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The CLASS trial: laser ablation and surgery improve quality-of-life for varicose vein patients compared...

...y groups than the foam sclerotherapy group. Using a cost effectiveness per quality-adjusted life-year (QALY) model, laser ablation had a higher cost-effectiveness than foam sclerotherapy or surgery, with foam sclerotherapy and surgery showing similar cost-effectiveness outcomes. This randomized trial provides evidence that laser ablation and surgery are superior to foam sclerotherapy toward improving quality-of-life in patients with varicose veins...

Price transparency leads to lower claims payments by patients and insurers

...use the price transparency service or choosing or not choosing to ultimately receive care. Analysis was also limited to a small number of offered services. Thus, while this study appears to support the utility behind current efforts for increasing price transparency, further investigations are required to examine the effects of such information availability on health care spending and patient health outcomes as a whole. Click to read the study, p...

Greater decline in chest compression quality in children vs. adults

...d as such by the authors or by 2minutemedicine.com. PLEASE SEE A HEALTHCARE PROVIDER IN YOUR AREA IF YOU SEEK MEDICAL ADVICE OF ANY SORT. Content is produced in accordance with fair use copyrights solely and strictly for the purpose of teaching, news and criticism. No benefit, monetary or otherwise, is realized by any participants or the owner of this domain. [/tab] [/tabs]...

The Relationship between Health Care Provider Burnout and Quality of Patient Care

...ly reported effect related emotional exhaustion to lower quality care, mainly in quality and safety and medical errors, and the opposite effect on communication. The outcomes to assess quality of care were grouped into the following categories: best practices (n=14), medical errors (n=32), patient outcomes (n=17) and quality and safety (n=74). The findings supported the theory that potential bias exists in studies that are the least rigorous when...

Modest alcohol consumption linked to poorer semen quality

...questionnaires assessing their alcohol intake recently in the last week, habitually, and binging, and also provided semen and blood samples. The adverse consequences on semen quality, specifically sperm concentration, total sperm count, and percentage of spermatozoa with normal morphology, were most pronounced in men consuming more than 25 units of alcohol/week. In fact, compared to men with an intake of 1-5 units/week, men with a weekly intake gr...

Quality of care for transient ischemic attack and minor stroke vary across country

...y of care for patients with minor stroke/TIA who may otherwise not be readily assessed by quality control initiatives that focus on stroke alone. The major strength of this study was its large, modern, cross-national population which was consistently evaluated across ten diverse measures of care. The main limitations included the male-predominant population, and the lack of ability to control for important patient factors and covariates due to lac...

Quality improvement interventions increase adherence to performance measures for stroke in China

...and 82.4% follow rates for the intervention and control groups, respectively). The quality care intervention consisted of evidence-based clinical pathways, written care protocols for implementation of performance measures, a full-time quality coordinator, and a monitoring and feedback system. The nine performance measures that have been shown to improve outcomes for stroke patients were formulated from evidence-based recommendations created by a...

Patients who utilize online health services make greater use of in-person services

...r patient groups who might benefit most from online services, such as rurally located and elderly patients, were not explicitly evaluated. Future research is needed on several fronts: (1) to optimize access to care and costs of care, (2) to develop communication strategies to explain how online health services may replace certain in-person services, and (3) to examine service usage by patients using other kinds of HCIT besides patient portals. Cli...

Physician recourse to online reviews may be futile

...either restrict a patient’s ability to post any review at all, or effectively make any online commentary intellectual property belonging to the physician. Thus, when a physician seeks to respond to negative reviews, they are able to employ the less burdensome claims of breach of contract or copyright infringement. However, the use of medical NDAs to bypass defamation laws and the CDA doesn’t work. NDAs may be deemed unconscionable, and thus unenfo...

Parents with poor sleep quality report sleep problems in kids

...dence Rating Level: 2 (Good) Study Rundown: Many diagnoses in pediatrics rely heavily on parental report. For example, using objective reporting methods to diagnose sleep disturbances is inefficient, therefore pediatricians rely on parental reports. As such, it is important to consider what effect, if any, parental sleep disturbance has on their reports of children’s sleep quality. Parents were surveyed on their sleep quality, and were asked to re...

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