Practice Management
The surging measles outbreak—now spanning 18 states as of March 20—may continue for about a year, according to health experts in a CNN report. Weekly totals reached 378 confirmed cases nationwide. By comparison, the 2024 total case count for the entire year was 285. Although 95% of the current cases are in patients who were unvaccinated or had unknown vaccination status, a few were reported in people who say they had at least 1 dose …
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Too few patients are receiving recommended chlamydia and gonorrhea treatment in primary care settings, according to a study published in the Annals of Family Medicine analyzing electronic health records from 2018 to 2022. Among 6,678 confirmed chlamydia cases and 2,206 confirmed gonorrhea cases studied, 75.3% and 69.6%, respectively, received treatment. Treatment rates were higher among women than men (chlamydia: 78.4% vs 67.2%; gonorrhea: 78.9% vs 51.4%). Additionally, younger individuals and those with coinfections were more …
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In the latest iteration among floundering commercial retail spaces, landlords are courting healthcare tenants to fill empty storefronts that used to be occupied by department stores and boutiques. Most existing retail spaces have convenient neighborhood locations with enough local traffic to encourage a visit. According to a recent LA Times report, a network of dental offices in California has found early success with this emerging “med-tail” (medical retail) model, treating both scheduled and walk-in patients. …
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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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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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