Do you want to live longer? Live near a primary care physician.
Analyzing data on the US population, every 10 primary care workers per 100,000 people was associated with an increase in life expectancy of 51.5 days, Stanford University researchers found a study published Monday in the medical journal peer- reviewed JAMA. However, from 2005 to 2015, the density of primary care physicians decreased by 41.4 per 100,000 from 46.6.
"The persistent disparities in payment between primary care and procedural specialties continue to erode the workforce of the primary care physicians of the US."
Data from 3,142 US counties, 7,144 primary care service areas and 306 hospital referral regions were used to study the association of primary health care delivery with changes in life expectancy and mortality after adjustment for health care, demographic, socioeconomic and other life-styles factors. The analysis was carried out from March 2018 to July 2018.
Primary care physicians rose from 196,014 in 2005 to 204,419 in 2015. But losses in some counties and an increase in population size led to a reduction in the average density of primary care physicians compared to the size of the population. Ten other primary care physicians for 100,000 people were associated with a reduction in cardiovascular, tumor and respiratory mortality from 0.9% to 1.4%.
"Many believe that a well-functioning health system requires a solid base of primary care, but persistent disparity in payments between primary care and procedural specialties continue to erode the workforce of the US general practitioner," the study noted. The lead author of the paper was Sanjay Basu, an assistant professor of medicine at Stanford University.
Urgent assistance against first aid
For those who need to see a doctor immediately without an appointment, recent research by the Perelman School of Medicine at the University of Pennsylvania and published last year in the peer-reviewed journal Annals of Emergency Medicine found that urgent care facilities were assessed more favorably in online patient reviews than first aid.
Approximately 47% of emergency departments received one-star ratings against 30% of the urgent help center in an analysis of over 100,000 Yelp reviews.
Approximately 47% of emergency departments received one-star assessments against 30% of the emergency assistance center. The researchers analyzed over 100,000 Yelp
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reviews that were published between 2005 and 2017 when urgent care facilities were on the rise. The revisions concerned 1,566 emergency departments and 5,601 emergency assistance centers.
During that time, an average of a new review for an emergency room or an urgent care center appeared every hour, every day. The results of this study "offer a unique opportunity for researchers and clinicians to learn from online reviews, which provide a crude narrative from consumers," the authors wrote.
Researchers identified key issues in five-star emergency departments reviews, including bed-to-bed arrangements, family treatment and access to care on nights and weekends. However, emergency departments received negative comments for their speed of care, while emergency care centers received a one-star rating for their experiences of poor reception.
Lifestyle can help you live 10 more years
People who had a healthy lifestyle were 82% less likely to die from cardiovascular disease and 65% less likely to die of cancer than people who lived unhealthy lifestyles over 30 years , according to a separate study published last year in the newspaper Circulation. They had a healthy diet, a healthy weight, they practiced 30 minutes or more a day, they did not drink too much alcohol or smoke.
People with a healthy lifestyle were 82% less likely to die from cardiovascular disease than those who were unhealthy for more than 30 years.
The researchers analyzed 34 years of data from over 78,000 women and 27 years of data from more than 44,000 men. They estimated that the women who adopted these five habits would have seen another 14 years of life and that the men would have added 12 years. The average body mass index for an American man is 28.6, compared with 25.1 in the early years & 60; something over 30 is considered obese.
Obesity, in particular, puts people at risk for a whole host of problems. Being overweight or obese is associated with a higher risk of dying prematurely than being a healthier weight, according to a study published in 2016 by researchers at Harvard T.H. Chan School of Public Health and the University of Cambridge in the United Kingdom.
People who are considered obese with a BMI of over 30 and still have good metabolic health – and have not had any disorders like diabetes, heart disease, high cholesterol, high blood pressure or a history of stroke – still have a greater risk of having such problems compared to people who were not obese. President Trump has a BMI of 30.4, according to his last physicist.
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