Your SlideShare is downloading. ×
0
The Cycle of Cardiac Care and the Uninformed Patient
The Cycle of Cardiac Care and the Uninformed Patient
The Cycle of Cardiac Care and the Uninformed Patient
The Cycle of Cardiac Care and the Uninformed Patient
The Cycle of Cardiac Care and the Uninformed Patient
The Cycle of Cardiac Care and the Uninformed Patient
The Cycle of Cardiac Care and the Uninformed Patient
The Cycle of Cardiac Care and the Uninformed Patient
The Cycle of Cardiac Care and the Uninformed Patient
The Cycle of Cardiac Care and the Uninformed Patient
The Cycle of Cardiac Care and the Uninformed Patient
The Cycle of Cardiac Care and the Uninformed Patient
The Cycle of Cardiac Care and the Uninformed Patient
The Cycle of Cardiac Care and the Uninformed Patient
The Cycle of Cardiac Care and the Uninformed Patient
The Cycle of Cardiac Care and the Uninformed Patient
The Cycle of Cardiac Care and the Uninformed Patient
The Cycle of Cardiac Care and the Uninformed Patient
The Cycle of Cardiac Care and the Uninformed Patient
Upcoming SlideShare
Loading in...5
×

Thanks for flagging this SlideShare!

Oops! An error has occurred.

×
Saving this for later? Get the SlideShare app to save on your phone or tablet. Read anywhere, anytime – even offline.
Text the download link to your phone
Standard text messaging rates apply

The Cycle of Cardiac Care and the Uninformed Patient

864

Published on

Presentation given at the Foundation's Jan. 26, 2011 Research and Policy Forum by Shannon Brownlee, MS, acting director of the New America Health Policy Program and nationally known writer and …

Presentation given at the Foundation's Jan. 26, 2011 Research and Policy Forum by Shannon Brownlee, MS, acting director of the New America Health Policy Program and nationally known writer and essayist.

Published in: Health & Medicine
1 Comment
0 Likes
Statistics
Notes
  • Awesome slides. I usually have patients wonder about EKGs. I usually send them to this site which is geared towards pateints. It talks about all cardiac procedures: risks, whay a test is done, expectations.. etc. http://www.myheartprocedure.com
       Reply 
    Are you sure you want to  Yes  No
    Your message goes here
  • Be the first to like this

No Downloads
Views
Total Views
864
On Slideshare
0
From Embeds
0
Number of Embeds
0
Actions
Shares
0
Downloads
14
Comments
1
Likes
0
Embeds 0
No embeds

Report content
Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
No notes for slide
  • 88% of patients believed that PCI reduced the risk of MI and death
  • Breaking budgets. Health care threatens to crowd out spending on many other things we value, like educating our children, traveling, starting new businesses, improving the nation’s infrastructure.
  • Transcript

    • 1. Adventures in Cardiology: What SDM Means to Patients <br />Shannon Brownlee, MS<br />Acting Director, New America Foundation Health Policy Program<br />Instructor, The Dartmouth Institute for Health Policy and Clinical Practice<br />brownlee@newamerica.net <br />
    • 2. Happy Cardiology News<br />
    • 3. REDDING, CALIFORNIA<br />
    • 4.
    • 5.
    • 6. Senate Finance Committee: “Midei may have implanted 585 stents which were medically unnecessary”<br />
    • 7. Relationship Between Procedure Indications and Outcomes of Percutaneous Coronary Interventions by American College of Cardiology/American Heart Association Task Force Guidelines<br />H. Vernon Anderson et al Circulation 2005;112;2786-2791<br />
    • 8. Cardiologists’ Use of PCI for Stable Coronary Artery Disease<br />“Yes, medical therapy is as effective as PCI, but when I see a lesion, the bottom line is that the oculostenotic reflex always wins out.”<br />“[The patient] is not going to get out of the cath lab without a stent.”<br />Grace A. Lin, et al ARCH INTERN MED/VOL 167 (NO. 15), AUG 13/27, 2007<br />
    • 9. Well Bob, it looks like a paper cut, but just to be sure, let’s do lots of catheterizations. <br />
    • 10. <ul><li>Only 31% had activity limiting chest pain
    • 11. Cardiologists’ perception of the patient’s angina was often greater than the patient’s</li></ul>MB Rothberg Ann Intern Med. 2010 Sep 7;153(5):307-1<br />
    • 12. “Guidelines must be living documents; they must continue to evolve to meet the needs of interventional cardiologists faced with increasingly complex patients . . .”<br />Circulation 2005;112;2754-2755<br />
    • 13. Relationship Between Procedure Indications and Outcomes of Percutaneous Coronary Interventions by American College of Cardiology/American Heart Association Task Force Guidelines<br />H. Vernon Anderson et al Circulation 2005;112;2786-2791<br />
    • 14. MARILDA<br />
    • 15.
    • 16.
    • 17.
    • 18.
    • 19. Busting Budgets<br />HEALTH CARE<br />
    • 20. THANK YOU!!<br />$8,600 – 14,300<br />$7,800 – 8,600<br />$7,200 – 7,800<br />$6,600 – 7,200<br />$5,280 – 6,600<br />Not populated<br />Source: Dartmouth Atlas<br />

    ×