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Peer Comparison Can Reduce Antibiotic Prescribing
Very interesting article in the Lancet recently, from the nudge unit in the United Kingdom. They give physicians feedback on how much they prescribed antibiotics compared to their peers, and found that such feedback reduced antibiotic prescriptions. I hope to see more of this work!
Out of Control Physicians: Too Many Doctors Doing Too Many Things to Too Many Patients
My father is 92 years old, and I am beginning to wonder whether the best thing for his health would be to stay away from doctors. That’s because well intentioned physicians often expose their elderly patients to harmful and unnecessary services out of habit. That’s certainly the message I absorbed after reading a recent issue…
My New JAMA Article, On Value Promotion in Healthcare
Here is the opening of an article I recently published in JAMA, available now online, in which I raise concerns about misguided congressional efforts to promote the use of high-value healthcare services, without doing anything to reduce the use of low value ones. Health care systems around the world are under pressure to restrain health…
Full Disclosure — Out-of-Pocket Costs as Side Effects
“Full Disclosure — Out-of-Pocket Costs as Side Effects” – The New England Journal of Medicine
Want to Avoid Unnecessary Antibiotics? Be Careful What Time of Day You See Your Doctor
Shutterstock Too often, people with viral illness leave the doctor’s office with prescriptions for antibiotics. That’s a real problem. Antibiotics don’t treat viruses, often cause side effects, and when taken too often, lead to drug resistance. So when you have a bad cough and go to the doctor, you should hope to see someone who…
Who Hated Domestic Policy More: John Kennedy or Richard Nixon?
In an earlier post, I wrote about JFK’s disdain for domestic politics, and how such disdain doomed his lackluster efforts to pass Medicare legislation. As it turns out, Richard Nixon, the man he defeated in the 1962 Presidential Election, held similar disdain for domestic affairs when he was President of the United States, and not…