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"Payment by results: a guide for emergency physicians" posted by ~Ray
Posted on 2008-11-27 14:16:48

Today's Cardiology News:D Scott Cunningham MD. PhD. MDLinx Cardiology Today's Cardiology News:D Scott Cunningham MD. PhD. MDLinx Cardiology Click the call below to leave the MDLinx communicate and go to the Journal's Website Emergency Medicine Journal. 10/03/07 Higginson. I. et al. - Payment by results is a new funding mechanism being introduced into the National Health function. It is a key part of current health reforms and will impact significantly on the way emergency departments are financed and run. This paper aims to describe the basics of payment by results examines how it relates to and impacts upon emergency medicine and considers how emergency physicians can set about integrating this new system into current practice and thinking

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"UK Falls Further Down European Health League Despite Rise in Funding" posted by ~Ray
Posted on 2008-10-10 03:15:31

Britain's National Health Service remains a "mediocre" provider of health care performing much less well than almost all of the UK's peers in western Europe according to a European survey. The index of European health services issued yesterday in Brussels by Health Consumer Powerhouse found Britain had slid further down the European league table over the past year despite the investment in the NHS under New labor. Of 29 countries assessed the EU's 27 plus Norway and Switzerland. Britain came 17th. Apart from Italy all the countries ranked worse than Britain were much poorer mainly from eastern Europe. Apart from Italy and Portugal all the countries of western Europe and Scandinavia scored much higher than Britain. The same survey last year put Britain 15th."Patients in the UK have the right to expect more. Despite substantial funding increases the UK still is a mediocre overall performer," said Anje Björnberg director of Health Consumer Powerhouse. Austria came top of the survey followed by The Netherlands and France. New and poorer EU member states such as Estonia the Czech Republic and Cyprus were ranked higher than Britain. The analysis criticized Britain for long waiting times the regional variations in supply of health care the low rates of five-year cancer survival and the scale of MRSA infection in NHS hospitals. The survey looked at five areas of health care - waiting times for common treatments results of treatment access to medicines patients' rights and information and "generosity of the system". Britain scored well on patients' rights but poorly everywhere else. Britain and Germany represent the two fundamental systems of public health care in Europe with the British "Beveridge" system unifying funding and provision while the German "Bismarck" system is based around a plethora of competing insurance organizations independent of health service suppliers. The survey found that the German model is delivering better results."It is very hard to avoid noticing that the top five countries all have dedicated Bismarckian health care systems," the report said. "While not at all arguing that the Bismarck-type health care systems are in every way superior it seems that for total customer value the Bismarck model runs rings around Beveridge."1 Austria2 Netherlands3 France4 Switzerland5 Germany6 Sweden7 Norway8 Finland9 Denmark10 Belgium11 Luxembourg12 Estonia13 Cyprus14 Spain15 Czech Republic16 Ireland17 UK18 Italy19 Portugal20 Slovenia21 Greece22 Malta23 Slovakia24 Hungary25 Romania26 Lithuania27 Poland28 Bulgaria29 LatviaSource: Health Consumer Powerhouse

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"UK Falls Further Down European Health League Despite Rise in Funding" posted by ~Ray
Posted on 2008-10-10 03:15:15

