AMA Journal of Ethics®

Illuminating the art of medicine

Journal of Ethics Header

AMA Journal of Ethics®

Illuminating the art of medicine

AMA Journal of Ethics. November 2015, Volume 17, Number 11: 1007-1101.

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High-Value Care

Ethics Poll

A patient requests that his physician order a diagnostic test that his insurance will pay for but one that the physician believes is unnecessary. The physician explains that he does not think the patient needs the test and also explains the minimal risks of the testing procedure and of a false positive result, which would require more invasive testing. The worried patient pleads with the doctor to order it for his peace of mind. The best action for the physician to take is:
An often-quoted 2012 Institute of Medicine report estimated that 30 percent of health care costs in the US were wasteful, i.e., did not contribute to improved patient outcomes. Which of the following best expresses what you think about that estimate?

Peer-Reviewed Article

Why Can’t We Be Friends? A Case-Based Analysis of the Ethics of Social Media Use in Health Care
Kayhan Parsi and Nanette Elster
Full Text | PDF
AMA Journal of Ethics. 2015; 17:1009-1018.

From the Editor

The Era of High-Value Care
Sri Lekha Tummalapalli
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AMA Journal of Ethics. 2015; 17:1019-1021.

Ethics Cases

The High-Value Care Considerations of Inpatient versus Outpatient Testing
Commentary by Josué A. Zapata and Christopher Moriates
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AMA Journal of Ethics. 2015; 17:1022-1027.

Grow a Spine, Have a Heart: Responding to Patient Requests for Marginally Beneficial Care
Commentary by Bjorg Thorsteinsdottir, Annika Beck, and Jon C. Tilburt
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AMA Journal of Ethics. 2015; 17:1028-1034.

Cost-Consciousness in Teaching Hospitals
Commentary by Maggie K. Benson
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AMA Journal of Ethics. 2015; 17:1035-1039.

Podcast

Choosing Wisely: Initiating Conversation and Culture Change around Overuse of Medical Tests and Treatments Listen
Interview with Wendy Levinson

Medical Education

Teaching High-Value Care
Aditya Ashok and Brandon Combs
Full Text | PDF
AMA Journal of Ethics. 2015; 17:1040-1043.

The Code Says

AMA Code of Medical Ethics’ Opinion on Physician Stewardship
Full Text | PDF
AMA Journal of Ethics. 2015; 17:1044-1045.

State of the Art and Science

The Challenge of Understanding Health Care Costs and Charges
Vineet Arora, Christopher Moriates, and Neel Shah
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AMA Journal of Ethics. 2015; 17:1046-1052.

Policy Forum

Repeal of the Medicare Sustainable Growth Rate: Direct and Indirect Consequences
Jeffrey Clemens and Stan Veuger
Full Text | PDF
AMA Journal of Ethics. 2015; 17:1053-1058.

Increasing Cost Efficiency in Health Care without Sacrificing the Human Touch
Eva Luo
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AMA Journal of Ethics. 2015; 17:1059-1063.

High-Value Palliative Care for Cancer Patients
Ali John Zarrabi, Ran Huo, and Diane E. Meier
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AMA Journal of Ethics. 2015; 17:1064-1072.

History of Medicine

Promoting Cost Transparency to Reduce Financial Harm to Patients
Reshma Gupta, Cynthia Tsay, and Robert L. Fogerty
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AMA Journal of Ethics. 2015; 17:1073-1078.

Medical Narrative

Countering Medicine’s Culture of More
Hyung J. Cho
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AMA Journal of Ethics. 2015; 17:1079-1081.

Resources

Suggested Readings and Resources
PDF
AMA Journal of Ethics. 2015; 17:1082-1097.

About the Contributors
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AMA Journal of Ethics. 2015; 17:1098-1101.