A Reminder That Correlation Does Not Equal Causation
I think this picture just about covers it: Click to view comments
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When Physicians Pay Attentions to Costs, They Promote Public Health!
This week, my good friend Reshma Jagsi and I published an article in the New England Journal of Medicine, in which we explain why physicians are doing their job, as physicians, when they pay attention to healthcare costs. Here is a snippet from that article, and a link to find the full version. Health care costs…
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Orthopedic Surgeons Get "F" Grade On Knowing Cost Of The Devices They Implant
A new study asks Orthopedic surgeons to guess the price of the devices they implant – “the amount your institution currently pays the vendor for the implant.” Despite a lenient grading system, in which the researchers counted as correct any guess within 20% of the actual price, surgeons estimated costs correctly only 1 in 5…
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Want narcotics just ask for them?
A very disturbing new study was just published, in which physicians viewed a video of a patient with back pain asking for OxyContin. Twenty percent of docs said they would prescribe that med under that circumstance: …Too often, doctors prescribe potentially dangerous medications to patients who shouldn’t be getting them, and what they prescribe is…
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Promoting Social Responsibility Among Pharmaceutical Companies
Last fall, an article in the New England Journal presented a powerful picture of just how much effort different pharmaceutical companies make to give poor people access to their products. Here is the picture from that article: The captains of industry are a competitive group of people, I am told. They like to see where…
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A Simple Nudge That Will Improve Medical Care for People with Diabetes
When patients with diabetes come to the doctor’s office, it is important for their clinicians to take a look at their feet. Many, if not most, foot amputations among people with diabetes would be prevented with this simple exam, an exam that will identify problems early enough to prevent them from progressing. But us busy…
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On Being a Parent to Someone with Schizophrenia
I have been pulling a lot of quotes, recently, from Andrew Solomon’s Far From the Tree. The book is wonderful, although too long. It could have used a more aggressive editor. Nevertheless, it is chock full of great stories and great ideas. Here is a Solomon quote I feel compelled to share, which captures how…
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Where in the World are the ACOs?
The Affordable Care Act established several programs to promote the formation of Accountable Care Organizations. These ACOs are a relatively new way of organizing healthcare delivery, in which healthcare providers join together – perhaps across physician groups and hospitals – to care for a population of patients, and are then held accountable both for the…
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Quote of the Day
“Blindness cuts us off from things, but deafness cuts us off from people.” – Helen Keller (Click to view comments)
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Is Medicare Being Too Generous To Rural Healthcare Providers?
If you live in the rural U.S., you probably face relatively limited access to the wonders of American healthcare. There won’t be as many physicians per capita offering you their services. This paucity of healthcare professionals will be especially stark for subspecialty care. There are not many ENT specialists opening up shops in rural…