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Thread: Doctors Miss Most Cases Of Heart Failure

  1. #1
    Moderator Julieanne's Avatar
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    Default Doctors Miss Most Cases Of Heart Failure

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    September 10 2018

    Doctors are failing to spot the vast majority of cases of heart failure which are instead being picked up only when the patient finally gets emergency care. Just 36 per cent of cases are being initially diagnosed in surgeries across the UK.

    It's a problem that's worsening; around 56 per cent of cases were being diagnosed in the surgery 16 years ago, and researchers fear it could be because of an incentive scheme that rewards doctors for prescribing drugs rather than ordering tests.

    Read more: https://www.wddty.com/news/2018/09/d...=1536660370237
    Last edited by Islander; 09-12-18 at 07:41 AM. Reason: 100-word limit

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    Administrator Islander's Avatar
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    Default Re: Doctors Miss Most Cases Of Heart Failure

    Hope the U.S. has a better average.
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    Veteran Member Mr. Wizard's Avatar
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    Default Re: Doctors Miss Most Cases Of Heart Failure

    The U.S. doctors I'm familiar with would never pass up the opportunity to order a cardiac test. Most of these tests are expensive so the doc profits handsomely, most are covered by insurance with "relatively low" out-of-pocket fees to the patient, fairly non-invasive, and the results are almost instantaneous. So, U.S. docs order cardiac tests a lot. Some of the more common tests include the EKG or ECG, the ultrasound test known as ECHO or echocardiography, chest X-rays, the exercise "stress test" or treadmill test, the radionuclide ventriculography or the multiple-gated acquisition (MUGA) scanning test, cardiac catheterization, and the cardiac MRI,....just to name a few. Surprised the European docs don't order more tests. There must be more to this story than we know.

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    Moderator Julieanne's Avatar
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    Default Re: Doctors Miss Most Cases Of Heart Failure

    Totally different health care system. I would guess that the UK NHS pays for tests, so is trying to save money. Docs in UK (and Australia) are not allowed to profit from any form of treatment.

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    Veteran Member Mr. Wizard's Avatar
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    Default Re: Doctors Miss Most Cases Of Heart Failure

    Excellent point, Julianne. I forgot about how docs work under the NHS. It appears the article didn't account for docs in private practice that don't work for NHS. My relative, who lives in England, has private health insurance through her employer. Apparently, some employers offer employees private health insurance as a perk. The article states that docs make money through a scheme for writing prescriptions. This is interesting because people over 60 and under age 19 do not pay for prescriptions under the NHS. Are seniors' prescriptions free under the Australian system?

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