Cooperating for better care.

Yael Schenker

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3 changes to improve palliative care

 

hospice

In London.

 

Yael Schenker, M.D., Robert Arnold, M.D.,  writing in JAMA about the future of palliative care, conclude:

“To improve palliative care for patients with serious illness, 3 changes must occur. First, palliative care specialists need to develop skills in clinician behavior change, system change, and quality improvement. Second, health systems need to expand their focus to develop programs that measure and improve the quality of palliative care that every patient receives. Third, federal funding must be aligned with a national goal of improving the experience of seriously ill patients and their loved ones. In short, the field of palliative care has expanded substantially over the past 20 years by demonstrating the value of involving palliative care specialists earlier and more routinely in the care of seriously ill patients. Moving forward, palliative care is likely to have the greatest benefit by teaching others clinicians to provide patient and family-centered care, designing systems, and advocating for policy changes that help make the involvement of specialists less necessary.”

 


Beware hospital Web sites’ camouflaged ads

flounder

The peacock flounder changes its appearance to avoid predators.

Be leery of hospital Web sites used to market the institutions’ services in an increasingly competitive environment.

For a JAMA Internal Medicine study, researchers Alex John London, of Carnegie Mellon University, and Yael Schenker, of the University of Pittsburgh,  studied online ads for transaortic valve replacement, or TAVR, a minimally invasive procedure to treat the narrowing of the aortic valve common in older adults, particularly men.

The study reviewed the online ads of all 317 U.S. hospitals that offer TAVR and found that all of them cited the procedure’s benefits — but only a quarter said that it had any risk, which of course it does. Further, fewer than 5 percent of the hospitals quantified the risks so that the average consumer  could make intelligent decisions.

And basically promotional material  is camouflaged using graphs, diagrams, statistics and physician testimonials to look like a rigorous and scientific presentation.

Tighter restrictions needed on these ads?


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