ve health insurance through Medicare, they should be discouraged from participating in community-based screening programs, and should be referred to a primary care provider.” The Foundation for Informed Medical Decision Making (disclosure: they support this HealthNewsReview.org project) posted a video clip with its president, Dr. Michael Barry, reinforcing the shared decision-making message. For now, the Foundation’s shared decisi…
WASHINGTON, Feb. 5 –The Milwaukee Journal Sentinel is the first news organization to receive an award for Excellence in Health Journalism from the Boston-based Foundation for Informed Medical Decision Making. The Foundation, which presented the award yesterday at its Research and Policy Forum in Washington DC, chose the Milwaukee newspaper because of its consistently high ratings by HealthNewsReview.org. That web-based project, funded by …
MedPage Today (and a few others) report on an important article in The Lancet on knee replacement and how “Because replacement is increasingly considered for patients younger than 55 years, improved decision making about whether a patient should undergo the procedure is needed.” MedPage Today reports that long-term data on knee replacement is inadequate in the eyes of the authors, “leaving clinicians and patients in the dark a…
Shannon Brownlee and Joe Colucci write in The Atlantic, “The Cost of Assuming Doctors Know Best” – “patient decision aids are powerful quality-improving, cost-cutting tools — but change is stalled by bad financial incentives.” And, on Ezra Klein’s Wonkblog for the Washington Post, Sarah Kliff writes, “Will your doctor prescribe antibiotics? Depends on where you live.“ …
This is a very important story. “Unfortunately,” as a Mayo Clinic physician says in the story, “this is something that isn’t well understood, not just by the public – but by physicians who order the tests.” Special focus was placed on the nuclear technologies of breast-specific gamma imaging and positron emission mammography. The story says a single exam with one of these tests “exposes patients to a …
Gil Welch and Bill Black of Dartmouth address cancer overdiagnosis in a new review article in the Journal of the National Cancer Institute. Excerpt from the abstract: “We estimated the magnitude of overdiagnosis from randomized trials: about 25% of mammographically detected breast cancers, 50% of chest x-ray and/or sputum-detected lung cancers, and 60% of prostate-specific antigen-detected prostate cancers. We also review data from observ…
ation – it doesn’t mean anything,” he says in the video. And let me remind you of the DECISIONS study that found that “most prostate cancer screening decisions did not meet criteria for shared decision making because subjects did not receive balanced discussions of decision consequences, had limited knowledge, and were not routinely asked for their preferences.” The body of evidence is growing: many American men are…
Yale’s Harlan Krumholz blogs on the Forbes site today, making a strong case for shared decision-making even though he doesn’t use that term in his post. Excerpt: “A few weeks ago I made a modest proposal to the medical profession in the pages of the Journal of the American Medical Association. I suggested that we make informed consent meaningful and provide patients with the critical information that should be available to an…
I’ll be in Boston this week to co-lead a workshop at the Association of Health Care Journalists (AHCJ) annual conference (12:45 pm, Thursday) on how to improve news coverage of medical studies and research. This is, I think, the 6th such workshop I’ve been involved in at AHCJ annual conferences through the years. Also in Boston, on Wednesday night, I’ll moderate a panel discussion, “Shared Decision Making A…
…volves changing the economics of medicine, to reward better care rather than simply more care.” Disclosure: Dr. Michael Barry, who is quoted in this article, is president of the Foundation for Informed Medical Decision Making, which funds the HealthNewsReview.org project. …
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