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The Latest in Native American Health News: Healthcare Worker Challenges

Physician Shortages

The Indian Health Service (IHS) faces significant physician shortages, with a vacancy rate of 25% in 2018. To address this, the American Medical Association (AMA) recommends creating an office of academic affiliations to establish partnerships with medical schools and residency programs. Currently, the IHS lacks formalized connections with academic medical centers, unlike other federal health systems such as the Veterans Health Administration and the Military Health System. These partnerships could offer training opportunities and help attract physicians to underserved areas. The AMA also suggests raising physician compensation, modernizing facilities, and developing funding streams for rotations and learning opportunities. Additionally, the IHS should evaluate regulatory barriers and provide resources to support physicians serving American Indian, Alaska Native, and Native Hawaiian communities. Overall, the AMA is committed to addressing the physician shortage within the IHS to ensure access to healthcare for these populations.

Cortez Masto’s Legislation for Enhancing Recruitment Efforts

Representatives from the Reno-Sparks Indian Colony Tribal Health Center and the U.S. Department of Health and Human Services advocated for the approval of the IHS Workforce Parity Act before a Senate panel. This legislation, co-sponsored by Senators Catherine Cortez Masto and Markwayne Millen, aims to address healthcare worker recruitment and retention challenges at Indian Health Service (IHS) facilities.

The proposed act would enable part-time providers to access IHS scholarship and loan repayment programs, aligning them with similar programs like the National Health Service Corps (NHSC). This alignment would enhance recruitment efforts in provider-shortage areas, improving access to healthcare in tribal communities.

Testimonies revealed that IHS facilities face significant staffing shortages, with a national vacancy rate of 25%, which can escalate to 50% in rural and frontier tribal clinics in Nevada. The current full-time work requirement for accessing grant and loan repayment benefits acts as a barrier to recruitment and retention efforts.

Understaffing negatively impacts healthcare outcomes in tribal communities, exacerbating conditions such as diabetes, cirrhosis, chronic lung diseases, and behavioral health issues. Failure to address these challenges undermines the U.S. government’s trust responsibility to ensure the healthcare needs of Native communities are met, as outlined in legal agreements between First Nations and the federal government.

New Facilities in Arizona

In Arizona, three new health facilities have opened recently to improve healthcare access for Native American communities, with more projects in progress. Despite strides, Native Americans still face health disparities like diabetes and cardiovascular disease. The Navajo Nation, home to over 244,000 people, operates 12 primary care facilities under the Indian Health Service (IHS), crucial in an underserved area.

The Supai Health Station, nestled in the Grand Canyon and reachable only by air, mule, or foot, offers expanded services like primary care and dental. Similarly, the Dilkon Medical Center in the Navajo Nation provides comprehensive healthcare, including in-patient beds and behavioral health support.

Scheduled for May 2024, Sage Memorial Hospital in Ganado will further strengthen healthcare, serving around 23,000 people. Despite progress, challenges persist, including a shortage of hospital beds and healthcare professionals. Recruitment incentives like loan repayment aim to attract Native American individuals to healthcare careers.

Future plans include constructing new facilities in Bodaway Gap, Arizona, and Gallup and Pueblo Pintado, New Mexico, to enhance healthcare access for Native American communities in the region.

Any healthcare facilities needing support in radiology can look to Vesta for accurate and timely interpretations, even for subspecialties. Please contact us to learn more about our 24/7/365 teleradiology services.

Sources:

Nevadacurrent.com
cronkitenews.azpbs.org
ama-assn.org
openai.com

February AI News in Radiology

Brain Tumor Spotted on PET Imaging

An AI algorithm named “JuST_BrainPET” identified a glioblastoma in a patient that had been missed by physicians. This finding, reported in the Journal of Nuclear Medicine, underscores the potential of AI-based decision support in diagnostic and treatment planning. The algorithm automatically segments metabolic tumor volume from healthy tissue on brain PET imaging. In a case study, it detected a lesion in the frontoparietal region, not identified by an expert, which progressed to a small tumor. The AI tool’s early detection could have influenced diagnostic and treatment decisions.

