First published 4/27/11 on Organon
I’ve always been a little unsure about the policy ramifications of regional variations in medical care. The Dartmouth Atlas project’s findings—famously noted in Atul Gawande’s New Yorkerpiece comparing health outcomes and utilization in McAllen and El Paso, Texas—suggest an inverse relationship between the amount of care provided and the quality of health outcomes resulting from that care.
Continue reading “Paradox Glossed”
So what is the most significant health care technology implemented in health care in the last thirty years? The DaVinci robotic surgery system? Proton Therapy perhaps? No, not those. We want diagnostic, not treatment, technologies.
The answer is advanced imaging. Thirty years ago, a patient presented with non-specific abdominal pain. How did we diagnose it? Palpate, lab tests, order an x-ray. No conclusive results? Send them off to surgery.
Continue reading “Will The Value Of Advanced Imaging Prevail?”