Articles matching the ‘Health care’ Category

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January 16th, 2020

Podcast 248: “Hotspotting” didn’t work in its home town — why?

The process of identifying super-users of healthcare and reducing the frequency of their hospitalizations — so-called “hotspotting” — was subjected to a randomized, controlled trial in Camden, NJ, the birthplace of the idea. It failed there. Those in the intervention group had a readmission rate within 6 months that was statistically identical to those getting usual care. […]


December 12th, 2019

Podcast 246: Where we die now

For the first time in almost a century, Americans are dying at home more often than dying in hospitals. This seems to mark a cultural change that will affect both how and where clinical medicine is practiced. Dr. Haider Warraich’s letter to the editor of the NEJM presents the numbers, and he’s agreed to talk about their implications. […]


June 11th, 2019

Podcast 226: What we need to talk about when we talk about health

Length: 18 minutes Sandro Galea, dean of Boston University’s School of Public Health, has written a new book. It’s called “Well: What we need to talk about when we talk about health,” and it’s the centerpiece of our discussion. Dr. Galea, who trained as an emergency physician, believes that health is a public good and thus worthy […]


March 14th, 2018

Podcast 218: Better integration of midwifery associated with better birth outcomes

An analysis of the states’ integration of midwifery into their healthcare systems concludes that better integration led to better outcomes for mothers and babies. We discuss this with Dr. Saraswathi Vedam, the study’s first author. Links: University of British Columbia’s Birth Place Lab PLoS One article First Watch coverage of the Lancet series on midwifery


June 3rd, 2015

Podcast 175: “Understanding Value-Based Healthcare” — A Discussion with the Authors of an Important New Book

Running time: 26 minutes “Understanding Value-Based Healthcare,” published in April by McGraw-Hill is today’s focus. Drs. Christopher Moriates, of the University of California, San Francisco; Vineet Arora, of the University of Chicago; and Neel Shah of Harvard Medical — the book’s authors — discuss its straightforward approach to valuing patient outcomes foremost. The discussion ranges over their reasons […]


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 — some 30 […]


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