Patient and Consumer Issues
by Jenna Ogilvie | May 17, 2013 | Commentary, Perspectives
A generation ago, the doctor always knew best. Medical decision-making was cloaked in secrecy. Medical charts and Xrays were handled clandestinely. And hospitals’ outcomes, volumes, and mortality rates were not available for general consumption—if the data were...
by Jenna Ogilvie | Apr 15, 2013 | Discussion Paper, Perspectives
Background Most people who receive health care in the United States recognize that the system is complicated and fragmented. What they are less likely to know is that opportunities to learn from the care provided in hospitals, clinics, and doctors’ offices are...
by Jenna Ogilvie | Apr 5, 2013 | Commentary, Perspectives
Decades of research from the Dartmouth Atlas have shown that unwarranted variations in elective surgery are pervasive in the United States. Decision aids (DAs) are evidence-based sources of health information that can help patients make informed treatment decisions...
by Jenna Ogilvie | Mar 22, 2013 | Commentary, Perspectives
Fundamental changes are reshaping the nation’s health care system—from purchaser and payer demands for greater quality and value to new legislative and regulatory requirements stemming from the Affordable Care Act. Also driving change is the growing recognition that a...
by Laura DeStefano | Jan 24, 2013 | Discussion Paper, Perspectives
Introduction In virtually all Institute of Medicine (IOM) reports that have touched on patient safety during the last 15 years, information technology (IT) has played a critical role in the future view of safer patient care. This reflects an emerging view of patient...
by Laura DeStefano | Dec 14, 2012 | Commentary, Perspectives
We have a good concept of the flawed state of health care, the critical need for change, and the future we want. Patient-centered, personalized care, provided by collaborating care teams, is a part of that vision. Many changes will be necessary to achieve that future,...
by Laura DeStefano | Nov 30, 2012 | Commentary, Perspectives
While there has been an enormous amount of attention paid to the transformation of the United States Health Care delivery system under the Affordable Care Act (ACA), little has been said about the many opportunities in the ACA for population health systems improvement...
by Laura DeStefano | Oct 19, 2012 | Commentary, Perspectives
Diabetes mellitus (DM) and associated complications are increasing in the United States, with prevalence up 40 percent from 2002 to 2010. [1] Randomized controlled studies have shown reductions in the increased cardiovascular disease risk associated with diabetes when...
by Laura DeStefano | Sep 25, 2012 | Discussion Paper, Perspectives
Our aim is to accelerate the routine use of the best available evidence in medical decision making by raising awareness of and increasing demand for medical evidence among patients, providers, health care organizations, and policymakers. This paper is the product of...
by Laura DeStefano | Aug 24, 2012 | Commentary, Perspectives
When the family of Michelle Malizzo Ballog found out that their daughter’s 2008 death had been caused by a preventable medical error, one question trumped all others: How could this have happened? To the family’s surprise and relief, officials at the University of...
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