Dr Lundberg has missed out the most important of all 'Things Amiss in
Medicine':
23. Failure to provide basic, inexpensive, life-saving preventive and
curative treatments for the majority poor, especially in low-income
countries, resulting in unimaginable levels of avoidable human death and
suffering, including the avoidable deaths of 21,000 children every
day.
Dr Neil Pakenham-Walsh MB,BS, DCH, DRCOG
Coordinator, HIFA2015, CHILD2015 and HIFA-Zambia
Co-director, Global Healthcare Information Network
16 Woodfield Drive
Charlbury, Oxfordshire OX7 3SE, UK
Tel: +44 (0)1608 811338
Email:
[log in to unmask]
HIFA2015:
http://www.hifa2015.org
Twitter @hifa2015
Join HIFA2015, CHILD2015, HIFA-Portuguese,
HIFA-EVIPNet-French, HIFA-Zambia:
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"Healthcare Information For All by 2015: By 2015, every person
worldwide will have access to an informed healthcare provider"
With thanks to our 2011 financial
supporters: British Medical Association, CABI, Global HELP, International
Child Health Group (Royal College of Paediatrics and Child Health),
Joanna Briggs Institute, Network for Information and Digital Access,
Public Library of Science, Rockefeller Foundation (Monitoring &
Evaluation), Royal College of Midwives, Royal College of Nursing, THET,
and UnitedHealth Chronic Disease Initiative.
At 16:43 17/09/2011, you wrote:
Dr George Lundberg, former
Editor-in-Chief of JAMA, writing recently in MedPage Today, describes '22
Things Amiss in Medicine Today':
1.
http://www.medpagetoday.com/Columns/28372
2.
http://www.medpagetoday.com/Columns/28465
Regards,
Ash
- From: Stephen Senn <[log in to unmask]>
- To: [log in to unmask]
- Sent: Saturday, 17 September 2011, 8:29
- Subject: Re: What single idea will make the biggest impact on
healthcare today?
- I agree with Steve. The sort of thing that Brent James is doing
at Intermountain Healthcare in applying Deming to health care delivery
strikes me as having enormous potential. However, unfortunately it might
be a case of 'ought to make an impact' rather than 'will make an
impact'.
- Stephen
- Stephen Senn
- Professor of Statistics
- School of Mathematics and Statistics
- Direct line: +44 (0)141 330 5141
- Fax: +44 (0)141 330 4814
- Private Webpage:
http://www.senns.demon.co.uk/home.html
- University of Glasgow
- 15 University Gardens
- Glasgow G12 8QW
- The University of Glasgow, charity number SC004401
- ________________________________________
- From: Evidence based health (EBH)
[
[log in to unmask]] On Behalf Of Steve Simon,
P.Mean Consulting [[log in to unmask]]
- Sent: 17 September 2011 04:46
- To:
[log in to unmask]
- Subject: Re: What single idea will make the biggest impact on
healthcare today?
- Quality improvement. Healthcare professionals need to develop an
ethic
- of measuring what they are doing and learning from those
measurements.
- They need to identify inappropriate variation in health care
delivery
- and remove that variation. They need to publish information (with
proper
- risk adjustment) that will allow health care consumers to make
good
- choices in where they seek care.
- This is not easy to do, of course. Measurement of the wrong
things,
- failure to recognize and account for appropriate variations in
health
- care delivery, and biased report cards will cause more problems
than
- they will solve. Doing quality improvement well is more than just
number
- crunching.
- Steve Simon, [log in to unmask],
Standard Disclaimer.
- Sign up for the Monthly Mean, the newsletter that
- dares to call itself average at
www.pmean.com/news