Revascularization of AMI Patients Persists Despite No Demonstrated Benefit
They found no significant change in the rates of PCI.
The authors speculate that some of the "clinical inertia" may be due to "lack of agreement regarding interpretation of data, especially when it contradicts long-held beliefs and external influences, such as conflicting patient expectations and financial incentives to perform the unindicated procedure, and fear of litigation."
She added that in courtrooms, a bad outcome may still result in a jury verdict against a physician, even though he followed the guidelines. In New York State for example, she said, judges vary widely on whether they will admit the guidelines in testimony.
"A lot of judges won't allow it because they say the guidelines can't be cross-examined," she said.
In an invited commentary, Mauro Moscucci of the Cardiovascular Division of the University of Miami, FL, said the paper "further focuses our attention on procedures that certainly increase healthcare expenditures without clear benefit."
- Medical Errors Third Leading Cause of Death, Senators Told
- Chronic Disease Care Costs Get Bipartisan Attention
- Mayo Tops U.S. News Best Hospitals Rankings
- As States Regulate Provider Competition, Common Threads Emerge
- CareFirst Announces PCMH Program Results
- 4 Tectonic Shifts Shaking Up Healthcare
- Hospitals Seeking to Understand PPACA Impact Turn to Data
- The case for concierge medicine
- Telemedicine Providers Welcome AMA Guidelines
- ACGME Chief Sees 'Huge' Risk of Error in Proposed Assistant Physician Licensure