Home About Us Contact Us News
Share |

The Medical Professionalism Blog

Tag Archives: health care costs

In response to: Are docs Choosing Wisely?

On April 15th Jordan Rau of Kaiser Health News published a thoughtful article examining the Choosing Wisely campaign. This type of analysis is a critical part of the transparent, honest dialogue about the issues of unnecessary medical care that we have sought to encourage since launching the campaign. That said, we think it is unfortunately [...]

Choosing Wisely® Utah Town Hall: Voices Reflect Gains in the Campaign

On March 27, HealthInsight Utah hosted a town hall on the campus of the University of Utah. HealthInsight Utah is a sub-grantee of a Robert Wood Johnson Foundation grant to the ABIM Foundation to increase awareness of the Choosing Wisely campaign at the local level. They are one of 21 grantees who are all pursuing [...]

The Necessity of Stewardship

This post was written by Dr. John Benson, Jr., President Emeritus, American Board of Internal Medicine and ABIM Foundation. The prospect of health care consuming 20% of the GDP by 2020 is unconscionable so corrective actions have enormous urgency.  There are some initiatives underway that address this issue and still others that need to happen [...]

The High Value Care Challenge

This post was written by Cheryl O’Malley, MD, FACP, Program Director, Internal Medicine and Steven R. Brown, MD, FAAFP, Program Director, Family Medicine at Banner Good Samaritan Medical Center, University of Arizona College of Medicine – Phoenix. Drs. O’Malley and Brown were winners of the 2013 Teaching Value and Choosing Wisely Competition. A little friendly competition is a good thing. We’ve seen [...]

Choosing Wisely: One in a Million

The wastefulness of unnecessary EKGs is a subject that has been featured on this blog many times before, both by me and Dr. Stephen Smith, and a topic that has recently been highlighted in multiple Choosing Wisely ® lists. When I was recently told I needed surgery for cataracts, I was sure I wouldn’t need [...]

Recommended Reading: August 17 – 23

Get the latest information on patient-centered care, stewardship of resources and conflicts of interest in this Recommended Reading installment: The report  Partnering with Patients to Drive Shared Decisions, Better Value, and Care Improvement  - Workshop Proceedings summarizes a February 2013 Institute of Medicine workshop that considered the central roles patients can play to bring about [...]

On Location at the 2013 ABIM Foundation Forum

Not surprisingly, this year’s Forum “Purpose vs. Payment – Motivating Change in Health Care” was much more than a simple conversation about extrinsic and intrinsic motivators. Finding ways to motivate physicians and others in health care to take on the issue of reigning in costs is as complex as the population for which they care.

The Physician’s Role in Controlling Costs

It is with mixed emotion that I greet the results of an important survey in this week’s JAMA of over 2,400 physicians’ views on controlling health care costs. According to the results of the survey, when asked who has a “major responsibility” for controlling health care costs, 60% of surveyed physicians believe that trial lawyers [...]

Recommended Reading: May 18 – 25

This week’s Recommended Reading includes pieces on joy in primary care, stewardship of resources and online professionalism: The Annals of Family Medicine piece, “In Search of Joy in Practice: A Report of 23 High-Functioning Primary Care Practices,” discusses innovations in primary care to facilitate joy in practice and mitigate physician burnout. This research was conducted [...]

Choosing Wisely® and the Rubik’s Cube®

After speaking at an academic medical center and physician-run health plan about Choosing Wisely, a physician told me that he had concluded that the complexity of implementing the Choosing Wisely recommendations was like solving a Rubik’s Cube.  I took that to mean there were multiple changes that all had to align before the recommendations could [...]