Doctors protest over Australia’s “repressive legislation” on asylum seekers
In The BMJ this week, two doctors criticise Australia for passing legislation that may be used to silence doctors working with asylum seekers.
Healthcare politics
Article • Cardiology III
Restrictive ruling on cardiac procedure
In the future, TAVIs can only be carried out in German hospitals with cardiac surgery departments and cardiac wards, as decided by the German Government’s Expert Panel on Health (G-BA) last January. An interim arrangement in force until 2016 is anticipated for Heart Centres that currently carry out the TAVI procedure without cardiac surgery departments on site. The Federal Ministry of Health is…
Article • Cardiology II
Rapid Access Chest Pain Clinics
Many NHS hospitals in the United Kingdom have established Rapid Access Chest Pain Clinics (RACPC) to work in tandem with them in offering primary percutaneous coronary intervention (PPCI) – the gold standard treatment for heart attacks – 24 hours a day. Report: Mark Nicholls
Article • Cardiology I
Chest pain units in Germany
The German care system for patients with acute and unspecific chest pain is unique in Europe. The closely knit and countrywide network of accredited Chest Pain Units (CPUs) ensures fast and targeted diagnosis of acute cardiac events. The German CPUs may soon serve as a blueprint for other European countries. The German Cardiac Society (DGK) has already accredited the first institutions – others…
Article • Excellence Award
ESCMID honours Médecins Sans Frontières
The European Society of Clinical Microbiology and Infectious Disease (ESCMID) today issued a special excellence award for outstanding achievement to Médecins Sans Frontières (MSF). The award was bestowed in Copenhagen at ESCMID’s annual congress, on behalf of all its members, in light of the charity’s huge contribution to global health over the last 40-years, and in special recognition of…
Article • DRUG resistance
Cut prescriptions and choose treatments wisely!
Prescribing antibiotics for a viral infection with fever, a cold and a cough? There is no point! This is the best-known example of over-use in medicine. There are also numerous examples of diagnostic procedures and therapies that are pointless, yet still being doled out in surgeries and hospitals – sometimes even harming a patient. This is set to change, according to the German Society of…
Article • DRUG resistance II
Obama’s multi-year, billion-dollar effort
The USA’s President Barack Obama released a comprehensive plan in March to slow the emergence of drug-resistant bacteria, a multi-year, billion-dollar effort that includes getting doctors to stop over-prescribing antibiotics, developing new medications and rapid diagnostics, and real-time tracking of infection outbreaks. Report: Lisa Chamoff
News • Ovarian cancer
Genetic testing should be accessible to all women
The genes BRCA1 and BRCA2 play a significant role in hereditary breast and ovarian cancers. Recent media attention has focused on American actress Angelina Jolie's decision to have her ovaries and fallopian tubes surgically removed after genetic testing for such cancers.
Article • Telehealth study
England’s Florence looks like a winner
Given the increasing focus on telehealth and telecare services aimed at improving long-term patients’ living conditions and save costs, numerous pilots in various countries have been conducted for proof of concept purposes. Among these, the United Kingdom’s ‘Whole System Demonstrator’ (WSD) programme is the largest randomised controlled trial. Set up by the English National Health Service…
Diagnosing infectious diseases at the point-of-care
A new "lab-on-a-disc" technology developed by an EU project research team can diagnose malaria and other febrile infectious diseases simultaneously in just an hour - allowing faster point-of-care treatment and precise drugs administration that could save thousands of lives.
News • Study
British lung transplant patients fare better than Americans
Publicly insured Americans who undergo lung transplantation for cystic fibrosis fare markedly worse in the long run than both publicly insured patients in the United Kingdom and privately insured Americans, according to the results of a study conducted by researchers from Johns Hopkins in Baltimore and U.K. colleagues working in that nation’s government-funded National Health Service.
Article • Pros and Cons of DMP
France still seeks an electronic health record
The idea of a ‘dossier médical personnalisé’ (DMP, or electronic health record) for every French citizen was first inaugurated in 2004. Now, over 10 years and €500 million later, we can look at the pros and cons encountered during this still incomplete journey and consider if similar projects would be a useful addition to healthcare administration in other European countries, or…
Article • Mobile IT
How secure are your data?
