We excluded studies reporting subjective measures, such as surveys or questionnaires, unless the results included an objective externally validated measure, such as case numbers or results of assessments. We also excluded studies that assessed the effect of changes in duty hours on medical staff (for example, measures of fatigue, physical or psychological wellbeing) as opposed to patients. Any study design was eligible for inclusion.
The question now is whether the individual mandate to buy insurance, the heart of Mr. Obama’s signature domestic achievement, will be further softened in the months ahead. The administration has been adamant that it won’t delay the requirement, saying it’s needed to get people to sign up in large enough numbers to make Obamacare work. But now they’ll face renewed political pressure to allow others to opt out for 2014.
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