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Consumer Reports becomes a resource for doctor-shopping | Health Populi

Consumer Reports becomes a resource for doctor-shopping | Health Populi | Co-creation in health | Scoop.it

There’s a long-held belief among us long-time health industry analysts that Americans spend more time shopping around for cars and washing machines than for health plans and doctors. Consumer Reports is betting that’s going to change, now that Consumers Union has decided to lend its valuable, trusted brand to developing report cards on physicians, having already rated hospitals and heart surgeons.


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Co-creation in health
E-citizens, e-patients, communities in shaping e-health, health literacy.
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Il caso Ebola. I media e la percezione dei rischi - AIRESPSA - School - 2014

Dalla percezione alla gestione dei rischi
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MANOVRA 2015/ Nessun regalo alla Sanità: confermati tagli da 4 mld

MANOVRA 2015/ Nessun regalo alla Sanità: confermati tagli da 4 mld | Co-creation in health | Scoop.it
Niente sconti come troppo ottimisticamente qualcuno tra i governatori sperava di ottenere in extremis nel maxi-emendamento. I nuovi tagli per il 2015 saranno, come ampiamente annunciato, di 4 mld per le Regioni, di cui 3,452 mld a carico delle Regioni a statuto ordinario e il resto per le altre. A questi vanno aggiunti 2,3 miliardi ereditati dal passato. La sanità subirà una quota parte del taglio che potrebbe venire anche dal Governo con Dpcm atteso per fine gennaio. A meno che le Regioni nel frattempo non...
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Yoga reduces cardiovascular risk as much as walking or cycling, study shows - Bmj

Yoga can significantly reduce cardiovascular risk factors including body mass index, blood pressure, and low density lipoprotein (LDL) cholesterol, says a systematic review that found it had similar benefits to aerobic activities such as cycling or brisk walking.

Researchers analysed 37 randomised controlled trials, including 2768 people, that compared cardiovascular risk factors in adults who practised yoga to control groups who were not offered yoga therapy. People in the studies practised yoga for 30 to 90 minutes at each …

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Why public opinion should not enter the debate about assisted dying

There are so many points about Delamothe and colleagues’ editorial on why the Assisted Dying Bill should become law in England and Wales that it is hard to know where to begin.1 Here is just one point that I think needs highlighting.

Delamothe and colleagues refer to public opinion, which is so often manipulated by tragedies but not so often well informed. Public opinion would still be in favour of the death penalty for certain crimes, such as the murder of children. So should we go with it? We do not do so for many reasons, one of which is a worry about judicial mistakes. The equivalent here would be people who at one time wish to die but then change their minds, which would not be possible once medically assisted suicide is legal.

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A Roadmap for Patient and Family Engagement

A Roadmap for Patient and Family Engagement | Co-creation in health | Scoop.it
Blog post by Gordon and Betty Moore Foundation and American Institutes for Research As the U.S. health care system tackles the Triple Aim of better experiences of care, better population health and...
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Epistemic Authority: A Theory of Trust, Authority, and Autonomy in Belief

Epistemic Authority: A Theory of Trust, Authority, and Autonomy in Belief | Co-creation in health | Scoop.it
(2014). Epistemic Authority: A Theory of Trust, Authority, and Autonomy in Belief. International Journal of Philosophical Studies: Vol. 22, No. 5, pp. 771-775. doi: 10.1080/09672559.2014.977553
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Are states spending enough on tobacco control and prevention?

Are states spending enough on tobacco control and prevention? | Co-creation in health | Scoop.it
A new report finds that states plan to dedicate less than 15 percent of what the CDC recommends they spend on tobacco control and prevention.
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Risk and choice in childbirth: Problems of evidence and ethics? - Journal of Medical Ethics

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Clinical Education and the Electronic Health Record: The Flipped Patient - JAMA: The Journal of the American Medical Association

Clinical Education and the Electronic Health Record: The Flipped Patient - JAMA:  The Journal of the American Medical Association | Co-creation in health | Scoop.it
Opinion from JAMA — Clinical Education and the Electronic Health Record — The Flipped Patient

Via NY HealthScape
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IBM's Watson is better at diagnosing cancer than human doctors (Wired UK)

IBM's Watson is better at diagnosing cancer than human doctors (Wired UK) | Co-creation in health | Scoop.it
Watson, IBM claims, is better at cancer diagnosis than human doctors, and its deployment could also reduce healthcare costs
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Why do we want the right to die? A systematic review of the international literature on the views of patients, carers and the public on assisted dying

Conclusion: Our review sheds light on ordinary people’s perspectives about assisted dying, when they are ill or disabled. Unbearable suffering is a key construct, and common factors are revealed that lead people to ask for help to die. The consistency of international views indicates a mandate for legislative and medical systems worldwide to listen and understand this.

