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Do Starbucks Employees Have More Emotional Intelligence than Your Physician?
A cranky customer snaps at his barista, lodging an unjustifiable complaint about the service, the temperature of the drink…about anything and everything. He came into the store angry (and in pain from a chronic illness) and he needed something–or someone!–to take it out on. He is met by a well-trained smile, the barista doling out…
Is Behavioral Economics the Death of Living Wills?
As a physician who conducts research on decision-making, I have been asked many times: What does behavioral economics teach us about the role of living wills in medical care? Famed behavioral economist Dick Thaler recently opined on this topic in the New York Times, stating his support for a “requirement that all patients meet with their…
ACA Boosts Shared Decision Making
Medicine, today, is supposed to be “patient-centered.” But sometimes the patients feel a little off balance. What can they do when everyone seems to be trying to push aggressive, expensive treatments on them? One solution — or a partial solution — is known as shared decision making, in which patients are given specific tools, such…
Could Pay-For-Performance Lead To Overuse Of Antibiotics?
Not long ago, the Joint Commission (a healthcare quality organization) established that patients with pneumonia should receive antibiotics within four hours of diagnosis. Timely diagnosis and treatment can be the difference between life and death in patients with this illness. In fact, some people believe this kind of quality measure should play a large role…
Getting Good Cancer Care by Asking the Right Questions
Not long ago, I spoke with a freelance journalist, Charlotte Huff, who put together a really nice article in Cancer Today, describing how cancer patients can get more engaged in their care. I thought I would share a bit of that piece with you today: Gloria Full wasn’t surprised that the recommended chemotherapy regimen was aggressive….
Should North Carolina Expand Medicaid?
My home state of North Carolina is one of a number of states that refused to expand Medicaid, even though the Affordable Care Act stipulates that the federal government will cover the majority of expenses associated with such expansion. Here is an excellent story in the Fayetteville Observer laying out the issues: Denise Johnson works…