Using Eye-Tracking

Researchers in Lisbon, Portugal, have pioneered a method to enhance AI interpretability in radiology by integrating eye-tracking data into deep learning algorithms. This innovative approach, outlined in the European Journal of Radiology, aims to align AI systems more closely with human understanding, marking a significant leap towards more human-centered AI technologies in radiology. By leveraging eye-gaze data, the researchers sought to bridge the gap between human expertise and AI computational power, anticipating that AI models could learn from the nuanced patterns of image analysis observed by radiologists.

This integration promises AI models that prioritize image characteristics relevant for diagnosis, potentially reducing the disparity between AI decision-making processes and human radiologists’ diagnostic approaches. The potential benefits of this research are vast, potentially leading to AI systems that are not only more effective in identifying pathologies but also more understandable to radiologists, thus fostering trust in AI-assisted diagnostics and accelerating their adoption in healthcare.

Review Paper on AI and Cancer Detection

Professor Pegah Khosravi and her team of researchers explore how artificial intelligence (AI) can enhance anomaly detection in MRI scans to advance precision medicine. Their comprehensive review, published in the Journal of Magnetic Resonance Imaging, focuses on AI techniques like machine learning and deep learning, particularly in identifying tumors in the brain, lungs, breast, and prostate.

The authors discuss several AI strategies for improving tumor detection, including a holistic approach that integrates data from various imaging techniques such as MRI, CT scans, and PET scans, along with genomic information and patient histories. This approach not only enhances anomaly detection accuracy but also facilitates personalized treatments based on comprehensive patient profiles.

Furthermore, the paper explores the use of ensemble methods in AI, which combine different AI models’ strengths to improve anomaly detection. By leveraging these methods, a more thorough analysis of MRI data is ensured. The authors advocate for AI systems that are accurate and transparent in their decision-making processes, fostering trust among healthcare professionals. They also stress the importance of collaboration among researchers, clinicians, and policymakers to effectively implement AI in medical imaging, guiding future advancements in the field.

Sources:

Auntminnie.com
bnnbreaking.com
gc.cuny.edu
openai.com

How to Pick the Best Teleradiology Company

As the demand for healthcare services continues to surge and the shortage of healthcare workers persists, particularly in specialized fields, such as radiology, hospitals and healthcare centers find themselves facing the challenge of ensuring timely and accurate interpretations of medical imaging studies. The critical role of radiologists in diagnosing illnesses and guiding treatment decisions underscores the urgency of addressing this shortage. In response, many institutions are turning to teleradiology companies to bridge the gap and provide remote interpretation services. However, selecting the right teleradiology company is paramount to ensure high-quality patient care and seamless integration into existing workflows. In this discussion, we will explore the criteria for choosing a reputable teleradiology company, considering factors such as expertise, technology infrastructure, turnaround time, and adherence to regulatory standards. By making informed decisions in this regard, healthcare facilities can optimize their radiology services and meet the needs of patients efficiently.

remote radiology company — Rad tech and radiologist

Checklist for Choosing a Teleradiology Partner

Before selecting a teleradiology company, healthcare providers should consider several key factors to ensure they choose a partner that meets their needs and maintains high standards of service. Here are some important considerations:

