healthcare
kkrisberg | March 18, 2016In another example of the value of investing in public health, a recent study finds that PulseNet, a national foodborne illness outbreak network, prevents about 276,000 illnesses every year, which translates into savings of $507 million in medical costs and lost productivity. That’s a pretty big return on investment for a system that costs just $7.3 million annually to operate.
Created 20 years ago and coordinated by the Centers for Disease Control and Prevention, PulseNet includes 83 state and federal laboratories and identifies about 1,750 disease clusters every year. It works by linking…
kkrisberg | March 16, 2016At Vox, Sarah Kliff writes about the side of medical errors we rarely hear about — the doctors and nurses who make such errors and the mental health toll of living with that responsibility. In an article that explores whether health care workers are getting the support they need to deal with such experiences, Kliff begins with the story of nurse Kim Hiatt:
Kim Hiatt had worked as a nurse for 24 years when she made her first medical error: She gave a frail infant 10 times the recommended dosage of a medication. The baby died five days later.
Hiatt's mistake was an unnecessary tragedy. But what…
kkrisberg | March 11, 2016Poverty and poor health often go hand-in-hand. However, the effects of poverty may be especially profound for children, who are moving through critical developmental and educational phases in their young lives. Knowing that this social determinant of health can lead to a lifelong struggle with poor health and disease, the American Academy of Pediatrics is now calling on pediatricians to screen their young patients for poverty.
Connecting low-income patients with social services and assistance is not necessarily new for many health care providers, but the fact that the nation’s leading…
kkrisberg | March 8, 2016It seems obvious that workers with paid sick leave are more likely to stay home and seek out medical care when they or a family member is ill. But it’s always good to confirm a hunch with some solid data.
In this month’s issue of Health Affairs, researchers used data from the National Health Interview Survey to provide some clarity on the relationship between paid sick leave and health-related behaviors. They found that workers without paid sick leave were three times more likely to forgo medical care than workers who do get paid sick leave. Also, during 2013, both full- and part-time workers…
kkrisberg | February 25, 2016Another day, another study on the potentially life-saving impact of vaccines. This time it’s a new study on the vaccine against human papillomavirus, or HPV, a sexually transmitted disease that can lead to cervical cancer. Earlier this week, researchers announced that since the vaccine came on the scene, rates of HPV among young women in the U.S. have plummeted.
Published in the journal Pediatrics, the study used data from the National Health and Nutrition Examination Survey to analyze HPV prevalence among women ages 14 to 34 in the four years before the HPV vaccine was introduced in 2006 and…
kkrisberg | February 10, 2016President Obama released his 2017 federal budget proposal yesterday, recommending funding boosts for a number of public health priorities. And even though his presidency is coming to an end and so this budget is probably dead on arrival in the Republican-controlled Congress, it’s worth a peek inside.
Here are some of the highlights that seem particularly relevant to public health, health care and working families:
Health care access: The Obama budget would expand federal financing to cover the costs of state Medicaid eligibility expansions. That means the federal government would fully cover…
kkrisberg | February 5, 2016For public health workers, it’s no surprise that social, economic and political conditions shape the distribution and burden of disease. They’ve always known that it takes much more than medicine to keep people healthy. Still, when public health scientist Kristina Talbert-Slagle decided to study the impact of social and public health spending on HIV/AIDS, she wasn’t sure what she’d uncover.
“We thought that maybe there would be a connection, but we didn’t really know what to expect,” said Talbert-Slagle, a senior scientific officer at the Yale Global Health Leadership Institute and a lecturer…
lborkowski | February 1, 2016For some people with employer-sponsored health insurance, a new calendar year means a new healthcare plan. In recent years, many employers have encouraged employees to consider high-deductible health plans – or, in some cases, have made an HDHP the only option. These plans’ premiums tend to be lower than those of other plans, but require enrollees to cover the full cost of most care until they’ve met the deductible. In 2014, the average HDHP deductible was $2,099 for an individual and $4,332 for a family.
Economists have suggested that people with traditional insurance coverage over-consume…
kkrisberg | January 28, 2016Each year, the U.S. spends $26.2 billion on costs associated with preterm birth — that’s birth before 37 weeks of pregnancy. Beyond the costs, babies born too early experience immediate and long-term problems, from developmental disabilities to asthma to hearing loss. For years, scientists have been studying possible environmental contributors, with many finding an association between preterm birth and air pollution. Earlier this week, a new study brought even more depth and clarity to this connection.
Published in the journal Environmental Health, the study found that exposure to high levels…
kkrisberg | January 8, 2016These days, there’s a lot of attention on finding new and creative ways to turn around the nation’s opioid abuse and overdose problem. And it’s attention that’s very much needed because the problem is only getting worse.
On the first day of 2016, the Centers for Disease Control and Prevention published new data on prescription drug and opioid overdose deaths, reporting that more people died from drug overdoses in the U.S. in 2014 than during any other year on record. In fact, during 2014, there were about one-and-a-half more drug overdose deaths than deaths from traffic crashes, with most of…
cmonforton | January 7, 2016**Update below (1/30/2016)
A new paper by NIOSH researchers explores the use of lung transplants for individuals with work-related pneumoconiosis, including black lung disease. Using data from the United Network for Organ Sharing (UNOS) for the period 1996-2014, Blackley and colleagues identified 47 lung-transplant cases in which the patient’s primary diagnosis was “coal workers’ pneumoconiosis” or pneumoconiosis unspecified.” Thirty four of the lung transplants (72%) were performed since 2008.
