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Articles matching the ‘Patient care’ Category

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September 25th, 2013

Podcast 168: The Camden Coalition’s work on alleviating the discontinuity of medical care

Running time: 10 minutes The Camden Coalition of Healthcare Providers formed about 10 years ago as a quarterly breakfast club of primary-care providers who were frustrated in their attempts to bring care to comprehensive care to their patients in Camden, N.J. The Coalition’s found and executive director, Dr. Jeffrey Brenner (himself a family physician) [...]


September 14th, 2013

Podcast 167 — The polypill: adherence at last?

Running time: 7 min The recent JAMA article examining the effects of the “polypill” on adherence and clinical benefits in patients with (or at high risk for) cardiovascular disease, is our topic. The polypill in this trial contained fixed doses of four separate drugs: aspirin, a statin, lisinopril and one other blood-pressure-lowering drug — [...]


August 1st, 2013

Podcast 164: Talking about death

Running time: 11 minutes Last month John You and his colleagues published a guide to discussing advance care planning with patients at high risk of dying in the Canadian Medical Association Journal. It’s full of practical advice, and I thought it would be interesting to get a sense of You’s approach to this difficult [...]


November 10th, 2012

Podcast 159: Making the Clinical Diagnosis, But Blowing the Patient’s Treatment Preference

Running time: 20 min. In some diseases there are two diagnoses to make: the clinical diagnosis and the diagnosis of what the patient’s treatment preference is. The first is hard enough to make, and the widening choice of treatment choices complicates the second. Welcome to the task of “preference diagnosis,” which can lead to [...]


October 18th, 2012

Podcast 158: Physician-assisted dying — a conversation with Dr. Marcia Angell about the Massachusetts ‘Death with Dignity’ ballot question

Our conversation explores the question that Dr. Marcia Angell poses in a recent essay in the New York Review of Books: May doctors help you to die? Angell’s is the first name to appear as the sponsor of a November 6 ballot initiative here in Massachusetts, which is modeled on the Oregon law already [...]


May 14th, 2012

Podcast 155: What’s wrong with U.S. healthcare and what will save it?

Dr. Arnold Relman, longtime observer of the U.S. healthcare system and editor emeritus of the New England Journal of Medicine, proposes two major reforms: First, private insurance companies should leave the healthcare field, and second, physicians should organize into multispecialty practices. His proposals, just published in BMJ, grow out of his alarmed observation — [...]


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