Primary Care News and Research

Latest Primary Care News and Research

Collaborative care intervention helps improve management of chronic pain

Patients with chronic pain who took part in a collaborative care intervention that included patient and clinician education and symptom monitoring and feedback to the primary care physician had improvements in pain-related disability and intensity, compared to usual care, according to a study in the March 25 issue of JAMA, the Journal of the American Medical Association.

24 Mar 2009

Recession exacerbates financial problems at California community health clinics

California community health clinics are struggling to meet an increased demand from new patients who have lost their jobs and health insurance, the Los Angeles Times reports.

24 Mar 2009

Speakers at White House-sponsored forum discuss possibility of public health coverage option, preventive care

Congressional Democrats intend to pass health care reform legislation by "August or September" that could include an option allowing uninsured U.S. residents to buy into a government-run health care plan, Senate Appropriations Labor, Health and Human Services, Education, and Related Agencies Subcommittee Chair Tom Harkin (D-Iowa) said on Monday, Kansas Health Institute News reports.

24 Mar 2009

Scientists make a new protein from scratch

No doubt proteins are complex. Most are "large" and full of interdependent branches, pockets and bends in their final folded structure.

23 Mar 2009

Physical abuse raises women's health costs by 42 percent

Women experiencing physical abuse from intimate partners spent 42 percent more on health care per year than non-abused women, according to a long-term study of more than 3,000 women.

23 Mar 2009

Clostridium difficile infection in primary care

The epidemiology of Clostridium difficile infection (CDI) is changing rapidly and has been marked by a significant increase in incidence and severity.

23 Mar 2009

Aspirin decreases first heart attacks in men and first strokes in women

Patients and clinicians should consider risk factors -- including age, gender, diabetes, blood pressure, cholesterol levels, smoking and risk of gastrointestinal bleeding -- before deciding whether to use aspirin to prevent heart attacks or strokes, according to new recommendations from the U.S. Preventive Services Task Force.

16 Mar 2009

Risks of using aspirin to prevent heart attack or stroke differ by gender and age

Patients and clinicians should consider risk factors-- including age, gender, diabetes, blood pressure, cholesterol levels, smoking and risk of gastrointestinal bleeding-- before deciding whether to use aspirin to prevent heart attacks or strokes, according to new recommendations from the U.S. Preventive Services Task Force.

16 Mar 2009

HIV/AIDS in Haiti - progress made, challenges remain

There is "some good news" in the fight against HIV in the Americas, Cesar Chelala -- an international public health consultant -- writes in a Miami Herald opinion piece, adding that "most surprisingly, it's coming from Haiti, one of the countries hardest hit by the epidemic." Chelala writes that United Nations data show that about 2.2% of Haiti's population -- or 120,000 people -- are living with HIV/AIDS and that AIDS-related deaths in the country have decreased in recent years.

16 Mar 2009

Survey explores medical care for children with autism using CAM treatments

In a national survey conducted by the University of Minnesota, primary care physicians report that they are more likely to ask patients with autism about complementary alternative medicine (CAM) use and desire more CAM education for this population.

12 Mar 2009

Dramatic growth in number of hospitalists over last two decades

One of the most striking changes in health care over the last two decades has been a dramatic increase in physicians categorized as "hospitalists" - doctors who practice almost exclusively in hospitals, rather than combining both outpatient and inpatient care.

11 Mar 2009

Discovery of link between atrial fibrillation and increased risk of death in diabetic patients

Results from a large, international, randomised, controlled trial have shown that there is a strong link between diabetics who have an abnormal heart rhythm (atrial fibrillation) and an increased risk of other heart-related problems and death.

11 Mar 2009

Mandatory obstructive sleep apnea screenings could reduce risk of truck crashes

Truck crashes are a significant public health hazard causing thousands of deaths and injuries each year, with driver fatigue and sleepiness being major causes.

11 Mar 2009

A single question can identify unhealthy alcohol use in patients

Researchers at Boston Medical Center (BMC) have found that a single-screening question recommended by the National Institute of Alcohol Abuse and Alcoholism (NIAAA) accurately identifies unhealthy alcohol use in primary-care patients.

11 Mar 2009

Simple test helps predict heart attack risk

The use of common and readily available screening tests - like the ankle brachial index (ABI) - along with traditional risk scoring systems - such as the Framingham Risk Score - has the potential to prevent devastating heart attacks in thousands of individuals who are not originally thought to be at high risk (according to Framingham alone), say researchers at the Society of Interventional Radiology's 34th Annual Scientific Meeting.

11 Mar 2009

Identifying and treating depression plus exercise in African-Americans may reduce heart disease

Identifying and treating depression, including increasing physical activity, may improve quality of life and reduce cardiovascular disease and death in African Americans, according to reports presented at the American Heart Association's 2009 Conference on Nutrition, Physical Activity and Metabolism.

11 Mar 2009

Freezing kidney cancer - interventional cryoablation

Freezing kidney tumors - using a safe minimally invasive interventional radiology treatment that kills the cancer 100 percent effectively without surgery - should be the gold standard or first treatment option for all individuals with tumors that are 4 centimeters in size or smaller.

10 Mar 2009

Simplified treatment for sleep apnea

Diagnosing and treating obstructive sleep apnea may soon become much less expensive and arduous, thanks to new research showing that a simplified program using experienced nurses, home ambulatory diagnosis and auto-titrating continuous positive airway pressure (CPAP) machines to titrate CPAP pressures is not inferior to the traditional model which relies on specialist physicians and sleep studies.

8 Mar 2009

New clinical support tool gives doctors the complete picture

During the course of a hospitalization, patients are seen by a variety of specialists in addition to the physician who has primary responsibility for their care.

8 Mar 2009

Off-label drug uses wasting millions, raising health risks

A recent study in Oregon suggests that drugs designed for treating the most severe mental illnesses are often prescribed at inappropriately low doses and at considerable expense, for use in conditions where their benefit has not been established.

4 Mar 2009