Ezra Klein makes some sense in analyzing a potentially politically feasible approach to reform.
May 2008
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The bias against physicians leading health IT
Health Care Renewal: "I believe this and related stereotypes about physicians are a driver and an enabler (either through genuine belief or through disingenuous opportunism) of much that ails medicine today through the interference of non-medical outsiders. The fundamental message is that physicians are children who cannot do anything more than medicine, and require 'a village' of paternalistic non-medical outsiders to manage their affairs."
Cathole
(via The Happy Hospitalist)
99233
Coding clinic continues.
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What do emergency physicians do?
Here's a taste.
The public’s confusion
This makes some sense as to why reform is so difficult in America:
Lake is not interested in explaining reform; her goal is to market reform. And how do you market a product? By appealing to prejudices, and playing on the ignorance of your audience. If they think a yellow box make it a friendlier product, then put it in a yellow box.
Amazon Kindle and radiology
How's the screen for viewing plain films?
The results? Not too shabby. Although it wouldn't fly for diagnostic purposes, the lace-like pattern of sarcoid in the distal phalanx can still be seen well enough for educational purposes. Of the two dithering modes, I think I prefer the Atkinson algorithm. Also, I have found that an image looks a lot better when it is sized large enough to completely fill ...
iFluoroscope
Pretty funny. (via Dr. Wes)
The ACP launches a blog
It's about time. (via Clinical Cases)
Recruiting physicians to rural areas
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(via MedPage Today)
Will P4P kill off public hospitals?
Another possible unintended consequence:
In an analysis of three years' worth of key performance measures, these hospitals fared worse at baseline than hospitals with fewer Medicaid patients, and they had significantly smaller improvements thereafter, suggesting a grim reimbursement fate if the model becomes more widespread.
Business and medicine
I have long contended that some sort of business education or degree should be mandatory for every practicing physician.
Skills like running a business and the art of negotiation are just as important as clinical aptitude. The medical profession's lack of business skills is a major reason why physicians have lost control of their profession, and why doctors have so little influence in the health care debate.
Those ...
The inhaler switch
Matthew Mintz blogs about the impending switch to HFA Albuterol inhalers.
Recurrent Heartburn
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| If I Had - Recurrent Heartburn - Dr. Patrick Okolo, MD, MPH |
classid='clsid:D27CDB6E-AE6D-11cf-96B8-444553540000' codebase='http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab#version=7,0,0,0' WIDTH='380' HEIGHT='240' id='play_continuous_flvs'> Maybe we should throw money at the doctor shortage problem"Until we make it financially advantageous to do that kind of [general] practice, then you're going to see a continued growth of the shortage. Just throwing money at it won't solve it completely, but it would sure go a long way toward making a huge difference." Emergency call, post-EMTALAImage this scenario happening on a daily basis, in thousands of EDs nationwide. Drug arsenalThe unintended consequences of P4PLike any attempt to regulate physician behavior, the unintended consequences often worsen the situation: [P4P] also led to unintended effects, such as . . . potential deskilling of doctors as a result of the enhanced role for nurses in managing long-term conditions, a decline in personal/relational continuity of care between doctors and patients, resentment by team members not benefiting financially from payments, and concerns about an ongoing culture of ... NegotiatingHospital CEO Paul Levy, TBTAM and GruntDoc talk about the relationship physicians have with administration. All sparked by an offhand comment Levy made on last week's Dr. Anonymous Show. Kevin Pho, MD
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