A Quote by Mark Vonnegut

I don't think the people today who start hearing voices, stop eating and sleeping, and run amuck are likely to get good treatment. Having more knowledge, better diagnostic capabilities, better medications with fewer side effects, can't make up for the fact that most patients are being treated by doctors, therapists, and hospitals, who are operating under constraints and incentives that reward non-treatment, non-hospitalization, non-therapy, non-follow-up, non-care. Lost to follow-up is the best outcome a health insurer can hope for.
Supported by digital data, new data-driven tools, and payment policies that reward improving the quality and value of care, doctors, hospitals, patients, and entrepreneurs across the nation are demonstrating that smarter, better, more accessible, and more proactive care is the best way to improve quality and control health care costs.
One reason for high health care costs is that patients fail to follow their treatment regimen.
It had long been true, and prisoners knew this better than anyone, that the poorer you were the more likely you were to end up in jail. This was not just because the poor committed more crimes. In fact, they did. The rich did not have to commit crimes to get what they wanted; the laws were on their side. But when the rich did commit crimes, they often were not prosecuted, and if they were they could get out on bail, hire clever lawyers, get better treatment from judges. Somehow, the jails ended up full of poor black people.
We must follow the rule: Better fewer, but better. We must follow the rule: Better get good human material in two or even three years than work in haste without hope of getting any at all.
I have occasionally thought that some [TV] hosts have needed treatment, and some of these hosts have even admitted they could benefit from therapy. Having said that, I think most people can benefit from treatment. Those who need it and refuse to get it generally have the most "issues.
If a person is A) poorly, B) receives treatment intended to make him better, and C) gets better, then no power of reasoning known to medical science can convince him that it may not have been the treatment that restored his health.
A central notion in the Affordable Care Act was we had an inefficient system with a lot of waste that didn't also deliver the kind of quality that was needed that often put health care providers in a box where they wanted to do better for their patients, but financial incentives were skewed the other way... We don't need to reinvent the wheel; you're already figuring out what works to reduce infections in hospitals or help patients with complicated needs.
It is better not to apply any treatment in cases of occult cancer; for if treated (by surgery), the patients die quickly; but if not treated, they hold out for a long time.
Nurses have new and expanding roles. They are case managers, helping patients navigate the maze of health care choices and develop plans of care. They are patient educators who focus on preventative care in a multitude of settings outside hospitals. And they are leaders, always identifying ways for their practice to improve. Because nurses have the most direct patient care, they have much influence on serious treatment decisions. It is a very high stakes job. Everyone wants the best nurse for the job, and that equates to the best educated nurse.
Attitudes to mental health are slowly changing, there's less stigma among healthcare workers and a greater commitment to provide mental health treatment when doctors and nurses can see people do get better.
Pay-for-procedure or fee-for-service reimbursement rewards doctors and hospitals for volume - not keeping patients healthy or being efficiency. Pay-for-Performance is clearly one tool that can change the incentives to reward quality.
I tell patients that tranquilizers alone never cure anyone. They merely reduce the intensity of the symptoms and make life slightly more endurable. They create a better behaved, chronic dependent person. Only with orthomolecular treatment can the majority of schizophrenic patients hope to become well and normally independent.
In 1975, the respected British medical journal Lancet reported on a study which compared the effect on cancer patients of (1) a single chemotherapy, (2) multiple chemotherapy, and (3) no treatment at all. No treatment 'proved a significantly better policy for patients' survival and for quality of remaining life.'
I've seen the same thing emerge in the research around the interaction of sleeping and moving and eating: if you get a good night's sleep, you are significantly more likely to make the right choices about what you eat the next morning, you're more likely to work out, you're more likely to get a better night's sleep the next night.
Doctors and patients need as much data as possible to make an informed decision about what treatment is best.
The USDHEW calculates that 7% of all patients suffer compensable injuries while hospitalized .....One out of every five patients admitted to a typical research hospital acquires an iatrogenic (Caused by the treatment process) disease, one case in thirty leading to death. Half of these episodes result from complications of drug therapy; amazingly, one in ten come from diagnostic procedures.
This site uses cookies to ensure you get the best experience. More info...
Got it!