Reducing over-treatment in the era of health care reform

2017-02-08

University of Virginia. School of Medicine

Health care information can confuse doctors and patients alike. What are the risks and benefits of mammograms, of aggressive blood pressure control, of EKGs, of lung cancer screening, of heart stents? When patients can’t accurately answer these questions, they find it difficult to have sensible conversations about their health care with their doctors. And lack of comprehensible medical information not only interferes with shared decision-making between physician and patient but can also lead to over-screening and over-treatment, with deleterious consequences for patients as well as for the health care delivery system and medical reform.

In this Medical Center Hour, internist Andy Lazris and scientist Erik Rifkin assess this challenging situation and then present, as one solution, a novel decision aid called a Benefit Risk Characterization Theater (BRCT). When health care information is conveyed simply, factually, and in a non-numerical format, true shared decisions become possible. They offer BRCTs to explain the risks/benefits of some common medical interventions and demonstrate how this approach can improve health care delivery, lead to greater patient satisfaction, and result in less over-treatment, one of the main drivers of low-value health care cost.

Co-presented with the Department of Medicine

Lazris, Andrew (Speaker); Rifkin, Erik (Speaker); Childress, Marcia Day (Moderator); University of Virginia. School of Medicine

Claude Moore Health Sciences Library

Filmed lectures

Medical care; Health risk assessment; Health care reform

Medical Center Hour

Claude Moore Health Sciences Library

English

The speakers in this presentation have given the University of Virginia permission to make it freely accessible online for all audiences to view. To request permission to reproduce, republish, and/or repost this presentation please contact the Historical Collections and Services Department of the Claude Moore Health Sciences Library at the University of Virginia.

1 online resource (1 video file, 57:53 min.) : sound, color