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Since 2005, Medicare has added more measures, among them mortality and readmission rates for certain diagnoses, success rates in preventing certain infections and even some patient satisfaction measures.
The number of hospitals offering treatment for certain diagnoses varies considerably (see Table 1).
Transcranial color-coded sonography and two-dimensional transcranial Doppler imaging of the brain have the potential to be a middle ground to bridge this gap for certain diagnoses.
The prison medical record diagnoses matched moderately well with the MINI, thus suggesting that the prison system does a reasonable job in screening for PD among the inmates, although the kappa values suggest that significant improvements can be made for certain diagnoses.
Is there any way that this can be characterized as something other than health care rationing -- not providing services for certain diagnoses?
Are admissions for certain diagnoses not regarded as "proper" admissions and therefore not reported in surveys?
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Scoring systems are used in various fields of medicine for determining the likelihood of certain diagnoses (e.g. pulmonary embolism (20), but also for classification of disease severity (e.g. NYHA scoring system for heart failure (21).
That being said, I hope my acupuncture colleagues can accept this olive branch if they found my piece offensive, and understand that behind the subheadings (referred to as "snarky"), clinical experience was driving the content, not a personal vendetta for a treatment that may be effective for some patients with certain diagnoses.
A handful of publications have successfully investigated sensitivity and specificity of diagnoses, demonstrating high validity for certain GPRD diagnoses [ 20, 21].
The hope is these tests will mean more certain diagnoses for many conditions and, eventually, better treatments.
Among the other protocols, the transition boundary varied as follows: 16-years (n = 2); 17-years (n = 1); 16-years if not in full-time education (NIFTE) or else 18-years (n = 5); 17 if NIFTE or else 18-years (n = 2); 18-years, but up to 19 for young people with certain diagnoses (n = 1); 19-years (n = 2); 20-years (n = 1); and over 21-years (n = 1).
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com