Risk factors for cardiovascular disease (CVD), such as atherosclerosis and lifestyle behaviors such as poor diet, begin in childhood and can progress through the adult years. A recent review co-authored by Dr. Heather Johnson emphasizes that in order to reduce the burden of CVD, it is important to not only treat risk factors in adolescents and young adults, but also to prevent those risk factors from developing in the first place. Methods to assess CVD risk and deliver cardiovascular preventive care to young adults are also discussed.
The unchartered frontier: Preventive cardiology between the ages of 15 and 35
Family physician clinical compensation: Moving away from the RVU
In a recent article in Family Medicine, members of UW PATH describe the development and implementation of a population health-based physician compensation plan that shifted the focus away from relative value unit (RVU) productivity and towards panel management. Survey results from pre- and post-implementation showed that community physician satisfaction with the compensation structure rose from 33% to 74%, and satisfaction with the amount of compensation rose from 26% to 87%.
Delivery of breast cancer follow-up care by different types of oncology providers
Dr. Heather Neuman et al. recently used a novel statistical technique to examine patterns of breast cancer follow-up care provided by different types of oncologists. They found that breast cancer survivors had a median of 3 follow-up visits per year. Among patients with high visit regularity, two-thirds received follow-up from a single oncologist type; conversely, among patients with low visit regularity, only 8% received follow-up from a single oncologist type.
"I have to live like I'm old." Young adults' perspectives on managing hypertension
In a recent study, Heather Johnson et al. conducted focus groups with young adults with a diagnosis of hypertension to better understand their attitudes and reactions to being diagnosed with and managing hypertension. They found that having a hypertension diagnosis negatively altered the patients' "young" self-identity. Additionally, several barriers to hypertension follow-up visits and use of social media or texting for self-management were identified.
Practice variations in voice treatment selection following vocal fold mucosal resection
In a recent study, Jaime Moore et al. sought to characterize initial voice treatment selection following vocal fold mucosal resection in patients with Medicare coverage. They found that voice treatment—thyroplasty, vocal fold injection, or speech therapy—was used in 14% of cases, and services were disproportionately utilized based on patient age, sex, and socioeconomic status. Most patients who did undergo treatment initially participated in speech therapy.