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Secondary analysis of the SHaPED trial: shifting away from opioids to simple analgesics for emergency care of low back pain [Pain management]

Annals of Family Medicine

Objective: To determine the effects of the SHaPED intervention on the use of non-opioid pain medicines in the management of low back pain in emergency departments. However, the original analyses did not look if the decrease in opioid use led to a greater use of the recommended analgesics (e.g. non-steroidal anti-inflammatory drugs-NSAIDs).

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The Massachusetts Avenue of health reform

The Health Policy Exchange

In contrast to the personality-driven path that Lyndon Johnson took to navigate legislative obstacles to Medicare and Medicaid, former management consultant Mitt Romney charted a decidedly different course to expanding health insurance when he became governor of Massachusetts in 2003.

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Learning from primary care in Canada and Europe

The Health Policy Exchange

In this month's Georgetown University Health Policy Seminar, we explored two recent studies that shed light on successes and challenges of primary care reforms in Ontario, Canada and the European Union. What can family medicine in the U.S. learn from the organization of primary care in other Western countries?

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Tapping the potential applications of mHealth

The Health Policy Exchange

and abroad was the topic of a recent Georgetown University Health Policy Seminar. Smartphone apps now include a variety of self-management tools for weight loss, physical activity, and chronic diseases such as hypertension and diabetes.

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Forecasting and adapting to the family medicine workforce shortage

The Health Policy Exchange

In the mid-1990s, the American Medical Association confidently predicted that the penetration of managed care would lead to a large "physician surplus" and convinced Congress to cap the number of graduate medical education (GME) positions subsidized by the Medicare program. Two decades later, there is a widespread consensus that the U.S.

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Maryland's Primary Care Program: incremental progress or breakthrough?

The Health Policy Exchange

Since their continuity clinic continues to be located in Maryland, we decided that a great topic to revive this series of seminars was the Maryland Primary Care Program (MDPCP), which was recently featured in a Milbank Memorial Fund Issue Brief. According to MedChi , the average practice received $176,000 in care management fees in 2019.

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What is a Leadership Course

LEAD Physician

Physicians must be leaders in their field to provide excellent patient care, manage a large team and coordinate between departments, and support their patient's overall health with information about prevention and maintenance. Leadership skills are crucial for physicians, who represent one of the most important occupations in our society.