The Stark law, first passed in 1989 and repeatedly expanded and clarified since then, has long created questions for group practices. Its primary intent is to prohibit physician referrals to entities in which the physician has a financial interest, but the details have proven confusing. The Stark law's Phase II regulations, as put forth by the Centers for Medicare and Medicaid Services, went into effect in July and attempt to offer further clarification. In this article the authors explain some of the complexities of this most recent set of Stark law regulations, especially as they apply to smaller, multi-specialty practices.
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Consistent direction despite wavering policy: reductions in resident physician extended duration shifts over 20 years.
Am J Med
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Division of Sleep and Circadian Disorders, Departments of Medicine and Neurology, Brigham and Women's Hospital, Boston, MA; Division of Sleep Medicine, Harvard Medical School, Boston, MA; Division of General Pediatrics, Department of Pediatrics, Boston Children's Hospital, Boston, MA; Department of Pediatrics, Harvard Medical School, Boston, MA.
We examined data from 17,498 physicians-in-training who reported on 92,662 months of work over a 20 year study interval that included three major revisions to work hour limits. Extended duration shifts (≥24 hours; EDS) are much less common than they used to be. On average, first-year resident physicians (PGY1s) currently work a total of 4 EDS per year and 3 EDS per month during months in which any EDS are worked.
View Article and Find Full Text PDFProhibiting Babel-A call for professional remote interpreting services in pre-operation anaesthesia information.
PLoS One
January 2025
Ludwig Boltzmann Institute for Digital Health and Patient Safety, Ludwig Boltzmann Gesellschaft, Vienna, Austria.
Introduction: Language barriers within clinical settings pose a threat to patient safety. As a potential impediment to understanding, they hinder the process of obtaining informed consent and uptake of critical medical information. This study investigates the impact of the current use of interpreters, with a particular focus on of engaging laypersons as interpreters, rather than professional interpreters potentially affecting patient safety.
View Article and Find Full Text PDFRegulatory gaps in India's medical device framework: The case of Johnson and Johnson's faulty hip implants.
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December 2024
Law, Gujarat National Law University, Ahmedabad 382426, Gujarat, India.
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Ethics practices associated with reusing health data: an assessment of patient registries.
BMC Med
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QUEST Center for Responsible Research, Berlin Institute of Health at Charité - Universitätsmedizin Berlin, Charitéplatz 1, Berlin, 10117, Germany.
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