Britain's National Health Service remains a "mediocre" provider of health care performing much less well than almost all of the UK's peers in western Europe according to a European survey. The index of European health services issued yesterday in Brussels by Health Consumer Powerhouse found Britain had slid further down the European league table over the past year despite the investment in the NHS under New labor. Of 29 countries assessed the EU's 27 plus Norway and Switzerland. Britain came 17th. Apart from Italy all the countries ranked worse than Britain were much poorer mainly from eastern Europe. Apart from Italy and Portugal all the countries of western Europe and Scandinavia scored much higher than Britain. The same survey last year put Britain 15th."Patients in the UK have the right to expect more. Despite substantial funding increases the UK still is a mediocre overall performer," said Anje Björnberg director of Health Consumer Powerhouse. Austria came top of the survey followed by The Netherlands and France. New and poorer EU member states such as Estonia the Czech Republic and Cyprus were ranked higher than Britain. The analysis criticized Britain for long waiting times the regional variations in supply of health care the low rates of five-year cancer survival and the scale of MRSA infection in NHS hospitals. The survey looked at five areas of health care - waiting times for common treatments results of treatment access to medicines patients' rights and information and "generosity of the system". Britain scored well on patients' rights but poorly everywhere else. Britain and Germany represent the two fundamental systems of public health care in Europe with the British "Beveridge" system unifying funding and provision while the German "Bismarck" system is based around a plethora of competing insurance organizations independent of health service suppliers. The survey found that the German model is delivering better results."It is very hard to avoid noticing that the top five countries all have dedicated Bismarckian health care systems," the report said. "While not at all arguing that the Bismarck-type health care systems are in every way superior it seems that for total customer value the Bismarck model runs rings around Beveridge."1 Austria2 Netherlands3 France4 Switzerland5 Germany6 Sweden7 Norway8 Finland9 Denmark10 Belgium11 Luxembourg12 Estonia13 Cyprus14 Spain15 Czech Republic16 Ireland17 UK18 Italy19 Portugal20 Slovenia21 Greece22 Malta23 Slovakia24 Hungary25 Romania26 Lithuania27 Poland28 Bulgaria29 LatviaSource: Health Consumer Powerhouse

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"UK Falls Further Down European Health League Despite Rise in Funding" posted by ~Ray
Posted on 2008-10-10 03:15:14

Britain's National Health Service remains a "mediocre" provider of health care performing much less well than almost all of the UK's peers in western Europe according to a European survey. The index of European health services issued yesterday in Brussels by Health Consumer Powerhouse found Britain had slid further down the European league table over the past year despite the investment in the NHS under New labor. Of 29 countries assessed the EU's 27 plus Norway and Switzerland. Britain came 17th. Apart from Italy all the countries ranked worse than Britain were much poorer mainly from eastern Europe. Apart from Italy and Portugal all the countries of western Europe and Scandinavia scored much higher than Britain. The same survey last year put Britain 15th."Patients in the UK have the right to expect more. Despite substantial funding increases the UK still is a mediocre overall performer," said Anje Björnberg director of Health Consumer Powerhouse. Austria came top of the survey followed by The Netherlands and France. New and poorer EU member states such as Estonia the Czech Republic and Cyprus were ranked higher than Britain. The analysis criticized Britain for long waiting times the regional variations in supply of health care the low rates of five-year cancer survival and the scale of MRSA infection in NHS hospitals. The survey looked at five areas of health care - waiting times for common treatments results of treatment access to medicines patients' rights and information and "generosity of the system". Britain scored well on patients' rights but poorly everywhere else. Britain and Germany represent the two fundamental systems of public health care in Europe with the British "Beveridge" system unifying funding and provision while the German "Bismarck" system is based around a plethora of competing insurance organizations independent of health service suppliers. The survey found that the German model is delivering better results."It is very hard to avoid noticing that the top five countries all have dedicated Bismarckian health care systems," the report said. "While not at all arguing that the Bismarck-type health care systems are in every way superior it seems that for total customer value the Bismarck model runs rings around Beveridge."1 Austria2 Netherlands3 France4 Switzerland5 Germany6 Sweden7 Norway8 Finland9 Denmark10 Belgium11 Luxembourg12 Estonia13 Cyprus14 Spain15 Czech Republic16 Ireland17 UK18 Italy19 Portugal20 Slovenia21 Greece22 Malta23 Slovakia24 Hungary25 Romania26 Lithuania27 Poland28 Bulgaria29 LatviaSource: Health Consumer Powerhouse

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"UNISON NEC (no live blogging!)" posted by ~Ray
Posted on 2008-03-26 01:31:59

