Tag Archives: quality care
young female doctor examines x-ray

High-Value, Cost-Conscious Care: Iterative Systems-Based Interventions to Reduce Unnecessary Laboratory Testing

Inappropriate testing contributes to soaring healthcare costs within the United States, and teaching hospitals are vulnerable to providing care largely for academic development. Via its “Choosing Wisely” campaign, the American Board of Internal Medicine recommends avoiding repetitive testing for stable inpatients. We designed systems-based interventions to reduce laboratory orders for patients admitted to the wards […]

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elder woman sick in bed with husband looking on

Death and Dignity: Exploring Physicians’ Responsibilities After a Patient’s Death

Literature focused on care at the end of life is flourishing. The scope of this work has been broad, including how to best communicate bad news1, 2 or discuss patient wishes at the end of life,3, 4 as well as detailing where patients are dying and how it impacts their care5 and the value of palliative and hospice care during […]

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Concierge Medicine Is Here and Growing!!

An increasing number of primary care physicians are downsizing to a concierge medical practice (also termed “retainer-based medicine”). In a concierge medical practice, the physician limits the number of patients in his practice and offers exclusive services for an annual fee. The patient pays a surcharge for increased access and additional services from their physician.1 […]

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Advancing High-Value Health Care: A New AJM Column Dedicated to Cost-Conscious Care Quality Improvement

Despite the very high cost of health care in the US, expenditure continues to rise. According to the Centers for Medicare & Medicaid Services, health care expenditures for 2016 are projected to be $3.4 trillion, and the percentage of the gross domestic product spent on health care will increase from 17.4% in 2013 to 19.6% […]

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