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FDA Adds Strong Warnings To Anti-Smoking Drug Labels
"The Food and Drug Administration announced (Wednesday) that it is requiring the smoking-cessation drugs Chantix and Zyban to carry the strongest type of safety warning possible to alert patients that the medications can cause serious mental health problems, including depression and suicide," the Washington Post reports (Stein, 7/1).
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Poor Working Conditions For Docs May Affect Quality Of Care
"Adverse working conditions for primary care doctors, including time pressures and an unfavorable organizational culture, may lead to stress, burnout, and ultimately to lower quality patient care, a new study found," MedPage Today reports. The study, published in the July 7 issue of The Annals of Internal Medicine, found that "53.1% of primary care physicians reported time pressure during physical examinations, while 48.1% reported chaotic working environments. Only 23.7% felt that quality was strongly emphasized in their practices. ... Moreover, 48.8% described their jobs as moderately or highly stressful, while 26.5% reported burnout, and 30.1% said they were at least moderately likely to leave their practices within two years." The authors wrote that the findings "are disturbing at a time when recruitment and retention in primary care are of major concern."
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Low-income Breast Cancer Patients Skipping Hormonal Therapy, Increasing Their Risks
Many low-income women are failing to take the hormonal therapy prescribed as part of their breast cancer treatment, possibly lowering their survival rates, according to a study led by a researcher in the Duke Comprehensive Cancer Center.
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Physicians Wait For Health IT Guidelines, Officials Want 'Every Doctor's Office' Online

Physicians are still waiting for clear cut rules for how they must use health information technology in order to be eligible for economic stimulus-funded incentives, American Medical News, a publication of the American Medical Association, reports. The publication notes that (the $2 billion) "incentive money will directly address the use of EMRs, not the purchase of the systems." The sole, ambiguous requirement - that doctors must make "meaningful use" of the technology - will be defined by year"s end. But, industry consultants say doctors can and should get a head start on the governments expectation that they"ll be able to adopt the technology by 2011. Practices can expect requirements to include e-prescribing, certification through a government-approved certifying body, quality reporting, and the ability of one system to exchange information with others (Dolan, 6/15). Meanwhile, David Blumenthal, the national coordinator for health information technology, told the Wall Street Journal in a published interview, "There"s a good chance that the current funding will be enough to equip every doctor"s office in America with electronic record keeping." He said there were "disputes" about how much savings the technology would yield, and that he "expects" incentive checks to start going out by the 2011 deadline. In defining meaningful use, Blumenthal said his office would focus "on performance, rather than any specific technology... We don"t care how you accomplish critical tasks, so long as you do so with electronic technology" (6/15). In a separate news brief, American Medical News reports, IVANS, a Stamford, Connecticut-based health services and insurance vendor, had found in a survey that "more than half of health care entities said they believe the billions of dollars in the most recent federal economic stimulus package earmarked for health information technology will have little success in encouraging electronic health records adoption" (6/15). This information was reprinted from kaiserhealthnews.org with kind permission from the Henry J. Kaiser Family Foundation. You can view the entire Kaiser Daily Health Policy Report, search the archives and sign up for email delivery at kaiserhealthnews.org. © Henry J. Kaiser Family Foundation. All rights reserved.


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