Health Belief Model intervention to increase compliance with emergency department patients

From APA Psycnet:

The effects on compliance of clinical and telephone intervention, based on the health belief model (HBM [e.g., I. M. Rosenstock, 1974]), were investigated for 842 emergency department (ED) hospital patients. Compliance was defined operationally as follow-through on a recommended referral originating in the ED. Ss were randomly assigned to 1 of 4 intervention groups, with all nursing care, interventions, and follow-up telephone calls being done by the research nurse. The HBM clinical, telephone, and combination clinical/telephone interventions were strongly associated with increased compliance in the 11 presenting problems. Availability of child care, knowledge of presenting problem, nature and duration of the illness, and demographic variables were also related to compliance. (PsycINFO Database Record (c) 2016 APA, all rights reserved)

Teva’s generic EpiPen launch stalls months after approval

From Reuters:

“The generic version of EpiPen Auto-Injector is currently available and we are continuing to build supply,” Teva said in an emailed statement. “We are actively manufacturing and shipping product throughout the country.”

The company did not say why its drug was in short supply.

Israel-based Teva, the world’s largest generic drugmaker, received U.S. approval for its version of EpiPen in August after several years of delay. At the time, the company pledged its “full resources to this important launch in the coming months.”

Medical students teach high schoolers to do CPR

From Reuters:

Medical students in Boston are teaching local high school students about CPR, and the younger students say they feel better prepared to help in cases of cardiac arrest, should the need arise.

The PumpStart program was started by students from the Boston University School of Medicine (BUSM) as a volunteer effort for doctors in training to visit nearby high schools and spread awareness about CPR.

ER doctors agree it’s time to tackle surprise emergency room bills

From Vox:

As these surprise bills have gotten more media attention, both Sens. Maggie Hassan (D-NH)and Bill Cassidy (R-LA) have released bills to end surprise charges like that one. Now, the American College of Emergency Physicians — which represents emergency room doctors — is releasing its own six-point plan on how to tackle the issue.


As small hospitals ally with big ones, do patients benefit?

From the Washington Post (hat tip: Deb):

To expand their reach, flagship hospitals including Mayo, the Cleveland Clinic and Houston’s MD Anderson Cancer Center have signed affiliation agreements with smaller hospitals around the country. These agreements, which can involve different levels of clinical integration, typically grant community hospitals access to experts and specialized services at the larger hospitals while allowing them to remain independently owned and operated. For community hospitals, a primary goal of the brand name affiliation is stemming the loss of patients to local competitors.

In return, large hospitals receive new sources of patients for clinical trials and for the highly specialized services that distinguish these “destination medicine” sites. Affiliations also boost their name recognition — all without having to establish a physical presence.

The surgeon who removed his own appendix

From Boing Boing:


On April 29, 1961, Dr. Leonid Rogozov was in Antarctica in a blizzard when his stomach began to hurt. Badly. The only physician on the Soviet Antarctic Expedition, Rogozov realized his appendix needed to come out before it burst and killed him. Rogozov’s only choice was to take the matter into his hands. He roped in a meteorologist and a driver to assist

Arizona Man Who Learned CPR From ‘The Office’ Saves Woman’s Life

From Rolling Stone:

After smashing the car window with a rock to gain access to the woman, and with no cellphone on hand, Scott attempted to resuscitate on the woman. “I’ve never prepared myself for CPR in my life,” Scott said. “I had no idea what I was doing.”

Thankfully, Scott had seen the episode of The Office that dealt with CPR training and knew to perform chest compressions to the cadence of “Stayin’ Alive”; the Arizona Daily Star notes that Scott actually sang the Bee Gees track out loud while performing CPR.

Soon after, the woman drew a breath and threw up, at which point Scott rolled her onto her side. Paramedics arrived on the scene 10 minutes later and told Scott that, without his life-saving actions, the situation might have ended more direly. The woman was released from the hospital later that day. Tucson Fire Department wouldn’t release any additional details about the incident.