Online videos can help physicians with vaccine-hesitant patients | CDC reports increasing flea-borne rickettsial disease in Texas | Study examines DKA incidence rates among patients on SGLT2 inhibitors
March 17, 2017
Family Medicine SmartBrief
Top Story
Online videos can help physicians with vaccine-hesitant patients
The AAFP has new online videos on influenza, zoster and pneumococcal vaccines that can help family physicians educate patients on the importance of vaccinations. The videos offer evidence-based interventions that may be helpful with vaccine-hesitant patients.
AAFP News (3/16) 
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Are you prepared for innovation?
From mobile apps and billing to telemedicine, technology can increase patient satisfaction and trim expenses. When are the benefits worth the costs? Where do you start? Who needs to be on board? Can you project ROI? Get the answers in this report from the Healthcare Financial Management Association.
Clinical News
CDC reports increasing flea-borne rickettsial disease in Texas
CDC researchers found that 1,762 cases of flea-borne rickettsial disease were reported in Texas between 2003 and 2013, with disease prevalence steadily increasing during the same period. The findings in Emerging Infectious Diseases also showed that most cases were among youths ages 5 to 19.
STAT (tiered subscription model) (3/15),  MedPage Today (free registration) (3/15) 
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Study examines DKA incidence rates among patients on SGLT2 inhibitors
Danish researchers found lower incidence rates of diabetic ketoacidosis among patients with type 2 on SGLT2 monotherapy or an SGLT2 combination treatment, compared with those who were on insulin monotherapy. The findings in Diabetes Care, based on 415,670 participants, revealed that the crude incidence rate of DKA was 1.34 per 1,000 person-years, which decreased by 5.6% per year.
Healio (free registration)/Endocrine Today (3/15) 
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Study assesses risk for chronic opioid use
CDC researchers reviewed data for nearly 1.3 million opioid-naive adults without cancer and found the probability of long-term opioid use rose significantly after as few as five days of drug use, as well as after a refill or second prescription and a cumulative dose of 700 morphine-milligram equivalents. The findings in the Morbidity and Mortality Weekly Report also found the highest odds of chronic use among patients on long-acting opioids and tramadol.
MedPage Today (free registration) (3/16) 
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Most women stop drinking when pregnant, study says
A survey of 5,036 women found 90% stopped drinking alcohol when they discovered they were pregnant, and the rest drank less than once per week, researchers reported in Obstetrics and Gynecology. The study found women with a planned pregnancy were 31% less likely to drink around the time of conception and early pregnancy, compared with women whose pregnancy was not planned.
Mashable (3/9) 
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Practice Management
Study: Letting patients add to EHRs improves patient-clinician communication
According to a study in the Annals of Family Medicine, 79% of patients and 74% of clinicians said allowing patients to type agendas into the EHR visit note improved communication between patients and clinicians. Researchers used a cohort of 100 patients and clinicians at Harborview Medical Center in Seattle and found the practice may also lead to health care improvement because it allows patients to voice their concerns and clinicians to understand patient priorities.
Healthcare Informatics online (3/15) 
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Health Policy & Legislation
Trump budget cuts target medical, scientific research funding
President Donald Trump's budget blueprint includes deep and wide-ranging cuts in government-backed medical and scientific research. The NIH budget could be cut by almost $6 billion, FDA user fees collected from drug and device makers would rise, funding for international health research projects would be eliminated, and funding for the military would increase by $54 billion.
The Washington Post (tiered subscription model) (3/16),  Bloomberg (3/16),  STAT (tiered subscription model) (3/16) 
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MedPAC calls for eliminating, reducing payment updates
A Medicare Payment Advisory Commission report called for 2018 mandated payment increases for hospices, long-term care hospitals and ambulatory surgical centers to be eliminated because of "chronic overpayment." The report recommended Congress eliminate the payment update for skilled nursing facilities in 2018 and 2019, and reduce payments for home health agencies and inpatient rehabilitation facilities in 2018.
MedPage Today (free registration) (3/15) 
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Expanding Medicaid increases access to care, report says
A health system scorecard released by the Commonwealth Fund found health coverage and access to medical care among low-income Americans increased more in states that expanded Medicaid eligibility than in states that did not expand their program. The scorecard uses 44 health care measures to rank all states and the District of Columbia.
Medscape (free registration) (3/16) 
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Professional Issues & Trends
PRiMER to help authors get from research to publication
Christopher Morley, editor of the new journal Peer-Reviewed Reports in Medical Education Research, from the Society of Teachers of Family Medicine, said it can be challenging for prospective authors to do rigorous research, translate it into a clearly written manuscript, find the right journal and survive the editorial and peer-review process. PRiMER is designed bridge the gap between presenting research at a conference and developing it into an article to submit to a traditional peer-reviewed journal.
AAFP News (3/15) 
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Inside the AAFP
Take a deep breath, relax and trust the magic of the Match
AAFP Leader Voices blog
Match Day is finally upon us, and the trepidation among students at medical schools across the country has been palpable. In the latest Leader Voices Blog post, Stewart Decker, M.D., offers four thoughts for students to ponder as they receive their results.
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Thrive in a Culture dedicate to Quality Patient Care
CEJKA SEARCH - New Hampshire
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PREMISE HEALTH - Seattle, Washington
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MARK TWAIN MEDICAL CENTER - Calaveras County, California
1st year Total Compensation 295K
REGIONAL HEALTH - Rapid City, South Dakota
Family Medicine Physician
Primary Care Physicians - Corpus Christi
Physician Specialist at Medical Respite and Sobering Center - San Francisco DPH
CITY AND COUNTY OF SAN FRANCISCO - San Francisco, California
Outpatient Only, Lifestyle Practice, Premier Prescott, AZ
Core Faculty - Family Medicine GME
HCA - Macon, Georgia
200K Loan Repayment - OP
Family Physician/Medical Director
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Great Opportunity in South Florida
Nothing is so painful to the human mind as a great and sudden change.
Mary Shelley,
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About AAFP
This news roundup is provided as a timely update to AAFP members and other health care professionals about family medicine topics in the news media. Links to articles are provided for the convenience of family physicians who may find them of use in discussions with patients or colleagues. Opinions expressed in Family Medicine SmartBrief are those of the identified authors and do not necessarily reflect the opinions or policies of the American Academy of Family Physicians. On occasion, media articles may include or imply incorrect information about the AAFP and its policies, positions or relationships. For clarification on AAFP positions and policies, we refer you to
External Resources are not a part of the AAFP website. AAFP is not responsible for the content of sites that are external to the AAFP. Linking to a website does not constitute an endorsement by AAFP of the sponsors of the site or the information presented on the site.

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