Making Health Care Better

The American health care system is more expensive than any other, without providing better results. The cure, says Brent James, is measurement. Full Story »

Posted by Kaizar Campwala - via Tim O'Reilly, Nicholas Kristof, New York Times (Most Emailed), Publish2 (U.S.)
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Subjects: U.S., Politics, Sci/Tech, Health
Topics: Health Care, Science
Member Tags: Quality Improvement, hospitals, decision making, health insurance and managed care, reform and reorganization, brent james, medicine and health, nursing and nurses, doctors
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# Diggs: 3 (as of 2009-11-05)
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Posted by: Posted by Kaizar Campwala - Nov 5, 2009 - 10:21 AM PST
Content Type: Article
Edit Lock: This story can be edited
Edited by: Fabrice Florin - Nov 9, 2009 - 7:08 PM PST
Fabrice Florin
3.8
by Fabrice Florin - Nov. 14, 2009

Must-read story about improving the quality of health care in America. This in-depth report features health care reformer Brent James and a new collaborative method he's developed at Intermountain Healthcare in Utah and Idaho, where committees or doctors and nurses are scientifically adjusting and tracking medical treatments, saving thousands of lives per year in the process. This article cites copious factual evidence from many authoritative sources to show how this rigorous practice is helping solve the "scattershot nature of American medicine".

See Full Review » (11 answers)
Walter Cox
4.8
by Walter Cox - Nov. 14, 2009

This article is simply the best piece I have ever read on healthcare reform. The author points up clear opportunities for improvement, and he highlights the balance that must be struck between reliance on the intuitive skills of individual physicians and treatment protocols based on empirical evidence. This article avoids partisan bias, instead discussing the facts with impartial precision.

I was particularly impressed by the universality of the approach suggested in this article. As human beings we each must strike a balance between intuition (based on experience) and continuous revision of our most cherished opinions based on exposure to new empirical evidence. This process requires a rare level of self-awareness, and weeding out our own biases involves painful self-reflection. The slow evolution of human culture provides us with numerous examples of how difficult ... More »

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Patricia Blochowiak
3.3
by Patricia Blochowiak - Nov. 14, 2009

Interesting story about one aspect of saving money on health care, which is by using more effective treatments. Doesn't mention lowering the cost of medications, banning direct-to-consumer advertising, changing to a system based on primary care, or working for primary, secondary, or tertiary prevention. Important, but needs major editing to reduce verbosity, as well as a broader outlook.

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Dwight Rousu
4.2
by Dwight Rousu - Nov. 14, 2009

An interesting but somewhat long report on a system to improve quality and reduce costs in hospital treatments.

Large corporations have dogmatically imposed bureaucratic religions around Demming and six-sigma campaigns. Avoiding such overkill in national health care would have to be a part of the program design.

In the end, of course, the theories about germs and viruses won out. They had the advantage of being correct, and doctors — haltingly and skeptically, but eventually — ... More »

See Full Review » (16 answers)
Robin 'Roblimo' Miller
4.3
by Robin 'Roblimo' Miller - Nov. 14, 2009

Looks at medicine from a scientific viewpoint, which hardly any of the political yammerers and those who chronicle them do. We need more articles like this that get into the "why" of health care and discuss way to make it better - faster - cheaper. I was also pleased to see the reference to Edwards Deming. I also would have liked to see discussion of how the electronics industry has managed to develop ever-better, ever-cheaper devices, but the medical industry has not -- but perhaps that's a difference article, one (sigh) I may need to write myself at some point.

I'm tired of politicians talking about health care as a political issue instead of working to see how we can do it better.

See Full Review » (7 answers)
Kaizar Campwala
4.2
by Kaizar Campwala - Nov. 14, 2009
See Full Review » (5 answers)
Linda C
3.6
by Linda C - Dec. 1, 2009

I thought that this was an interesting publication. If it was a news article the publisher would probably have to shorten a lot because it could be to long for the audience, but if it's for the people that are interested to know more about health care it would be good. I likes how the publisher started with background history and bringing to the current as well as what is going on know. Has really good sources to back him up. His last paragraph was a great quote to end his story.

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kathryn klein
3.9
by kathryn klein - Nov. 14, 2009

The Scientific Method. Something we all have come accustomed to trust and know well. Most of us have grown up being told to go to the doctor if we are sick or hurt. But is it true that we might be better off with all these medications that have side effects that sometimes cause horrific symptoms? This article is really well written; articulate. It is also very interesting and relevant as the health care bill is a hot topic of debate. What is the right way to treat and cure people? There is western medicine vs. eastern medicine. Who will win?

See Full Review » (10 answers)
Sydney LaCour
4.5
by Sydney LaCour - Nov. 18, 2009

This New York Times article about Health Care is good journalism because it reveals an entire process and really informs the reader before bombarding them with opinions or accusations. It gives a detailed history of the development of medicine and the contradictions within the practice. It also highlights the fact that some patients are unknowingly receiving better treatment for the same conditions.

See Full Review » (4 answers)

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    another study, cited in a recent report by the Robert Wood Johnson Foundation and the Urban Institute, looked at how well 19 developed countries succeeded in avoiding ...
    Posted by Dwight Rousu