Quality and Expertise: Assess the qualifications and experience of the radiologists employed by the teleradiology company. Look for board-certified radiologists with expertise in relevant subspecialties. A recent survey of 2,749 radiologists from 108 countries reveals that while they read across almost five subspecialties daily, many lack confidence in certain areas. About 40% accept studies across all specialties, but less than half feel “very confident” in their current subspecialty, so it is vital to ensure the radiologists you work with have expertise in what you require.
Technology and Infrastructure: Evaluate the teleradiology company’s technology infrastructure, including the software used for image transmission and reporting. Compatibility with existing systems and the ability to securely transmit images while maintaining patient privacy are crucial considerations.
Turnaround Time: Timeliness is critical in radiology reporting. Consider the teleradiology company’s turnaround time for providing interpretations. Ideally, they should offer rapid reporting to facilitate prompt patient care and treatment decisions.
24/7 Availability: Healthcare facilities may require radiology services round-the-clock. Ensure that the teleradiology company offers 24/7 coverage (like at Vesta Teleradiology) to accommodate emergencies and provide continuous support.
Communication and Collaboration: Effective communication between the teleradiology company and the healthcare facility is essential. Evaluate the company’s communication protocols, including how they handle urgent findings and facilitate collaboration between radiologists and onsite clinicians.
Regulatory Compliance: Verify that the teleradiology company complies with all relevant regulatory standards, such as HIPAA (Health Insurance Portability and Accountability Act) regulations for patient data protection. They should also adhere to industry standards for image quality and reporting accuracy.
Scalability and Flexibility: Consider the scalability of the teleradiology service to accommodate fluctuations in imaging volumes. Additionally, assess their flexibility in tailoring services to meet the specific needs of your healthcare facility.
Cost and Value: While cost is a factor, prioritize value over price alone. Evaluate the overall value proposition of the teleradiology company, considering factors such as quality, reliability, and the ability to improve patient outcomes.

By thoroughly evaluating these factors and conducting due diligence, healthcare providers can make an informed decision when choosing a teleradiology company, ultimately enhancing the quality and efficiency of radiology services within their organization.

Partnering with a Top US Teleradiology Company—Vesta

Vesta serves as your dependable ally in radiology, extending support to various subspecialties—whether you’re a busy urban hospital or a private practice. We ensure swift processing for both urgent and routine studies. Recognizing the value of your staff’s time and well-being, our teleradiology services enable them to maintain a healthier work-life balance by covering shifts during nights, weekends, and holidays. We can also accommodate any volumes so please reach out to us to learn more.

Sources:

hcinnovationgroup.com
Radiologybusiness.com
openai.com

Top Imaging News of 2023

As we bid adieu to the final moments of 2023, it’s a great time to reflect on advancements and studies that have redefined the world of imaging this year. In this article, we’ll delve into the hottest news and breakthroughs in imaging, highlighting the remarkable strides that have made the headlines.

Study Suggest that Cancer Death Risk From Low-Dose Radiation Is Underestimated

A recent study featured in the British Medical Journal unveils concerning associations between extended exposure to low-dose radiation, commonly experienced by nuclear industry workers, and amplified cancer-related mortality. Drawing insights from the International Nuclear Workers Study (INWORKS) encompassing data from over 300,000 workers, researchers discovered a stark reality: for each cumulative unit of radiation exposure, the risk of death from solid cancer surged by 52%. Even at the lowest cumulative doses, this risk doubled, challenging the assumption that low-dose exposures present less carcinogenic hazard. While the absolute risk remains small, these findings prompt reconsideration of safety limits for workers and call for further studies to confirm the accelerated risk of cancer with ionizing radiation exposure. The hope is that regulatory bodies will integrate these insights into revising protection standards for individuals exposed to low-dose radiation.

Long COVID

In a study published in Medical Hypotheses, a French group presented a theory regarding the brain fog experienced in long COVID, based on brain patterns identified in patient PET scans. They propose that inflammation triggered by COVID-19 disrupts astrocyte cells’ regulation of glutamate, impacting energy metabolism and leading to cognitive fatigue. The authors suggest targeting this malfunction with therapies focused on astrocytic glutamate regulation as a potential way to alleviate long-COVID neurological symptoms. They highlight the lack of mental clarity, difficulty concentrating, and cognitive strain characterizing long COVID, affecting up to 15% of patients after three months of the initial infection. This study builds on previous findings of hypometabolism patterns in long COVID patients’ brain images and explores cellular mechanisms, including links between glutamate dysregulation and cognitive fatigue from other studies. Drawing parallels with “chemo-fog” in cancer patients and cognitive impairment in Parkinson’s disease, the authors suggest therapeutic strategies targeting the identified brain patterns, citing examples from epilepsy treatments and a recent study using medication to improve cognitive function in long-COVID patients. However, the authors stress the need for further research, proposing PET imaging studies using specific markers to comprehend astrocyte function and glutamate regulation for a comprehensive understanding of long COVID’s underlying mechanisms.

