OPINIONA look back at the big stories of 2011Connected coverage -- selected articles on trends, challenges and controversies in the changing world of medicine.Connected Coverage. Posted Jan. 9, 2012. The 10 stories that generated the largest number of online page views in 2011 gave insight into what was driving reader interest in an eventful year for medical news. Audit finds hospital EMRs vulnerable to data breachesThe HHS Office of Inspector General looked at seven hospitals and uncovered more than 150 problems with their electronic medical record systems. The OIG said the vulnerabilities meant individuals could have accessed confidential patient information improperly. 1 in 3 surrogate decision-makers carries lasting emotional burdenA study found those who are forced to make medical decisions for loved ones often suffer from stress, guilt and other upsetting emotions. The authors concluded that advance directives could go a long way toward alleviating those problems. Hospitals make almost no headway in cutting readmissionsRoughly one in six Medicare patients was rehospitalized within 30 days after discharge in 2009, according to a study. If hospitals don't improve their stats by October 2012, they'll start seeing Medicare payment penalties. Donor families join anatomy students at ceremony honoring their loved onesNorthwestern University medical students have a way to honor the people whose bodies served as cadavers in anatomy class. During a ceremony attended by the donors' families and friends, the students sing, read essays and give thanks for what they have learned. More adults going without medical care because of costsMedical care was among the casualties of the U.S. economic downturn. A study found that a greater percentage of working-age adults went without doctor visits, tests and medication in 2010 because they believed they could not afford them. Nearly all U.S. doctors are now on social mediaNearly nine in 10 physicians reported in August 2011 that they used at least one social media site. But although many doctors use such sites professionally and not just for personal use, they have been reluctant to engage with patients through social media. Revealing their medical errors: Why three doctors went publicPhysicians who are responsible for a medical error often suffer so much guilt that it can lead to depression and even suicide. Some doctors have made the decision to share their stories with the world in an effort to get colleagues to realize that all human beings will make mistakes. Decline in doctor office visits could be permanentThe economic downturn caused patients to cut back on medical expenditures. Recent studies suggest those patients might not be coming back along with the economy, now that many have altered their behavior to avoid making appointments unless they believe them absolutely necessary. Nearly all states cut Medicaid payments as stimulus runs outFederal stimulus money allowed many states to preserve Medicaid benefits and physician pay when tight budgets otherwise would have forced cutbacks. But with the federal dollars drying up, Medicaid physician pay is back on the chopping block. Aetna sues 9 N.J. doctors for "unconscionable" feesThe insurer took several out-of-network physicians to court over what it deemed outrageous charges for care, including one inpatient consultation that was billed at $50,000. But some of the doctors countersued, saying Aetna was the one guilty of fraudulent billing practices. Copyright 2012 American Medical Association. All rights reserved.
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