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MMS: Error. Sign In. Electronic Health Record Logs Indicate That Physicians Split Time Evenly Between Seeing Patients And Desktop Medicine. + Author Affiliations ↵*Corresponding author Time spent by physicians is a key resource in health care delivery. This study used data captured by the access time stamp functionality of an electronic health record (EHR) to examine physician work effort. This is a potentially powerful, yet unobtrusive, way to study physicians’ use of time. We used data on physicians’ time allocation patterns captured by over thirty-one million EHR transactions in the period 2011–14 recorded by 471 primary care physicians, who collectively worked on 765,129 patients’ EHRs.

When Evidence Says No, But Doctors Say Yes. First, listen to the story with the happy ending: At 61, the executive was in excellent health. His blood pressure was a bit high, but everything else looked good, and he exercised regularly. Then he had a scare. He went for a brisk post-lunch walk on a cool winter day, and his chest began to hurt.

Back inside his office, he sat down, and the pain disappeared as quickly as it had come. That night, he thought more about it: middle-aged man, high blood pressure, stressful job, chest discomfort. A cardiologist recommended that the man immediately have a coronary angiogram, in which a catheter is threaded into an artery to the heart and injects a dye that then shows up on special x-rays that look for blockages. While he was waiting in the emergency department, the executive took out his phone and searched “treatment of coronary artery disease.” The executive had been very smart to seek more information, and now, by coming to Brown, he was very lucky, too. So, what do surgeons do?

Health Care Delivery Transformation

Health Status Determinants. Health Care Spending. Fear & Health Care. Weaving Whole-Person Health Throughout An Accountable Care Framework: The Social ACO. Editor’s note: This is part of a periodic series of Health Affairs Blog posts discussing the Culture of Health, the topic of a November Health Affairs theme issue.

In 2014 the Robert Wood Johnson Foundation announced its Culture of Health initiative, which promotes health, well-being, and equity. The initiative identifies roles for individuals, communities, commercial entities, health care entities, and public policy that extend beyond the reach of medical care into sectors not traditionally associated with health. Policymakers, health plans, and provider organizations are aggressively pursuing care delivery and payment reforms in an effort to reduce burgeoning health care cost growth and improve health outcomes.

Accountable care organizations (ACOs), coupled with capitated payment arrangements, have been billed as the next great hope. At Commonwealth Care Alliance (CCA), the nation’s first “Social ACO,” we believe this is a mistake in terms of both health outcomes and cost containment. Log In - New York Times. Log In Don't have an account?

Sign up here » Facebook Google or Forgot password? Log In - New York Times. Log In Don't have an account? Sign up here » Facebook Google or Forgot password? Log In. THERE’S quite a paradox when it comes to our health data. Most of us still cannot readily look at it, but there’s been an epidemic of cybercriminals and thieves hacking and stealing this most personal information. Last year hundreds of breaches involving millions of health records were reported to the Department of Health and Human Services — with the hackings of the health insurers Anthem and Premera Blue Cross alone affecting some 90 million Americans. At least 10 hospitals and health care systems have had their patient data and information systems literally held for ransom.

This month, the national medical lab Quest Diagnostics reported that information on 34,000 patients had been stolen. And these breaches are just the ones that have been disclosed. Why is our private health information being stolen and trafficked by cybercriminals? Photo Second, while our personal medical data is so precious and valuable to us, it’s an exceptionally easy target for criminals.

What’s the solution? How to Be a Writer: 10 Tips from Rebecca Solnit. 1 in 6 Americans Takes a Psychiatric Drug. One in six U.S. adults reported taking a psychiatric drug, such as an antidepressant or a sedative, in 2013, a new study found. The new data comes from an analysis of the 2013 Medical Expenditure Panel Survey (MEPS), which gathered information on the cost and use of health care in the United States. An earlier government report, from 2011, found that just over one in 10 adults reported taking prescription drugs for "problems with emotions, nerves or mental health," the authors wrote in a research letter published today (Dec. 12) in the journal JAMA Internal Medicine. [9 DIY Ways to Improve Your Mental Health] But that report, from the Substance Abuse and Mental Health Services Administration, didn't "provide information on which specific medications were more commonly used " or on how long they were used, said authors of the new study, Thomas Moore, a senior scientist at the Pennsylvania-based nonprofit organization the Institute for Safe Medication Practices, and Dr.

Andrew Sullivan: My Distraction Sickness — and Yours. I was sitting in a large meditation hall in a converted novitiate in central Massachusetts when I reached into my pocket for my iPhone. A woman in the front of the room gamely held a basket in front of her, beaming beneficently, like a priest with a collection plate. I duly surrendered my little device, only to feel a sudden pang of panic on my way back to my seat. If it hadn’t been for everyone staring at me, I might have turned around immediately and asked for it back. But I didn’t. A year before, like many addicts, I had sensed a personal crash coming.

I was, in other words, a very early adopter of what we might now call living-in-the-web. If the internet killed you, I used to joke, then I would be the first to find out. I tried reading books, but that skill now began to elude me. By the last few months, I realized I had been engaging — like most addicts — in a form of denial. And so I decided, after 15 years, to live in reality. And the engagement never ends. Am I exaggerating? Log In. Log In. Log In. Therein lies the significance of learning through art: It is subtle and indirect, yet it ingrains insights deep within your consciousness.

You feel and know even before you can think or speak. Medical schools are increasingly using art to teach medicine. One of the first classes was started by Dr. Irwin Braverman, a professor of dermatology at Yale. Dr. Braverman noted that doctors in training often didn’t completely and accurately describe what they saw — instead jumping to conclusions or relying on technology to make a diagnosis. This finding caught the eye of other medical educators, including Dr. In one session, students study a limestone sculpture that appears different when viewed from various angles.

“Very early in clinical training, students stop trusting their physical exam skills,” Dr. Dozens of medical schools now have art programs through which they teach students not only observational skills, but also about ambiguity. “Ambiguity is inherent in art and in medicine,” Dr.