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Do you want to live longer? Live near a primary care doctor.
By analyzing data from the US population, every 10 additional primary care physicians per 100,000 population were associated with an increase in life expectancy of 51.5 days, found researchers at Stanford University. in a study published Monday in the peer-reviewed medical journal JAMA. However, between 2005 and 2015, the density of primary care physicians increased from 46.6 to 41.4 per 100,000 population.
Data from 3,142 US counties, 7,144 primary care service areas and 306 hospital referral regions were used to investigate the link between the number of primary care physicians and the evolution of life expectancy and mortality adjusted for health, demographic, socio-economic and lifestyle 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 disparities between primary care specialties and procedures continue to erode the numbers of front-line physicians in the United States, "the study revealed. 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, published last year in the peer-reviewed journal Annals of Emergency Medicine, found that patients rated the emergency care facilities more favorably. in online journals as the emergency rooms.
About 47% of emergency departments received one-star ratings compared to 30% of emergency care centers.
The researchers analyzed more than 100,000 Yelp journals that were 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.
Researchers identified key themes in five-star emergency department reviews, 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 over a period of three decades, according to a separate study published last year in the newspaper. Circulation journal.
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.
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 still have 14 years of life and men, 12 years.
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.
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.
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 – always run 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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