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Texas Medicine

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https://www.readbyqxmd.com/read/28402580/change-around-the-block
#1
Joey Berlin
Proponents of a block grant or per-capita cap trumpet them as vehicles for the federal government to give the states a capped amount of funding for Medicaid that legislatures would effectively distribute how they see fit. Questions abound as to what capped Medicaid funding would look like, and what effect it would have on the current Medicaid-eligible population, covered services, and physician payments.
April 1, 2017: Texas Medicine
https://www.readbyqxmd.com/read/28402579/glitch-in-the-switch
#2
Joey Berlin
Migrating patient records from one electronic health record system to another can be a nightmare. A La Porte pediatrician's experience provides a cautionary tale for all physicians.
April 1, 2017: Texas Medicine
https://www.readbyqxmd.com/read/28402578/relation-of-mental-health-to-alcohol-and-substance-use-among-texas-college-students
#3
Alan B Shafer, Jessica A Koenig, Emilie A Becker
We examined the effect of mental health problems and difficulties on alcohol, tobacco, and other drug (ATOD) use among college students by using the 2013 Texas College Survey of Substance Use (n=11,216), which includes the K6 screening scale for severe mental illness (SMI). Students' K6 scores were used to classify them into 3 groups: those likely to have SMI (9% with scores ≥ 13), those with some mental health problems (36%), and those without mental health issues (55% with scores ≤ 4). Questions regarding ATOD use were analyzed using these 3 groups...
April 1, 2017: Texas Medicine
https://www.readbyqxmd.com/read/28402577/a-second-shot-at-hpv
#4
Sean Price
HPV vaccination rates remain stubbornly low, and some studies show physician hesitancy about promoting the vaccine is the single biggest problem. TMA's HPV Work Group plans to coordinate with like-minded state and national organizations and agencies to come up with an action plan to improve HPV vaccination rates.
April 1, 2017: Texas Medicine
https://www.readbyqxmd.com/read/28402576/finding-the-right-balance
#5
Sean Price
Since the 1980s, concerns about resident fatigue have caused lawmakers and medical policymakers to pull back on resident duty hours. In 2003 and again in 2011, the Accreditation Council for Graduate Medical Education (ACGME) shortened resident hours. In March, ACGME modified those hours again. The latest rule change has reignited a long-running debate among physicians.
April 1, 2017: Texas Medicine
https://www.readbyqxmd.com/read/28323320/seeing-stars
#6
Joey Berlin
Understanding how health care rating websites operate can help physicians shape their online presence and attract patients to their practices.
March 1, 2017: Texas Medicine
https://www.readbyqxmd.com/read/28323319/under-investigation
#7
Joey Berlin
Revisions to the National Practitioner Data Bank's NPDB Guidebook concern health law attorneys who are warning physicians to protect themselves if they plan to step away from their practices.
March 1, 2017: Texas Medicine
https://www.readbyqxmd.com/read/28323318/if-at-first-you-don-39-t-succeed
#8
Amy Lynn Sorrel
New Texas Medical Association data show physicians' passion and persistence are paying off as they attempt to negotiate the terms of their health plan contracts. And when they do, physicians often are successful at getting some of the changes they want.
March 1, 2017: Texas Medicine
https://www.readbyqxmd.com/read/28323317/the-health-insurance-gap-after-implementation-of-the-affordable-care-act-in-texas
#9
Gordon Gong, Cassandra C Huey, Coleman Johnson, Debra Curti, Billy U Philips
Households with incomes between 18% and 99% of the federal poverty level (FPL) are ineligible for Medicaid or enrollment in the health insurance exchange marketplace in Texas, resulting in the health insurance gap. We sought to determine the number of non-elderly adult Texans (NEATs) aged between 18 and 64 years in the insurance gap in rural vs urban areas in East Texas, West Texas, and South Texas. Data were obtained from the US Census Bureau website. In 2014, there were 1,101,000 NEATs in the insurance gap, accounting for 24...
March 1, 2017: Texas Medicine
https://www.readbyqxmd.com/read/28323316/taking-another-shot
#10
Joey Berlin
At a time when conscientious exemptions for vaccination are on the rise, Texas physicians are supporting lawmakers who plan to push for the release of school campus-level exemption data.
March 1, 2017: Texas Medicine
https://www.readbyqxmd.com/read/28207082/the-infectious-disease-manpower-crisis-finding-the-cure
#11
Steven L Berk
The challenges of infectious diseases, including new pathogens, dangerous outbreaks, antibiotic-resistant bacteria, and the perils of international travel have never been more publically appreciated. These challenges require a well-trained workforce of infectious disease specialists. Just when the need appears to be greatest, however, the interest in infectious diseases among today's young physicians is at its lowest point.
