Articles matching the ‘Quality of care’ Category

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December 6th, 2019

Podcast 245: We revisit a 2018 episode on NPs’, PAs’, and MDs’ performance in the primary care of diabetes

In November 2018 we interviewed two authors of an Annals of Internal Medicine study comparing the quality of diabetes care afforded by three provider types: nurse-practitioners, PAs, and MDs. They reported that there were no clinically significant differences in the intermediate outcomes — glycated hemoglobin, systolic pressure, or low-density lipoprotein cholesterol — among the groups. We’re […]


November 1st, 2015

Podcast 188: Should “deintensification” be a quality-of-care measure?

The ACCORD trial found dangers in too-strict control of blood pressure and glucose in diabetes. Our guest has just published a study in JAMA Internal Medicine measuring the scope of the problem. Using Veterans Affairs data, his group found that “deintensification” of therapy after targets were met or exceeded was disappointingly rare. JAMA Internal Medicine study […]


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 […]


July 30th, 2014

Podcast 172: Listening for the Diagnosis, a Conversation with Danielle Ofri

Running time: 15 minutes Dr. Danielle Ofri, author and internist (as well as an aspiring cellist), is writing a book about how patients and clinicians hear each other. Our discussion centers on that, and on her request that you contact her if you can put her in touch with great diagnosticians (and maybe even their patients). If […]


June 5th, 2014

Podcast 170 — An Emergency Physician Has the Tables Turned On Her and Returns with Lessons for All Clinicians

Dr. Charlotte Yeh was crossing the street in Washington, D.C., on her way to dinner when a car hit her. She ended up in a Level I trauma center, and the experience was sobering for its reminder that in our drive to measure quality indicators, the patient may end up ignored or forgotten. Running Time: 10 minutes A […]


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) has just been […]


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