California Healthcare Institute Launches Podcast to Raise Awareness of Dangers of a Cost-based U.S. Healthcare System.Podcast Examines Promise and Pitfalls of Using Cost-Effectiveness Analysis cost-effectiveness analysis Cost-utility analysis Clinical trials A form of economic analysis in which alternative interventions are compared in terms of the cost per unit of clinical effect–eg cost per life saved, per mm Hg of lowered BP, per yr of to Determine Patient Access SAN FRANCISCO San Francisco (săn frănsĭs`kō), city (1990 pop. 723,959), coextensive with San Francisco co., W Calif., on the tip of a peninsula between the Pacific Ocean and San Francisco Bay, which are connected by the strait known as the Golden -- As state and federal policymakers search for ways to reduce healthcare costs, the California Healthcare Institute (CHI) launched the first episode of a new podcast series today at the 25th Annual JP Morgan Healthcare Conference in San Francisco to inform policymakers and healthcare consumers about the dangers of a cost-based health care system. The five-part, bi-weekly series, titled Cost Over Care: The Dangers of Bureaucratic Medicine, can be found on the California Healthcare Institute Web site, www.chi.org, and is accessible on iTunes and other podcast directories. In the first episode released today, Dr. David Gollaher, president and CEO (1) (Chief Executive Officer) The highest individual in command of an organization. Typically the president of the company, the CEO reports to the Chairman of the Board. of CHI, explains the concept of true evidence-based medicine evidence-based medicine Decision-making 'The use of scientific data to confirm that proposed diagnostic or therapeutic procedures are appropriate in light of their high probability of producing the best and most favorable outcome'. See Meta-analysis. and discusses misinterpretations of the term and policy that may ultimately restrict patients' access to the most innovative healthcare treatments. "The podcast series will feature perspective from policy experts on the advantages and limitations of applying cost-effective analysis to healthcare coverage decisions," said Gollaher. "While the principle of guiding clinical decision-making with evidence of a treatment's effectiveness is sound, we are concerned that in some instances 'evidence-based medicine' has become a stratagem STRATAGEM. A deception either by words or actions, in times of war, in order to obtain an advantage over an enemy. 2. Such stratagems, though contrary to morality, have been justified, unless they have been accompanied by perfidy, injurious to the rights of to limit the use of important medical technologies and to deny patients treatment." Evidence-based medicine suggests that medical decision-making should weigh scientific evidence, physician experience and the individual patient's medical history. In its basic form, evidence-based medicine sets best practice guidelines practice guidelines Medical practice A set of recommendations for Pt management that identifies a specific or range of range of management strategies. See Peer review organization, Practice standards. Cf 'Cookbook' medicine. for care regimens, with decisions based on clinical research and comprehensive personal data. The trouble is, for many conditions and treatment there are insufficient data for physicians to make clear-cut decisions. Moreover, the same disease is not the same in different patients. "Simplifying evidence-based medicine shortchanges patients. One size does not fit all when it comes to medical decisions," said Gollaher. "Although the issue of healthcare costs should be a national priority, we all need to work together to ensure that healthcare decisions revolve around Verb 1. revolve around - center upon; "Her entire attention centered on her children"; "Our day revolved around our work" center, center on, concentrate on, focus on, revolve about care and not just cost." In addition to Gollaher, the podcast series will feature: Kwabena Adubofour, M.D., medical director, East Main Clinic and Stockton Diabetes Intervention Center; Meryl Comer, journalist and caregiver; Ruth Lopert, Harkness fellow in healthcare policy, George Washington University George Washington University, at Washington, D.C.; coeducational; chartered 1821 as Columbian College (one of the first nonsectarian colleges), opened 1822, became a university in 1873, renamed 1904. and principal advisor, Pharmaceutical Policy Taskforce, Commonwealth Department of Health and Ageing Health and Ageing is a research programme set up by the Geneva Association, also known as the International Association for the Study of Insurance Economics. The Geneva Association Research Programme on Health and Ageing seeks to bring together facts, figures and analyses , Canberra, Australia; and Peter J. Pitts, co-founder and president, Center for Medicines in the Public Interest, and former FDA FDA abbr. Food and Drug Administration FDA, n.pr See Food and Drug Administration. FDA, n.pr the abbreviation for the Food and Drug Administration. associate commissioner for external relations. For more information about evidence-based medicine and cost-effectiveness analysis or to download podcast episodes, please visit the California Healthcare Institute's Web site at www.chi.org. This series has been made possible through a grant from Pfizer Inc. California Healthcare Institute (CHI) represents more than 250 leading biotechnology, medical device, diagnostics, and pharmaceutical companies, and public and private academic biomedical research organizations. CHI's mission is to advance responsible public policies that foster medical innovation and promote scientific discovery. CHI's web site is http://www.chi.org. |
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