February 1, 2017: Texas Medicine
https://www.readbyqxmd.com/read/28207081/can-we-be-too-clean-for-our-own-good-the-hygiene-hypothesis-reviewed
#12
Sheenal Patel, Rebecca Gruchalla
The hygiene hypothesis began as an attempt to explain the relatively rapid rise in atopic diseases. Strachan's early hypothesis regarding the role of family size and exposure to early childhood infections in the development of atopic diseases has clearly evolved to integrate the possible effects of hygiene, eradication of parasitic infections, immunizations, improvements in home heating and ventilation, dust mite exposure, breastfeeding duration, diet, parental smoking, pollution, and exposure to pets and farm animals...
February 1, 2017: Texas Medicine
https://www.readbyqxmd.com/read/28207080/infectious-diseases-an-ethical-challenge-for-physicians
#13
Edward J Sherwood
Infectious diseases are different. Not only are there more of them than other types of disease, but also more is known about them. Of all human afflictions, those that can be cured are, for the most part, infectious diseases. The outstanding authors contributing to the Symposium on Infectious Diseases in Medicine provide a big-picture perspective relevant to physicians practicing in every specialty of medicine.
February 1, 2017: Texas Medicine
https://www.readbyqxmd.com/read/28207079/the-growing-threat-of-antimicrobial-resistance
#14
Jose M Munita, Samuel Shelburne, David E Greenberg, Cesar A Arias
The emergence and widespread dissemination of multidrug-resistant organisms is considered one of the three most important public health threats for humankind in the 21st century and jeopardizes the practice of modern medicine. Failure to tackle this problem in a comprehensive fashion could result in a dire post-antibiotic era, impairing the future development of treatments against important diseases, such as cancer, and transplant medicine, among others. Here, we provide a global perspective of the problem and describe some of the most important antibiotic-resistant organisms affecting the health of our patients...
February 1, 2017: Texas Medicine
https://www.readbyqxmd.com/read/28207078/emerging-infectious-diseases-animals-and-future-epidemics
#15
Herbert L DuPont
Emerging and reemerging infections have become prevalent in the United States since the 1970s, causing illness, death, and fear among the public. The published literature was reviewed to offer a perspective on risk factors for disease acquisition and to allow a prediction of the next microbial assault after Ebola and Zika. Four well-integrated factors likely will contribute simultaneously: animals colonized or infected by pathogens capable of human transmission, microbes recurrently changing their virulence, a growing number of susceptible people, and climatic and environmental factors encouraging disease transmission...
February 1, 2017: Texas Medicine
https://www.readbyqxmd.com/read/28207077/prevention-of-health-care-associated-infections-in-an-era-of-public-reporting
#16
Chetan Jinadatha, Edward J Septimus
No abstract text is available yet for this article.
February 1, 2017: Texas Medicine
https://www.readbyqxmd.com/read/28207076/typhoid-fever-on-the-half-shell
#17
Linda Gaul, John Hellerstedt
Protecting the public from communicable infectious disease outbreaks is one of the most important, and most challenging, functions of public health. Foodborne outbreaks are not uncommon, and they can be especially difficult. This true story of the epidemiologic investigation into a typhoid fever outbreak illustrates the critical importance of timely reporting by front-line clinicians, extensive interprofessional teamwork, and statewide coordination.
February 1, 2017: Texas Medicine
https://www.readbyqxmd.com/read/28072897/building-on-success
#18
Amy Lynn Sorrel
Undaunted by what could be a challenging 2017 Texas legislative session, TMA is poised to build on significant successes medicine achieved over the past two legislative sessions, including reforming the state's Medicaid program and expanding graduate medical education opportunities. TMA will defend the patient-physician relationship against a backdrop of some potentially big shifts for Texas, such as a major review of the state's health professions licensing boards.
January 1, 2017: Texas Medicine
https://www.readbyqxmd.com/read/28072896/the-medical-home-machine
#19
Joey Berlin
Practices that achieve patient-centered medical home (PCMH) status could realize reduced costs and incentive payments from insurance payers if they see the value in contracting with a PCMH.
January 1, 2017: Texas Medicine
https://www.readbyqxmd.com/read/28072895/standing-up-for-scope
#20
Joey Berlin
The Texas Medical Association triumphed when a Travis County district court sided with medicine in a lawsuit against the Texas Board of Chiropractic Examiners over its granting chiropractors the authority to perform certain diagnostic tests.
January 1, 2017: Texas Medicine
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