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Ideas and Opinions | 
Kathleen M. Mazor, EdD; Kelly M. Smith, PhD; Kimberly A. Fisher, MD; and Thomas H. Gallagher, MD
Although most healthcare systems encourage patients to provide feedback about the care they received, few choose to do so. This article proposes several strategies for encouraging patients to speak up about their concerns and why it may be beneficial for healthcare systems to respond to these issues in a timely manner.
Topics: patient-centered care
Ideas and Opinions | 
Timothy P. Hofer, MD, MSc; Jeremy B. Sussman, MD, MSc; and Rodney A. Hayward, MD
The 2013 lipid guidelines from the American College of Cardiology and the American Heart Association recommend that statin therapy be guided by cardiovascular risk rather than by a specific low-density lipoprotein (LDL) cholesterol level or target. It has been argued, however, that recent evidence that nonstatin lipid-lowering agents reduce cardiovascular events supports a return to therapy guided by an LDL cholesterol level or target. The authors argue that these recent findings actually support a move away from such an approach and the adoption of benefit-based, tailored treatment.
Topics: ldl cholesterol lipoproteins, american heart association, guidelines, lipids, american college of cardiology, ezetimibe
Ideas and Opinions | 
Hannah L. Semigran, BA; Ateev Mehrotra, MD, MPH, MS; and Ann Hwang, MD, MPhil
The current medical billing system is a common source of patients' frustration with health care. Most patients are inundated with bills and insurance statements that are sometimes confusing or inaccurate and often arrive long after their health care encounters. This article proposes strategies for providing real-time point-of-care information on health care costs to patients.
Topics: drowning, patient-centered care, Billing and payment, social cognition and emotional assessment
Ideas and Opinions | 
David Moher, PhD; and Ester Moher, PhD
Predatory publishers and journals are morally corrupt businesses that circumvent the fabric of scientific publishing. This commentary discusses how to identify and avoid them and help bring them down.
Topics: atrial premature complexes, ethics, textiles, knowledge acquisition, outreach, cancer, complement system proteins, journal impact factor
Ideas and Opinions | 
Lin H. Chen, MD; and Davidson H. Hamer, MD
Zika virus is a mosquito-borne flavivirus that was rarely identified until outbreaks occurred on in Micronesia in 2007 and has been rapidly emerging in the Western Hemisphere over the past few months. Clinicians should advise patients to use antivector measures when traveling to regions with Zika transmission. Given the possible association between Zika virus and microcephaly, pregnant women should avoid travel to areas that are reporting outbreaks or practice meticulous mosquito avoidance.
Topics: zika virus
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