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Reform of Primary Care Could Reduce Diagnostic Errors

HOUSTON – (July 28, 2010) – Errors in diagnosis place a heavy financial burden on an already costly health care system and can be devastating for affected patients. Strengthening certain aspects of a new and evolving model of comprehensive and coordinated primary care could potentially address this highly relevant, but underemphasized safety concern, said health researchers from Baylor College of Medicine and Stony Brook University Medical Center.

Doctors Don’t ‘Get’ Their Patients

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Physicians often guess wrong about their patients’ beliefs about health

US physicians are often poor judges of their patients’ health beliefs, according to a new study by Dr. Richard Street from Texas A & M University and Paul Haidet from The Pennsylvania State University College of Medicine, USA. However, physicians’ understanding is better the more patients are involved by asking questions, expressing concerns, and stating their beliefs and preferences for care. Their analysis¹ of how patients’ health beliefs differ from their physicians’ perception of these beliefs was just published online in the Journal of General Internal Medicine².

Patient Participation Conference: "How to be an e-patient or an e-patient caregiver?"

Heavily sponsored by Cautious Patient, the Patient Participation Conference will offer:

  • An unconference: content generated as much by attendees as conference organizers http://en.wikipedia.org/wiki/Unconference
  • Low cost: preferably under $200 for the average attendee, we want real patients and caregivers to be able to attend out-of-pocket. That means we also need to low-glitz; you might get a t-shirt as a handout, but no ipod.

Toronto Homeless Report Barriers to Health Care

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Even with insurance, 1 in 6 have unmet health-care needs

TORONTO, Ont., July 20, 2010--Most studies of healthcare for homeless people have been conducted in the United States, where it's not surprising that lack of money and insurance are the main barriers.

But what about here in Canada, where we have publicly funded universal health care?

A new study finds that 17 per cent of homeless people in Toronto - one in six - reported unmet health care needs. Women with dependent children had almost twice as much trouble getting access to healthcare as the general population of the city.

Physicians Can Perform Poorly When Patients Need Special Care, Study Suggests

ScienceDaily (July 19, 2010) — Patients often receive inappropriate care when their doctors fail to take into account their individual circumstances, according to a new study by the University of Illinois at Chicago and the VA Center for Management of Complex Chronic Care.

The study of physician performance is the largest ever to be conducted using actors presenting as patients in doctors' offices. It appears in the July 20 issue of Annals of Internal Medicine and was funded by the Department of Veterans Affairs.

Guided Care Improves Physician Satisfaction with Patient/Family Communications and Knowledge of Patient Conditions

[img_assist|nid=229|title=|desc=|link=none|align=left|width=640|height=258]Physicians who provided Guided Care, a primary care enhancement program for patients with multiple chronic conditions, reported higher levels of satisfaction with their patient/family communications and their knowledge of their patients’ clinical characteristics, according to a study by researchers at the Johns Hopkins Bloomberg School of Public Health.

Fears Grow Over Care of Mentally Ill as GPs Say They Don't Want the Job: Guardian.co.uk

Family doctors feel unready to order mental health services, polls find

Mental health campaigners fear that a "postcode lottery writ large" will leave vulnerable people without care as doctors indicate they do not want to take on responsibility for services for the mentally ill.

The government's health white paper last week proposed a massive shake-up of NHS mental health services, stripping primary care trusts of the power to commission services and handing the budgets to GPs.