Saturday, May 27, 2006

To see what P4P is really all about, look at the Seattle Blue Shield experience

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The May 26, 2006 posting on Health Care Renewal references a news report on the "quality" and P4P acitvities in Seattle. As crit...
1 comment:
Thursday, May 25, 2006

Presumption seems to be Doctors will not do right by patients unless....

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Dr. Philip R. Alper's "IM Insights" appearing in "Internal Medicine World Report" monthly continue to be packed wi...
Monday, May 22, 2006

According to ACP, Quality initiatives takes time and money and (so far) no reimbursement

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The ACP observer-an American College of Physician's monthly newspaper format publication- has a section called "Measuring Performan...
Thursday, May 18, 2006

'Other people's money" and the moral costs of managed care

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Dr. Patricia Illingworth is an associate professor of philosophy at Northeastern University and holds a PhD and JD degree. Her writings exp...
Wednesday, May 17, 2006

Economy Class syndrome and which of Virchow's mechanism (s) may be to blame

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A recent JAMA article (the full text is available on line) from Great Britain sheds some light on possible mechanism (s) involved in the de...
Tuesday, May 09, 2006

How drug companies know what physicians prescribe

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It seems to be common knowledge among practicing physicians that the drug reps know who prescribes what.That type information is thought to ...
Sunday, May 07, 2006

Devotion,curiosity, hard work and the Midnight Meal

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JAMA has reviewed a book that would probably interest senior docs who trained in the 60' and 70's particularly at a big city hospita...
Friday, May 05, 2006

JAMA reviews book on clinical judgment-"phronesis"

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There is a favorable book review in the May 3,2006 issue of JAMA regarding what seems to be a very interesting book titled How Doctors Thin...
1 comment:
Wednesday, May 03, 2006

Another reason to distrust company sponsored drug trials-fraud

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Health Care Renewal in its May 3,2006 posting quotes a Wall Street Journal article that reveals alarming information about one drug trial i...

Annals Internal Medicine letter" Seasoned internist blames Academic Medicine for much of internist's crisis

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In the May 2, 2006 issue of the Annals of Internal Medicine, Dr. Ashok V. Daftary in a letter to the editor blames academic medicine for mu...
Friday, April 28, 2006

Australian study demonstrates calcium only works if you take the pills.

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The April 24, 2006 issue of the Archives of Internal Medicine published a study from Australia that examined the effects of a twice daily ...

More on bribing doctors to do their job

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I recently posted on Dr. Faith Fitzgerald's principaled stand against pay for performance(P4P). Ironically in the same issue of Internal...
4 comments:
Thursday, April 27, 2006

Another argument against pay for performance (P4P) Should doctors be tipped?

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Dr. Faith Fitzgerald,professor of Medicine at UC Davis, speaks out against P4P in the April 13,2006 issue of Internal Medicine News.(www.in...
1 comment:
Tuesday, April 25, 2006

JAMA article:more on why single disease guidelines don't work for multi disease and frail patients

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Thankfully,more and more authors of medical journal articles are pointing out the obvious- single disease guidelines applied by role to com...
Sunday, April 23, 2006

Medscape offers pro and con discussion re" P4P

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I have to give credit to Medscape for publishing arguments against pay for performance (P4P) in the form of a point-counterpoint piece. Dr. ...
Wednesday, April 12, 2006

What could be better than a Randomized Clinical Trial?

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What would be better than a RCT? Answer- a RCT that makes a comparison between realistic alternatives. This issue was the subject of a insig...
1 comment:

Senator raises questions about the quality of Quality Improvement Organizations ( QIOs)

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Probably most people and likely many physicians have never even heard of QICs. Here is their website where we learn that the QIC program is...
Tuesday, April 11, 2006

More on Disease Mongering

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Health Care Renewal recently referenced a symposium on Disease Mongering (DM) and the full text essays are now available on the PLOS websi...
Monday, April 10, 2006

Medical news you really can't use

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Medical Journals sometimes publish POEMs-which in this context stands for "Patient Oriented Evidence that Matters". The criteria f...
Sunday, April 09, 2006

Carotid endarterectomy-AAN guidelines

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The updated and long awaited guidelines from the American Academy of Neurology are available on line in full text. Their previous guidelin...