The appetite for mobile information technology (IT) seems insatiable. Boosted by the sales of the iPhone 6 Plus, Apple generated a record $18 billion profit in 2015’s first quarter alone. Social media use is exploding, and dedicated professional platforms, such as Figure 1, a sort of Instagram for doctors, increasingly emerge. These changes are affecting our daily lives, and this is also true…
Article • Challenges in Imaging
Rebuilding Russian radiology
Facing challenges common to any manager, Russian radiologists must also confront a funding crisis, system dysfunctions, self-referring patients, and head-hunters chasing staff.
Interview • Perspectives in Radiology
Future ESR President defines the goals
During an exclusive European Hospital interview, in the run up to ECR 2015, Professor Lluís Donoso-Bach MD PhD, incoming President of the European Society of Radiology (ESR), outlines his plans to tackle challenges facing radiology in Europe – and anticipates a brighter future in Spain.
Interview • Structured reporting
Liberating radiologists to be expert consultants
Where some decry the commoditisation of radiology, Gabriel Krestin MD, sees an opportunity to redefine the profession, for radiologists to rise up from basement reading rooms to consult as equals with other medical specialists in multi-disciplinary conferences focused on patient care. ‘If we are going to think about the future, we should not be looking in a rear view mirror. We need to be open…
Article • Ebola
Reports of panic among medics
At the International Meeting on Emerging Diseases and Surveillance (IMED 2014), in Vienna, this year’s focus was on one particular emerging infectious disease: Ebola. According to the World Health Organisation (WHO), as of January 14th, more than 8.400 people have died of this dangerous disease and more than 21.000 cases were reported in nine countries. Report: Michael Krassnitzer
Article • Laboratory Medicine
‘Kissed by Europe’
They are not such strange bedfellows, say Walter Depner (Frankfurt) and Professor Norbert Gässler (Hildesheim), who find themselves ‘kissed by the European lab muse’ and were prompted to ask: What links literature and laboratory medicine at a European level? Commentary: Walter Depner, Prof. Norbert Gässler
Interview • Diagnostics
Reimbursement rates must be negotiated
Last October the Association of the German Diagnostics Industry (VDGH) warned that the proposed EU regulation on in vitro diagnostic medical devices will increase production costs. Simultaneously with the Brussels proposal publication, the German Federal Ministry of Health presented a draft fees regulation that includes significant increases and several new fees, inter alia the minimum fee for…
NICE issues strict new guidelines
The National Institute for Health and Care Excellence (NICE) has issued strict new guidelines on safe nurse staffing levels to all hospitals. Report: Mark Nicholls
Article • Mammography
Benefits: Are they a question of beliefs?
A panel of experts has recommended that existing programmes be phased out and that systematic screening programmes be replaced with systematic screening information that would give women the opportunity to make individual choices. Report: Mark Nicholls
EHR to save $78 billion over next 5 years
EHRs (Electronic Health records) will deliver cost savings to the global healthcare industry of $78 billion between 2014 and 2019, becoming an integral part of future digital healthcare initiatives, forecasts a new report from leading hi-tech analyst house Juniper Research.
Germany’s healthcare IT is ‘average’
‘Germany has realised that something must be done,’ Professor Britta Böckmann of Dortmund University of Applied Sciences and Arts, concludes, referring to a 2012 study from Accenture that showed this country to be only average in expandable healthcare networking compared with other countries. Report: Chrissanthi Nikolakudi
Patients pay the price of over-crowding
The medical departments of Danish hospitals routinely function at 100 percent in-patient bed capacity. Is this situation a factor of productivity and efficiency or a situation to be concerned about? Is there any clinical impact on patients admitted to such a crowded hospital? Report: Cynthia E Keen
Putting early detection to the test
The number of cancer patients in Germany continues to rise steadily. An increase in the number of newly diagnosed cases of 14% is expected by 2020 compared to 2008. Therefore early detection is increasingly the focus of attention.
