Put the Script Pad Down: FDA’s New Drug Approvals Pose Significant Risks

chronic inflammation

For every 100 new drugs introduced in the market, there have been 34 withdrawals or new black box warnings in the past 25 years. Since 1992, FDA sped up the pace and approval process for pharmaceutical companies willing to pay a fee. Approval time was cut in half, but with it came a significant number of safety withdrawals and warnings. This study, released today in Health Affairs, shows the expeditious process has placed millions of Americans at risk, essentially making them unwitting members of safety trials after the drug was approved.

Inadvertent Stereotyping Leads to Healthcare Disparities

Going to the doctor’s office is a stress-inducing event for many people But for blacks, it can be particularly terrifying, because of something called negative racial stereotyping. And while racial stereotyping may not be intentional, it can seep into a patient’s psyche in ways you might not realize. A first-of-its-kind study by researchers at USC and Loyola Marymount University (LMU) has found evidence that the persistent health disparities across race may, in part, be related to anxiety about being confronted by negative racial stereotypes while receiving healthcare. Black women who strongly identified with their race were more likely to feel anxious in a healthcare setting – particularly if that setting included messaging that promoted negative racial stereotypes, even if inadvertently. Posters can be one source of this negative stereotyping. In light of this research, Today’s Practitioner tracked down some positive messaging on aging that you can download for your office (high-resolution downloads available free for Today’s Practitioner’s registered users). By Cleopatra M Abdou and Adam W Fingerhut, published in the American Psychological Association journal Cultural Diversity and Ethnic Minority Psychology, July 21, 2014, Vol. 20.

US Dead Last in Healthcare Rankings, Critics Cite Socialized Medicine Bias

“We’re Last! Again!” was the headline on NBC News regarding the most recent Commonwealth Fund Report on the state of industrialized countries’ healthcare systems. Once again, the US was deemed the most expensive and the least effective, least equitable and had the poorest outcomes among its economic counterparts. Critics argued the study is biased toward socialized medicine and does not take into account the technological advances and patient satisfaction and outcomes. On the plus side, the US scored well in preventive care efforts, under the category of “effective care.” And, certain states scored well —Minnesota, Massachusetts, New Hampshire, Vermont, and Hawaii—lead the nation across most dimensions of care.

Balancing Priorities and Relationships as Integrative Healthcare Providers, with Adam Perlman, MD

Adam Perhlman

Relationships, priorities, and a life worth living when serving as a physician Essay by Adam Perlman, MD, MPH, Director of the Leadership Program in Integrative Healthcare at Duke University. Relationships are a key component to success — and sometimes failure — not only on the job but also in one’sRead

Dear Doctor, #PleaseTextMe

Reminder: Plz take your meds. How r u feeling 2day? These aren’t texts from Mom, they are from physicians. Text messaging in health care started with routine appointment reminders. Today, evidence shows patients prefer to receive texts and updates from their health-care providers. Physicians report text messaging can influence health behavior and decisions and save time for health care providers. With better compliance outcomes and time savings, why aren’t you texting your patients? Download a free white paper for more on mobile technology and practice management.

Want Dynamic Leadership? Find a Partner

By Bonnie Horrigan When conceptualizing the Leadership Program for Integrative Healthcare at Duke, a group of us were brainstorming what might make a leader in an integrative clinic different from a leader in a conventional healthcare setting.  We looked at the principles involved in integrative care and asked ourselves: CouldRead

Can You Hear Me Now? Improving Practitioner-Patient Communication

Doctor patient communication

One of the most useful tools in your medical kit isn’t the latest pharmaceutical, supplement or integrative therapy, it’s patient communication. A recent small study highlighted that when it comes to complementary and alternative medicine (CAM), Americans report widespread interest and usage (30-53%% for adults, 12% children), but too oftenRead