Contracts With Patients in Clinical Practice

A team from the CDC recently published an implicit study cataloguing the pathogens – the evil foreign organisms – that cause Americans to find themselves in hospitals with pneumonia. And the worst offenders? Viruses! Moral of the story – get your annual flu shot, and then cross your (sanitized?) fingers that some other bug doesn’t…

Here is the opening of an article I recently published in JAMA, available now online, in which I raise concerns about misguided congressional efforts to promote the use of high-value healthcare services, without doing anything to reduce the use of low value ones. Health care systems around the world are under pressure to restrain health…

Surgery can be risky. People with major cardiovascular or respiratory illnesses undergoing major surgeries, for example, are at risk for major surgical complications, even death. But healthy people receiving less intense interventions typically fly through with nary a concern. Nevertheless, perhaps worried about those few patients who suffer major complications, many physicians order a gaggle…