June 9th, 2010 by AlanDappenMD in Better Health Network, Health Policy, Opinion, Primary Care Wednesdays, True Stories
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As a medical student in his last year, I can attest that my classmates and I would like nothing less than a crystal ball. Always a daunting time in a future physician’s career path, the direction we point ourselves as we launch out of medical school this year seems as arbitrary as ever.
As we examine the rolling seas of medicine and try to determine our individual paths, there seem to be more clouds than blue skies, and certainly more shadows than light. This may or may not be a feeling many prospective physicians feel, but for the class of 2010 it comes as a tough pill to swallow. In a profession at the heart of a national policy debate and with a storied history to examine, it’s extremely disconcerting to be faced with so many question marks. Read more »
June 7th, 2010 by Stanley Feld, M.D. in Better Health Network, Health Policy, Opinion, Research
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Last week I heard a lecture about Accountable Care Organizations by a physician leader working for one of the major hospital systems. His discussion made me realize that large physician organizations and hospitals are spending lots of time solving problems of quality medical care. In my opinion quality medical care has not been adequately defined.
A working definition right now is to decrease hospital stays, efficient medical care for a disease at lower cost, avoidance of medical errors in the hospital, and avoidance of hospital acquired infections. These are important goals. They must be attached to monetary incentives. Many of these problems can be solved now.
The solution demands the development of processes of care. An important question is how much money will process improvement save? I estimate that this process improvement could save an estimated 7 to 10% of the healthcare dollar.
The real question should be focused on how to repair the healthcare system by decreasing costs while improving the health of Americans. Read more »
*This blog post was originally published at Repairing the Healthcare System*
June 7th, 2010 by GarySchwitzer in Better Health Network, Health Policy, News, Opinion, Research
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The worst-kept secret in journalism circles recently was that the New York Times was planning an article critical of the Dartmouth Atlas. Among the main points in the article:
• “The mistaken belief that the Dartmouth research proves that cheaper care is better care is widespread.”
• “The atlas’s hospital rankings do not take into account care that prolongs or improves lives.”
• “Even Dartmouth’s claims about which hospitals and regions are cheapest may be suspect.”
• “Failing to make basic data adjustments undermines the geographic variations the atlas purports to show.”
The Times has also published the correspondence it had with the Dartmouth team about methodology questions.
The Dartmouth team challenges each of these criticisms. The team says the Times made at least five factual errors and several misrepresentations. They write:
“What is truly unfortunate is that the Times missed an opportunity to help educate the American public about what our research actually shows — or about the breadth of agreement about what our findings mean for health care reform.” Read more »
*This blog post was originally published at Gary Schwitzer's HealthNewsReview Blog*
June 7th, 2010 by JessicaBerthold in Better Health Network, Health Policy, News, Opinion
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An interesting press release from the Competitive Enterprise Institute recently came across our desk and is reproduced in full below. I’m curious what our readers think of it, and of the government’s role in nutritional issues, given the link between nutrition and health:
Institute Calls for Civil Disobedience on National Donut Day
As Government Meddling in Nutritional Issues Mounts, CEI Advises, “Eat Two Donuts Today—One for Yourself, and One for Your Freedom”
Washington, D.C., June 4, 2010 — The Competitive Enterprise Institute today urged Americans to turn National Donut Day into a day of protest against growing government intrusion into nutritional issues. CEI urged people to eat two donuts — “one for yourself, and one as an act of patriotic civil disobedience.” Read more »
*This blog post was originally published at ACP Hospitalist*
June 2nd, 2010 by Shadowfax in Better Health Network, Health Policy, Opinion
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I saw this interesting article linked to from a blog about angry doctors dropping out of Medicare in Texas. As one who shares the universal annoyance at congress’ failure to fix the SGR for more than 30 days at a time, I was kind of cheered by this. That’s what it will take to get the system fixed — a grassroots, full-scale rejection of the system! Good for them. And the opening lines of the article were encouraging:
Texas doctors are opting out of Medicare at alarming rates, frustrated by reimbursement cuts they say make participation in government-funded care of seniors unaffordable.
An “alarming” rate. Wow. Cool. So how many is that, anyway?
More than 300 doctors have dropped the program in the last two years, including 50 in the first three months of 2010, according to data compiled by the Houston Chronicle. Texas Medical Association officials, who conducted the 2008 survey, said the numbers far exceeded their assumptions.
That’s 300, right? Hmm, not too shabby. Not exactly going to topple the state with that, but it’s a start.
Hey, I wonder how many doctors there are in Texas, anyway? I hear it’s a pretty big state, though I seem to recall it consists mostly of scrubland and swamp. Maybe there are only like 500 doctors in the state to start with. Something is tickling my head about Texas, though, I vaguely remember that they had some nice tort reform law a few years ago that I was pretty envious of. Read more »
*This blog post was originally published at Movin' Meat*
