Sessions and Themes
- Shifting the paradigm: Vikas Saini
- Magical thinking and Modern medicine: Harvey Fineberg
- What makes us do it?
- What will it take to get us there?: Don Berwick
- What are the knowledge gaps in avoiding avoidable care?
- Case discussions
- What are the ethical issues?
- Medical journals and the issue of avoidable care
- The schizophrenic life of the hospital CEO
- A reason to change: Shannon Brownlee
- Social responsibility of physicians: Bernard Lown
- Behavior-changing Best practices
- Global dimensions of unnecessary care: Julio Frenk
- Payment mechanisms and the Culture of medicine
- Choosing wisely and beyond: What are the next steps?
- How can patients help drive the needed change?
The role of patients and families – Jessie Gruman
The Role of Patients and Families in Avoiding Avoidable Care
The speakers and discussants at this Avoiding Avoidable Care Meeting have not attributed to patients and families a significant role in curbing unecessary care and overtreatment. Thank goodness.
Indeed, we have heard little about “consumers” and “empowered patients,” the benign, egalitarian words that are so often used to disguise shifts onto patients risks and responsibilities that rightfully belong to clinicians and institutions. While some of us will be able to shoulder those new responsibilities, many of us will not. We are sick, we lack the time and resources, the cognitive skills or the confidence to take them on. This means we will be an unreliable force in challenging the status quo in which avoidable care is so common.