“[Introduction] Shared decision-making is a strategy to improve communication and health care delivery by reducing unwarranted variation and improving quality of treatment decisions, particularly for conditions where evidence supports multiple treatment choices without a single superior option. In such “preference-sensitive” treatment scenarios, shared decision-making promotes a collaborative decision that is consistent with evidence-based practices and patient preferences and values. Obstructive sleep-disordered breathing (OSDB) is a common condition in children for which decisions for surgery with tonsillectomy are often dependent on family preferences. The treatment decisions are considered preference sensitive because of a lack of definitive evidence for a single best … Read More
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“UPMC Health Plan and Sempre Health’s medication adherence collaboration has expanded its chronic disease management benefits to include diabetes medicines for members of UPMC’s employer-sponsored health plans. Since the program’s launch in 2017, members have collectively saved over $500,000 on cardiovascular medications, with the average member saving $33 per prescription refill through SMS message discounts. [..] In the first year of the partnership, the program successfully enrolled more than one-third of eligible members. Improvements in cardiovascular medication adherence for these members was significant when compared to a control group. Now, UPMC is expanding the program to diabetic members in order … Read More
“findings in these articles are consistent with literature on the adverse impact of weight stigma, which may be exacerbated by the increased focus on weight. Specifically, health promotion approaches that focus on obesity and target the individual perpetuate weight stigma and fail to address the profound inequities that drive disparities in health and weight. For example, BMI report cards, a widely used school-based childhood obesity intervention, inform parents of their child’s weight status and increase parents’ weight-related anxiety but provide little guidance about evidence-based health promotion strategies and offer no structural support for behavior change. Furthermore, weight-focused health promotion approaches … Read More
“If public health officials want to get people to wear masks to curb the spread of Covid-19, they might take a lesson what is now a widely accepted aspect of American life: buckling up. [..] Fred Rivara, an injuries expert and professor of pediatrics at the University of Washington, remembers an unsubstantiated claim that any positive effects would be cancelled out by people dying when they couldn’t escape fiery cars. [..] After years of pressure, President Johnson signed legislation in 1966 that required seat belts in all passenger vehicles and created a national traffic safety agency. Rivara credits science for … Read More
“[Question] What are you working on right now that you’re excited about? [Steinberg] Our team is developing a behavioral intervention focused on improving intuitive eating and diet quality using digital health tools (apps, video coaching, APIs) to improve blood pressure. Most notably, we were purposeful in not focusing on calories or changing one’s weight in this project. I am excited to offer people something that can improve health independent of changing body size or weight. Reducing weight stigma is something I aim to work on more in future projects. [Question] Who’s doing something that you admire in healthcare today, and … Read More
“[Question] What’s the biggest barrier to getting things done in your line of work? [Merchant] The biggest barrier I face, and observe others facing, is being asked to play by a set of rules and a culture handed down by the tech industry, which does not transfer well to the health tech industry. For example, product timelines are often too short to bring an effective product to market (and despite lip service to iteration, products often remain unchanged year over year). Also, the right combination of experts and leaders are often missing seats at the table; there isn’t enough investment … Read More