chemo fog — Study on brain fog experienced in long COVID

MRIs and Past Cannabis Users

At the International Society for Magnetic Resonance in Medicine (ISMRM) annual meeting, New Zealand researchers presented findings on heavy cannabis use in adolescence to early adulthood and its correlation with brain structure differences in hippocampus and amygdala subregions. The study, led by medical physicist Rebecca Lee and colleagues from the University of Otago in Christchurch, indicated volumetric disparities in these brain regions among heavy cannabis users compared to non-using controls. Notably, past cannabis users showed smaller volumes in specific hippocampal and amygdala subregions. However, the research did not find detectable differences in cerebral blood flow or white-matter tract integrity related to cannabis use, suggesting potential transient brain changes or no long-term effect on these properties. The study, conducted using MRI techniques, emphasized the need for longitudinal studies to clarify the causation and long-term functional impacts of these structural brain changes associated with heavy cannabis use. Despite revealing structural brain changes linked to cannabis use, the study does not definitively establish a causal relationship between these changes and cannabis consumption. Further prospective longitudinal MRI studies are essential to elucidate causality in this context.

All About AI

We’d be remiss to not mention how artificial intelligence has shaped the industry this year. Check out our previous articles highlighting the impact that ChatGPT and Bard have made in 2023.

Sources:

technologynetworks.com
auntminnie.com
Openai.com

A Look at 2023 and ChatGPT In Radiology

ChatGPT has quickly moved beyond its niche beginnings and become an integral part of everyday life. Its reach extends well past casual conversation, now penetrating various industries, notably the intricate world of radiology. As we close out 2023, we take a look at some headlines that show how far ChatGPT has advanced in the realm of diagnostic imaging.

Smart Enough to Pass Exam Questions

In two recent studies published in Radiology, researchers evaluated ChatGPT’s performance in answering radiology board exam questions. While the AI showed potential, it also demonstrated limitations affecting its reliability. ChatGPT, based on GPT-3.5, answered 69% of questions correctly, struggling more with higher-order thinking questions due to its lack of radiology-specific training.

A subsequent study with GPT-4 showcased improvement, answering 81% correctly and excelling in higher-order thinking questions. However, it still faced reliability concerns, answering some questions incorrectly and exhibiting occasional inaccuracies termed “hallucinations.”

Confident language was consistently used, even in incorrect responses, posing a risk, especially for novices who might not recognize inaccuracies.

Decision Making in Cancer Screening: Bard Vs ChatGPT

A study recently published in American Radiology compares ChatGPT-4 and Bard, two large language models, in aiding radiology decisions for breast, ovarian, colorectal, and lung cancer screenings. They tested various prompts, finding both models to perform well overall. ChatGPT-4 showed higher accuracy in certain scenarios, especially with ovarian cancer screening. However, Bard performed better with specific prompts for breast and colorectal cancer. Open-ended prompts improved both models’ performance, suggesting their potential use in unique clinical scenarios. The study acknowledged limitations in scoring subjectivity, limited scorers, and the focus on specific cancer screenings based on ACR guidelines.

bard AI — Can AI assist in diagnostic imaging?

Simplifying Readability of Reports

The study in European Radiology explores using ChatGPT and similar large language models to simplify radiology reports for easier patient comprehension. Researchers had ChatGPT translate complex reports into simpler language for patient understanding. Fifteen radiologists evaluated these simplified reports, finding them generally accurate and complete, yet also identified factual errors and potentially misleading information in a significant portion of the simplified reports. Despite these issues, the study highlights the potential for large language models to enhance patient-centered care in radiology and other medical fields, emphasizing the need for further adaptation and oversight to ensure accuracy and patient safety.

