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Accountable Prescribing
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OA
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DOI：10.1056/NEJMp1301805.png)
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摘要
En 中文
To avoid rewarding poor prescribing, we should move beyond numerically driven quality measures to measures that match treatment goals to the best evidence and encourage use of the safest, most effective, and lowest-cost drugs or nondrug treatments. Physicians spend a lot of time treating numbers blood pressure, cholesterol levels, glycated hemoglobin levels. Professional guidelines, pharmaceutical marketing, and public health campaigns teach physicians and patients that better numbers mean success. Unfortunately, better numbers don't reliably translate into what really matters: patients who feel better and live longer. Often the health benefit gained by reaching a goal depends on how it is reached. When physicians strive for numerical goals without prioritizing the possible treatment strategies, patients may get less effective, less safe, or even unnecessary medications. Many quality measures reinforce a focus on numerical goals. For example, performance-measure ...
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期刊
IF:
78.5
论文数:
2.7W
被引数:
39.7W
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