Monday, April 16, 2018

New blood pressure guidelines may make millions anxious that they’re at risk of heart disease

 New blood pressure guidelines may make millions anxious that they’re at risk of heart disease

 http://theconversation.com/new-blood-pressure-guidelines-may-make-millions-anxious-that-theyre-at-risk-of-heart-disease-93349

New blood pressure guidelines could put lives at risk
Guidelines would class an extra 31 million Americans as having hypertension

https://www.sciencedaily.com/releases/2018/04/180416124319.htm

Incremental Benefits and Harms of the 2017 American College of Cardiology/American Heart Association High Blood Pressure Guideline

https://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2678449?redirect=true

Sunday, April 1, 2018

Every week, Ben Goldacre and his colleagues will publish a brief piece describing one important unreported trial that could be used to improve patient care.

http://blogs.bmj.com/bmj/2018/03/29/it-is-time-to-fix-the-problem-of-unreported-clinical-trials/

Doug Altman - Scandal of Poor Medical Research

2017 Update on Pediatric Medical Overuse

https://jamanetwork.com/journals/jamapediatrics/article-abstract/2676071?redirect=true

William Osler Quotes


William Osler Quotes

William Osler Quotes


William Osler Quotes

Utility of catheterized specimens in reducing overdiagnosis of urinary tract infections in women

https://onlinelibrary.wiley.com/doi/abs/10.1002/nau.23553?af=R

Earth Citizens' Health in Twitter


@OveruseUnderuse

https://twitter.com/OveruseUnderuse





Bangladesh President asked physicians not to prescribe the patients for doing unnecessary medical tests as many patients have no ability to bear the costs.

http://www.banglanews24.com/national/article/67710/Dont-prescribe-unnecessary-tests-President-to-physicians

Thursday, March 22, 2018

Does Medical Expansion Improve Population Health?

Does Medical Expansion Improve Population Health?

Hui Zheng, Linda K. George

First Published February 1, 2018

Abstract

Medical expansion has become a prominent dynamic in today’s societies as the biomedical model becomes increasingly dominant in the explanation of health, illness, and other human problems and behavior. Medical expansion is multidimensional and represented by expansions in three major components of the healthcare system: increasing medical investment, medical professionalization/specialization, and the relative size of the pharmaceutical industry. Using Organisation for Economic Co-operation and Development health data and World Development Indicators 1981 to 2007, we find medical investment and medical professionalization/specialization significantly improve all three measures of life expectancy and decrease mortality rate even after controlling for endogeneity problems. In contrast, an expanded pharmaceutical industry is negatively associated with female life expectancy at age 65 and positively associated with the all-cause mortality rate. It further compromises the beneficial effect of medical professionalization/specialization on population health. In general, medical professionalization/specialization and gross domestic product per capita have similar and stronger effects than medical investment.

http://journals.sagepub.com/doi/10.1177/0022146518754534

Panelists discussed low-value care, unnecessary services, and what can be done to address overuse in healthcare during a panel at the University of Michigan Center for Value-Based Insurance Design’s (V-BID) annual V-BID Summit on March 14.

http://www.ajmc.com/conferences/v-bid-summit-2018/the-challenge-of-addressing-lowvalue-care-once-its-identified