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My Take on Shared Decision Making
Put simply, shared decision making is the gold standard — the sine qua non* — for how medical decisions ought to be made. The pipe medical choice is rarely a function of medical facts alone. Tough decisions require value judgments, and it is the patient’s valuesthat often determine which choice is best. An operation cannot…
How Doctors Can Reclaim Their Decision Making Power
It is not an easy time to be a physician in the United States. Attempt to order an expensive test for a patient and an insurance company is likely to second guess your decision. Try upholding the bottom line for your medical practice and the government will probably start questioning whether you are overcharging for…
What Mammograms Teach Us About Wildfires, Floods, and Tornadoes
In the wake of the horrific floods that struck Colorado recently, many people have debated whether global warming is to blame. The same goes for wildfires that hit that state this summer and for the massive tornado that struck in Oklahoma this spring. In the wake of that tornado, for instance, Senator Sheldon Whitehouse from…
Whose Life Would You Save?
WHYY in Philadelphia has a report out on a new study I participated in, led by my good friend Scott Halpern. The study revealed the strange lengths to which physicians will go to help their patients, even if it hurts other patients. To see what Scott and I have to say, click on this link.
You Thought Innovation Was Hard, How about De-Innovation?
David Asch and I recently published an article in Health Affairs on the challenge of getting healthcare practitioners to stop doing things they are accustomed to doing, even when the evidence that those things are harmful becomes overwhelming. Here is a teaser from that article, and a link to the full piece: As hard as…
Are You Getting Too Much Medical Care?
This summer I had the pleasure of speaking with a very intelligent journalist, who was working on an article about overtreatment in medical care. That article has just come out, and I thought I would give you a sample of it here: A few months ago, I went to my gynecologist looking for help with a…