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It is now well established that ventilating patients with acute lung injury (ALI) and the acute respiratory distress syndrome (ARDS) using a strategy that limits alveolar distending volume and end-inspiratory static airway pressure results in improved survival, as compared to larger-volume, higher-pressure ventilation.
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This multicenter randomized trialnicknamed the VISEP studyused a two-by-two factorial design to test two independent treatments in severe sepsis patients.
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In this issue: Does erythropoietin worsen cancer death rates? Most hypothyroid patients can be replaced with levothyroxine alone without additional T3. Does aggressive control in type 2 diabetes save lives?
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Face-to-face case management for members at high risk for health care exacerbations has paid off for Great-West Healthcare, a Greenwood Village, CO, health plan that serves as a third-party administrator for about 6,000 self-insured employer groups.
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A community-based program that provides face-to-face care management for people with chronic disease has resulted in decreased health care costs, fewer missed days at work, and improved quality of life for program participants.
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Health literacy, according to the Institute of Medicine, is "the degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions" and research has shown that patients are not all created equal.
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There are many resources that help health care institutions develop strategies for teaching people how to appropriately access health care and use it to their best interest. Following is a description of two sites:
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An asthma management program that includes telephonic case management, home visits, and physician incentives has saved money and earned accolades for Priority Health, a health plan company based in Grand Rapids, MI.
