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Compared to what?
Risk isn’t all it is cracked up to be, as Amanda Dillard argues (with me as a co-author) in a new paper available on line at the Annals of Behavioral Medicine. At high risk for breast cancer? May not matter, in terms of getting you interested in taking a pill to reduce that risk. But FEELING at high risk? That is a different story. As Amanda shows quite persuasively, after you control (statistically speaking) for women’s actual risk, it is the way they feel about that risk that determines their behavior.
ACA Boosts Shared Decision Making
Medicine, today, is supposed to be “patient-centered.” But sometimes the patients feel a little off balance. What can they do when everyone seems to be trying to push aggressive, expensive treatments on them? One solution — or a partial solution — is known as shared decision making, in which patients are given specific tools, such…
The Crushing Cost Of Tracking Healthcare Quality—One Hospital’s Story
A whole industry is devoted to measuring, tracking and even incentivizing the quality of American hospital care. Unfortunately, that industry is horribly inefficient, costing us billions of dollars.
Quality measurement is inefficient in large part because there is no single source that hospitals (and provider systems, more generally) can use to track the quality of their care.
On the Financial Burden of Paying for Medical Care in the US
According to a CDC study, about 1/3 of American families either struggled to pay medical bills in 2011 or outright couldn’t pay them! Not surprisingly, this problem is especially big for people with limited financial resources: Just another piece of evidence in favor of something I’ve been talking about lately when giving public lectures: that…
Here’s Why Pharmaceutical Companies Raise Their Prices So Much
Yes, I’ve ranted about healthcare prices before. On more than one occasion. But I have a new rant for you. It’s not about the high price of new drugs It’s not about a couple pharmo-bro CEOs hiking prices of generic medications by 4 or 5,000% It’s about brand name drugs already on the market, that,…
A Simple Nudge That Will Improve Medical Care for People with Diabetes
When patients with diabetes come to the doctor’s office, it is important for their clinicians to take a look at their feet. Many, if not most, foot amputations among people with diabetes would be prevented with this simple exam, an exam that will identify problems early enough to prevent them from progressing. But us busy…