ruth.brice

About Ruth Brice

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So far Ruth Brice has created 19 blog entries.
22 08, 2018

Paper of the week: 22.08.18

2018-08-22T11:28:44+00:00

Muir Gray’s paper of the week: Time for Value-Based Payment Models to Adopt a Disparities-Sensitive Frame Shift Listen to the accompanying short podcast below, or on SoundCloud here Reference: Chaiyachati KH, Bhatt J, Zhu JM. Time for Value-Based Payment Models to Adopt a Disparities-Sensitive Frame Shift. Ann Intern Med. 2018;168:509–510. doi: 10.7326/M17-2590 Bottom line, chosen by Muir from the paper The health care industry cannot ignore true instances of poor quality, but it also should not worsen health care for at-risk populations. To address this tension, value-based payment models should adopt a disparities-sensitive frame shift to integrate measures of [...]

Paper of the week: 22.08.18 2018-08-22T11:28:44+00:00
9 08, 2018

Paper of the week: 09.08.18

2018-08-09T09:46:47+00:00

Muir Gray’s paper of the week: Seven Deadly Sins Resulting From the Centers for Disease Control and Prevention's Seven Forbidden Words Listen to the accompanying short podcast below, or on SoundCloud here Reference: Castro KG, Evans DP, Del Rio C, Curran JW. Seven Deadly Sins Resulting From the Centers for Disease Control and Prevention's Seven Forbidden Words. Ann Intern Med. 2018;168:513–514. doi: 10.7326/M17-3410 Bottom line, chosen by Muir from the paper On 15 December 2017, The Washington Post reported on 7 words to be avoided by the Centers for Disease Control and Prevention (CDC) in official budget documents . The forbidden words [...]

Paper of the week: 09.08.18 2018-08-09T09:46:47+00:00
3 08, 2018

Paper of the week: 03.08.18

2018-08-03T13:46:28+00:00

Muir Gray’s paper of the week: For Patients With Type 2 Diabetes, What’s the Best Target Hemoglobin A1C? Listen to the accompanying short podcast below, or on SoundCloud here Reference: Abbasi J. For Patients With Type 2 Diabetes, What’s the Best Target Hemoglobin A1C?. JAMA. 2018;319(23):2367–2369. doi:10.1001/jama.2018.5420 Bottom line, chosen by Muir from the paper Medical organizations are at odds over new guidance that recommends easing hemoglobin A1C (HbA1c) targets for patients with type 2 diabetes. The updated guidance statement from the American College of Physicians (ACP), which focuses on glycemic control with medications, says clinicians should personalize goals [...]

Paper of the week: 03.08.18 2018-08-03T13:46:28+00:00
25 07, 2018

Paper of the week: 25.07.18

2018-07-25T12:02:22+00:00

Muir Gray’s paper of the week: Global Budgets in Maryland Assessing Results to Date Listen to the accompanying short podcast below, or on SoundCloud here Reference: Sharfstein JM, Stuart EA, Antos J. Global Budgets in MarylandAssessing Results to Date. JAMA.2018;319(24):2475–2476. doi:10.1001/jama.2018.5871 Bottom line, chosen by Muir from the paper The study also found that efforts to strengthen collaborative relationships with outpatient providers and community organizations are “in early stages and might not have an effect for some time.” Nowhere is this more clear than in the area of behavioral health. Maryland hospitals recognized early that patients with severe mental illness and [...]

Paper of the week: 25.07.18 2018-07-25T12:02:22+00:00
20 07, 2018

Paper of the week: 19.07.18

2018-07-20T13:06:23+00:00

Muir Gray’s paper of the week: NHS England’s plan to pull the plug on ineffective procedures Listen to the accompanying short podcast below, or on SoundCloud here Reference:Robinson Ann. NHS England’s plan to pull the plug on ineffective procedures BMJ 2018; 362 :k3028  Bottom line, chosen by Muir from the paper NHS England ​proposed last week ​to stop or reduce routine commissioning of 17 interventions, including surgery for snoring, back injections, and knee arthroscopy for osteoarthritis, in favour of “less invasive, safer treatments that are just as effective” NHS England’s states its aims as a “hierarchy of goals”: to reduce avoidable harm to patients, to [...]

