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“The physician–patient encounter is health care’s choke point” -NEJM

A Country Doctor Writes

This week’s Journal has a very profound article about why healthcare has not evolved through its technology the way other sectors of society have. 1) Healthcare is not at all customer centered. 1) Healthcare is not at all customer centered. We meet people where they are and in many different ways.

Patients 130
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Validation of an Administrative Knee Osteoarthritis Severity Index in a Veterans Health Affairs Cohort [Big data]

Annals of Family Medicine

However, it is unclear whether results would generalize to other healthcare populations. The first OA diagnosis in record must occur from 2009-2014 and index date is OA diagnosis date. Final sample size was 435,731. Intervention/Instrument: OASI, updated every 6-months from OA date to end of follow-up.

Diagnosis 130
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Oregon-based medical group Northwest Permanente announces affiliation with The Permanente Medical Group of Northern California

Permanente Medicine

Since 2009, TPMG has been affiliated with Maryland-based MAPMG, which comprises nearly 1,800 physicians in 60 specialties, providing care for 768,000+ Kaiser Permanente members in the region. Its more than 1,300 physicians span 54 specialties and provide care for more than 612,000 Kaiser Permanente members in the region.

Medical 52
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Biogen agrees to pay $900 million in largest FCA Settlement Ever Secured without Government’s Intervention

FDA Law Blog

Mr. Bawduniak alleged that, between 2009 and 2014, Biogen paid illegal kickbacks to its largest prescribers to induce them to prescribe the company’s multiple sclerosis drugs, Avonex, Tysabri and Tecfidera, and discourage them from prescribing newer competitor products. This lawsuit was brought to the U.S. See United States ex rel.

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Episode 155: Antiracism in Medicine Series – Episode 5 – Racism, Power, and Policy: Building the Antiracist Health Systems of the Future

The Clinical Problem Solvers

Though the field of medicine often fails to think systematically, it is imperative that all healthcare workers learn to recognize racism, actively practice anti-racism, and acknowledge the many systems that impact people and community’s health. 2009 Jun;101(6):501-12. 2009 Jun;101(6):513-27. References Mentioned 01:55 Jones, C.

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Episode 148: Antiracism in Medicine Series Episode 4 – Dismantling Race-Based Medicine Part 2: Clinical Perspectives

The Clinical Problem Solvers

Race, racism, and racial inequality have tangible impacts on people’s livelihoods, much less their experiences in the healthcare system. Tsai has seen race-based medicine play out in clinical practice 10:45 What role should race play in making clinical decisions? Poet Marge Piercy has written, “The work of the world is as common as mud.”

Clinic 52
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Updates in ID and Nephrology: Lona Mody, Rasheeda Hall, Devika Nair, Sonali Advani

GeriPal

It’s Lona Mody who is a translational infectious disease researcher at the University of Michigan and VA Ann Arbor Healthcare System. Alex: And we are also delighted to welcome Devika Nair, who is a nephrologist at Vanderbilt University Medical Center in Tennessee Valley VA Healthcare System. Our first guest is a repeat guest.