“Data and Methods Data We used data from the American Hospital Association (AHA) IT [information technology] Supplement Survey fielded between April and September 2021, an annual survey of hospitals on their IT capabilities and experiences. The AHA IT supplement is sent to Chief Information Officers and completed by those individuals or their delegates. [..] We combined this data with information on hospital characteristics from the 2020 AHA Annual Survey, the most recent year available. [..] Perceived information blocking [..] For health IT developers, hospitals were asked if they had experienced information blocking via price; contractual language; artificial technical, process or resource … Read More
From the article abstract: “[Objective] [..] We developed machine-learning models to detect CKD [chronic kidney disease] without blood collection, predicting an eGFR [estimated glomerular filtration rate in ml/min/1.73 m2] less than 60 (eGFR60 model) or 45 (eGFR45 model) using a urine dipstick test. [Materials and Methods] The electronic health record data (n = 220 018) obtained from university hospitals were used for XGBoost-derived model construction. The model variables were age, sex, and 10 measurements from the urine dipstick test. The models were validated using health checkup center data (n = 74 380) and nationwide public data (KNHANES data, n = 62 945) for the general population in Korea. [Results] The … Read More
“In his telling, Medicine 2.0 is oriented toward addressing the four chronic diseases of aging that will probably be the cause of most of our deaths, but only after they become problems. (Those chronic diseases are heart disease, cancer, Alzheimer’s and related neurodegenerative diseases and Type 2 diabetes and related metabolic dysfunction.) Medicine 3.0, though, aims to proactively prevent those things for as long as possible and allow us to maintain better health deeper into old age. How exactly? Not through any techno-fantasies of biohacking or wonder-drug supplements but largely with highly rigorous, detailed and personalized monitoring and treatment of our nutrition, … Read More
“At a 1992 conference on birth control, an official on the F.D.A.’s fertility and maternal health drugs advisory committee, Philip Corfman, noted that the birth control pill is safer than aspirin, which is available over the counter. The F.D.A. subsequently announced plans to convene a hearing to consider moving oral contraceptives over-the-counter. It was believed that this would greatly expand access to birth control by bypassing doctors, to whom millions of Americans then — as still now — had little access. But, as the historian Heather Munro Prescott has recounted, the hearing was canceled at least partly because of criticism from … Read More
Breakthroughs are the product of persistence, not magic. Excerpt – About 10 years ago, the management professors Brian Lucas and Loran Nordgren encountered a paradox. On the one hand, we recognize that other people are more likely to make creative breakthroughs when they persist. Thomas Edison—for many the personification of creative genius—famously experimented with hundreds of materials before inventing the light bulb. On the other hand, when we feel stuck on a problem, most of us fail to see how successful we’ll be if we just keep trying. We tend to believe that our creativity plummets over time—that if our … Read More
“We used Elevance Health’s in-network pricing data and medical claims data. We focused on in-network prices because these are the prices negotiated by the payer, and out-of-network providers represent a small percentage of use for planned procedures. The formatting of the released data files follows the specifications provided by CMS. We limited our analysis to one state, Colorado, and one month, August 2022, to illustrate the concepts. [..] We split the prices into two components, the professional price and the facility price. Notably, these two components may not be the only costs associated with a procedure as there are often other … Read More
“When we are stuck on a hard problem, it usually isn’t because we can’t find the answer; it’s that we don’t even know the right question. Imagine that you are trying to figure out how fast food can make you healthier: You are overlooking the right first question—which is whether fast food can do this. That is precisely the problem with agonizing over finding the right job and career. “What am I supposed to do to find a career that makes me happy?” is not the right first question. The right first question is “Who am I?” Only after we answer that can we understand … Read More
Excerpt – Driven by a family history of disease and his own experience with prostate cancer, [Michael] Milken, the onetime junk-bond wizard whose spectacular downfall on securities charges led to a 22-month prison term in the 1990s, has spent the last three decades trying to advance medical science so that people “can find cures to life-threatening diseases within their own lifetimes.” [..] [KFF] Is the U.S. too slow in reaching cures? [Milken] A train today in Europe or Asia can travel at 200 miles an hour, but the average train in the U.S. travels at the same speed as 100 years ago because you … Read More
“At the South by Southwest conference in March, where health startups displayed their products, there was a near-religious conviction that AI could rebuild health care, offering apps and machines that could diagnose and treat all kinds of illnesses, replacing doctors and nurses. Unfortunately, in the mental health space, evidence of effectiveness is lacking. Few of the many apps on the market have independent outcomes research showing they help; most haven’t been scrutinized at all by the FDA. Though marketed to treat conditions such as anxiety, attention-deficit/hyperactivity disorder, and depression, or to predict suicidal tendencies, many warn users (in small print) that they … Read More
“Introduction Epidemiological research on chronic pain (pain lasting ≥3 months) and high-impact chronic pain (HICP) (chronic pain associated with substantial restrictions in life activities, including work, social, and self-care activities) in the US has increased substantially since the release of the Institute of Medicine (currently the National Academy of Medicine) report on pain in 2011 and the Department of Health and Human Services National Pain Strategy (NPS) in 2016. [..] we used data from the 2019-2020 National Health Interview Survey (NHIS) Longitudinal Cohort (NHIS-LC) to determine the IRs [incidence rates] of chronic pain across demographic groups to refine our understanding of … Read More