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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. A Country Doctor Writes: is a reader-supported publication.

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Beyond Training: How Context Matters for Early Detection of Alzheimers Disease in Primary Care [Screening, prevention, and health promotion]

Annals of Family Medicine

Context Global healthcare systems are not prepared to care for the 55 million individuals worldwide affected by Alzheimer's disease and related dementias (ADRD), with cases continuing to rise. In-depth interviews with clinicians (HCPs; n=87) and implementation team leads (n=14) were transcribed and subjected to directive content analysis.

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Kaiser Permanente study shows screening efforts cut colorectal cancer deaths in half

Permanente Medicine

A new Kaiser Permanente study showed how an integrated colorectal cancer screening program cut cancer deaths in half, reduced incidence by nearly a third, and erased racial health disparities in screenings, incidence, and death rates. underscoring the need to raise awareness, screen proactively, and improve treatment.

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Reducing cancer deaths, one test at a time

Permanente Medicine

By building an integrated, patient-centered colorectal cancer screening program, we doubled screening rates, cut deaths by 50%, and made major strides in closing racial disparities in outcomes. The approach was simple: consistently alert patients that it’s time to get screened and make getting screened as easy as possible.

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Understanding the Variability in Care of Nursing Home Residents with Advanced Dementia

GeriPal

Many years ago for the first study; I believe it was in 2009, 2010; I met with Susan Mitchell at the Institute for Aging Research, and told her that I wanted to study the use of feeding tubes for people with advanced dementia. That’s a problem in our healthcare financing system. My question is, why this study, and why now?