http://www.seefirstblog.com/2009/06/12/how-atul-gawande-is-being-misunderstood/?utm_source=rss&utm_medium=rss&utm_campaign=how-atul-gawande-is-being-misunderstood Insights into the uncertain world of healthcare Tue, 29 Nov 2011 22:02:00 +0000 hourly 1 http://wordpress.org/?v=3.1.3 http://www.seefirstblog.com/2009/06/12/how-atul-gawande-is-being-misunderstood/comment-page-1/#comment-1787 Quality Care, McAllen, and LeBron – My Podcast with Mike Daly « See First Blog Fri, 17 Dec 2010 12:26:06 +0000 http://www.seefirstblog.com/?p=632#comment-1787 [...] the scandal of health care in McAllen, Texas [...] [...] the scandal of health care in McAllen, Texas [...]

]]> http://www.seefirstblog.com/2009/06/12/how-atul-gawande-is-being-misunderstood/comment-page-1/#comment-1780 11 Predictions for 2011 « See First Blog Tue, 14 Dec 2010 16:06:47 +0000 http://www.seefirstblog.com/?p=632#comment-1780 [...] spend with patients will be less in 2011 than earlier years. It’s a long-term trend, and the factors that create this problem aren’t getting better.  The latest government data show that the average doctor visit [...] [...] spend with patients will be less in 2011 than earlier years. It’s a long-term trend, and the factors that create this problem aren’t getting better.  The latest government data show that the average doctor visit [...]

]]> http://www.seefirstblog.com/2009/06/12/how-atul-gawande-is-being-misunderstood/comment-page-1/#comment-1756 What I’m Reading « See First Blog Sat, 13 Nov 2010 17:05:14 +0000 http://www.seefirstblog.com/?p=632#comment-1756 [...] are doctors’ insights, judgment and time, and patients’ engagement in that process.   Ever-more clever ways of failing to take this into account are the real culprits here, not doctors and [...] [...] are doctors’ insights, judgment and time, and patients’ engagement in that process.   Ever-more clever ways of failing to take this into account are the real culprits here, not doctors and [...]

]]> http://www.seefirstblog.com/2009/06/12/how-atul-gawande-is-being-misunderstood/comment-page-1/#comment-690 Brown And Healthcare: Massachusetts Isn’t An Emerging Conservative State - Better Health Sun, 24 Jan 2010 12:00:50 +0000 http://www.seefirstblog.com/?p=632#comment-690 [...] been blogging about this for months and months and months and months.  You don’t mess with people health benefits.  Benefits [...] [...] been blogging about this for months and months and months and months.  You don’t mess with people health benefits.  Benefits [...]

]]> http://www.seefirstblog.com/2009/06/12/how-atul-gawande-is-being-misunderstood/comment-page-1/#comment-677 What Massachusetts Means « See First Blog Wed, 20 Jan 2010 12:37:49 +0000 http://www.seefirstblog.com/?p=632#comment-677 [...] been blogging about this for months and months and months and months.  You don’t mess with people health benefits.  Benefits [...] [...] been blogging about this for months and months and months and months.  You don’t mess with people health benefits.  Benefits [...]

]]> http://www.seefirstblog.com/2009/06/12/how-atul-gawande-is-being-misunderstood/comment-page-1/#comment-619 chiropter Sun, 15 Nov 2009 09:35:28 +0000 http://www.seefirstblog.com/?p=632#comment-619 I think Gawande IS saying the system incentives are systematically wrong, and that only in places where the culture happens to be about patients are those incentives corrected, and quality and cost improves. However if we were to tackle this nationally, we don't need to rely on the contingencies of local "culture", we can substitute that with legislative carrots and sticks that change the incentives to be the right ones. I think Gawande IS saying the system incentives are systematically wrong, and that only in places where the culture happens to be about patients are those incentives corrected, and quality and cost improves. However if we were to tackle this nationally, we don't need to rely on the contingencies of local “culture”, we can substitute that with legislative carrots and sticks that change the incentives to be the right ones.

]]> http://www.seefirstblog.com/2009/06/12/how-atul-gawande-is-being-misunderstood/comment-page-1/#comment-502 chiropter Sun, 15 Nov 2009 02:35:28 +0000 http://www.seefirstblog.com/?p=632#comment-502 I think Gawande IS saying the system incentives are systematically wrong, and that only in places where the culture happens to be about patients are those incentives corrected, and quality and cost improves. However if we were to tackle this nationally, we don't need to rely on the contingencies of local "culture", we can substitute that with legislative carrots and sticks that change the incentives to be the right ones. I think Gawande IS saying the system incentives are systematically wrong, and that only in places where the culture happens to be about patients are those incentives corrected, and quality and cost improves. However if we were to tackle this nationally, we don't need to rely on the contingencies of local “culture”, we can substitute that with legislative carrots and sticks that change the incentives to be the right ones.

]]> http://www.seefirstblog.com/2009/06/12/how-atul-gawande-is-being-misunderstood/comment-page-1/#comment-414 Don’t Get Sick « See First Blog Mon, 05 Oct 2009 18:42:47 +0000 http://www.seefirstblog.com/?p=632#comment-414 [...] long pre-dates this latest reform effort.  Its impact was well documented in Atul Gawande’s (thoroughly misunderstood) article in the New [...] [...] long pre-dates this latest reform effort.  Its impact was well documented in Atul Gawande’s (thoroughly misunderstood) article in the New [...]

]]> http://www.seefirstblog.com/2009/06/12/how-atul-gawande-is-being-misunderstood/comment-page-1/#comment-245 Why Incentives Don’t Work in Medicine « See First Blog Tue, 04 Aug 2009 17:43:51 +0000 http://www.seefirstblog.com/?p=632#comment-245 [...] seen the practice of medicine as a simple economic transaction.  We’ve prioritized money over medicine.   And by focusing on ever more clever ways to design economic incentives, we have systematically [...] [...] seen the practice of medicine as a simple economic transaction.  We’ve prioritized money over medicine.   And by focusing on ever more clever ways to design economic incentives, we have systematically [...]

]]> http://www.seefirstblog.com/2009/06/12/how-atul-gawande-is-being-misunderstood/comment-page-1/#comment-210 My Reaction to “Putting Patients First” « See First Blog Tue, 21 Jul 2009 22:48:04 +0000 http://www.seefirstblog.com/?p=632#comment-210 [...] I think we are seeing the real world effect — on patients — of what Atul Gawande called focusing on “money over medicine.” [...] [...] I think we are seeing the real world effect — on patients — of what Atul Gawande called focusing on “money over medicine.” [...]

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