Sources:

Rsna.org
diagnosticimaging.com
Radiologybusiness.com
openai.com

The Future of Medical Imaging: Latest Augmented Reality Advancements

Medical imaging is crucial in diagnosing and treating various medical conditions. These technologies have transformed the medical field from X-rays to Magnetic Resonance Imaging (MRI) and Computed Tomography (CT) scans.

Augmented Reality (AR) is a technology that overlays digital data, such as images or sounds, onto real-world objects or locations. In the medical field, AR has become an essential tool in patient examinations, surgery, and therapy.

AR-assisted Surgery

One of the significant benefits of AR technology in medicine is its application in surgical procedures. With AR, surgeons can see 3D images of the patient’s internal organs, tissues, and blood vessels during an operation.

This technology has revolutionized how physicians perform surgeries, offering unparalleled precision, accuracy, and visual assistance. Surgeons can perform surgeries with minimal invasion, thus reducing patient recovery time.

Additionally, AR-assisted surgery can benefit doctors in training as they can learn surgical procedures through virtual reality simulations.

Image-guided Intervention and Therapy

Image-guided intervention and therapy is another area that has experienced significant advancements in AR technology. Medical professionals can use AR to display real-time images of the internal organs during a procedure, allowing for precise navigation and guidance.

For example, using AR technology in radiation therapy enables medical professionals to focus radiation beams precisely on the tumor and spare the surrounding healthy tissue.

Patient Education and Rehabilitation

As medical professionals seek to enhance patient education and rehabilitation, AR technology has proven helpful. Patients can use AR to view and understand their medical conditions better.

For instance, AR can help showcase the effects of a particular treatment plan and provide feedback on the treatment progress. AR can also be used to improve rehabilitation sessions, as patients can receive personalized therapy recommendations that suit their needs.

Medical Education and Training

The applications of AR technology in medicine are not limited to diagnosis and treatment. Medical education and training have also benefited tremendously through AR technology.

Through virtual reality simulations, medical students can explore the human body in 3D and get hands-on experience with various procedures. Additionally, trainees can learn how to use medical equipment through AR simulations without endangering patient’s lives.

Remote Patient Monitoring

AR technology has the potential to transform remote patient monitoring. Patients can use AR technology to capture images and videos remotely and send them to medical professionals.

This approach saves time and resources, especially for people living in remote areas, enabling them to receive diagnoses and medical advice promptly.

The advancements in augmented reality technology have revolutionized medical imaging by transforming diagnostics and treatment procedures. AR technology has applications in surgery, image-guided interventions and therapy, patient education, medical education and training, and remote patient monitoring.

With continued research and development, AR technology can potentially transform healthcare significantly. The advancements in AR technology are exciting as they offer the possibility of more accurate, efficient, and cost-effective medical procedures, diagnosis, and treatment, and ultimately, improved patient outcomes.

Healthcare Strikes Can Burden Hospitals this Fall

Around 75,000 healthcare workers, including radiology professionals, were on strike at Kaiser Permanente across five states and Washington, D.C. This strike is considered one of the largest in U.S. healthcare history. Unions had been negotiating since April and overwhelmingly voted to authorize the strike if no resolution was reached by September 30. The strike affected regions in California, Oregon, Washington, Colorado, Virginia, and Washington, D.C. On October 7, the strike ended without a resolution after three days per federal rules.

Why Do Healthcare Strikes Like This Happen?

The Kaiser Permanente workers were on strike due to pay as well as for ensuring increases in staffing levels and protections against job outsourcing. Just a week ago, 600 registered nurses and medical support staff from St. Francis Medical Center issued a 10-day strike notice warning of walking off the job October 9 through October 13 if the hospital fails to deliver a contract for safe staffing levels. As of today, healthcare workers from St. Francis Medical Center and three other Southern California medical facilities initiated a five-day strike to protest what they perceive as unfair labor conditions and unsafe patient care practices. The strike involves nurses and other medical staff at St. Francis, Centinela Hospital Medical Center, Garden Grove Hospital Medical Center, and Encino Hospital Medical Center, all of which are under Prime Healthcare’s management. The unions representing approximately 1,800 workers, UNAC/UHCP and SEIU-UHWH, argue that chronic understaffing has led to hazardous patient care situations, exacerbated by layoffs resulting from Prime Healthcare’s acquisition of St. Francis during the pandemic.

