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Articles tagged with "patient care"

How Rural Rheumatologists Are Coping with Passage of Affordable Care Act, Changes in Reimbursement, Payment Systems

Kurt Ullman  |  March 15, 2016

Four years ago, a series of articles in The Rheumatologist talked about the practice of rheumatology in rural settings. Since then, changes have occurred, with the passage of the Affordable Care Act (ACA), differences in reimbursement and the trek toward value-based payment systems. One major concern expressed in the original article was the fact that…

Hospital for Special Surgery Focuses on Measuring, Adding Value

Karen Appold  |  March 15, 2016

Value is the ratio of quality to cost. The delivery and measurement of healthcare quality, however, is complex. “We first need to understand and define the health outcomes that are important to patients. Then we need to put into place care pathways that will lead to those outcomes, and finally we need mechanisms to measure…

Opinion: Role of Rheumatology Nurse Should Be Expanded

Terence W. Starz, MD, & Brandon Young, DNP, NP-C, on behalf of the ARHP Practice Committee  |  March 15, 2016

The care of patients with rheumatic diseases has undergone a great transition, with high expectations for both patients and healthcare professionals to achieve quality outcomes for the many different disorders. Integral to this goal is the development of new care models, with evolving roles for the various care providers on the multidisciplinary team.1-3 A new…

Opinion: Rheumatologists Cautioned Against Wasteful Testing to Find Rare Diseases

Bharat Kumar, MD, MME, FACP, FAAAAI, RhMSUS  |  March 15, 2016

What rheumatologist doesn’t love the good old zebra hunt? You know—the pursuit of diagnosing the extraordinarily rare disease purely through pluck and wits. The zebra hunt is almost a tradition, a perennial topic of polite, but subtly boastful, conversation among peers and the subject of numerous career-building case reports. The hunt also happens to be…

From the Expert: New Insights into Treating Pregnant Patients with Rheumatic Disease

Richard Quinn  |  March 11, 2016

The approach of under-treating rheumatic disease in pregnant patients is changing, according to Bonnie Lee Bermas, MD. Dr. Bermas discusses with The Rheumatologist the need for more research on how drugs affect this patient group, and how timing of conception and disease stability play important roles in the safe outcomes of mother and infant…

Patients Get Mixed Reactions from Docs over Mail-Ordered Genetic Tests

Andrew M. Seaman  |  March 3, 2016

(Reuters Health)—Patients who order direct-to-consumer genetic tests report mixed experiences when they take the results to their doctors, a new study found. About a quarter of people who ordered direct-to-consumer genetic testing from such companies as 23andMe reported discussing the results with their primary care doctors. But nearly one in five were not at all…

Parents Often Catch Hospital Errors Doctors Missed

Lisa Rapaport  |  March 1, 2016

(Reuters Health)—Parents often catch medical errors that their child’s doctor missed, according to a U.S. study that suggests families may be an untapped resource for improving hospital safety and preventing mistakes. Roughly one in 10 parents spotted mistakes that physicians did not, according to the study of safety incidents observed on two pediatrics units at…

Rheumatologist, Pain Physician Collaboration Vital for Better Pain Control

Vanessa Caceres  |  February 17, 2016

Chronic pain can be one of the biggest challenges that patients and their physicians face. Rheumatology patients are no stranger to pain, and when pain goes beyond the scope of what rheumatologists can treat, collaboration with a pain specialist is common. “I refer patients to pain management when there is no underlying inflammatory condition, usual…

Rheumatologist Demonstrates Passion in Both His Profession & His Hobby, Stamp Collecting

Eric Butterman  |  February 17, 2016

It was sixth grade, and Pierre Moeser—now a rheumatologist in St. Peters, Mo., who had already lived in his share of countries, saw a kid’s stamp collection displaying seemingly endless nations. Then and there, he got hooked on philately, “which is not just studying stamps, but also postal history and related items,” says Dr. Moeser….

What Listening to Lungs Might Teach About Rheumatic Disease

Simon M. Helfgott, MD  |  February 17, 2016

One of your first clinical assignments as a medical student was likely to have been the lung exam. Its key descriptors may still resonate in your mind: inspection, palpation, percussion and auscul­tation. Proudly parading down the hospital corridors, your newly purchased stethoscope snugly tucked inside your lab coat pocket, you carefully place its cold metal…

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