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March 14, 2019
              FHIweekly               
  Volume X  |  Issue 11       
The Fallacy of Patient-Centered Care
Myles Gart, MD 
KevinMD 
 
I often wonder what it was like before patient-centered care became a mainstream catchphrase. Was there a poor relationship between the patient and physician in the outpatient setting? Were hospitalized patients' feelings, desires, goals, and therapy options ignored? It amazes me that we were able to care for patients more than ten years ago without using a "patient-centered" approach. According to NEJM Catalyst, "Patient-and family-centered care encourages the active collaboration and shared decision-making between patients, families, and providers to design and manage... 
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Healthcare Professional Education Program 
March 21 | Coral Gables 
Bad Dreams Are Good
Your night life prepares you for what's to come.
Ben Healy reports on dreams in the April edition of The Atlantic:

What are dreams for? A handful of theories predominate. Sigmund Freud famously contended that they reveal hidden truths and wishes. More recent research suggests that they may help us process intense emotions, or perhaps sort through and consolidate memories, or make sense of random neuron activity, or rehearse responses to threatening situations. Others argue that dreams have no evolutionary function, but simply dramatize personal concerns. Despite being largely unsupported by evidence, Freud's view maintains a strong following around the world. Researchers found that students in the U.S., South Korea, and India were much more likely to say that dreams reveal hidden truths than to endorse better-substantiated theories.

FloridaHealthIndustry.com 

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CEO and CFO Compensation Trends in the Healthcare Industry
 
The U.S. healthcare system is comprised of a broad spectrum of organizations that provide an array of services and products, including hospitals, research institutions and pharmaceutical companies. And, those organizations are increasingly converging or working together to improve care. Government regulations have a heavy influence on this industry, including the Affordable Care Act, which continues to be a battle ground for Congress and the courts. Other key influencers on the healthcare industry include an aging population, FDA reviews, technology advancements, disposable income and consolidation.
 
Demand is high for leaders that can both navigate the complexities of government regulations and anticipate what is coming as the industry is redefined. When competing for top leadership talent, Boards want to pay competitively while creating an incentive package that balances performance goals with cautious risk taking. In addition, it is important to ensure that pay decisions can be substantiated to stakeholders.
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A Diabetes Home Test Can Be a Waste of Time and Money
 
Aaron Carroll, MD, MS examines a costly and relevant healthcare issue in a recent post at The Incidental Economist:
 
More than 30 million people in the United States have diabetes. The vast majority of them have Type 2 diabetes. Some of those are testing their blood sugar at home, but the best research is telling us that they don't need to - that in fact it's a waste of money. It's not a small problem. The waste is running into the billions of dollars, and it's costing all of us money through the health care system. For people with Type 1 diabetes, blood glucose monitoring and insulin administration is the standard of care. Patients need to check their blood sugar a number of times a day, then give themselves insulin to replace what would have been made in the pancreas. Treatment for Type 2 diabetes, however, doesn't involve these critical calculations of insulin. It's usually maintained with pretty regular administration of the same drugs on a set schedule.

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