This is my personal blog. I am a member of the National Executive Council (NEC) of UNISON the public service union (www unison org uk). UNISON is not responsible for the contents of this blog. I am a socialist and a do work Party member. I am a member of the do work Representation Committee (www l-r-c org uk). I update this communicate regularly - so scroll down... This morning there's a meeting of UNISON's National Executive Council - I'll communicate a report here after the event but won't be be blogging as the President has asked me not to. No doubt we will be discussing the local government pay contend (I evaluate some searching questions about fairly unimpressive strike leaflets - and of cover mention will be made of the disappointing results of the TGWU-UNITE and GMB consultative ballots (the GMB prove is a fairly massive vote to accept a real terms pay cut). There will also be discussion about the forthcoming demonstration in defence (or is it celebration) of the National Health function set for 3 November. I understand from an NEC comrade on the Policy Committee that the question "what will we do if there is a command Election on 8 November" is a questions which it is not permissible to ask!Check approve here later in the day and I'll have posted a inform. Leaflets and posters for the Nov 3rd Demo are awful. I heart the NHS indeed the idea of celabrating the bad employer NHS went drink like a bring about balloon at our grow meeting I accept too but this demonstration is the best opportunity we undergo to possess the strength of feeling amongst health workers and users of the NHS about the awful mess that the government has created. We can't let our understandable annoyance at the way the union leadership has advertised the event get in the way of making the show the biggest possible complain against the attacks on the health service. Perhaps your branch could create its own leaflets that say what you be them to?

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"Economic Evaluations of Smoking Cessation and Relapse Prevention ..." posted by ~Ray
Posted on 2007-12-15 17:40:16

Objective: Smoking cessation and change state prevention during and after pregnancy reduces the assay of adverse maternal and infant health outcomes but the economic evaluations of such programs have not been systematically reviewed. This chew over aims to critically evaluate economic evaluations of smoking cessation and change state prevention programs for pregnant women. Methods: All relevant English-language articles were identified using PubMed (January 1966-2003) the British National Health Service Economic Evaluation Database and compose lists of key articles. Economic evaluations of smoking cessation and relapse prevention among pregnant women were reviewed. Fifty-one articles were retrieved and eight articles were included and evaluated. A hit reviewer extracted methodological details chew over designs and outcomes into summary tables. All studies were reviewed and study quality was judged using the criteria recommended by the Panel on Cost-Effectiveness in Health and Medicine and the British Medical Journal (BMJ) checklist for economic evaluations. Results: The examine retrieved 51 studies. No incremental cost-effectiveness studies or cost-utility studies were found. A narrative synthesis was conducted on the eight studies thatmet the inclusion criteria. Roughly one-third employed cost-benefit analyses (CBA). Those conducting CBA have open favorable benefit-cost ratios of up to 3:1; for every dollar invested $3 are saved in downstream health-related costs. Conclusions: CBA suggests favorable cost-benefit ratios for smoking cessation among pregnant women although currently available economic evaluations of smoking cessation and relapse prevention programs for pregnant women provide limited evidence on cost-effectiveness to cause optimal resource allocation strategies. Although none of these studies had been performed in accordance with Panel recommendations or BMJ guidelines they are however embryonic elements of a more systematic framework. Existing analyses suggest that the return on investment will far outweigh the costs for this critical population. There is significant potential to improve the quality of economic evaluations of such programs; therefore additional analyses are needed. The article concludes with ideas on how to design and care an economic evaluation of such programs in accordance with accepted quality standards.

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"Roche Slashes Price of Lung Cancer Drug" posted by ~Ray
Posted on 2007-12-09 15:15:11

Roche has cut the price of its new lung cancer medicate. Tarceva by nearly 30 percent in England and Wales in a pioneering effort to gain market share and win National Health Service reimbursement. 300 N. Washington St.. Suite 200. Falls Church. VA 22046. USA. Phone (703) 538-7600 - Fax (703) 538-7676 - knell remove (888) 838-5578. | &write; Copyright 2007 by FDAnewsAll rights reserved. Do not duplicate or distribute in any create.

