NIAID director: Soonest Zika vaccine will be 2018 | Menopause group updates midlife health care guidelines for women | Patients can find reliable information on symptoms and treatment of menopause on FamilyDoctor.org.
August 19, 2016
Family Medicine SmartBrief
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NIAID director: Soonest Zika vaccine will be 2018
National Institute of Allergy and Infectious Diseases Director Anthony Fauci and his NIH colleagues have been working with their counterparts in the pharmaceutical industry to develop vaccines and treatments for emerging diseases. The NIH recently initiated human clinical trials for a Zika virus vaccine, but the earliest it could be available is 2018, and a lack of funding has impeded efforts to quell the current outbreak.
The Washington Post (tiered subscription model) (8/15) 
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When Employees are Prone to Cheat at Work
Why the gig economy creates plentiful opportunities for unethical behavior. Learn more from research by Kellogg School of Management Professor J. Keith Murnighan.
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Clinical News
Menopause group updates midlife health care guidelines for women
The International Menopause Society has released updated guidelines on midlife health management for women stating patient-tailored menopausal hormone therapy is the most effective treatment for vasomotor symptoms, urogenital atrophy and other menopause symptoms. Peri- and postmenopausal treatment should also include diet, exercise and other lifestyle recommendations, according to the guidelines published in Climacteric.
Medscape (free registration) (8/18) 
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Earlier oral immunotherapy may help youths with peanut allergy, study says
Oral immunotherapy to counter peanut allergies in children may be more effective if done at a young age, even as early as 9 months, according to a study in the Journal of Allergy and Clinical Immunology. Almost 80% of children who had the therapy were able to eat foods containing peanuts without having an allergic reaction, researchers said.
HealthDay News (8/18) 
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Study examines pulmonary complications risk in childhood cancer survivors
A study in the journal Cancer found survivors of childhood cancer had a higher incidence of self-reported pulmonary complications by age 45, compared with siblings. Cancer survivors had higher rates of chronic cough, lung fibrosis, need for oxygen and recurrent pneumonia despite being less likely to smoke.
United Press International (8/15) 
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Study finds gallstones may increase heart disease risk
People who have had gallstones may have a higher risk of heart disease, particularly women, according to a study in the journal Arteriosclerosis, Thrombosis and Vascular Biology. Researchers said changes in the gut microbiome and low-grade inflammation may be factors.
HealthDay News (8/18) 
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Practice Management
Research supports collaborative care for patients with depression
Collaborative care remained effective for treating patients with depression even if they had other chronic physical conditions, researchers reported in JAMA Psychiatry. Collaborative care teams can include primary care professionals, case managers, social workers and mental health specialists, the researchers said.
Healio (free registration)/Psychiatric Annals (8/18) 
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Report: New payment models needed for team-based CHD primary care
Team-based primary care has the potential to lower costs and improve coronary heart disease risk factors, but only if current reimbursement models are restructured, according to a report in the American Journal of Managed Care. Using current pay models, primary care bears all of the cost but sees none of the savings of team-based care, researchers said.
Healio (free registration) (8/18) 
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Health Policy & Legislation
High-priced drugs boosted Part D spending in 2014
Medicare Part D claims rose 3% in 2014, but spending rose 17% as more expensive drugs were covered, according to CMS data. Hepatitis C drug sofosbuvir accounted for more than $3.1 billion in spending but had the fewest claims among the 10 most expensive drugs.
Modern Healthcare (tiered subscription model) (8/18) 
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Study: People on ACA plans get more medications, but pay less
A study published in Health Affairs found people insured through Affordable Care Act plans filled more prescriptions for medications, compared with before they had an ACA plan, but generally had lower out-of-pocket spending for drugs. Researchers said not having health insurance is a barrier to accessing care, but the study lacked the evidence to show how an increase in prescriptions might affect long-term outcomes.
Kaiser Health News (8/17) 
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Professional Issues & Trends
Study finds low rate of digital health use among seniors
Senior woman.
(Peter Macdiarmid/Getty Images)
A study in the Journal of the American Medical Association showed that only 16% of US adults ages 65 and older use the internet to search for health information, just 8% go online to fill prescriptions, about 7% go online to contact a clinician and 5% manage insurance matters online. Researchers analyzed 2011 to 2014 data from the National Health and Aging Trends Study involving Medicare beneficiaries and found small increases in digital health use among seniors, although a majority have cellphones and use computers.
Health Data Management (8/16) 
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Inside the AAFP
Swing and a miss: Do quality measures have dubious value?
Fresh Perspectives
With trends pointing to an emphasis on team-based care, Kyle Jones, M.D., questions the rationale for quality measures that focus on individual physicians. Read what he has to say on the topic in the latest Fresh Perspectives blog post.
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AAFP CareerLink - Connecting Family Physicians and Employers
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COLUMBIA UNIVERSITY - New York
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DR. MUKESH H. NAIK, DO - Vallejo, California
Medical Director for Quality
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Outpatient in Houston
MED STAFF MATTERS - 
Family Medicine with Obstetrics
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Family Practice Physician
RHINO MEDICAL - Multistate, Other / Non-US
Family Medicine Opportunities in Coastal CT & RI
L+M MEDICAL GROUP - 
  
  
If we are to achieve a richer culture, rich in contrasting values, we must recognize the whole gamut of human potentialities, and so weave a less arbitrary social fabric, one in which each diverse gift will find a fitting place.
Margaret Mead,
cultural anthropologist
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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 http://aafp.org.
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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