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JAMA Internal Medicine

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Lessons About Time-Based Billing in Switzerland

This Viewpoint examines the time-based billing system of Switzerland and makes recommendations to improve the US health care system. http://spr.ly/6269BqVhh
This Viewpoint examines the time-based billing system of Switzerland and makes recommendations to improve the US health care system.
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A man in his 80s presented with weakness, fever, and chills of 1 week’s duration. His medical history was significant for severe aortic stenosis, heart failure with preserved ejection fraction, and end-stage renal disease requiring hemodialysis. His physical examination was unremarkable except...
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Context Cardiac tamponade is a state of hemodynamic compromise resulting from cardiac compression by fluid trapped in the pericardial space. The clinical examination may assist in the decision to perform pericardiocentesis in patients with cardiac tamponade diagnosed by...
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Dietary Patterns and Fractures in Postmenopausal Women

High diet quality characterized by adherence to a Mediterranean diet is associated with a lower risk for hip fractures. These results support the notion that following a healthy dietary pattern may play a role in the maintenance of bone health in postmenopausal women. http://ja.ma/1RG9ebX
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Healthcare Communication Technology

Health care in general and primary care in particular care would benefit from providing improved convenience and access, such as self-scheduling and expanded hours, but must also work to facilitate relationships or it will risk further fragmenting care. http://ja.ma/236I6LD
Rapid changes in technology have created the potential for a major disruption in health care. A host of new health care companies claim to want to revolutionize health care in the same way Uber and others are revolutionizing transportation. Companies such as Pager, Medicast, Heal, and...
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Testing Vitamin D Levels and Choosing Wisely http://spr.ly/6261BUULz
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JAMA Internal Medicine

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Clinician Factors Associated With PSA Screening in Older Veterans

Men with limited life more likely to get PSA screening from older male non-trainee clinicians Our study found that PSA screening was lowest among men with a geriatrician compared with clinicians in other specialties. While it is known that urologists order PSA screening more often than primary care clinicians, our findings also showed a difference in PSA screening between clinicians specializing in geriatric and general medicine. http://ja.ma/236IhGJ
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Characteristics of Cardiac Catheterization Patients

In what we believe to be the largest contemporary US registry, most patients referred for catheterization before noncardiac surgery are described as asymptomatic, but they are commonly found to have obstructive CAD. http://ja.ma/1RG8WSF
This study describes the characteristics, angiographic findings, and treatment patterns of patients with stable angina symptoms undergoing cardiac catheterization and/or percutaneous coronary intervention before noncardiac surgery in a large national registry.
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Burden of Inbox Notifications in Commercial EHRs

Physicians spend an estimated 66.8 minutes per day processing notifications, which likely adds a substantial burden to their workday. Specialists received less than half this amount of notifications, and part-time physicians appeared to receive proportionately more notifications. Because a single notification often contains multiple data points (eg, results of metabolic panels contain 7-14 laboratory values), the actual burden and required cognitive effort required of the physicians is likely greater. http://ja.ma/1R7G2Rm
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This JAMA Clinical Evidence Synopsis discusses the association of fixed-dose combination therapy (polypill) and a reduced risk for cardiovascular disease (CVD).
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Palliative Care in TAVR and VAD

We observed a low rate of formal inclusion of palliative care consultation in institutional protocols, with higher use in patients receiving a VAD than a TAVR, and lack of specific knowledge about the protocols themselves. http://spr.ly/6269BUU0b
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Syncope Following Orthotopic Heart Transplant http://spr.ly/6262BUUxQ
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Have them in circles
95 people
Lucien Weiss's profile photo
Antonious Hanalla's profile photo
Yuri Maldonado's profile photo
Mohamad Nasser's profile photo
Primary Care Associates of Appleton, Ltd.'s profile photo
Total Voice Technologies's profile photo
My Leg, My Choice's profile photo
Jason Maley's profile photo
Ram Abhishek Sharma's profile photo
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Science, Medicine, Public Health, Peer-review, Medical Journal
Introduction
JAMA Internal Medicine is an international, peer-reviewed journal published weekly online and monthly in print.