Wednesday, July 1, 2009

The beginning of evidence based medicine?

The New York Times reported that a high powered panel appointed by the Obama administration as part of healthcare reforms has recommended that priorities be given to comparing effectiveness of competing drugs, medical devices, operations and other treatment for various medical conditions.

Prof Christensen in his book said that medicine as it is practiced today is largely in the realm of intuitive medicine where medical therapy is left largely to the judgement and experience of the doctor. Even where there are evidence to suggest rule-based treatment, the current system is not atuned to it.

The NYT article went on to give the example of abnormal heart rhythm known as atrial fibrillation. In such cases, a doctor may recommend drugs or a surgical procedure known as ablation, with little evidence as to which strategy works better or has fewer side effects.

Could this be the beginning of the push for evidence based medicine with new reimbursement incentives tied to it to drive the right "business models" to make healthcare more affordable, better quality and more convenient?

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