Getting Stiffed No Longer Needs to be a Cost of Doing Business: Texas Prompt Pay Provisions (Medicolegal Issues)

Getting Stiffed No Longer Needs to be a Cost of Doing Business: Texas Prompt Pay Provisions (Medicolegal Issues)

Despite the enactment of new “prompt pay” legislation in 2003, many health care providers still accept slow, low, or no reimbursement from a health maintenance organization (HMO) or preferred provider organizations (PPO) for their services. Some health care providers do so because they have been conditioned to accept this behavior as a cost of doing […]

Clinical Excellence and the Niceties of Value-Based Priority Setting (Issues in Medicine) (National Institute of Health and Clinical Excellence) (Report)

Clinical Excellence and the Niceties of Value-Based Priority Setting (Issues in Medicine) (National Institute of Health and Clinical Excellence) (Report)

In an environment where debates about tertiary care viability in South Africa are characterised more by stridency than logic, it is refreshing to encounter positive suggestions such as those from Kenyon et al. (1) They suggested that scrutiny of expensive new medications and technologies by a NICE-like body would lead to appropriate rationing. NICE refers […]

Ethical Decision Making in Severe Paediatric Burn Victims (Issues IN MEDICINE)

Ethical Decision Making in Severe Paediatric Burn Victims (Issues IN MEDICINE)

‘The life of a patient is the only life the patient has–can we really make a judgment call on who to treat or not?’ J Puchula (from his address at the 2008 congress of the European Club for Paediatric Burns, Gdansk). The matter of triaging severe burns so that expensive and potentially futile treatment should […]

Is Scaling up Enough to Curb the HIV Epidemic in Southern Africa? (Issues in Public Health) (Human Immunodeficiency Virus) (Report)

Is Scaling up Enough to Curb the HIV Epidemic in Southern Africa? (Issues in Public Health) (Human Immunodeficiency Virus) (Report)

We highlight key insights and provide some food for thought on ‘Scaling up for success’, the theme of the 4th Southern African AIDS Conference (Durban, 31 March-3 April 2009), where over 4 000 scientists, field workers and activists presented and discussed research findings and best practices for HIV prevention, treatment and care in southern Africa. […]

Maternal Deaths Associated with Eclampsia in South Africa: Lessons to Learn from the Confidential Enquiries Into Maternal Deaths, 2005-2007 (ISSUES IN Medicine) (Report)

Maternal Deaths Associated with Eclampsia in South Africa: Lessons to Learn from the Confidential Enquiries Into Maternal Deaths, 2005-2007 (ISSUES IN Medicine) (Report)

Hypertensive disorders of pregnancy (HDP) are the commonest medical complication in pregnancy, and remain the commonest direct cause of maternal mortality in South Africa. (1) The latest (2005 2007) Saving Mothers report (SMR) indicates that there were 622 maternal deaths from HDP during this period, virtually the same as in the 2002–2004 report. (1,2) Numbers […]