- What Does “Follow the Science” REALLY Mean?
- Getting Policies Implemented is tough
- Reading the Medical Literature. Does anyone do it anymore?
- Pandemics are not new. Have we learned anything from 1918-1919 Influenza?
- It Ain’t What You Don’t Know That Gets You into Trouble. It’s What You Know for Sure That Just Ain’t So”[i]
Category Archives: treatment options
It Ain’t What You Don’t Know That Gets You into Trouble. It’s What You Know for Sure That Just Ain’t So”[i]
Posted on September 19, 2019 by Ted
Many times what was thought to be true in the past turns out not to be. Keeping an open mind and thoroughly (critically or skeptically) evaluating new information is important as we grow in our ability to practice the best medicine possible. Continue reading →
Does Insurance oversight of clinical practice improve either quality of care, or patient outcomes?
Posted on August 30, 2017 by Ted
When outside oversight, based solely on published guidelines, interferes with clinical care there are potentially multiple adverse outcomes, including physician and patient frustration, waste of time and interference with delivery of optimal care. There should be ways for insurers to use their databases to mitigate inefficient and intrusive oversight. Continue reading →
Diagnosis may be the Achilles Heel of Incentive Based Payment.
Posted on January 22, 2014 by Ted
“Diagnosis is the mental act of selecting the one explanation most compatible with all the facts of clinical observation”. – Raymond Adams in Harrison’s Principles of Internal Medicine – 4th edition In almost all instances, Government and other third party … Continue reading →
Posted in General Interest, Policy, Quality, treatment options | 2 Comments
What is Evidence Based Medicine?
Posted on May 16, 2012 by Ted
One definition would be: Delivery of Medical Care based on results of best available evidence. This usually means finding or relying upon data, some of which will be from outside one’s immediate memory to help answer a clinical question. EBM … Continue reading →
Posted in effectiveness/efficacy, General Interest, Quality, treatment options | 2 Comments
Why do Physicians Behave the Way They Do?
Posted on July 25, 2011 by Ted
I believe that the vast majority of physicians do “the right thing” for their patients. I don’t think I’m being a Pollyanna. On the other hand, the “The Tragedy of the Commons”, which describes behavior in many cultures, doesn’t bypass … Continue reading →
Posted in General Interest, Quality, treatment options | Tagged data, ethics, quality, uncertainty | Leave a comment
Registry Participation will help Develop Alignment and Improve Quality
Posted on May 23, 2011 by Ted
Many hospitals and hospital systems are trying to ensure that they are satisfying quality metrics to help with accreditation, and to confirm that they are satisfying their mission and providing community benefit. Superior performance in achieving clinical quality may allow … Continue reading →
Posted in Competition, CV, effectiveness/efficacy, Quality, treatment options | Tagged data, quality, registry | 2 Comments
We should work to Identify Problems rather than try to Fix Blame in Medical Service delivery.
Posted on March 17, 2011 by Ted
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
Medical Ethics should address more than the individual patient encounter
Posted on December 22, 2010 by Ted
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 →
Posted in General Interest, Policy, treatment options | Tagged ethics, Public Policy | Leave a comment
What is “CE Research/Analysis”? Who should be responsible for it’s implementation?
Posted on December 7, 2010 by Ted
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 comparative effectiveness, Public Policy, uncertainty | 3 Comments