June 3rd, 2015
Podcast 175: “Understanding Value-Based Healthcare” — A Discussion with the Authors of an Important New Book
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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 for writing the book, their attempt to reach the broader audience concerned with healthcare costs, and their recommendations for taking action locally.
Here’s a link to the authors’ Costs-of-Care website, where you will find information on ordering the book.
September 9th, 2014
Podcast 174: PARADIGM and Heart Failure
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The PARADIGM-HF trial of LCZ696 — a novel compound that both blocks the renin-angiotensin system with an ARB component and blocks neprilysin’s degradation of natriuretic peptides — increased survival in heart failure by some 20% relative to enalapril. It seems to be a big deal, and the trial’s two principal authors have agreed to talk about their work and its larger meaning.
Running time: 15 minutes
Other links:
August 29th, 2014
Podcast 173: Sensible Sodium Levels in View at Last
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Running time: 9 minutes
In the light of the New England Journal of Medicine‘s recent publication three papers on sodium intake and its implications for cardiovascular disease, blood pressure, and excess mortality, we thought we’d speak again with Dr. Jan Staessen, who surprised a lot of people 3 years ago with a paper in JAMA warning against population-wide sodium reductions. His research showed that cutting sodium intakes to levels recommended by the U.S. Dept. of Agriculture was associated in his cohort with an increase in cardiovascular risk.
Dr. Staessen kindly agreed to serve as our guide through the new NEJM research.
LINKS:
Physician’s First Watch coverage of the new NEJM studies
June 25th, 2014
Podcast 171: PTSD Treatment Effects Remain Largely Unmeasured By the Military and the VA
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Running time: 10 minutes
The Institute of Medicine’s report on treatment for post-traumatic stress disorder finds that active military and veterans with PTSD aren’t always getting evidence-based treatments. And when those treatments are used, they’re too often not used according to protocols and the results aren’t measured. The upshot? The agencies with responsibility for treating PTSD don’t know whether they’re doing their patients any good.
Institute of Medicine report on PTSD (free)
June 5th, 2014
Podcast 170 — An Emergency Physician Has the Tables Turned On Her and Returns with Lessons for All Clinicians
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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
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