The medical costs for a bilateral lung transplant are substantial. In 2014, the average cost of…
kkrisberg | January 5, 2016At ProPublica, Michael Grabell expanded his “Insult to Injury” series on the dismantling of the nation’s workers’ compensation system with a disturbing look inside what he dubs the “workers’ comp industrial complex.” He begins his story in Las Vegas at the National Workers’ Compensation and Disability Conference & Expo. And even though Grabell’s previous investigations exposed just how much injured workers must struggle to receive fair compensation and medical care, he details a conference draped in luxury and expense. He writes:
A scantily clad acrobat dangles from the ceiling,…
lborkowski | January 4, 2016As 2015 drew to a close, the Agency for Healthcare Research and Quality announced some good news: Fewer US patients are dying from hospital-acquired conditions (HACs) like pressure ulcers and catheter-associated infections. Between 2011 and 2014, patients had 2.1 million fewer HACs than they would have if the 2010 baseline rate had continued. The drop translated to an estimated $20 billion in healthcare-cost savings and 87,000 fewer deaths.
Of the HACs averted over the four-year period, 40% were adverse drug events, 28% were pressure ulcers, and 16% were catheter-associated urinary tract…
lborkowski | December 28, 2015During the holiday season, Kim, Liz and I are taking a short break from blogging. We are posting some of our favorite posts from the past year. Here’s one of them, originally posted on May 27, 2015:
by Kim Krisberg
For more than a decade, biologist Mariam Barlow has been working on the theory that administering antibiotics on a rotating basis could be a solution to antibiotic resistance. After years of research, Barlow had lots of data, but she needed a more precise way to make sense of it all — something that was so specific it could easily be used to treat patients. So, she joined forces…
lborkowski | December 27, 2015During the holiday season, Kim, Liz and I are taking a short break from blogging. We are posting some of our favorite posts from the past year. Here’s one of them, originally posted on June 26, 2015:
By Kim Krisberg
A common hurdle in the field of occupational health and safety is delivering what can sometimes be life-saving information to the people who need it most. After all, not all employers are amenable to workplace health and safety education. But what if safety advocates could find and connect with the most at-risk workers out in the community? Perhaps even reach vulnerable workers…
kkrisberg | December 14, 2015In 2010, Donna Gross, a psychiatric technician at Napa State Hospital for more than a decade, was strangled to death at work by a mentally ill patient. While on-the-job violence in the health care sector was certainly nothing new at the time, the shocking and preventable circumstances surrounding Gross’ death helped ignite a new and coordinated movement for change. Now, just a handful of years later, California is set to become the only state with an enforceable occupational standard aimed at preventing workplace violence against health care workers.
“Honestly, this (proposed rule) wouldn’t…
kkrisberg | December 3, 2015In 2011, a group of researchers embarked on a national study to measure burnout among physicians. They found that 45 percent of U.S. doctors met the criteria for burnout, which manifests as emotional exhaustion, a loss of meaning in one’s work, feelings of ineffectiveness, and a tendency to see people as objects rather than fellow humans. Less than a handful of years later, the problem has gotten significantly worse.
In a study published this month in Mayo Clinic Proceedings, researchers report that more than half of U.S. doctors were struggling with professional burnout in 2014. More…
kkrisberg | December 1, 2015I usually shy away from getting too personal in my work. But in the spirit of Thanksgiving and as a new mom, I was thinking about things for which I’m particularly grateful. One of the first things that came to mind as a public health reporter? Vaccines. So, in that vein, let’s celebrate some new and promising numbers on the worldwide effort to eliminate measles.
Last month, the Centers for Disease Control and Prevention released new data on progress toward measles elimination since 2000. That’s the year the United Nations adopted the Millennium Development Goals, which included a goal to…
kkrisberg | November 25, 2015Public health insurance programs often get a bad rap, despite a growing positive evidence base on their patient care, quality and outcomes. Earlier this month, another study emerged that found Medicaid and the Children’s Health Insurance Program not only outperform private insurance when it comes to children’s preventive care, they can serve as a model of comprehensive children’s coverage.
Published in JAMA Pediatrics, the study is based on data from the U.S. National Surveys of Children’s Health between 2003 and 2012 — a sample of more than 80,000 children up to age 17 living in households…
kkrisberg | November 17, 2015For the first time since 2006, cases of chlamydia, gonorrhea and syphilis are on the rise, according to new data from the Centers for Disease Control and Prevention. The agency reports that while the sexually transmitted diseases continue to impact young people and women most severely, the recent increases were driven by rising disease rates among men.
Released just today as part of CDC’s Sexually Transmitted Disease Surveillance 2014 report, the data finds that chlamydia cases are up 2.8 percent since 2013; primary and secondary syphilis (the most infectious stages of the disease) are up 15.…