Important new article about the negative side of electronic health records and how to deal with it.
Friday, July 29, 2011
Arch Intern Med -- Abstract: Defining Health Information Technology-Related Errors: New Developments Since To Err Is Human, July 25, 2011, Sittig and Singh 171 (14): 1281
Friday, July 22, 2011
Finland's Educational Success? The Anti–Tiger Mother Approach -- Printout -- TIME
Interesting followup to the Ken Robinson talk we watched yesterday.
Any implications for health care quality?
Finland's Educational Success? The Anti–Tiger Mother Approach -- Printout -- TIME
Any implications for health care quality?
Finland's Educational Success? The Anti–Tiger Mother Approach -- Printout -- TIME
Tuesday, July 19, 2011
ACOs and the modern day leper | LinkedIn
Interesting perspective on what may be the future of healthcare in the US
ACOs and the modern day leper | LinkedIn
ACOs and the modern day leper | LinkedIn
Dan Ariely » Blog Archive Teachers cheating and Incentives «
Another disturbing account of the negative effects of pay for performance in complex settings.
Dan Ariely » Blog Archive Teachers cheating and Incentives «
Dan Ariely » Blog Archive Teachers cheating and Incentives «
Saturday, July 16, 2011
New disparity research
some new healthcare disparity research:
Income-Related Inequity in Initiation of Evidence-Based Therapies Among Patients with Acute Myocardial Infarction
from Journal of General Internal Medicine (Online First™)
ABSTRACT
BACKGROUND
Previous research has shown a socioeconomic status (SES) gradient in the receipt of cardiac services following acute myocardial infarction (AMI), but much less is known about SES and the use of secondary preventive medicines following AMI.
OBJECTIVES
To examine the role of income in initiation of treatment with ACE-inhibitors, beta-blockers and statins in the 120 days following discharge from hospital for first AMI.
DESIGN
A cross-sectional study with a population-based cohort.
PARTICIPANTS
First-time AMI patients between age 40 and 100 discharged alive from the hospital and surviving at least 120 days following discharge between January 1, 1999 and September 3, 2006.
MAIN MEASURES
Binary variables indicating whether the patient had filled at least one prescription for each of the medicines of interest.
KEY RESULTS
Our results reveal a significant and positive income gradient with initiation of the guideline-recommended medicines among male AMI patients. Men in the third income quintile and above were significantly more likely to initiate treatment with any of the medicines than those in the first quintile, with those in the fifth income quintile having 37%, 50% and 71% higher odds of initiating ACE-inhibitors, beta-blockers and statins, respectively, than men in the lowest income quintile [OR = 1.37 95% CI (1.24, 1.51); OR = 1.50 95% CI (1.35, 1.68); and OR = 1.71 95% CI (1.53, 190)]. The gradient was not present among women, although women in the fifth income quintile were more likely to initiate beta-blockers and statins than women in the lowest income quintile [OR = 1.25 95% CI (1.06, 1.47) and OR = 1.32 95% CI (1.12, 1.54)].
CONCLUSIONS
There were inequities in treatment following AMI in the form of a clear and often significant gradient between income and initiation of evidence-based pharmacologic therapies among male patients. This gradient persisted despite significant changes in coverage levels for the costs of these medicines.
Content Type Journal Article
Pages 1-7
DOI 10.1007/s11606-011-1799-1
Authors
Gillian E. Hanley, Centre for Health Services and Policy Research, School of Population and Public Health, University of British Columbia, Vancouver, BC, Canada
Steve Morgan, Centre for Health Services and Policy Research, School of Population and Public Health, University of British Columbia, Vancouver, BC, Canada
Robert J. Reid, Group Health Research Institute, Seattle, WA, USA
Journal Journal of General Internal Medicine
Online ISSN 1525-1497
Print ISSN 0884-8734
Income-Related Inequity in Initiation of Evidence-Based Therapies Among Patients with Acute Myocardial Infarction
from Journal of General Internal Medicine (Online First™)
ABSTRACT
BACKGROUND
Previous research has shown a socioeconomic status (SES) gradient in the receipt of cardiac services following acute myocardial infarction (AMI), but much less is known about SES and the use of secondary preventive medicines following AMI.
OBJECTIVES
To examine the role of income in initiation of treatment with ACE-inhibitors, beta-blockers and statins in the 120 days following discharge from hospital for first AMI.
DESIGN
A cross-sectional study with a population-based cohort.
PARTICIPANTS
First-time AMI patients between age 40 and 100 discharged alive from the hospital and surviving at least 120 days following discharge between January 1, 1999 and September 3, 2006.
MAIN MEASURES
Binary variables indicating whether the patient had filled at least one prescription for each of the medicines of interest.
KEY RESULTS
Our results reveal a significant and positive income gradient with initiation of the guideline-recommended medicines among male AMI patients. Men in the third income quintile and above were significantly more likely to initiate treatment with any of the medicines than those in the first quintile, with those in the fifth income quintile having 37%, 50% and 71% higher odds of initiating ACE-inhibitors, beta-blockers and statins, respectively, than men in the lowest income quintile [OR = 1.37 95% CI (1.24, 1.51); OR = 1.50 95% CI (1.35, 1.68); and OR = 1.71 95% CI (1.53, 190)]. The gradient was not present among women, although women in the fifth income quintile were more likely to initiate beta-blockers and statins than women in the lowest income quintile [OR = 1.25 95% CI (1.06, 1.47) and OR = 1.32 95% CI (1.12, 1.54)].
CONCLUSIONS
There were inequities in treatment following AMI in the form of a clear and often significant gradient between income and initiation of evidence-based pharmacologic therapies among male patients. This gradient persisted despite significant changes in coverage levels for the costs of these medicines.
Content Type Journal Article
Pages 1-7
DOI 10.1007/s11606-011-1799-1
Authors
Gillian E. Hanley, Centre for Health Services and Policy Research, School of Population and Public Health, University of British Columbia, Vancouver, BC, Canada
Steve Morgan, Centre for Health Services and Policy Research, School of Population and Public Health, University of British Columbia, Vancouver, BC, Canada
Robert J. Reid, Group Health Research Institute, Seattle, WA, USA
Journal Journal of General Internal Medicine
Online ISSN 1525-1497
Print ISSN 0884-8734
Using Skim with Scrivener for researching & writing your Thesis « Doctoral School blog
some more PhD workflow information plus an interesting virtual meeting via twitter.
Friday, July 8, 2011
Monday, July 4, 2011
» Get it done AG Daws
Good advice from a writer about how to write productively. Note the Scrivener references are optional, you can do much the same with any word processor/writing set up including pen and paper.
Day 137: Axe Sharpening... - ASBO Allstar's Blog...
Nice blog by a new PhD student on some workflow issues. Unfortunately Mac-based but you can do the same thing using the Scrivener for Windows beta program.
enjoy!
Subscribe to:
Posts (Atom)