An article in the New England Journal of Medicine in June (no one accused me of being a timely blogger!) shows that academic medical centers often provide poorly-reimbursed services that other healthcare institutions avoid. Where more general hospitals might avoid having psychiatric emergencies available, 90% of academic medical centers offer such services: Whereas only 4%…
There was a very nice piece in the Washington Post recently, exploring the relationship between life satisfaction and the minimum wage. They summarize their findings in the following figure: I suggest you read the piece, to see what they make of this connection. Importantly, they explicitly mentioned that correlation does not prove causation. Unfortunately they…
Such a no-brainer: If patients who receive care at Hospital A are more likely to get readmitted to the hospital 10, 20 or 30 days after discharge than patients in Hospital B, then Hospital A must be doing something wrong. Perhaps clinicians at that hospital are less adept at diagnosing and managing patients’ problems. Perhaps…
Biologic drugs are a big deal for the pharmaceutical industry right now. Blockbuster chemicals for common conditions like diabetes and hypertension are largely things of the past. We’re getting pretty good at controlling those conditions, and few people expect a slew of major scientific breakthroughs that will lead to many more multibillion dollar treatments for…
High costs make it hard for many patients to afford their medications. That’s why some medical experts believe we should give important medications to patients for free, to see if that improves their health outcomes. One famous example of this approach is the MI FREEE Trial, which offered free cardiovascular medication to patients who would…
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…
A recent study published in the Annals of Internal Medicine showed that that old advice – to avoid fat and cholesterol in your diet lest you become a fat person with high cholesterol – is wrong. Instead, it is carbohydrates we should be more wary of. Consider their picture, comparing people with low-carb versus low-fat…
We’ve done a lot of things in the United States over the last few decades to curb tobacco consumption. We’ve warned people cigarettes will kill them, created persuasive ad campaigns to scare people away from cigarettes, and added a hefty tax to the product. As a result, cigarette use in United States is lower than…
It all comes down to willpower, right? Strength of purpose. Muster the resolve to skip dessert, and you have a shot at losing that spare tire hanging off your belly. Succumb to your temptations, however, and you are simply being weak. But is it just weakness that causes us to overeat? A study in Psychological Science suggests…
In a recent post, I excoriated athletes like LeBron James and Peyton Manning for endorsing unhealthy junk foods – for fattening their wallets by fattening our population. A recent study in Health Affairs provides a powerful illustration of the future effects of these fatty foods. The study is a rather dry and technical one, involving statistical predictions of population health demographics (Zzzz) using a health…