How Does AI Impact Trust Between Patients and Physicians?

As we continuously increase our utilization of technology and Artificial Intelligence (AI) in our day-to-day healthcare delivery, understanding how this impacts trust between physician and patient is a vital consideration. Historically, the relationship between a physician and their patient held the highest degree of intimacy, privacy, and assurance. Knowing this, it is right to consider; how does one… Read More »

Are Physician Payments Being Calculated Correctly?

In examining healthcare expenditures, various factors influence costs. Although we focus a tremendous amount on overutilization, variation, and waste, unit prices are also an essential factor. For example, drug costs constitute a significant focus concerning unit pricing. However, there are other numerous inputs affecting the health services unit cost equation. One of these such areas is payments to… Read More »

Should We Re-Examine the Length of Medical Education?

Not too long ago, I recall my hospital patients repetitively inquiring, “When can I go home?” Frequently, my response was, “Not a day longer than you need to be here, nor a day shorter.” I was not trying to be audacious, but as many know, an exact time frame was not always possible since a person’s illness, and… Read More »

How Can Health Systems Help in Eliminating Health Disparities?

As our health systems continue to shift to value-based care, it has become paramount that providing quality care to not just some, but ALL we serve is essential. Therefore, focusing on the health disparities that exist is important since a lack of health equity continues to be a significant factor contributing to poor health in many communities. If… Read More »

Will Price Regulation Decrease the Availability of New Drugs?

There is an increasing concern that federal price regulation of pharmaceuticals will drive down the innovation of new products, and thus, in the end, be detrimental to the health of those we serve. Recently, a study in Health Affairs by Stern et al., “The Impact of Price Regulation on the Availability of New Drugs in Germany” analyzed the… Read More »

How Do We Measure Success When Treating Patients?

In our field, there is a continuous focus on creating an environment of accountability. Thus, if we are judged on how well we perform, outcome measures are essential to determine if success occurs. Unfortunately, often in healthcare, we focus on outcome measures that are not providing “the full picture,” or we attempt to succeed in areas that might… Read More »

How Can Academic Medical Centers Flourish without Impacting Overall Healthcare Costs?

Academic Medical Centers (AMCs) are essential to our healthcare environment. Undeniably, they are responsible for the vast majority of medical education as well as research. Additionally, AMCs also provide quaternary services and have a disproportionate share of uncompensated care. Unfortunately, their revenue sources do not align with their missions or values. The majority of their funding derives from… Read More »

Let’s Focus on the Problems Instead of a “Sound Bite Solution.”

As the election nears, the conversation concerning “Medicare for All” is being deeply debated. In a country that historically loathes government interventions into our lives, this is quite a significant shift. What is leading to many feeling single-payer is the way to go? If we step back and review many of the issues, we have in healthcare today;… Read More »

Is “the Person” the Missing Component in Medical Education?

If one delves back in history, the fundamental component of medical education is focused on holistic care, meaning, caring for those we serve within the context of body, mind, and spirit. In more recent times, the focus has moved to diagnosing and treating the physiologic condition. However, studies have shown a person’s environment, behavior and lifestyle have a… Read More »