Over the first half of this decade, 20 million adults have gained health insurance coverage as a result of the Patient Protection and Affordable Care Act of 2010. Yet even as the number of uninsured was reduced, millions of Americans still lack coverage.
In response to the emerging consensus among scientists and health authorities that national health priorities should emphasize disease prevention, a government-sponsored Healthy People program was established in 1979 to promote nationwide disease prevention.
Life-threatening bleeds (LTB) from arteriovenous fistulas or grafts are significant bleeds which are not stopped by application of a normal amount of pressure as is commonly used to stop bleeding after dialysis needle removal. In many cases they occur spontaneously at home between dialysis sessions, away from the clinic or caregiving team. Although access-related LTBs are not common, they can result in the loss of the patient’s access and even be fatal.
As a healthcare professional, you know your treatment plans are only as powerful as your patients’ commitment. Your patients’ quality of life not only depends on your expertise but also on how well they implement their care plan after they leave your office. And when it comes to patients with end-stage renal disease (ESRD), non-adherence to dialysis and supporting factors such as diet and medication can lead to severe complications and an increased risk of mortality. Unfortunately, at least 50 % of hemodialysis patients are believed to be non-adherent, according to a study by the Department of Internal Medicine at Cairo University.
Italian neurosurgeons have ushered in a new era in brain surgery when, on November 14th, they performed their first aneurysm clipping operation with the patient awake. "Awake surgery," which until now been used by neurosurgeons for the removal of brain tumors in critical areas, has now expanded its reach to aneurysm clipping surgery. By having the patient awake during the operation, the surgical team at the Hospital S. Chiara in Trento, Italy was able to monitor not only the patient’s primary motility and sensitivity but also the control of higher and more complex cognitive functions such as language, comprehension, processing of emotions, and vision as a metal clip was meticulously applied to a middle cerebral artery to close off a cerebral aneurysm. Performing the surgery while a patient is awake also lowers intraoperative risks of neurological deficits and ventilator associated morbidities.
Topics: Cerebrovascular Surgery
In January of 2018, Amazon announced the launch of an independent healthcare company with backing from JPMorgan Chase and Berkshire Hathaway.
This new venture, combined with retail health clinics and telehealth, is offering consumers health services at lower prices and with more convenience than hospital outpatient facilities.
The emergence of differing healthcare models is putting more pressure on hospitals and health systems to stay competitive and examine costs.
Topics: Hospital Administration
There’s a shortage of doctors in the United States, and it’s expected to get much worse.
By 2030, the country could experience a shortfall of between 42,600 and 121,300 physicians, according to a 2018 report by the Association of American Medical Colleges (AAMC). And non-primary care specialties (like nephrologists) could account for as much as 80% of those projected shortages.
So what’s causing this deficit, and what can hospitals and private practices do?
On November 6th California voters went to the polls and said no to ballot initiative Proposition 8, known as the “Fair Pricing for Dialysis Act” that would have capped dialysis providers’ such as Davita Dialysis, Fresenius Medical Care and U.S. Renal Care, profits at 15 percent above what they spend on “direct patient care services costs.” It would have also required them to rebate the leftover revenue to insurance companies paying for patient procedures.
When you chose to become a surgeon, what made you want to pursue the occupation? Was it the opportunity to help others? Your interest in medicine? Maybe someone recommended the profession to you?
In February, the Bipartisan Budget Act of 2018 was signed into law, expanding Medicare reimbursement for a small list of telehealth services, including home dialysis for end-stage renal disease (ESRD), according to the Clinical Journal of American Society of Nephrology.