May 17th, 2010 by RyanDuBosar in Better Health Network, Health Policy, News
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Congressional democrats want more transparency in healthcare, believing it would further drive down the cost of care, reports Politico.
Hoping to drive competition, some lawmakers are grumbling to force doctors to reveal business negotiations between them and drug and device makers. Opponents worry that manipulating economics would backfire. If everyone knows their competitor’s business, why bother negotiating lower prices?
But transparency worked for Wisconsin’s hospitals, not in business dealings but in reporting outcomes, reports The Fiscal Times. By voluntarily revealing clinical outcomes on the Web, the Wisconsin Collaborative for Healthcare Quality was able to spur low-performing hospitals to improve, high-performing facilities to eliminate tests that didn’t improve outcomes, and create an informed healthcare consumer with choices where to receive care.
*This blog post was originally published at ACP Hospitalist*
May 17th, 2010 by Bryan Vartabedian, M.D. in Better Health Network, Health Policy, Opinion, Research
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I recently stumbled onto the “Minimally Disruptive Medicine” blog maintained by Dr. Victor Montori from the Mayo Clinic. I have to admit that the name caught my attention so I scoped it out.
According to Dr. Montori, “minimally disruptive medicine refers to the practice of medicine that seeks to design effective treatment programs for patients while minimizing the burden of treatment.” He describes this as an emerging field.
I have to admit that I was simultaneously puzzled and intrigued. After all, how is this different from the way good medicine is practiced? I, for one, like to think that I create individually-tailored programs that meet my patients’ needs while minimizing their treatment burden. Read more »
*This blog post was originally published at 33 Charts*
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 16th, 2010 by DrRob in Better Health Network, Health Policy, Opinion, True Stories
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I saw the note on the patient’s chart before I opened the door: “Patient is upset that he had to come in.”
I opened the door and was greeted by a gentleman with his arms crossed tightly across his chest and a stern expression. I barely recognized him, having only seen him a handful of times over the past few years. Scrawled on the patient history sheet in the space for the reason for his visit were the words, “Because I was forced to come in.”
My stomach churned. I opened his chart and looked at his problem list, which included high blood pressure and high cholesterol –- both treated with medications. He was last in my office in November — of 2008. I blinked, looked up at his scowling face, and frowned back. ”You haven’t been in the office for over 18 months. It was really time for you to come in,” I said, trying to remain calm as I spoke.
He sat for a moment, then responded with very little emotion. “I’m doing fine. You could’ve just ordered my labs and called in my prescriptions. I don’t know why I had to be seen.” Read more »
*This blog post was originally published at Musings of a Distractible Mind*
May 16th, 2010 by Peggy Polaneczky, M.D. in Better Health Network, Health Tips, Humor, Opinion, True Stories
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Dr. Whoo and I seem to be in the same place at the same time — we both struggle with our weight because we’re using food for something other than sustenance. We use it to manage stress. Overeating is, after all, a wonderful sedative. It soothes the savage beast and all that. And it really works. I’ve probably saved my marriage and my job and kept from killing my kids and my husband by sedating myself with food. Read more »
*This blog post was originally published at The Blog that Ate Manhattan*