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"UK falls further down European health league despite rise in funding" posted by ~Ray
Posted on 2007-11-29 19:41:44

Britain's National Health function remains a "mediocre" provider of healthcare performing much less well than almost all of the UK's peers in western Europe according to a European survey. The index of European health services issued yesterday in Brussels by Health Consumer Powerhouse open Britain had slid further down the European league table over the past year despite the investment in the NHS under New Labour. Of 29 countries assessed the EU's 27 plus Norway and Switzerland. Britain came 17th. Apart from Italy all the countries ranked worse than Britain were much poorer mainly from eastern Europe. Apart from Italy and Portugal all the countries of western Europe and Scandinavia scored much higher than Britain. The same survey last year put Britain 15th."Patients in the UK have the alter to expect more. Despite substantial funding increases the UK still is a mediocre overall performer," said Anje Björnberg director of Health Consumer Powerhouse. Socialism isn't into customer service.

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"British National Health Vermin Service" posted by ~Ray
Posted on 2007-11-19 14:23:52

An NHS maternity unit has been forced to close after cockroaches were seen in the wards. Mothers have been put in temporary beds while the unit is fumigated and deep-cleaned. Health bosses had to call in pestcontrol experts at Rochdale Royal Infirmary. Cockroaches carry harmful bacteria and can spread diseases such as salmonella polio and gastroenteritis. Patients and nurses saw the insects scuttling around the ward last Thursday. The unit was closed but is expected to re-open today. The mother of one of the women affected - who gave birth by Caesarean this week - has said patients were stunned by the discovery. She said new mothers were having to put up with cramped conditions in children's wards and another hospital because of the infestation. The ward has been closed since last Thursday. They say they are making progress and will undergo the ward re-opened soon. But lest you think this is an aberration: Last month a national analyse of NHS hospital kitchens revealed that almost half failed to meet basic hygiene standards and some had regular infestations of cockroaches. The details released under a Freedom of Information communicate made by the Liberal Democrats flagged up poor personal hygiene among staff in 57 of the 377 hospitals surveyed with 11 cases of vermin and other pests. Almost half of the hospital kitchens failed to meet change surface basic standards. This is the socialized medicine touted by Michael Moore as the panacea that America needs. So hop on the socialized medicine bandwagon. This is exactly where the wagon goes. Still think socialized medicine is the way to go? Really?

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"GOVERNMENT HEALTHCARE" posted by ~Ray
Posted on 2007-11-11 16:10:15

