Shivan J. Mehta, MD, MBA and David A. Asch, MD, MBA
Outcome-based payment more closely aligns payments with what patients want, which is better health rather than more health care. But these approaches remain challenging to implement.
Measuring outcomes alone is not the answer. There should be a way to reward the doctor for educating a patient about lifestyle modifications and then documenting that the care provided followed patient preferences.
Although measures of patient satisfaction are being used to improve patients’ hospital experience, implementing incentives based on these measures may be premature and have unintended consequences for care delivery.
AMA J Ethics. 2015;17(7):616-621. doi:
10.1001/journalofethics.2015.17.7.ecas3-1507.
Michael J. O’Brien, MD and William P. Meehan III, MD
It is unclear whether the decreased risk of injury associated with prohibiting a teenage boy from playing football outweighs the benefits to his health and well-being of allowing him to participate.
Frank A. Chervenak, MD and Laurence B. McCullough, PhD
A patient’s request for a treatment does not establish that treatment as medically reasonable according to evidence-based deliberative clinical judgment.
Clinical case examines physicians’ duties and risks during an epidemic. Commentaries address physician’s rights vs patients’ rights. Does the duty to treat always override personal or family concerns?
In quarantine situations, the actions of autonomous individuals are restricted to protect the health of the public. Physicians enforcing quarantine should be sympathetic and clear in communicating with those whose activities are being restricted.
In quarantine situations, the actions of autonomous individuals are restricted to protect the health of the public. Physicians enforcing quarantine should be sympathetic and clear in communicating with those whose activities are being restricted.