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.
- Proton Beam Therapy Poised for Growth in US
- 'Kafkaesque' Value System Unfairly Penalizes Doctor Pay
- mHealth Tackles Readmissions
- 4 Crucial Tactics for Reining in Healthcare Cost
- How Digital Strategy Shapes Patient Engagement at Boston Children's Hospital
- PA Ranks See 'Phenomenal Growth,' Lack of Diversity
- Half of All Primary Care, Internal Medicine Jobs Unfilled in 2013
- CNO Leads $1M Charge for New Scrubs, Uniforms
- How, and Why, to Recruit Male Nurses
- Some Cancer Hospitals' Quality Data Will Soon Be Public