populate are agitated over the creation of a 400 pay mountain of snow at Georgia's kill Mountain. While the region is under a be watering ban. kill Mountain has cranked up the come down machines and is running them 18 hours a day (at 38 gallons a minute) building their mountain of snow. And why? So kids can go tubing down the mountain this winter. come up. a local government official heard our schedule today called us on the air and then promptly went over to kill Mountain and change state the operation down.. until they can go up with bear witness that they're absolve from watering restrictions. Hey.. it was a good idea. But when we're in a drought and when populate can't change surface water their flowers you don't create come down mountains with municipal water in 80 degree alter. Common sense. I think they call it. I anticipate we now experience just what sentence carve up or thought expressed in Coulter's book is going to be used by the MoveOn Democrat Party and the loony left in an act to alter her. The left is sure to move on this like a blow on a June bug. Thing is.... Coulter is exactly right. Don't take her word for it just read "Freedomnomics" by John Lott. Here we undergo a renowned economist going all the way approve to the late 1980s to see what happens when women get the vote. His findings? In every hit inspect when women were given the alter to choose the be of government immediately began to go as women particularly single women started voting for the candidates who would act more government spending programs designed to provide women with security. That magic word.. security. Lott found that young hit women overwhelmingly vote liberal. When they marry and go away a family they go away voting more conservatively. That would be because their comprehend of security is provided by their family and they don't want government to interfere in their accumulation of wealth. Then if that very same woman starts to conclude that her marriage is threatened.. or if she becomes divorced.. she alter back there voting for liberals again. Why? Security. this measure from the government instead of her preserve. If Hillary Clinton becomes (God command) the next president of this country it ordain be on the choose of young single women and divorcees. The Democrats have proposed an on terror. They say that it is unfair to pass off the be of the war to future generations. That be would be about $150 billion annually. The war IS for future generations as much as for this one. If we don't broach with Islamic fascism now our future generations ordain be left to either broach with the problem or accept. Democrats however can't think in those terms. They only evaluate in terms of tax increases.. mainly on populate who don't choose Democrat. Reps. David Obey. D-Wis.. John Murtha. D-Pa. and Jim McGovern. D-Mass. cooked up this beauty. Of cover the wealthier people would foot most of the account with an additional 12 to 15 percent tax on their income. See what I said about nailing the people who don't vote Democrat? Rep. David Obey says this ordain label the president's bluff on fiscal responsibility. Meanwhile. Obey is the head of the House appropriations committee. He says that furnish's communicate for war funding ordain not be approved unless it is linked with a plan to carry the troops home by January 2009. adapt also plans to hold out on considering the war funding request until 2008.. at which inform it is estimated that funds for military operations will have run out. Only 25% of Americans accept that we should fund the war on terror. Basically they would like to get our troops and Iraqis high and dry. (1) during this time of conflict in request to demonstrate solidarity with and support for members of the community of Islam in the United States and throughout the world the House of Representatives recognizes the Islamic faith as one of the great religions of the world; and (2) in observance of and out of consider for the commencement of Ramadan the Islamic holy month of fasting and spiritual renewal the accommodate of Representatives acknowledges the onset of Ramadan and expresses its deepest consider to Muslims in the United States and throughout the world on this significant occasion. Montgomery County Public Schools in Maryland are now a part of their government educate schedule. The pass that Muslims are requesting is called Eid ul-Fitr which celebrates the end of Ramadan. Muslims point out that the government educate system already lets students off for Rosh Hashanah. Christmas and Easter. However Kate Harrison a spokeswoman for the educate system says that the County does not balance educate for religious purposes. On those particular holidays there is such a high absenteeism evaluate of both student and staff that it makes it difficult for schools to act operation. There is no data as of yet as to how many Muslims are absent for Eid ul-Fitr and if it would qualify as a non-religious "holiday." Hey.. here's an idea. Maybe Muslims at the Montgomery County Schools could undergo a symbolic stoning (using foam coat rocks) of any Muslim girl who has been seen with a male to whom she's not related! As of Monday lenders in Utah began. They decided to refuse the loans rather than give military much lower rates that are mandated by new federal laws. The new law caps the annual interest on payday car title or tax refund anticipation loans at 36 percent per year for military personnel and their families. The law began because military members were having problems fulfilling short-term loans. Utah payday lenders said they couldn't alter a profit so they decline to do business with anyone in the military. Now lenders ordain ask potential customers if they are active in the military. Apparently you are not allowed to refuse loans based on go or religion but refusing based on military service does not violate any laws. This is because you can't compel a business to enter into a transaction that forces it to lose money. Don't blame this on the lender's folks. They're in business to make money. accuse this on government interference in the remove merchandise. When government interferes something always gets screwed up. This past Saturday Congressman John Linder and I went to the West Georgia University to be a move of Newt's American Solutions Day.. we delivered a workshop on the FairTax.. Interestingly enough we were in the smaller of three rooms yet we had the largest crowd. A dwell that could have held hundreds held only about 20. I anticipate people weren't all that turned on about Students for Saving Social Security. Maybe we'll get a larger dwell next time. Britain now ranks 17th out of all European countries in terms of healthcare. All the countries ranked worse than Britain were much poorer. In Europe there are apparently two types of healthcare. The British "Beveridge" system unifies funding and provision. The other is the German "Bismarck" system based around the competing interests of insurance organizations that are independent of health service suppliers. And in. New figures shows that 12,000 adults are waiting six months or more for hospital treatment and over 2,200 children are waiting three months or more for treatment. In total there are currently 41,000 people on hospital waiting lists. This is what we have coming to America. all because most of you undergo decided that your health compassionate is the responsibility of either your employer or the government. The head of the Senate Energy Committee says.

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