The Big Fix: How to Get Patients and Doctors to Change

The Big Fix: How to Get Patients and Doctors to Change

American Heart Association guidelines currently recommend a systolic pressure of less than 140 millimeters of mercury for most adults with high blood pressure, or hypertension. But doctors say these new findings support a steeper goal of 120 — a reduction that could translate into doctors putting millions more Americans with high blood pressure on additional medication.

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Would McSickcare Be So Bad?

Would McSickcare Be So Bad?

Commoditycare is coming to a clinic near you and many are wary of the McDonaldization of Sick Care. They claim that the four basic principles of operations management driving the underlying business model of McDonalds—efficiency, calculability, predictability and control—“often leads to adverse consequences and… the doctor-patient relationship will be threatened."

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Principles of Medical Education Reform

Principles of Medical Education Reform

I recently served on an education subcommittee as part of a strategic planning process (cue up groans) for a large hospital system. The issue on the table was how education should look at the institution in five years. As most of you know who have participated in these kinds of things, there was a fair amount of scepticism about the process, the outcomes and recommendations and whether anything substantive would change as a result of our deliberations and recommendations.

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