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The patient segmentation model

The patient segmentation model | Co-creation in health | Scoop.it
Dividing patients into groups based on how they behave towards their condition can aid understanding of the issues that affect them and improve outcomes, such as quality of life in long-term conditions. Market segmentation is the fancy marketer's...
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Using continuous sedation until death for cancer patients: A qualitative interview study of physicians’ and nurses’ practice in three European countries

Conclusion: This qualitative analysis suggests that there is systematic variation in end-of-life care sedation practice and its conceptualization in the United Kingdom, Belgium and the Netherlands.

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mHealth can improve the quality of life of multiple sclerosis patients

mHealth can improve the quality of life of multiple sclerosis patients | Co-creation in health | Scoop.it
More than 2.5 million people in the world suffer from multiple sclerosis (MS), a neurologic chronic disease that affects the central nervous sys...

Via Andrea Robotti
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Andrea Robotti's curator insight, December 15, 10:26 AM
Negli ultimi 50 anni sono stati fatti numerosi passi in avanti per diagnosticare la Sclerosi Multipla nelle sue fasi più precoci.Ora la tecnologia mobile e il mondo del web hanno permesso un ulteriore miglioramento nella fase di diagnosi e gestione della malattia per quanto riguarda i pazienti con Sclerosi Multipla.
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9 Ways To Cope With Holiday Stress

9 Ways To Cope With Holiday Stress | Co-creation in health | Scoop.it
“My dad used to say, in his more cynical moments, that this time of year is when we feel compelled to be with family we don't really know for too long a time in too small a space — and spend money on things nobody needs,” says Dr. P...
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Evening the score on sex drugs: feminist movement or marketing masquerade? -BMJ

Ahead of this month’s FDA workshop on patient focused drug development for women’s sexual problems, Ray Moynihan questions a campaign to get a rejected drug licensed

A thrice failed antidepressant is at the centre of a new marketing campaign to win approval for what could become the world’s first blockbuster sex pill for women. Frustrated by the drug’s repeated rejection, proponents have orchestrated a fierce attack, accusing the regulator of unfairness, and enlisting support from several well connected women’s organisations in the US. Critics counter that the campaign is exceedingly misleading, that it targets a desire disorder that does not exist, and that approval could see widespread overprescribing of a drug with marginal benefits and real safety concerns.

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Richard Smith: Is the pharmaceutical industry like the mafia? The BMJ

The piece that follows is my foreword to a new and fascinating book by Peter  Gøtzsche, the head of the Nordic Cochrane Centre, entitled Deadly Medicines and Organised Crime: How Big Pharma Has Corrupted Healthcare. I hope that this piece might prompt you to read the book.
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TV e Twitter: la convergenza dei media

TV e Twitter: la convergenza dei media | Co-creation in health | Scoop.it

Il tempo della separazione dei media è ormai terminato. Oggi si assiste ad una crescente integrazione tra media, non solo tra offline e online, ma anche tra strumenti diversi all'interno di ciascuna di queste due macrocategorie. La relazione tra TV e Twitter è forse l'esempio più evidente di questa convergenza. Sempre più spesso il telespettatore guarda la TV, twittando continuamente commenti su quanto visto. Un'infografica di Ipsos, relativa alla ricerca Mediact TV Influencers, mostra il potere di influenza degli utenti di Twitter: più fruizione delle forme televisive tradizionali e innovative, più propensione alla condivisione.

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Obesity Classified as a Disease; What Marketers Need to Know | Kantar Media Healthcare Research

Obesity Classified as a Disease; What Marketers Need to Know | Kantar Media Healthcare Research | Co-creation in health | Scoop.it

With the AMA obesity news dominating headlines in June, we wanted to share some data points on the obese from Kantar Media’s 2013 MARS OTC/DTC Study. About 2 of every 3 adults have weight issues with 64% having BMI’s of 25+ (overweight or obese), according to the study. Further, about 26% of all U.S. adults are considered obese (BMI 30+).

Here are 10 additional data points about obese adults as they now represent an even more important group of prospects for healthcare and pharma marketers.

