Comparative Effectiveness Research Not Aligned with Financial Incentives
Such findings might provoke pushback from physicians, Timbie acknowledged. He says, however, that they shouldn't shoulder all the blame for not doing what's in the best interest of their patients.
"We can't let patients off the hook because patients usually want the latest technology, and they don't want to hear that their physician might choose a more conservative approach."
He emphasizes that "it's not as if the providers are solely at fault. There [are] just numerous factors in play, all pushing in the same direction toward aggressive treatment of these conditions...And [there are] few incentives to choose the more cost-effective treatment."
The RAND researchers say they hope that accountable care organization and bundled payment models may stimulate greater use of evidence in clinical choices as those programs role out in the years to come.
Cheryl Clark is senior quality editor and California correspondent for HealthLeaders Media. She is a member of the Association of Health Care Journalists.
- Medical Errors Third Leading Cause of Death, Senators Told
- Chronic Disease Care Costs Get Bipartisan Attention
- As States Regulate Provider Competition, Common Threads Emerge
- Mayo Tops U.S. News Best Hospitals Rankings
- 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