Tag Archives: e-Patient Dave
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In The News
[Forbes] When Bad Heads Go Viral: How A Malformed Headline Is Skewing Our View Of The Patient's Role In Medicine
One of the world's leading authorities is Mike Barry MD of the Informed Medical Decisions Foundation, whom I first met when we attended a Salzburg Global Seminar on SDM in 2010. In addition to his work at IMDF he's past president of the Society of General Internal Medicine and is currently medical director of the John D. Stoeckle Center for Primary Care Innovation at Mass General. (Innovation's a good thing, too.) He points out:Read the full-text article.
- SDM in about preference sensitive decisions, such as whether to go in the hospital for elective surgery; it's not used in cookbook situations ('guideline-driven") like "for pneumonia, use antibiotics.' Most patients in this study were already hospitalized for conditions that have well defined treatments, so the population wasn't even relevant to SDM.
- On the issue of costs, he notes that the costs of care for a population tend to be driven more by hospitalization rate than the cost per hospitalization. (SDM is largely about whether to enter the hospital -- the hospitalization rate; this study involved only patient who were already hospitalized.)