- See more at: http://www.kantarmedia-healthcare.com/obesity-classifed-as-a-disease-what-marketers-need-to-know#sthash.SrUOHLP6.dpuf

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Questioning Medicine: The Vitamin D Craze

Questioning Medicine: The Vitamin D Craze | Co-creation in health | Scoop.it
Maybe the focus should be on loss prevention, not supplementation.
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Normative Impulsivity: Adorno on Ethics and the Body

Normative Impulsivity: Adorno on Ethics and the Body | Co-creation in health | Scoop.it
Adorno’s commitment to anti-foundationalism generates a concern over how his ethically normative appraisals of social phenomena can be founded. Drawing on both Kohlmann and Bernstein’s account, I produce a new reading which contends somatic impulses are capable of bearing intrinsically normative epistemic and moral content. This entails a new way of understanding Adorno’s contention that Auschwitz produced a new categorical imperative. Working with Bernstein’s account, I claim that Auschwitz makes manifest the hostility of the instrumentalization of reason to the somatic grounds of reason. One’s mimetic identification with the victims of Auschwitz arouses a self-preserving desire to intercede in and re-orient the progress of reason itself, for the sake of one’s own somatic integrity. In closing, I claim – contra Zuidervaart – that this reading allows us to place the ethical as primary in Adorno, without reducing the political to it.
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Physicians must be the architects of health care change

Physicians must be the architects of health care change | Co-creation in health | Scoop.it
If America is ever to boast of delivering the best health care in the world, the system will require transformational change.
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Healthcare in the Cloud | Rickscloud

Healthcare in the Cloud | Rickscloud | Co-creation in health | Scoop.it
Cloud-based services are becoming more widely adopted by healthcare organizations. The past year has seen a surge of interest regarding the potential of cloud
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Engaging patient through social medi Is healthcare ready for empowere and digitally demanding patients?

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Look for the gold standard: double-blind, placebo-controlled, randomized tests

Look for the gold standard: double-blind, placebo-controlled, randomized tests

The most reliable type of study — especially for clinical trials — is the randomized, placebo-controlled, double-blind study.

If you are looking at a clinical trial, a psychology study, or an animal study, and it hasn't been designed like this — and there isn't a good reason that it couldn't have been — then you might want to question the results.

Let's break down this terminology:

1) Randomized: This means that the participants in the study were randomly placed into the experimental group and the comparison group. This is important because if people get to choose, they might be more likely to pick one or the other because of some unexpected factor.

As a hypothetical example, maybe people who are more optimistic are more likely to want to try a new drug for anxiety rather than an old drug that's being used for comparison. And maybe optimism is linked to better outcomes for generalized anxiety disorder. The researchers could end up thinking that these people got better because of the drug when it was actually because they were innately going to do better anyway.

Similar problems can be introduced if researchers choose who goes into which category. That's why random is best.

2) Placebo-controlled: A controlled study has an appropriate comparison group, also called a control group. In medical studies, one comparison group usually gets a placebo — a fake intervention such as a sugar pill. This is in order to distinguish what the drug actually did from what a participant's psychological expectations did. (Placebo effects can be surprisingly strong — so strong that they can oftentimes relieve pain, among other health problems. And they've been getting stronger in recent decades, according to Steve Silberman's in-depth placebo story from Wired.)

A good placebo group should be as similar to the experimental group as possible. So, for example, if you were testing out a drug that's a large, red pill, you'd ideally want to give your comparison placebo group a large, red pill that's the same in every way, but doesn't contain the drug. (Yes, even a pill's color and size can have a placebo effect.) Some studies go as far as to do sham surgeries, including anesthesia, incisions, stitches — the works.

3) Double-blind: A study is "blind" if the participants don't know whether they are in the experimental group or the control group. For example, you don't want someone knowing if she's received a real drug or a fake drugbecause her expectations could change the outcome of the study.

A study is "double-blind" if the researchers in personal contact with participants also don't know which treatment they are administering. You don't want the nurse giving out pills to know if they're real or not, because then subtle differences in her behavior could influence patients, and therefore the results.


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Evidence on the cost and cost-effectiveness of palliative care: A literature review

Conclusion: Despite wide variation in study type, characteristic and study quality, there are consistent patterns in the results. Palliative care is most frequently found to be less costly relative to comparator groups, and in most cases, the difference in cost is statistically significant.

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