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

A Country Doctor Writes

My take, and extrapolation, is that there are three reasons why healthcare has failed to evolve in usefulness of both our product (the care we deliver) and our technology (our EMRs), our customer centeredness and the value/cost relationship of the services we provide. 1) Healthcare is not at all customer centered.

Patients 130
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Is Rural Residence a Risk Factor for Preterm Birth in Iowa? [Women's health]

Annals of Family Medicine

Population Studied: We started with 29,620 deliveries at IHC between May 1, 2009, and May 31, 2023. Instrument: Data was extracted from a detailed database of deliveries from May 2009 to the present. Setting: IHC, Iowa City, IA. We excluded deliveries complicated by known RFs for PTB (n=12,646). Results: Maternal race: 71.8%

Insurance 130
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Dialysis vs Conservative Management for Older Adults: Manju Kurella Tamura, Susan Wong, & Maria Montez-Rath

GeriPal

Additional link to study with heatmaps of specific locations (hospital, nursing home, home) after initiating dialysis. -@AlexSmithMD ** NOTE: To claim CME credit for this episode, click here ** Transcript Eric 00:11 Welcome to the GeriPal podcast. 2009, yeah, 2009. Let it be (hint hint). One of my favorite articles.

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RCT of PC in ED: Corita Grudzen, Fernanda Bellolio, & Tammie Quest

GeriPal

Today we discuss: Why the study was negative for the primary (hospitalization) and all secondary outcome (e.g. Tammie 03:04 Depends on how long they were pre-hospital. So that study was focused on patients admitted to the hospital. Was the clinician working frontline in those community hospitals? hospice use).