Practice Management
Most of the legislative issues that affect urgent care operations are governed at the state level, particularly provider scope-of-practice laws. A recent guest column in the Columbus Dispatch by Alan Ayers, MBA, MAcc, President of Urgent Care Consultants and Senior Editor of JUCM, makes the case for urgent care’s untapped potential in providing affordable access to care in rural areas. Kentucky and Indiana are witnessing growth in rural urgent care, but Ohio is lagging because …
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A cross-sectional study recently published in JAMA Psychiatry sums up the prevalence of prescription stimulant use disorder (PSUD) among U.S. adults. Using national data, researchers found that 25.3% (95% confidence interval [CI], 23.8%-26.8%) of adults using prescription stimulants reported misuse, and 9.0% (95% CI, 8.0%-10.0%) had PSUD as measured by DSM-5 criteria. Misuse and PSUD were significantly more prevalent among those prescribed amphetamines compared to methylphenidate. The study also identified demographic trends, with the largest …
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Back pain seems to trouble a significant percentage of adults, inspiring some to seek medical treatment and options for pain relief. But a new study in BMJ Evidence-Based Medicine suggests that most non-surgical interventions have little or no effect on acute or chronic low back pain. Researchers considered 10 treatments compared with placebo and found that in the 301 trials studied, 90% of treatments were not efficacious and are unlikely to be suitable treatment options …
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Americans’ self-reported mental and physical health has declined over the past decade with a sharper drop after the COVID-19 pandemic. In Gallup’s latest survey, 75% of Americans rate their mental health as “excellent” or “good,” and 76% similarly rate their physical health in this way—down from highs of 89% for mental health in 2012 and 82% for physical health in 2003. The percentage of poll respondents rating their health with the top score of “excellent” …
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There is an association between cannabis use and cardiovascular risks, particularly myocardial infarction (MI), in relatively healthy populations under 50 years old, according to a retrospective cohort study in preprint from JACC: Advances. Analyzing data from 4.6 million adults over 5 years, the study found that cannabis users had a significantly higher risk of adverse cardiovascular outcomes compared to non-users. Key findings include a sixfold increase in the risk of MI among cannabis users (absolute …
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New regulations that began in January require hospitals and outpatient centers in certain Medicare quality payment programs to collect and report data summarizing the radiation doses resulting from the computed tomography (CT) scans they deliver. The rule is meant to improve patient safety by tracking the wide variation in radiation exposure—the doses can vary by an order of magnitude of tenfold or more. According to Kaiser Health News, providers must comply with data reporting rules …
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Health officials are raising concern about easily obtained products that have names such as Cosmic Gas and Whip-It! The products are sold in neighborhood retail and convenience stores and might include attractive flavors like strawberry or watermelon. What’s troubling is that they contain nitrous oxide—which when inhaled can result in a variety of adverse health effects, ranging from lightheadedness to paralysis to death. Last week, the Food and Drug Administration posted a consumer warning about …
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A small randomized controlled trial in Italy found that probiotics may help children with upper respiratory tract infections (URTIs). From November 19, 2021, to June 20, 2023, 128 children who presented with a fever and URTI were randomized to receive a daily single dose of a probiotic mixture containing Bifidobacterium breve, Bifidobacterium lactis, and Lactobacillus rhamnosus or a daily dose of placebo for 14 days. As published in JAMA Network Open, researchers found the median …
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This month, the Oregon House of Representatives gave its blessing to House Bill 2748, which mandates that the title “nurse” can only be used exclusively for human beings who practice nursing—in other words, artificial intelligence (AI) systems cannot use the term “nurse.” Lawmakers introduced the bill after concerns that AI chatbot “nurses” could mislead patients. The bill now moves to the Oregon Senate. “As AI adoption grows in medical practice, there will be greater implications …
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In the past few years, parents have been attracted to at-home devices to monitor their infant’s vital signs during sleep, which are meant to offer reassurance by providing parents with continuous real-time data. Infant devices might measure, for example, respiratory rate, heart rate, peripheral oxygen saturation, and sleep quality. Beyond just crib cameras, some options include wearable socks, belts, and swaddles. There is virtually no guidance for providers on advising families about the devices or …
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