It takes a great deal of time and money to produce clinical practice guidelines for rheumatic diseases. No matter how well a treatment inhibits inflammatory cytokines, it won’t lower disease activity without one essential factor: patient compliance. “You can’t propose a treatment algorithm in your research that no patient would actually use,” says Veena Ranganath,…
Juvenile Idiopathic Arthritis: Parents Discuss Challenges, Support Rheumatologists Can Offer
One parent wishes that she could have consulted a crystal ball at the beginning of her daughter’s illness to have “some kind of idea of what we were in for. There are so many stages of letting go of the idea of what your little kid is in for in life, what they are going…
On Research Review Boards, Conflict-of-Interest Reporting Improves
(Reuters Health)—Many doctors who serve on hospital panels overseeing the ethics and safety of human research trials have industry relationships that may compromise their objectivity, but reporting these conflicts has become more common over the past 10 years, according to a new study. Physicians who serve on so-called institutional review boards (IRBs) may also be…
Authorities Arrest 243 People in $712 Million Medicare Fraud
(Reuters)—The U.S. Department of Justice said on Thursday that 243 people have been arrested across the country, charged with submitting fake billing for Medicare, a government healthcare program, that totaled $712 million. Attorney General Loretta Lynch described the arrests as the largest criminal healthcare fraud takedown in the history of the Justice Department. Those arrested…
Ethics Forum: Plagiarism in EMRs Saves Time, But Can Raise Risk of Errors
Case You’ve been asked to see an inpatient for a rheumatologic consultation. After seeing the patient, you enter an initial consult note in the electronic medical record (EMR). The next day, when you write a follow-up note for this patient, you copy part of your assessment and plan from your prior note. Soon after you…
Ethics Forum: Terminating Hospital Consulting Services
Ethical considerations for rheumatologists in terminating consultative services to a community hospital
Ethical, Regulatory Issues Raise Patient Care Dilemmas for Physical Therapists
How to develop strategies for optimal patient care within confines of contemporary payment systems
Ethics Forum: Electronic Health Records Raise Concerns about Physician-Patient Relationship
Health information technology may distract physicians during exam room visits with patients
Ethics Forum: Patient Test Requests Pose Challenges for Rheumatologists
Ethical challenges physicians face when patients request potentially unnecessary medical tests
Letters: Multidisciplinary Care Treatment Goals, Guidelines Essential for Patients
A patient case [The Rheumatologist, May 2014], emphasizes importance of good communication among multiple healthcare providers
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