Showing posts with label primary. Show all posts
Showing posts with label primary. Show all posts

Tuesday, January 8, 2019

Many US Tourists Do Not Know About The Health Risks When Traveling In Poor Countries

Many US Tourists Do Not Know About The Health Risks When Traveling In Poor Countries.
About half of the 30 million Americans who touring each year to lower-income countries pursue notice about future salubrity risks before heading abroad, new delving shows. The survey of more than 1200 international travelers departing the United States at Boston Logan International Airport found that 38 percent were traveling to low- or middle-income nations cheapest. Only 54 percent of those travelers sought healthfulness suggestion last to their trip, and foreign-born travelers were the least inclined to to have done so, said the Massachusetts General Hospital researchers.

Lack of affect about embryonic health problems was the most commonly cited reason for not seeking well-being information before departure to a poorer nation. Of those who did essay to find health information about their destination, the Internet was the most common source, followed by primary-care doctors, the analysis authors found.

Saturday, February 28, 2015

The Medicaid Payment Provision Under Obamacare

The Medicaid Payment Provision Under Obamacare.
Sweetening Medicaid payments to primary-care providers does shape appointments for first-time patients more everywhere available, a supplementary ruminate on suggests. The finding offers what the researchers say is the first place evidence that one of the aims of Obamacare is working - that increasing Medicaid reimbursements for primitive care to more generous Medicare levels increases invalid access to health care. Medicaid is the government's constitution insurance program for the poor health. The results were published online Jan 21, 2015 in the New England Journal of Medicine.

Medicaid notoriously pays providers less than what Medicare and hermit-like insurers get one's for the same services. Policymakers were troubled that the supply of primary-care doctors ready to see Medicaid enrollees after the bourgeoning of health coverage under the Affordable Care Act would not meet staunch demand. To address their concern, the law directed states to elate Medicaid payments for primary-care services in 2013 and 2014. The increases assorted by state, since some were already paying rates closer to Medicare rates and others were paying less than half of Medicare rates, the examine authors noted.

States received an estimated $12 billion in additional federal funding over the two-year era to ratchet up Medicaid payments to qualified primary-care providers, according to the American Academy of Family Physicians. However, the additional federal funding expired at the end of 2014 and, so far, only 15 states envision to with the reimbursement increases, the lessons noted. To assess the effectiveness of the Medicaid pay condition under Obamacare, researchers from the University of Pennsylvania in Philadelphia and the Urban Institute in Washington, DC, received funding from the Robert Wood Johnson Foundation.

Trained callers posing as patients contacted primary-care offices in 10 states during two take periods: before and after the reimbursement increases kicked in. Callers indicated having coverage either through Medicaid or solitary guarantee and requested new-patient appointments. After the money hike, Medicaid choice availability rose significantly, the learning found. In the states with the largest increases in Medicaid reimbursement, gains in assignation availability were exceptionally large, the researchers noted.

Wednesday, February 12, 2014

Shortage Of Physicians First Link Increases In The United States

Shortage Of Physicians First Link Increases In The United States.
Amid signs of a growing paucity of elemental direction physicians in the United States, a unfamiliar study shows that the majority of newly minted doctors continues to gravitate toward training positions in high-income specialties in urban hospitals. This is occurring in spite of a authority vigour designed to lure more graduating medical students to the field of pure care over the past eight years, the research shows continue reading. Primary supervision includes family medicine, general internal medicine, mongrel pediatrics, preventive medicine, geriatric remedy and osteopathic general practice.

Dr Candice Chen, lead sanctum author and an assistant research professor in the department of constitution policy at George Washington University in Washington, DC, said the nation's efforts to aid the supply of primary care physicians and support doctors to practice in rural areas have failed. "The modus operandi still incentivizes keeping medical residents in inpatient settings and is designed to serve hospitals recruit top specialists," Chen said.

In 2005, the Medicare Prescription Drug, Improvement and Modernization Act was implemented with the ambition of redistributing about 3000 residency positions in the nation's hospitals to elementary keeping positions and country areas. The study, which was published in the January descendant of journal Health Affairs, found, however, that in the funeral of that effort, care positions increased only slightly and the relative spread of specialist training doubled.

The goal of enticing more untrained physicians to rural areas also fell short. Of more than 300 hospitals that received additional residency positions, only 12 appointments were in agrarian areas. The researchers worn Medicare/Medicaid information supplied by hospitals from 1998 to 2008. They also reviewed observations from teaching hospitals, including the number of residents and firsthand care, obstetrics and gynecology physicians, as well as the number of all other physicians trained.

The US sway provides hospitals almost $13 billion annually to employee support medical residencies - training that follows graduation from medical instil - according to lessons background information. Other funding sources include Medicaid, which contributes almost $4 billion a year, and the US Department of Veterans Affairs, which contributes $800 million annually, as of 2008. Together, the expense of funding postgraduate medical indoctrination represents the largest civil investment in health care workforce development, the researchers said.