Lawrence R Kosinski
Lawrence R Kosinski
This is an age of disruptive innovation in health care in which the business model is changing. Fee-for-service, volume-based systems are being replaced by fixed-fee, value-based systems. One of the major facilitating forces behind this cha...
Michael Komar,Robert Smith,Eileen Patten
Michael Komar
Within the Patient Protection and Affordable Care Act of 2010 is a provision setting up a program for the implementation of accountable care organizations (ACOs). This article explains the proposed ACO model and discusses major implications...
Ian L Taylor,Ross McVicker Clinchy
Ian L Taylor
The impact of health care reform on academic medical centers will be just as great as it is on community practices. The economics of academic medical centers and training programs has been challenging, and will become even more so as fundin...
Klaus Mergener
Klaus Mergener
Spencer D Dorn
Spencer D Dorn
The recent landmark health care reform legislation seeks to expand health insurance coverage, change incentives, and improve the quality and flow of information. This article reviews the elements of health care reform most relevant to clini...
Upper GI bleeding [0.03%]
上消化道出血
Charles J Lightdale
Charles J Lightdale
Paul Swain
Paul Swain
The age of patients admitted to hospital for gastrointestinal bleeding will probably continue to rise, pushing the mortality rate upward, and the use of arthritic and blood thinning drugs will increase the incidence of gastrointestinal blee...
Basic requirements of gastroenterologists to treat upper gastrointestinal bleeding: competency and sedation issues [0.03%]
胃肠道出血的内镜诊治：从业人员资质和镇静问题
Nirav Shah,John J Vargo
Nirav Shah
This article reviews the components of adequate training required for a gastroenterologist to treat upper gastrointestinal bleeding (UGIB). The current status of endoscopic simulators is critically reviewed to determine whether these should...
Juliane Bingener,Christopher J Gostout
Juliane Bingener
Early surgical involvement in the management of a patient at high risk for recurrent bleeding, despite endoscopic intervention, is often optimal to assure continuity of care. Close collaboration of the surgical team with gastroenterologic e...
New diagnostic imaging technologies in nonvariceal upper gastrointestinal bleeding [0.03%]
非静脉曲张上消化道出血的新诊断影像技术
Richard C K Wong
Richard C K Wong
This article covers new endoscopic imaging modalities in nonvariceal upper gastrointestinal bleeding, such as Doppler ultrasound probe technology, endoscopic ultrasonography, color Doppler optical coherence tomography, and magnification end...