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Do you want to live longer? Live near a primary care doctor.
Researchers at Stanford University found, in a study published Monday in the JAMA peer-reviewed medical journal, that analysis of US population data indicated that all 10 additional primary care physicians per 100,000 population were associated with an increase of 51.5 days in life expectancy. However, between 2005 and 2015, the density of primary care physicians actually decreased from 41.4 per 100,000 population to 46.6.
"Persistent payment disparities between primary care specialties and procedures continue to erode the numbers of primary care physicians in the United States."
Data from 3,142 US counties, 7,144 primary care service areas and 306 hospital referral areas were used to investigate the relationship between the number of primary care physicians and the number of primary care physicians. evolution of life expectancy and mortality after adjustment for health care, demographic, socio-economic and other. factors. The analysis was conducted from March 2018 to July 2018.
The number of primary care physicians increased from 196,014 in 2005 to 204,419 in 2015. However, losses in some counties and an increase in the size of the population resulted in a decrease in the average density of primary care physicians relative to the size of the population. Ten additional primary care physicians per 100,000 population were associated with a reduction in cardiovascular, cancer and respiratory mortality from 0.9% to 1.4%.
"Many believe that a successful health system requires a solid foundation of primary care. However, persistent payment discrepancies between primary care specialties and procedural specialties continue to erode the number of primary care physicians in the United States, "the study found. The lead author of the paper was Sanjay Basu, an assistant professor of medicine at Stanford University.
Emergency care in relation to emergency rooms
For those who need to see a doctor immediately without an appointment, a recent study from the Perelman School of Medicine at the University of Pennsylvania and published last year in the peer-reviewed journal Annals of Emergency Medicine found that emergency care facilities were better rated in online reviews by patients than emergency rooms.
About 47% of emergency departments received one – star ratings compared to 30% of emergency care centers in an analysis of more than 100,000 reviews on Yelp.
About 47% of emergency departments received one-star ratings compared to 30% of emergency care centers. Researchers have analyzed more than 100,000 Yelp
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Reviews published between 2005 and 2017 while emergency care facilities were on the rise. Reviews included 1,566 emergency departments and 5,601 emergency care centers.
During this period, a new review for an emergency department or emergency care center appeared on average every hour and every day. The results of this study "offer researchers and clinicians a unique opportunity to take advantage of online reviews, which provide a raw consumer narrative," the authors wrote.
The researchers identified key themes in the five-star emergency department exams, including how to cope with the bed, the treatment of family members and access to care at night and on weekends. end. However, emergency departments have received negative feedback on the speed of their care, while emergency care centers have received a star rating for their bad hospitality experiences.
Lifestyle can help you live 10 years more
People with a healthy lifestyle were 82% less likely to die from cardiovascular disease and 65% less likely to die of cancer compared to people with an unhealthy lifestyle for 30 years, according to another study published last year in the newspaper Circulation. They had a healthy diet, a healthy weight, exercised at least 30 minutes a day, did not drink too much alcohol and did not smoke.
People with a healthy lifestyle were 82% less likely to die from cardiovascular disease compared to those who had been in poor health for 30 years.
The researchers analyzed 34 years of data from over 78,000 women and 27 years of data from more than 44,000 men. They estimated that women who adopt these five habits would live 14 years more, and men, 12 years. The average body mass index of an American is 28.6, compared with 25.1 in the early 1960s; anything over 30 is considered obese.
Obesity, in particular, exposes people to a multitude of problems. According to a study published in 2016 by Harvard T.H. researchers, being overweight or obese is associated with a higher risk of premature death than losing a healthy weight. Chan School of Public Health and the University of Cambridge in the United Kingdom
People who are considered obese with a BMI greater than 30 and who still have good metabolic health – and who do not have diseases such as diabetes, heart disease, high cholesterol, high blood pressure, or a history of Stroke – are at a higher risk of such problems than non-obese people. President Trump has a BMI of 30.4, according to his latest physical record.
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