tag:blogger.com,1999:blog-25132358.post3079741867803290390..comments2024-03-25T03:04:17.427-04:00Comments on Curing Healthcare: A Quick Way to Rein in Medical CostsDr. Steve Bellerhttp://www.blogger.com/profile/12193853344152979923noreply@blogger.comBlogger3125tag:blogger.com,1999:blog-25132358.post-18448845756681359062009-08-20T08:05:47.904-04:002009-08-20T08:05:47.904-04:00Hello,
Good article.. It really helped me a lot t...Hello,<br /><br />Good article.. It really helped me a lot to improvise myself.<br /><br />Thank You.Health Carehttp://in.88db.com/chennai/html/images/articles/health/index.htmlnoreply@blogger.comtag:blogger.com,1999:blog-25132358.post-48105977863104347152009-08-15T07:24:59.504-04:002009-08-15T07:24:59.504-04:00Comment from Val on the THCB blog:
Steve,
I am a...Comment from Val on the THCB blog:<br /><br />Steve,<br /><br />I am an internal medicine resident. I don't mind good and fair tort reform but honestly I think that the threat of law suit are only partly responsible for unnecessary testing. We all know that we often order extra tests because we are less than confident or competent in our clinical thinking. Sometimes, we simply don't have or take the time to think before we order. We can go a long way by instituting some educational reforms in our training programs and continue to devise and implement guidelines. Often times we physicians are very reluctant to change our practices even in the face of evidence. As you know, many of us go up in arms whenever someone suggest guidelines, let alone pre-printed forms. Changing physician behavior is a very difficult thing. I agree with good tort reform, but it is too often used as an excuse to take our eyes off the ball...<br /><br />My reply:<br /><br />I understand, Val.<br /><br />I can’t really blame the clinicians, however. A screwed up healthcare system with misaligned incentives, the belief that we clinicians can and should somehow know more than is human mind can handle (even when the evidence is clear), a strong desire for autonomy/independence (we don’t want to be told what to do), a tendency to rely on our experience coupled with the dearth of evolving personalized evidence-based guidelines, etc.—in addition to fear of lawsuits—I contend, reasons for such reluctance. But in the end, none of that really matters since we don’t have any other good options. So, I would argue that we’d be wise to learn to work together to create a new and improved model of healthcare focused on bringing high value to the consumer based on greatly expanded scientific evidence. And we ought to be active participants in garnering that evidence-based knowledge through widespread collaboration between clinicians of all disciplines and researchers. Yes, change—fear of the unknown—can be scary, inertia can be very tough to break, self-deception can blind us to how bad things really are, and even ego can get in the way of accepting new guidelines. <br /><br />The combination of a badly broken system and the forces of human nature are responsible for the healthcare crisis. I’ve been studying this for decades and see no good alternative; we must change in meaningful ways or else we’ll be watching our healthcare system (and country) continue to implode!Dr. Steve Bellerhttps://www.blogger.com/profile/12193853344152979923noreply@blogger.comtag:blogger.com,1999:blog-25132358.post-65866697400146701752009-08-14T14:59:55.104-04:002009-08-14T14:59:55.104-04:00Steve: great work / great clarity.
I'd love to...Steve: great work / great clarity.<br />I'd love to chat with you! I am Executive Producer of DOCTV.<br /><br />Could you let me know how best to reach you?<br /><br />Bob Stephens<br />Managing Partner<br />2425 Media Group<br />214-501-7338<br />sales@doctv.info<br /><br />DOCTV is Coming Soon to TV Stations and Healthcare Websites Near You!<br /><br />DOCTV is a "patient-centered" news and information series dedicated to improving doctor-patient relations.<br />The series highlights the latest medical advances and profiles the brightest minds in the industry. <br /><br />DOCTV keeps you informed as we navigate our way through the most significant paradigm shift in healthcare history!Unknownhttps://www.blogger.com/profile/07689067268478610304noreply@blogger.com