The Relentless Rise of Healthcare Expenditures
Need I say more?
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Can’t Afford Medical Care? Welcome to America!
Byadmin
David Blumenthal and colleagues recently wrote a wonderful piece in the New England Journal on the future of Medicare. In it, they present a powerful picture comparing how often people in 11 countries have difficulty accessing medical care because of costs. The good news? The USA came in first place. The bad news? First is…
Your Doctor May Spend More Time with a Computer than with You
Byadmin
Shutterstock Medical appointments are getting shorter by the year. Sometimes it feels like doctors have no time to spend with their patients. What’s to blame for these brief clinical interactions? It could be the electronic health record, or EHR. Because of changes in how insurance companies and the government pay for medical care, doctors increasingly…
Bias in Scientific Citation
Byadmin
Here is a figure reproduced in Fortune, showing that when researchers publish articles raising questions about the harms of salt, they cite other researchers who raised similar questions. By contrast, when they definitively argue in favor of the harms, they cite other definitive colleagues. Some of this makes scientific sense. If you show a particular…
See Mom, I CAN Teach!
Byadmin
I got a really nice email the other day, from one of the provosts at my university. Here is the highlight: “During the 2015 fall semester, in the categories of Quality of Course and/or Intellectual Stimulation, your course evaluations were among the top 5% of all undergraduate instructors at Duke.” Which just leaves one question:…
Thoughts on Shared Decision Making
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I recently gave a talk about shared decision making at the annual conference for the National Comprehensive Cancer Network. Here is a nice write-up of that talk. For those of you silly enough not to travel to Florida to hear me pontificate! After listening to the treatment alternatives—surveillance, or active treatment with surgery and radiation—a…