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Medicaid expansion closed health gaps for low-income adults across racial and ethnic groups, study shows - State of Reform

Convenience over reputation: Study looks at how older adults pick a doctor

Credit: University of Michigan Convenience and access win out over reputation when people over 50 look for a doctor for themselves, a new study finds. But online ratings and reviews of physicians play an important role, and should receive attention from providers and policymakers, the researchers say. About 20% of older adults called such ratings very important to them, but 43% said they had checked such reviews in the past for physicians they were considering for themselves. Still, factors like insurance acceptance, appointment availability, location and hours won out over reputational information, although about 40% said a recommendation from another physician was very important to them. Recommendations from family and friends were rated as very important by about 20% of older adults.

A trio that could spell trouble: Many with dementia take risky combinations of medicines

 E-Mail People over 65 shouldn t take three or more medicines that act on their brain and nervous system, experts strongly warn, because the drugs can interact and raise the risk of everything from falls to overdoses to memory issues. But a new study finds that 1 in 7 people with dementia who live outside nursing homes are taking at least three of these drugs. Even if they received the drugs to calm some of dementia s more troubling behavioral issues, the researchers say, taking them in combination could accelerate their loss of memory and thinking ability, and raise their chance of injury and death.

Study explores the perceptions and use of antibiotics among older adults

Study explores the perceptions and use of antibiotics among older adults While most adults over 50 understand that overuse of antibiotics is a problem, and say they re cautious about taking the drugs, a sizable minority have used antibiotics for something other than their original purpose, and appear to think the drugs could help treat colds, which are caused by viruses not bacteria. These findings, contained in a new paper in Infection Control and Hospital Epidemiology, come from a national poll of people between the ages of 50 and 80 carried out as part of the National Poll on Healthy Aging. The authors, from the University of Michigan s Institute for Healthcare Policy and Innovation, say their findings highlight the importance of careful guidance from health care providers to older adults, about the proper use and disposal of antibiotics prescribed to outpatients.

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