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The race is on to sign up uninsured Americans for health-care coverage this fall,with a number of large national advocacy groups launching aggressive,multimillion-dollar campaigns this summer aimed at promoting President Obama’s health-care law.
New research suggests that fetal exposure to the common environmental chemical bisphenol A,or BPA,causes increased inflammation in fat tissues after birth,which can lead to obesity and metabolic syndrome. Results of the animal study were presented at The Endocrine Society’s 95th Annual Meeting in San Francisco… Obesity / Weight Loss / Fitness News From Medical News Today
The current usage of physician-rating websites is still low but is increasing. International data show that 1 out of 6 physicians has been rated,and approximately 90% of all ratings on physician-rating websites were positive.
What Percentage of Physicians Has Been Rated?
Data for US physicians obtained from RateMDs showed that 16% of physicians were assessed by January 2010 (112,000 out of approx. 700,000).
What Is the Average Number of Ratings on Physician-Rating Websites?
Nearly half of the physicians had only a single rating on RateMDs in 2010,and the number of physicians with five or more ratings was 12.5%
Although often a concern,the authors of this meta-analysis could not find any evidence of “doctor-bashing”.
How Should Physicians Deal With Physician-Rating Websites?
Physicians should not ignore these websites,but rather,monitor the information available and use it for internal and external purpose.
Physicians should perform “self-audits” on popular physician-rating websites to search for available information. It may be helpful if a staff member monitors these sites on a regular basis.
If nothing else,physician-rating websites often provide incorrect demographic information (eg,incorrect address,links to old practices,opening hours),which should be corrected.
Physicians should use the ratings in order to evaluate their patients’ satisfaction. Patients’ true thoughts on what makes a good doctor,what they value,etc.,can be understood.
In the case of negative reviews,it is best not to respond online to try to refute the negative review point by point.
What Recommendations Can Be Made for Improvement of Physician-Rating Websites?
Some authors discuss whether a simple One Feedback Question containing a single question such as “Would you recommend Dr X to a loved one?” may be as useful as the multitude of specific questions.
Alemi et al suggest a 2-question survey:the “Minute Survey”. The first question asks patients to rate their overall experience. The second question asks:“Tell us what worked well and what needs improvement”.
Eight Questions About Physician-Rating Websites –JMIR 2013 http://bit.ly/12ifjXA Image source:RateMDs.com.
“I still do my spray tans. I still use my creams. I still go in the sun. Only I now wear sunscreen,hats,glasses —everything I’m supposed to do,”says Cheri Huber. “I didn’t quit living after melanoma.”
Like many women,Cheri enjoys being tan. During the summer she was always lying out by the pool or on the beach. In the winter,she used a tanning bed.
Cheri was 15 years old when she first used a tanning bed. “I probably went to the tanning salon three times a week,”she says.
As she got older,she and her mother bought their own tanning bed after realizing they could save money this way.
Cheri’s melanoma diagnosis In 2008,when Cheri turned 35,she was due for a baseline mammogram. She decided to get a full-body checkup and went to the dermatologist as well.
“My dermatologist was not very happy when I told her how much I tanned,and that I even owned my own tanning bed,”recalls Cheri.
During the exam,the dermatologist noticed a scab on Cheri’s shin. “I don’t really remember when it first showed up,”she told her dermatologist. “I just assumed I cut myself shaving and kept irritating it.”
Her first reaction was “Okay,so what’s melanoma?”She quickly learned how serious it was.
Within days,Cheri saw a doctor at MD Anderson and underwent surgery on her leg. Scans showed that it had spread and become stage 3.
After a second surgery was unsuccessful in removing all of her cancer,she underwent radiation therapy. On September 11,2008,Cheri rang the bell at MD Anderson to mark the end of her radiation treatment,and she’s been free of melanoma since then.
New Texas tanning bed law:Reducing melanoma in youth Fast forward five years to 2013. Starting on Sept. 1,a new Texas law will require that customers of tanning bed salons are at least 18 years old. Previously,teens between 16 1/2 and 18 could use tanning beds with a parent’s written consent.
Like Cheri,MD Anderson experts predict that the new law may help reduce the number of Texans diagnosed with melanoma over time. Young adults stand to benefit the most. That’s because:
Starting indoor tanning before the age of 18 increases melanoma risk by 85%.
The average 17-year-old girl in the United States tans about 25 times a year,and the risk of melanoma increases with more tanning.
Raising melanoma awareness for future generations Cheri has become a big advocate for melanoma prevention since her diagnosis. She holds a fundraiser every other year. Last year,she raised $ 65,000 in her community.
But the biggest advocates in her family might be her two daughters.
“My girls (ages 10 and 5) are the first ones to remind everyone to wear sunscreen when we leave the house,”Cheri says with a smile.
But Cheri hopes her children aren’t the only ones concerned with sun safety and skin protection.
“When I was growing up,I don’t think I ever heard the word ‘melanoma,’”she says. “But today,kids are getting diagnosed with it at younger and younger ages.”
Cheri hopes teenagers will become more aware of melanoma and realize that it’s more than just a skin disease,that it’s what she calls “a killing cancer.”
By protecting youth from the dangers of tanning,the new law can help do just that.
Watch Cheri discuss her melanoma diagnosis and the new tanning bed law:
In cooperation with the National Institute on Drug Abuse (NIDA),the AAFP is offering family physicians a new perspective on drug abuse and addiction,as well as tools to help physicians care for patients and families who are dealing with these issues. Composed,in part,of video recorded live during the 2012 AAFP Scientific Assembly in Philadelphia,the Addiction Performance Project was designed by NIDA to help break down the stigma associated with addiction and help doctors and other health professionals better identify and help drug-abusing patients,particularly in primary care settings. Health of the Public
Fecal transplants are being used more often to treat life-threatening bacterial infections. But the Food and Drug Administration worried that the still-experimental procedure put patients at risk. Now it is dropping plans to restrict transplants after doctors and patients complained.
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