Suchergebnisse

• Columbia: On complaint of Sumter police authorities, W.S. Penn was arrested for representing himself as a physician and for selling influenza "cure" he said the government authorized him to sell; it is alleged he sold his "physic" to negroes in Sumter Co. ; Newspaper article ; 1

Malpractice insurance premiums for physicians have increased at an average rate of over 30 percent per year. This rate is significantly higher than health care cost inflation and the increase in physician costs. Trends indicate that malpractice related costs, both liability insurance and defensive medicine costs, will continue to increase for the near future. Pressures to limit physician costs under Medicare raise a concern about how malpractice costs can be controlled. This paper presents an overview of the problem, reviews options that are available to policymakers, and discusses State and legislative efforts to address the issue.

Operation Enduring Freedom (OEF-A) in Afghanistan and Operation Iraqi Freedom (OIF) represent the first major, sustained wars in which emergency physicians (EPs) fully participated as an integrated part of the military's health system. EPs proved invaluable in the deployments, and they frequently used the full spectrum of trauma and medical care skills. The roles EPs served expanded over the years of the conflicts and demonstrated the unique skill set of emergency medicine (EM) training. EPs supported elite special operations units, served in medical command positions, and developed and staffed flying intensive care units. EPs have brought their combat experience home to civilian practice. This narrative review summarizes the history, contributions, and lessons learned by EPs during OEF-A/OIF and describes changes to daily clinical practice of EM derived from the combat environment.

There is only limited evidence on whether certified and uncertified health care providers in India support reforming the Medical Termination of Pregnancy (MTP) Act to expand the abortion provider base to allow trained nurses and AYUSH physicians (who are trained in Indian systems of medicine) to provide medical abortion. To explore their views, we conducted a survey of 1,200 physicians and other health care providers in Maharashtra and Bihar states and in-depth interviews with 34 of them who had used medical abortion in their practices. Findings indicate that obstetrician-gynaecologists and other allopathic physicians were less supportive than non-physicians of nurses and AYUSH physicians providing early medical abortion. The physicians did not think that these providers would be able to assess women's eligibility for medical abortion correctly. In contrast, the majority of non-physicians found task shifting of medical abortion provision to trained nurses and AYUSH physicians acceptable, and they were confident that these providers would be able to provide medical abortion as safely and effectively as trained physicians. Assuming the reforms are passed, efforts will need to be made by government and medical professional bodies to train these new providers to undertake this role, prepare the health infrastructure to include them, and create an environment, including among physicians, that is conducive to enabling non-physicians to provide medical abortion.

Medicine in the setting of the royal courts of Europe form Renaissance to the Enlightment has been recently discussed, but Italian court medicine has been so far very largely neglected. In this article central problems are the relations between court medicine and academic medicine and the social status of the court physician in fourteenth century. Both problems are investigated in two Italian courts: the Visconti court in Milan and Pavia and the Aragonese court in Sicily. The list of the Visconti physicians and astrologers attests that they had all been celebrated university professors and that their condition as personal physicians to Galezzo and Gian Galeazzo was far superior to the acdemic on in honour and salaries. Their role could also be representative and political. This was expecially the case of Ruggero de Camma, who was chosen as personal physician to the Aragonese king Martino II and appointed by him as first protomedico for political reasons. Key words: Court Medicine - Universities - Astrology - Royal doctors - Protomedicato

A brief review of the Physician Quality Reporting System (PQRS) is presented highlighting the program's legislative history, eligibility requirements and incentive payment plan. Specifically, PQRS measures applicable to neuroradiology practice are discussed. Several steps are suggested for individual physicians or group practices to start participation in the program. Resources are also provided for further information on the program requirements and PQRS measures.

Physician reimbursement and the coding to support it are critically important to the sustained health of any physician's practice. This article reviews the recent history of physician reimbursement from the government and third-party payers and physician coding to support reimbursement. Explanations of terminology and documentation requirements are included.

