Hard truths: Dispelling 10 health care myths 1. Most physicians are intellectually gifted and therefore rarely make mistakes. Perhaps Hollywood is to blame for this misconception, or maybe we simply find comfort in believing that exceptionally brilliant diagnosticians abound. Either way, I wish it weren’t a myth. But the truth is that the vast majority of physicians are average in virtually every way. Despite all claims to the contrary, ...

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Value based care: Bad for doctors, bad for patients? Value-based health care is antithetic to patient-centered care. Value-based health care is also diametrically opposed to excellence, transparency and competitive markets. And value-based health care is a shrewdly selected and disingenuously applied misnomer. Value-based pricing is not a health-care innovation. Value-based pricing is why a plastic cup filled with tepid beer costs $8 at the ballpark, why a pack of gum ...

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Doctors talk with their patients about many things that might make some people uncomfortable -- sexual issues, abuse (physical or emotional), anxiety, depression, sleep habits, bowel habits, and fears about health-related topics -- things that many people might not talk about in casual conversation at the coffee shop or at work. Doctors talk with their patients about smoking, weight, eating habits, exercise, seat belt use, helmet use, and a myriad ...

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As of September 2, CVS -- the ubiquitous pharmacy/convenience store -- has stopped selling tobacco products, including both cigarettes and smokeless tobacco. This is a bold move from the retailer, which is also planning to rebrand itself as “CVS Health” to emphasize its place in the health care delivery chain. I personally applaud the decision, because there are simply no benefits to tobacco use in any form. And it’s also ...

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Bottom up: How grassroots input shapes ACP policies A guest column by the American College of Physicians, exclusive to KevinMD.com. This month, the American College of Physicians’ Board of Governors (BOG) will meet in Chicago. One of the items on the agenda is the discussion of resolutions that will help to shape ACP policy. The resolutions process, which looks at proposed policy changes and directives to ...

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I came across an interesting article in the New Yorker last week: "Why Chinese patients are turning against their doctors." It is a fascinating account of the evolution of the health care system in China, highlighting the major changes that have led to increased patient-doctor homicides. In a nutshell, in ancient China, traditional medicine reigned king, and people scoffed at the idea of Westernized medicine. This started changing in 1949 ...

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Part of a series. Helping employees improve their health is right for the company’s bottom line and is doing right by our employees.  Healthier employees are happier, demonstrate less absenteeism and presenteesism, and are more productive.  This is a win for everyone involved.   - John Torinus, Jr., a retired CEO and current board chair of Serigraph, Inc., a mid-sized Wisconsin company with about 500 employees In my earlier posts in this series ...

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A recent report from the Commonwealth Fund, which placed U.S. last amongst developing nations in health care, analyzed Britain’s high score on the management of chronic conditions. The authors attributed care coordination to the widespread adoption of health information technology in the National Health Service (NHS). That’s like someone saying Chinese food is tasty because chopsticks are widely used. Like quants so fastidious about decimal points they’ve missed the overall point. Where do ...

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The study you never heard of: Small practices arent dead yet According to a new Commonwealth Fund sponsored study published in Health Affairs, “Small Primary Care Physician Practices Have Low Rates Of Preventable Hospital Admissions.” The study of over one thousand practices of various sizes and ownerships, conducted by some of the most respected names in health care, found that the smallest independent primary care practices, that are physician owned, provide ...

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Hospitals should not control the decisions of pregnant women Doctors, hospitals and judges have over the years attempted to control the decisions of pregnant women. In a recent Florida case, it’s not clear whether the controllers sought to protect the fetus, the woman or both. They may have wanted to protect the hospital from potential liability. The case involved a 39-week-pregnant woman. According to a Read more...

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