Category Archives: Policy

Providers, Patient Care Delivery and Policy: Hospitalist story

There are often perverse incentives in health care. These incentives can, at times, create competing drives where providers are encouraged to do things that directly increase the costs of care.  Consider the reaction to the mandate to cut down hours … Continue reading

Posted in General Interest, Operational effectiveness, Policy, Quality | Tagged , , | 3 Comments

We should work to Identify Problems rather than try to Fix Blame in Medical Service delivery.

Recently there have been stories of inappropriate cardiac procedures being. There are at least four glaring examples of instances in which cardiologists have acted in a way that was not consistent with what others would have considered optimal patient care. … Continue reading

Posted in CV, Peer Review, Policy, Quality, treatment options | 3 Comments

Who is responsible? Is there Enough Accountability in Medicine?

The Alligator Allegory reads: “ The objective of all dedicated employees should be: To thoroughly analyze all situations, Anticipate all problems prior to their occurrence, Have answers for these problems, And Move swiftly to solve these problems when called upon. … Continue reading

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Medical Ethics should address more than the individual patient encounter

George Lundberg, reviewed what he called the Principles of medical ethics in his blog on  MedPageToday.com on December 20, 2010. He’s done us a service by bringing this up as the season for reflection is upon us. The AMA’s Code … Continue reading

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What is “CE Research/Analysis”? Who should be responsible for it’s implementation?

CE research/analysis is clearly one technique to help gain insight into relative efficacy of several treatments for a specific clinical condition. If the private sector (industry, professional organizations) won’t do it in an unbiased manner, then perhaps an agency such as AHRQ should have our support, counsel and thought. Continue reading

Posted in effectiveness/efficacy, Policy, treatment options | Tagged , , | 3 Comments