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Business of Medicine

Treatment Options: Study reports neck dissection effective in patients with residual disease

February 7, 2011

Patients who had residual neck disease after treatment for a primary head and neck squamous carcinoma and then underwent neck dissection had comparable survival rates to those who had their disease resolved after their initial chemotherapy and radiation treatment, according to a retrospective analysis from researchers at the University of Louisville in Kentucky presented here Jan. 27.

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Lessons Learned: How to overcome the cultural barriers to EMR implementation

February 7, 2011

Health care reform and government incentives have intensified the dialogue on electronic medical records (EMR). Despite the financial incentives for EMR adoption included in the Health Information Technology for Economic and Clinical Health (HITECH) Act, enacted as part of the American Recovery and Reinvestment Act of 2009, physician response remains lukewarm. The HITECH incentives program fails to recognize that the greatest barrier to EMR adoption is not financial, but cultural.

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Tonsillectomy Revisited: New guidelines represent a clinical shift for some otolaryngologists

February 7, 2011

In its ongoing commitment to develop and practice evidence-based medicine, the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) recently issued a new clinical practice guideline on tonsillectomy in children.

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Research Overhaul: Changes to cancer research organizations on the horizon, expert says

February 7, 2011

The system of clinical cancer research, including that of head and neck cancer, is in need of an overhaul, but steps are being taken that might lead to more efficient work and will hopefully mean more medical breakthroughs, said David Schuller, MD, the chair in cancer research at the Ohio State University College of Medicine in Columbus, at the Triological Society’s Combined Sections Meeting, held here on Jan. 27.

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A Glass Half Full: Triological Society president draws attention to the benefits of U.S. health care

February 7, 2011

The debate over soaring health care costs fails to properly acknowledge the benefits that have stemmed from improved medical technology and expanded medical knowledge, said Triological Society President Gerald Berke, MD, in an address at the society’s Combined Sections Meeting, held here on Jan. 27.

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Physician Groups Set 2011 Agenda: Medicare payment reform tops the list

January 10, 2011

Physician groups representing otolaryngologists have ambitious 2011 policy and legislative agendas that include pushing for replacement of the Medicare physician payment formula and helping to shape health reform’s implementation.

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A Seller’s Market: How to prepare your practice for sale to a hospital

January 10, 2011

It’s 2011 and the pendulum is once again moving toward private practices selling to hospitals or affiliated foundations. Several years ago, the same phenomenon drove the medical market. Management companies and hospitals went on an acquisition frenzy, purchasing practices at breakneck speed. Soon, hospitals were dissatisfied, management companies went broke and physician practices went private again. Physicians simply proved to be less motivated and productive when employed by hospitals or affiliated with management companies.

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Falling on Deaf Ears: Hearing loss in older adults may be an undertreated condition

January 10, 2011

Most people will experience some degree of hearing loss as they age. Statistics from the National Institute on Deafness and Other Communication Disorders at the National institutes of Health (NIH) indicate that 30 percent of adults ages 65 to 74, and 47 percent of adults 75 years or older, have hearing loss.

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New Frontiers: Medical tourism brings potential for big business but poses big questions

January 10, 2011

More patients every year are traveling outside of the U.S. in search of lower health bills and treatments that might be unavailable to them at home.

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Experimental Tort Reform: States take different approaches to implement change

December 1, 2010

The health care reform law passed in March created a $50 million demonstration program to test alternatives to the current medical liability system. But reaction is mixed as to whether the new project will help fix what the physician and medical liability insurance communities view as a flawed and inefficient system.

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