Other reasons healthcare strikes occur:

Workplace Safety: Workers may strike when they feel that their safety is compromised due to inadequate safety protocols, insufficient personal protective equipment (PPE), or exposure to hazardous conditions, such as infectious diseases.

Contract Disputes: Labor unions representing healthcare workers negotiate employment contracts with healthcare facilities. If these negotiations fail to address the concerns of workers, strikes may occur.

Patient Care: Healthcare workers are often deeply committed to patient well-being. Strikes may result from concerns that cost-cutting measures or management decisions compromise patient care quality.

Workload and Burnout: Heavy workloads, excessive overtime, and insufficient breaks contribute to burnout among healthcare workers. Strikes can be a way to address these issues and improve work-life balance.

Retirement and Pension Plans: Disagreements over retirement benefits and pension plans can lead to labor disputes among healthcare workers, particularly as they plan for their future financial security.

Lack of Resources: Inadequate resources, including medical supplies, equipment, and technology, can hinder healthcare workers’ ability to provide quality care. Strikes may aim to secure better resources.

Job Security: Concerns about job security may arise due to outsourcing, facility closures, or layoffs. Healthcare workers may strike to protect their employment.

Union Organizing Rights: Workers may go on strike to assert their rights to form or join labor unions, address unfair labor practices, or challenge anti-union policies and actions by employers.

It’s important to note that healthcare worker strikes can have significant implications for patient care and public health. Patient care cannot be compromised so if your hospital or healthcare center is in immediate need of radiologists to fill any shortages or gaps, please reach out to Vesta Teleradiology today.

Sources:

Radiologybusiness.com
npr.org
Medscape.com
healthcaredive.com
abc7.com
Openai.com

Breast Cancer Awareness Month Kicks Off Now: The Latest in Breast Cancer Studies

October is Breast Cancer Awareness Month, a time when individuals and organizations around the world unite to raise awareness about one of the most prevalent and potentially life-threatening diseases affecting women and, in some cases, men. Throughout this month, campaigns, events, and educational initiatives aim to promote early detection, support those impacted by breast cancer, and advance research efforts. In this article, we will delve into the latest news and developments in the field of breast cancer awareness and research, highlighting the ongoing efforts to combat this disease and improve the lives of those affected by it.

Migraine and Breast Cancer: Is There a Link?

Migraine, a debilitating neurological disorder affecting 14-15% of the global population, has been associated with various health risks, including stroke, high blood pressure, epilepsy, tinnitus, and irritable bowel syndrome (IBS). Recent research has explored a potential link between migraines and breast cancer, both influenced by estrogen levels. While some studies suggest a higher breast cancer risk in individuals with migraines, others indicate the opposite or mixed results.

A study by researchers from the Cancer Center at West China Hospital of Sichuan University in China delved into this connection, utilizing genetic data from genome-wide association studies (GWAS). Their Mendelian randomization analysis revealed that women with any type of migraine face an increased risk of overall breast cancer and estrogen receptor (ER)-positive breast cancer. Notably, women experiencing migraine headaches without aura showed a heightened risk of ER-negative breast cancer, with suggestive associations for overall breast cancer risk.

However, medical experts caution that this study is retrospective and associative, requiring replication in diverse populations to establish a causal relationship. The degree of increased risk is relatively small compared to other genetic factors influencing breast cancer risk. Nevertheless, this research opens the door to future investigations into the complex interplay between migraines, genetics, and breast cancer, shedding light on potential contributors to this disease.

Are Older Women At Risk for Overdiagnosis?

