If you want to implement value-based care, you need to define what a ‘good’ outcome is. A good outcome may be different for different individuals. For instance, if you look at mortality rates for a given disease, it makes sense that individuals age 80 and… Read More »Should you risk adjust for social factors?
That is the finding from a study published by Anne Case and Angus Deaton this week in Proceedings from the National Academy of Sciences (PNAS). While COVID-19 has had a clear impact in the last 12 months, in fact figures from the National Center for… Read More »US adult life expectancy falling for those without a college degree
On the eve of Martin Luther King Day, let us take a quick look at the impact of COVID-19 by race/ethnicity. CDC reports rates of COVID-19 cases, hospitalizations and deaths. One can see that cases are higher for most minorities (except Asians) relative to Non-Hispanic… Read More »COVID-19 and racial disparities
That is the title of an article in AJMC co-authored with Meena Venkatachalam. An excerpt is below: While decision-makers traditionally have ignored the issue of inequality, academic researchers have already developed tools to quantify a treatment’s value from reductions in inequality. Two common methods for… Read More »Steps Health Professionals Can Take to Reduce Inequality in Health Outcomes
The Milwaukee Bucks–my home town sports team–yesterday boycotted Game 5 of their NBA playoff series. This historical event serves to bring attention to the inequalities African-Americans and other minorities face in our society. In health care, disparities also exist. As I mentioned in my Health… Read More »What can pharma do about social determinants of health?
How many times have you been told to put on sunscreen to prevent skin cancer? About 71% of US adults use some form of sun protection when outdoors on a warm, sunny day – an increase of 3% from 2008. Now, what if I… Read More »If our patients are diverse, why are clinical trials so white?
Azar et al. (2020) use electronic health record data to examine differences in COVID-19 hospitalization rates by patient characteristics. The authors find that: …compared with non-Hispanic white patients, nonHispanic African American patients had 2.7 times the odds of hospitalization, after adjustment for age, sex, comorbidities,… Read More »Disparities in COVID-19 hospitalization rates