Tag: Medical Decision Making

Blog Posts (50)

July 22, 2016

Out of Control Physicians: Too Many Doctors Doing Too Many Things to Too Many Patients

My father is 92 years old, and I am beginning to wonder whether the best thing for his health would be to stay away from doctors. That’s because well intentioned physicians often expose their elderly patients to harmful and unnecessary … Continue reading

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July 17, 2016

What Behavioral Economics Get Wrong About Improving Healthcare

It is notoriously difficult to change physician behavior. When it’s discovered that primary care physicians are, say, prescribing too few cholesterol pills or too many antibiotics, it will not be easy to change those behaviors. Physicians are strong-willed people, with … Continue reading

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June 24, 2016

Doctors Can’t Be Trusted to Tell Patients Whether They Should Receive Robotic Surgery

Patients often rely on physicians for information about their treatment alternatives. Unfortunately, that information is not always objective. Consider a man with early stage prostate cancer interested in surgical removal of his tumor, but uncertain whether it is better for … Continue reading

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May 19, 2016

Peer Comparison Can Reduce Antibiotic Prescribing

Very interesting article in the Lancet recently, from the nudge unit in the United Kingdom. They give physicians feedback on how much they prescribed antibiotics compared to their peers, and found that such feedback reduced antibiotic prescriptions. I hope to … Continue reading

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May 6, 2016

Doctor Knows Best?

Here is a write-up of a talk I recently gave at the NIH. The topic is a good one, about doctors and decision making and all that crap. But the real importance of linking you to the story is to … Continue reading

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April 29, 2016

Here’s How a Great Doctor Helps Her Patient Make a Cost-Conscious Treatment Decision

Sometimes in my research on physician/patient communication, I come across a doctor who is so good with her patients, I have to share their bedside manner with you. The most recent example is a (to remain unnamed) oncologist in the … Continue reading

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April 28, 2016

More Coverage of Our Research on Out-Of-Pocket Cost Conversations

Here is a nice summary of our research, published by an excellent reporter at The American Journal of Managed Care: A new qualitative study of clinical meetings between physicians and patients pointed out certain behavioral concerns that stand in the … Continue reading

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April 26, 2016

Physicians Can’t Stop Overtreating Diabetes And Hypertension

Aggressive control of blood pressure has saved millions of lives, and has prevented millions of people from experiencing heart attacks, strokes and kidney failure, among other things. Admittedly, controlling blood pressure is not the sexy part of medical care, but … Continue reading

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April 21, 2016

Is It Rational for Breast Cancer Patients to Have Bilateral Mastectomies?

Warning: I am not writing about Angelina Jolie. I am not asking whether women like Jolie, with a strong family histories of breast cancer and known genetic mutations, should consider having bilateral mastectomies. Women like Jolie face extremely high lifetime … Continue reading

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April 12, 2016

In Medical Market, Shoppers Lack Savvy

Even before Obamacare became the law of the land, the U.S. health care system was undergoing a dramatic transformation. Millions of people were shifting from generous health insurance plans to consumer-directed ones that pair low monthly premiums with high out-of-pocket … Continue reading

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