A study involving 54,635 women aged 70 and older found that continuing breast cancer screening after age 70 carries a significant risk of overdiagnosis, which is the detection and treatment of cancers that would not have caused harm in a person’s lifetime. Over 80% of women aged 70-84 and over 60% of women aged 85 and older continued screening. The study showed that overdiagnosis estimates ranged from 31% of breast cancer cases in the 70-74 age group to 54% in the 85 and older group. However, there was no statistically significant reduction in breast cancer-specific death associated with screening in any age group. Overdiagnosis was primarily driven by detecting in situ and localized invasive breast cancer, not advanced cases. The study emphasizes the importance of considering patient preferences, risk tolerance, comfort with uncertainty, and willingness to undergo treatment when making screening decisions for older women. The study’s limitations include the potential misclassification of diagnostic mammograms as screening and the inability to adjust for certain breast cancer risk factors.

Vesta Teleradiology: Mammogram Interpretations, Day and Night

In conclusion, as healthcare practices navigate the intricacies of mammogram interpretations, our company is here to provide unwavering support. We understand the importance of accurate diagnoses in breast health, which is why our dedicated team is available day and night, even during holidays, to assist healthcare professionals. Your commitment to patient care is our priority, and we’re here to ensure that you have the expertise and assistance you need for precise mammogram interpretations.

A Tale of Two Studies: Are Doctors Fulfilling too Many Imaging Requests?

A recent qualitative study aimed to investigate the factors influencing general practitioners’ (GPs) decisions to fulfill patient requests for imaging studies during clinical consultations. Ten GPs from private medical centers in Northwest Sydney were interviewed, and their perspectives were analyzed through content analysis. On the other side of the spectrum, we explore an American study that reveals the importance of encouraging more people to undergo screenings.

Patient Imaging Requests

The study revealed six key themes that emerged from the interviews regarding GPs fulfilling patient imaging requests:

Patient Expectations: Patients’ desires and expectations played a significant role in GPs’ decisions to fulfill imaging requests. Some patients expected certain tests due to their health concerns or beliefs.

‘Therapeutic Scans’: GPs recognized that some patients viewed imaging scans as a form of reassurance or therapeutic action. This influenced GPs to fulfill requests to alleviate patient anxiety.

“I find X-rays have become a therapeutic requirement, [and] that their [patients’] problem often dissipates once the request is given. (Female, 40)”

‘Impressive Labels’: The use of serious-sounding terms in imaging reports contributed to patients’ perception of the severity of their condition. This, in turn, led to increased requests for such scans.

Entitlement: Some patients exhibited an attitude of entitlement, expecting imaging scans without sufficient medical justification. GPs were more likely to decline such requests, especially during initial visits.

Defensive Medicine: GPs expressed concerns about potential legal repercussions if they refused imaging requests. Fear of litigation influenced GPs to fulfill requests to avoid legal issues.

‘New Patients’: GPs were cautious about fulfilling imaging requests from new patients, as they needed time to establish trust and assess the necessity of the requested scans.

The study concluded that GPs faced challenges in balancing their role as gatekeepers of imaging with patient expectations. Clear guidelines, patient education, and GP training were suggested as potential strategies to manage patient expectations and provide appropriate care. The study sheds light on the complexities of patient-GP interactions regarding imaging requests and highlights the need for evidence-based strategies to navigate these challenges. The study was conducted within the Australian Medicare system, where medical imaging is relatively accessible and affordable, and the findings contribute to understanding the dynamics of patient-GP interactions in this context.

Cancer Screenings Saves Millions of Years of Life

Meanwhile an American study conducted by teams from the University of Chicago, University of Michigan, and study sponsor Grail LLC estimates that Americans have gained an additional 12 million years of life due to preventive cancer screenings over the past 25 years, leading to an economic impact of around $6.5 trillion. These screenings, targeting early signs of breast, colon, cervical, and lung cancers among high-risk adults, emphasize the importance of encouraging more individuals to undergo recommended cancer checks and exploring novel screening methods. The study suggests that if all eligible individuals received current screening for these cancers, it could save an extra 3.3 million life-years and add $1.7 trillion in economic impact.

The research utilized a mathematical model to assess the impact of cancer screenings endorsed by the U.S. Preventive Services Task Force (USPSTF). This federally authorized panel evaluates evidence for preventive medical services and provides recommendations using letter grades. Since 2010, screenings with “A” or “B” grades have been covered by most insurances without patient costs under the Affordable Care Act.

