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T H E M E D I C A L W O R L D I S C H A N G I N G S P E C I A LT I E S C O L L A B O R AT E I N T H E H O S P I TA L H O S P I TA L S TAY S A R E B E C O M I N G L E S S A N D L E S S I N S U R A N C E C O M PA N I E S A R E N ’ T PAY I N G F O R PAT I E N T S T O S TAY I N H O S P I TA L S N O W I S T H E T I M E F O R C O L L A B O R AT I O N I N T H E O U T PAT I E N T S E T T I N G
C O L L A B O R AT I O N I S A N E C E S S A RY C O N C E P T F O R PAT I E N T S T H AT H AV E C O M P L E X C O N D I T I O N S I N C L U D I N G T R E AT M E N T - R E S I S TA N T C O N D I T I O N S
R A N D O M I Z E D C L I N I C A L T R A I L - J A M A P E D I A T R I C S , N O V E M B E R 2 0 1 6 The Costs and Cost-effectiveness of Collaborative Care for Adolescents With Depression in Primary Care Settings Findings A randomized clinical trial conducted at 9 primary care clinics in Washington State suggests that collaborative care results in an increase of 0.04 quality-adjusted life-year over usual care at $883 above usual care, for a mean incremental cost-effectiveness ratio of $18, 239 per quality-adjusted life-year gained. https://jamanetwork.com/journals/jamapediatrics/fullarticle/2553826
W H AT I S A T R E AT M E N T- R E S I S TA N T C O N D I T I O N ? T R E AT M E N T- R E S I S TA N T I S A C L I N I C A L T E R M C O I N E D I N 1 9 7 4 T H AT I S U S E D T O D E S C R I B E A S I T U AT I O N W H E R E T H E PAT I E N T ’ S C O N D I T I O N D O E S N ’ T R E S P O N D T O A P R E S C R I P T I O N M E D I C AT I O N A S E X P E C T E D . ~ 3 0 % O F PAT I E N T S W I T H M D D H AV E A FA I L E D R E S P O N S E T O A N T I D E P R E S S A N T M E D I C AT I O N S O R P S Y C H O T H E R A P Y A N D A R E R E F E R R E D T O A S “ T R E AT M E N T- R E S I S TA N T D E P R E S S I O N ” ( J A M A P S Y C H I AT RY, J A N U A RY 2 0 1 7 ; V O L 7 4 ( 1 ) ) T R E AT M E N T- R E S I S TA N C E O C C U R S I N A VA R I E T Y O F M O O D D I S O R D E R S I N C L U D I N G D E P R E S S I O N , B I - P O L A R D I S O R D E R A N D E V E N S C H I Z O P H R E N I A ; A S W E L L A S M A N Y A N X I E T Y S Y N D R O M E S , S U C H A S O B S E S S I V E C O M P U L S I V E D I S O R D E R ( O C D ) . A N Y M E D I C A L C O N D I T I O N M AY P R E S E N T W I T H T R E AT M E N T- R E S I S TA N C E , S U C H A S A P N E U M O N I A T H AT FA I L S T O R E S P O N D T O F I R S T- L I N E A N T I B I O T I C S . https://drbrucekehr.com/treatment-resistant/
Q U E S T I O N S T O A S K W H E N PAT I E N T S S E E M T R E AT M E N T- R E S I S TA N T A R E T H E Y C O M P L I A N T ? H AV E T H E Y B E E N D I A G N O S E D C O R R E C T LY ? A R E W E M I S S I N G S O M E T H I N G ?
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M E D I C A L N E W S T O D AY, A P R I L 2 0 1 4 1 in 20 American adults 'misdiagnosed in outpatient clinics each year.’ A new study reveals that around 12 million people in the US are misdiagnosed in outpatient clinics each year - the equivalent to 1 in every 20 adults. According to the study researchers, the findings pose a "substantial patient safety risk." https://www.medicalnewstoday.com/articles/275565.php
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YA L E YA L E C O N T I N U E D T O P E R F O R M H U N D R E D S O F E X P E R I M E N T S T O U N D E R S TA N D T H E “ W H Y " T O T H E “ H O W ” . YA L E D I S C O V E R E D T H AT K E TA M I N E , W H E N G I V E N AT L O W D O S E S I N T R AV E N O U S LY, D I R E C T LY S T I M U L AT E S A P R O C E S S T H AT A L L O W S T H E B R A I N T O R E G R O W Q U A L I T Y PAT H WAY S , A L S O K N O W N A S B R A I N R E T R A I N I N G .
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