May 17th, 2010 by KevinMD in Better Health Network, Health Policy, Opinion, Research
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Let’s face it, the best way to cut healthcare costs is to say “no.” That means denying unnecessary tests that most patients in the United States are accustomed to having.
The New York Times‘ David Leonhardt has the best take on this issue that I’ve read. He acknowledges the difficulty of telling the American public “no,” and cites examples ranging from the breast cancer screening controversy to the managed care backlash in the 1990s:
This try-anything-and-everything instinct is ingrained in our culture, and it has some big benefits. But it also has big downsides, including the side effects and risks that come with unnecessary treatment. Consider that a recent study found that 15,000 people were projected to die eventually from the radiation they received from CT scans given in just a single year — and that there was “significant overuse” of such scans. Read more »
*This blog post was originally published at KevinMD.com*
May 11th, 2010 by StevenWilkinsMPH in Better Health Network, Health Policy, Opinion, Research
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I have to give my dentist credit. He and his staff know when I am due for a cleaning and call me to schedule an appointment without fail. They also call to remind me the day before an appointment. Many dentists, I understand, do similar kinds of things for their patients.
As a patient, I like being reminded — it’s a great service. I also like the fact that someone’s looking out for me. From a business perspective it makes a lot of sense as well. Fewer “no shows,” more cleanings, more billings, and so on.
It’s too bad that more physicians don’t routinely follow up with their patients, particularly when it really counts. Read more »
*This blog post was originally published at Mind The Gap*
May 10th, 2010 by DrWes in Better Health Network, Health Policy, Opinion, True Stories
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Yesterday a much-anticipated package arrived in the mail containing a documentary film directed (and acted) by a young emergency room physician, Ryan Flesher, M.D., and produced by a former clinical social worker, Nancy Pando, L.I.C.S.W. The film is called “The Vanishing Oath.”
As background, the film is a 3-year project born in 2007 just before the great U.S. healthcare reform debate began. Over 200 hours of interviews were conducted to explore a simple question:
Why Dr. Flesher had grown to hate medicine. Read more »
*This blog post was originally published at Dr. Wes*
May 5th, 2010 by KevinMD in Better Health Network, Health Policy, Opinion, Research
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Doctors often have a communication disconnect with their patients. A recent piece from the New York Times encapsulates the issue, citing a recent New England Journal of Medicine perspective.
According to oncologist Ethan Basch, “Direct reports from patients are rarely used during drug approval or in clinical trials. If patients’ comments are sought at all, they are usually filtered through doctors and nurses, who write their own impressions of what the patients are feeling.”
There are a variety of reasons for this. Some doctors feel they have a better sense of the patient’s symptoms than the patient himself. Biases can affect how doctors and nurses perceive symptoms. Read more »
*This blog post was originally published at KevinMD.com*
December 29th, 2009 by KevinMD in Better Health Network, Opinion
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Doctors are pushed to adopt electronic medical records harder than ever before.
However, costs are often the prohibitive obstacle, and whether the current generation of EMRs improve patient care remains in question.
But what about liability? Surely, more complete, legible medical records would reduce the risk of being sued. Right?
Well, it’s not that cut and dry. Read more »
*This blog post was originally published at KevinMD.com*