• Movie "Fit to Fight" shown at close of the 13th annual meeting of Medical Association of Southwest, about influenza's effect in the military. • Major John O. McReynolds of United States Medical Reserve Corps: "We can't hope to stamp out this as we would other diseases. You may as well make up your mind that it is going to last for some time. The important thin is for people not to get panicky." • It's decided that closing schools will have little effect on stopping epidemic, though military quarantines are thought effective, as the influenza is so dangerous to young adults ; Newspaper article ; 8

A letter report issued by the General Accounting Office with an abstract that begins "Through a variety of programs, the federal government supports the training of physicians and encourages physicians to work in underserved areas or pursue primary care specialties. GAO was asked to provide information on the physician supply and the generalist and specialist mix of that supply in the United States and the changes in and geographic distribution of physician supply in metropolitan and nonmetropolitan areas. To address these objectives, GAO analyzed data on physician supply and geographic distribution from 1991 and 2001."

Physicians are increasingly expected to assume responsibility for the management of human and financial resources in health care, particularly in hospitals. Juggling their new management responsibilities with clinical care, teaching and research can lead to conflicting roles. However, their presence in management is crucial to shaping the future health care system. They bring to management positions important skills and values such as observation, problem-solving, analysis and ethical judgement. To improve their management skills physicians can benefit from management education programs such as those offered by the Physician-Manager Institute and several Canadian universities. To manage in the future environment they must increase their knowledge and skills in policy and political processes, financial strategies and management, human resources management, systems and program quality improvement and organizational design.

• The federal government and other states have issued requests for all available physicians to take jobs in communities nationwide as needed. Some areas of the U.S. are suffering very bad health-care staff shortages. Contact information is included. ; Newspaper article ; 16

This dissertation focuses on three different aspects of physician pricing. The first is the use of the assumption in formal modeling that physicians have the same type of costs for different types of patients. The second aspect of physician pricing investigated here is physicians ability to change the name of a service in response to a fee cap without actually changing the price of the service. The third aspect investigated in this dissertation is the effect of posting physician prices on patient-initiated demand for physician services. All three of these aspects have potential implications for the discussion on health care reform. In Chapter One, I examine physician price response to fee ceilings set by third party payers. I use the realistic assumptions that physicians have the same cost function for all their patients and physicians have increasing marginal cost. Using these assumptions, I find that, in theory, a third party payer that uses fixed fees benefits from including every physician in the community. In chapter two, I use the medical claims data from a Fortune 500 firm (Firm) to evaluate physician pricing response to the Firms institution of fee ceilings. I find that physicians who are constrained by the fee ceiling systematically record a more expensive office visit code than physicians who were not constrained by the fee ceiling. This result has implications for private insurers as well as government programs that fix physician fees. In chapter three I use a model of patient-initiated demand under uncertainty to examine the effect of posting physician prices on the demand for physician services. I find that requiring physicians with monopoly power to post all or some of their prices has no effect on the total patient cost associated with physician consultations, including the cost of untreated disease. If physicians compete in a Bertrand fashion, then requiring a physician to post the prices of all types of consultations results in lower total patient cost than posting only some prices. ; Ph. D.

Domestic violence, spouse abuse, and battering all refer to the victimization of a person with whom the abuser has or has had an intimate relationship. Domestic violence may take the form of physical, sexual and psychological abuse, is generally repeated, and often escalates within relationships. Most evidence indicates that domestic violence is predominantly perpetrated by men against women. Some evidence suggests that women are just as likely to use violence against male partners as men are against female partners. It is clear that the impact on the health of female victims of domestic violence is generally much more severe than the impact on the health of male victims. ; N/A

The financing, payment and organization of medical services are closely related. Canada's health care system is financed publicly, from tax revenue, and administered in each province by a single government payer. Although the chief method of payment to physicians is fee for service (FFS), the need to control costs and organize practice more efficiently has led to increased interest in FFS variants, such as capping payments at a certain level or fixing a budget, and alternative payment methods such as capitation-based payment, salary and combinations of these methods. Although solo practice is reportedly still the chief method of practice organization, it is being steadily replaced by arrangements in which physicians share expenses or calls, and by formal partnerships and group and team practices. As medical practice in Canada continues to shift from solo to group and team practice alternative payment methods that facilitate these models will become more common.

Nine states have legislated impaired physician programs administered by state medical boards (2), by independent agencies (4), or by medical societies through contracts with medical boards (3). All other state programs are administered by medical societies. California's diversion program has been in effect for more than 10 years. It was the first program for alcohol- and drug-addicted physicians in the country administered by the state agency that also disciplines physicians. Of the physicians who enrolled in this program, 72% have completed it successfully. A total of 618 physicians have been accepted into the program since its inception, with 247 physicians currently participating.