Although screenings for breast, colorectal, cervical, and lung cancers have saved millions of life-years, their full potential remains untapped. The majority of life-years saved and economic impact come from cervical cancer screening due to its early and consistent screening intervals for individuals aged 18-65. However, the study acknowledges that the availability of the HPV vaccine since 2006 could affect the future value of cervical cancer screening.

While there are validated screening tests lacking for many cancer types, decreased death rates from cancers with available screenings have contributed to the overall reduction in U.S. cancer deaths. To establish more broadly validated cancer screenings, further research is needed, potentially evaluated by the USPSTF. Novel screening tools like blood tests for multiple cancer types are in development, but AI-based tests have yet to undergo review by relevant bodies for efficacy and recommendations.

Sources:
onlinelibrary.wiley.com
michiganmedicine.org
Openai.com

State of the Healthcare Industry: Hospital Strikes

Americans, and everyone all over the world, depend on proper medical care. From dental checkups to urgent care visits, medical professionals are absolutely essential, especially when it comes to massive emergencies. If we didn’t learn this fact yet, the pandemic certainly brought it into focus. In 2020, hospitals and medical buildings surged with COVID patients, overloading facilities and professionals alike. Now, with labor shortages, and unfair compensation, nurses and medical staff are going on strike to re-negotiate contracts to make their workplaces a fairer place to be.

Healthcare Strikes Going on Now

Beginning in January of this year, over 7,000 medical professionals went on strike in New York City, says Vox. The strikes involve Mt. Sinai Hospital, and three other facilities, located in the Bronx, owned by Montefiore. Recent contract negotiations failed to provide health care workers with more staff, as well as desired salary compensation, says the article. Over 700 positions are open within the Montefiore facilities, and nurses and medical staff feel overburdened and undervalued. As explained by Vox, when billable hours and revenue collection are limited to doctors who prescribe surgeries and medicine, nurses and other medical staff are a complete cost to the hospital. Even though these professionals are essential to properly run any medical facility, investing in nursing staff becomes a problem when the American structure is a pay-for-treatment transaction in healthcare systems that are for profit.

Last month, on February 27, another strike took place on Long Island with about 800 nurses, says CBS News. At Northwell Health’s South Shore University Hospital, nurses are demanding “safe staffing and fair wage,” says the article. 99% of the nurses voted to authorize the strike.

It isn’t just the United States that’s involved with strikes. Across the pond, in the UK, nurses are also having a difficult time negotiating what they need in their contracts, says IN News. For the first time in Royal College of Nursing history, medical staff, which spanned over 100 services, held England’s largest nursing strike on March 1 of this year. In the 48-hour strike, staff from emergency departments, intensive care units, cancer care, and other services were involved, says the article. Compensation, workload, and workplace conditions are the terms UK nurses are fighting for. Since 2010, nurses’ compensation has fallen 8%, says the article.

Both in the US and UK, nurses have made it clear that they do not want to strike, leaving vulnerable patients in a bind, says USA Today, and IN News. “Bosses have pushed us to strike by refusing to seriously consider our proposals to address the desperate crisis of unsafe staffing that harms our patients,” said a union representative from The Nurses Association to USA Today.

Re-negotiated contracts and tentative agreements were reached in New York, some involving a raise of 5-7% over the next three years for nursing staff, as well as staffing increases, says Today. Negotiations in the UK came to an agreement on March 16, with more than 1 million NHS staff receiving a raise, says gov.uk.

Shortage in Radiologists

It’s not just nurses that are in shortage, but also those in the radiology field as well. Luckily, partnering with a teleradiology company like Vesta allows you to fill in those gaps you have—whether you’re short-staffed for weekend work or simply need reliable interpretations around the clock. Vesta also offers top-to-bottom healthcare staffing from its sister company, Momentum Healthcare Staffing for positions such as locums tenens and permanent nurse practitioners, physicians, medical assistants and more.