will Experience Diagnostic Error

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Panel urges changes to an increasingly complex health care system
Many medical schools are integrating discussions of cost

Medical Schools Teaching Students About Costs of Care

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Importance of understanding costs due to ACA, prevalence of high-deductible plans