Are annual exams a waste of money?
Based on the most recent evidence, I would argue yes. I posted about annual exams a few months ago, and quoted the following from the Society for General Internal Medicine (a primary care specialty group):
Routine general health checks are office visits between a health professional and a patient exclusively for preventive counseling and screening tests. In contrast to office visits for acute
… read on
Yet another screening exam found unhelpful
Earlier this month, the American College of Physicians (ACP) published its recommendation in the Annals of Internal Medicine that routine annual pelvic exams are unnecessary for healthy, non-pregnant women with no gynecologic symptoms (bleeding, discharge, pain, etc.).
The ACP looked at evidence on pelvic examinations dating back almost 70 years and concluded:
… no data support the use of routine pelvic examination (excluding cervical
… read on
The yearly reminder
The other day I received in the mail a form letter from my physician’s office reminding me that I am due for my annual “well woman” visit. The letter also pointed out that if I have an ACA-compliant health insurance plan, the cost for the exam would be 100% covered as a preventive benefit.
I have three problems with this letter.
- Although my current physician is part
… read on
Unnecessary care = unnecessary expense
Every day I see a new article about the high costs of health care.
A new study suggests that in a single year, up to 42 percent of Medicare patients got at least one medical procedure they didn’t need — overtreatment that cost as much as $8 billion.
Use of [Mohs] surgery has … read on
Will there soon be a blood test?
My father-in-law recently passed away after suffering with Alzheimer’s for several years. I also have an aunt who is currently living with some form of dementia, probably vascular.
Few diseases strike more fear into those over the age of 50 than Alzheimer’s. Needless to say, both my husband and I worry when we find ourselves saying:
“Oh, what’s the word I want?”
or … read on
The latest report
Most of my nursing career was in breast cancer, so I like to stay current on the most recent research on screening, diagnosis and treatment.
Earlier this week, the British Medical Journal released a pretty stunning report:
In conclusion, our data show that annual mammography does not result in a reduction in breast cancer specific mortality for women aged 40-59.
In normal language that translates to … read on
Screening guidelines often don’t agree
One of the mandatory benefits of health insurance, thanks to Obamacare, is that preventive or screening services are covered without charging copays or coinsurance.
Preventive care is not really “free,” of course, because we pay higher premiums and higher copays and deductibles for other health care. It’s more like pre-paid.
(Oh, and make sure the doctor and testing facility (lab or radiology) are in your … read on
What they said about vitamin D then…
A few months ago I posted about calcium supplements and vitamin D supplements. I’m not a big fan of taking a lot of pills (or any, actually), so I did a little more research into what the most current evidence-based studies recommended.
Regarding calcium, I found that it’s best to get calcium from foods in my diet, such as dairy products and … read on
As someone who advocates for less medical care, I’m always thrilled to see physicians and others in the health care industry step forward to protest over-testing, over-screening, over-diagnosing, over-treating and over-charging.
Here are some of my favorite health care blog posts and news articles from the last week.
Dr. Lamberts is embracing the newest trend in primary care: the direct-pay model. He does not … read on
Physicians have a role in lowering health care costs
The Mayo Clinic has been busy this month.
Last week researchers published a report in the Journal of the American Medical Association (JAMA) titled “Views of US Physicians About Controlling Health Care Costs.”
Also last week, Mayo Clinic Proceedings published its conclusion that nearly 40% of current medical practices are of no net benefit and needlessly contribute to high health care … read on