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The Massachusetts Avenue of health reform

The Health Policy Exchange

In an Op-Ed about his nascent reform plan that appeared in the Boston Globe in November 2004, Governor Romney proposed applying "carrots and sticks" to persons who could afford private health insurance but had chosen not to purchase it. Governor Mitt Romney signs the Massachusetts health reform bill as Ted Kennedy looks on.

Insurance 130
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Public reporting has not improved German hospital quality, finds study

Medical Xpress

Hospital quality has been measured and made publicly available for more than two decades in the U.S. In Germany, similar efforts were launched in 2004, when all acute care hospitals began to be required to report structural, process, and outcome indicators as part of a national quality monitoring program.

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Key Facts GPs Should Know About GLP-1 Analogs

Family Medicine Initiative

13 Here is some evidence: From 2004-2020, 8,718 GLP-1 analogs-associated tumors were reported to the FDA. Patients with heart failure show less hospital admissions improved symptoms (in correlation to their weight loss). Stopping the medication leads to a rebound effect (½ – ⅔ weight regain after one year).

Diabetes 130
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PEMPix 2024 Online Case #2: Flight of Passage

PEMBlog

Pulmonology and surgery were consulted during his hospital stay, and he has since had a left lower lobectomy after healing from his pneumonia. 2004 Nov;49(4):302-9. He remained off respiratory support and was discharged on day 3 of admission to complete the remainder of his antibiotic course at home. PMID: 442005; PMCID: PMC471015.

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Primary care follow-up after Emergency Department discharge for patients with chest pain in Ontario: a scoping review [Cardiovascular disease]

Annals of Family Medicine

Three observational studies of 273,294 adults discharged with chest pain from Ontario EDs between 2004-10 showed that 58-60% followed up with their PCP within 30 days, which was associated with reduced risk of death or myocardial infarction after one year. 1.42), or hospital admission in the past year (OR 1.27, 95% CI 1.22-1.32).

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The Future of Geriatrics: A Podcast with Jerry Gurwitz, Ryan Chippendale, and Mike Harper

GeriPal

I was very close with my grandparents growing up, and then I actually was exposed to geriatrics as a pre-med student at Yale New Haven Hospital as one of the volunteers and Dr. Sharon Inouye’s initial help trial and had a fabulous role model Dr. Verano, who I wanted to be. Ryan: Actually, a very similar story as to Jerry.

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Keynote: Finding your bliss—beating physician “burnout”

Pamela Wible MD

Open since 2005 her community clinic has inspired Americans to create ideal hospitals and clinics nationwide. These human rights violations are perpetuated in first-world brand-name hospitals. We should be completely ashamed that this is going on in our hospitals. I was suicidal myself as a physician and I survived that in 2004.

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