Paper of the week: 19.07.18 2018-07-20T13:06:23+00:00
13 07, 2018

Paper of the week: 13.07.18

2018-07-13T07:29:43+00:00

Muir Gray’s paper of the week: Managing the Most Precious Resource in Medicine Listen to the accompanying short podcast below, or on SoundCloud here Reference: McMahon, Graham. (2018). Managing the Most Precious Resource in Medicine. New England Journal of Medicine. 378. 10.1056/NEJMe1802899. Bottom line, chosen by Muir from the paper Many health care institutions appear to have lost sight of the truism that our health professionals are our most precious resource. With increasing commoditization, commercialization, productivity targets, and administrative burdens, the volunteerism and soul that have typified our profession for generations are suffering. It is increasingly clear that many residents [...]

Paper of the week: 13.07.18 2018-07-13T07:29:43+00:00
4 07, 2018

Paper of the week: 04.07.18

2018-07-04T11:48:57+00:00

Muir Gray’s paper of the week: Hearing Aids and Health-Related Quality of Life in Adults With Hearing Loss  Listen to the accompanying short podcast below, or on SoundCloud here Reference: Kitterick PT, Ferguson MA. Hearing Aids and Health-Related Quality of Life in Adults With Hearing Loss. JAMA. 2018;319(21):2225–2226. doi:10.1001/jama.2018.5567 Bottom line, chosen by Muir from the paper Untreated hearing loss negatively affects communication and social engagement, can lead to reduced QOL, and is a potentially modifiable risk factor for dementia.  Hearing aids are the primary noninvasive therapy for mild to moderate hearing loss in adults, but only 1 in 3 of [...]

Paper of the week: 04.07.18 2018-07-04T11:48:57+00:00
28 06, 2018

Paper of the week: 27.06.18

2018-06-28T09:30:55+00:00

Muir Gray’s paper of the week: Cost effectiveness is necessary, but not sufficient Listen to the accompanying short podcast below, or on SoundCloud here Reference: Decision Making for Healthcare Resource Allocation: Joint v. Separate Decisions on Interacting Interventions Helen Dakin and Alastair Gray. Medical Decision Making 2018, Vol. 38(4) 476–486 DOI: 10.1177/0272989X18758018 Bottom line, chosen by Muir from the paper We demonstrated that making a joint decision on multiple interventions, considering interactions, will always maximize health gains from the budget, whereas making independent decisions on interacting technologies can lead to inefficient resource allocation decisions. Implications for value improvement This paper demonstrates [...]

Paper of the week: 27.06.18 2018-06-28T09:30:55+00:00
21 06, 2018

Paper of the week: 20.06.18

2018-06-21T09:00:59+00:00

Muir Gray’s paper of the week: Following the patient's orders? Recommending vs. offering choice in neurology outpatient consultations  Listen to the accompanying short podcast on SoundCloud here Reference: Paul Chappell, Merran Toerien, Clare Jackson, Markus Reuber, Following the patient's orders? Recommending vs. offering choice in neurology outpatient consultations, Social Science & Medicine, Volume 205, 2018, Pages 8-16, ISSN 0277-9536 Bottom line, chosen by Muir from the paper The UK's Royal College of Surgeons (2016) has argued that health professionals must replace a ‘paternalistic’ approach to consent with ‘informed choice’. We engage with these guidelines through analysis of neurology consultations in two [...]

Paper of the week: 20.06.18 2018-06-21T09:00:59+00:00
20 06, 2018

Paper of the week: 15.06.18

2018-06-20T12:32:42+00:00

Muir Gray’s paper of the week: Redefining the ‘E’ in EBM Listen to the accompanying short podcast on SoundCloud here Reference: Redefining the ‘E’ in EBM. Tom Jefferson, Lars Jørgensen 10.1136/bmjebm-2018-110918 Bottom line, chosen by Muir from the paper Evidence of distortion in the results of research is now overwhelming, and it mainly comes from studies comparing journal articles with other sources of information…… So, should we ignore evidence from journal articles? If steps are not taken urgently to address the situation, then ‘probably’ would be our answer. Implications for value improvement Be very very cautious about any claim that an in [...]

Paper of the week: 15.06.18 2018-06-20T12:32:42+00:00