The Medical Professionalism Blog
Category Archives: Shared Decision-Making
Questioning the Price
Costs of Care (Twitter: @CostsOfCare), where this post was originally published, is a Boston-based, non-profit organization that helps caregivers deflate medical bills and provide high value care. As part of the 2011 Costs of Care Essay Contest, more than 100 anecdotes were shared by patients and providers around the country that illustrate the role of cost-awareness [...]
Forum 2011, Day 2: Memorable Moments
Many thanks to Leslie Tucker who helped with this post. On day two of the Forum, attendees offered an abundance of rich ideas on how to advance the agenda to build a sustainable health care system. I will write more about that in future posts, after the dust settles and I’ve had more time for [...]
Will We Be Bold Enough?
The 150 individuals assembling at the 2011 ABIM Foundation Forum: Choosing Wisely: The Responsibility of Physicians, Patients and the Health Care Community in Building a Sustainable System are sure to have lots of excellent ideas about how to design a system that is affordable, without overuse, misuse and underuse.
Semper Paratus: How to Help Patients Make Better Decisions About Emergency Care
Unnecessary trips to the emergency department are expensive and disruptive for doctors and patients. They are also fairly common. Here is a patient’s perspective on the problem, courtesy of Jessie Gruman of the Center for Advancing Health. In the spirit of “Show Me, Don’t Tell Me,” her post includes recommendations about how clinicians and others [...]
The Challenge Before Us
Garrett Hardin’s “Tragedy of the Commons” is surely now upon us – we have built an unsustainable health care system. In 1975, Howard Hiatt reflected on Hardin’s notion that “ruin is the destination toward which all men rush, each pursing his own best interest in a society that believes in the freedom of the common.”
What Do Clouds Tell Us?
Word clouds have become useful tools to understand language people use to talk about various topics. The larger and bolder the words in the cloud, the more frequently they are used. The word cloud below shows the words physicians used when discussing stewardship of resources and issues related to costs.
Accountable Care Organizations Waltzing With Medical Professionalism
After the release of the proposed regulations last Thursday, it’s clearer what Accountable Care Organizations (ACOs) will look like. They just might be the means to realize medical professionalism in the 21st century.
What’s Culture Got To Do With It?
In my estimation, professionalism has a lot to do with personal values. Thus, when individuals or clinicians are aggregated into groups, their personal values form the base of their organization’s values and culture. It’s not surprising to this sociological-thinking individual when studies show that the differentiating factors between low- and high–performing institutional and ambulatory clinical [...]
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