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

A Country Doctor Writes

Most medical practices are still stuck doing piecework. Even the required operational framework for Patient Centered Medical Home recognition is completely top-down. We are being crushed by mandated screenings for everything from obesity to domestic abuse ( see my post “ Brief is Good ”).

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I Feel Things.

StorytellERdoc

What started as a small adventure and challenge from my writing group, with my first posting on November 19, 2009, turned into quite an amazing ride throughout the literary and social media world. The number of friends I met was staggering. I received recognition and awards. I won prizes. In other ways, though, I have changed immensely.

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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. We got rid of all these psychotropic medications and this person … one individual had had a vascular dementia.