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- Lorna Lynn on The Influence of Ownership on Human Behavior: “Feeding the Beast”
Category Archives: Shared Decision-Making
In rural Maine, Choosing Wisely brought primary care and specialists together to discuss the recommendations – a positive, unintended consequence of the campaign.
My Argentinean mother-in-law is 95 years old and suffers from advancing dementia. She has lived with my sister-in-law for the last eight years and both of her daughters are considered her caregivers. A person comes to the house for about seven hours a day to assist her in activities of daily living. After suffering what [...]
Over the past year I’ve written much about the Choosing Wisely® campaign, but a recent personal experience serves as the inspiration for this post.
The goal of the Choosing Wisely campaign is to encourage conversations between patients and physicians about what tests and procedures are, or are not needed. We hope these conversations provide an opportunity to talk about the benefits and risks of tests and procedures, including potential harms for patients. Choosing Wisely is about thoughtful discussions and [...]
From our communications research, we’ve learned that one of the most difficult challenges physicians say they face in talking to their patients about why a test or procedure is not necessary or will not alter a treatment plan is they simply don’t have enough time during a regular office visit. They often say that if [...]
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 [...]
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 [...]
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.
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 [...]
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.”