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NEJM Perspective Pieces Examine Physician Involvement In Health Reform, Congressional Progress On Reform
"Achieving Health Care Reform -- How Physicians Can Help," New England Journal of Medicine: In a perspective piece, Elliott Fisher, a professor of medicine and of community and family medicine at Dartmouth Medical School and associate director for Population Health and Policy at the Dartmouth Institute for Health Policy and Clinical Practice; Donald Berwick, a professor at the Harvard University School of Public Health Department of Health Policy and Management and president and CEO of the Institute for Healthcare Improvement; and Karen Davis, president of the Commonwealth Fund, call on physicians to "lead the change our country needs" on health reform. They suggest several areas for physicians to become involved, saying that physicians should "first help to create a shared vision that could overcome doctrinal divides" and that they also must "recognize that achieving savings sufficient to cover the cost of expanded coverage need not impose a hardship on patients or providers." Finally, physicians also must help with a health reform deal that "all stakeholders can support," the authors say (Fisher et al., NEJM, 5/21).
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Sports Injuries Cause 1 In 5 Emergency Department Visits For Kids

Sports-related injuries such as bruises, scrapes and broken bones accounted for 22 percent of hospital emergency department visits for children ages 5 to 17 in 2006, according to the latest News and Numbers from the Agency for Healthcare Research and Quality. The federal agency"s analysis also shows that in 2006: -- Boys had three times more visits to treat sports injuries than did girls (147 visits per 10,000 children vs. 50 visits per 10,000 children). -- Teens were five times more likely than children to be treated for sports injuries in emergency departments (154 visits per 10,000 15 to 17 year-olds vs. 30 visits per 10,000 5 to 9 year-olds). -- Some 81 percent of all visits were for bruises, sprains and strains, arm fractures, or cuts and scrapes to the head, neck or chest. -- Only 1.3 percent of visits resulted in hospital admissions, mostly for leg and arm fractures. In nearly 99 percent of visits, the children were treated and released. This AHRQ News and Numbers is based on data in Sports Injuries in Children Requiring Hospital Emergency Care, 2006. The report uses statistics from the 2006 Nationwide Inpatient Sample, a database of hospital inpatient stays that is nationally representative of inpatient stays in all short-term, non-Federal hospitals. The data are drawn from hospitals that comprise 90 percent of all discharges in the United States and include all patients, regardless of insurance type, as well as the uninsured. Agency for Healthcare Research and Quality


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