Case Management

Mentor Moment: Medicare patients given fewer treatment options

Case Management Weekly, March 7, 2012

More than one-third of Medicare patients who underwent a prostatectomy, and 90% who had elective insertion of a coronary stent, said their physicians gave them no advance information about more conservative options that produce similar survival outcomes, says a survey conducted by the Dartmouth Institute’s Informed Medical Decisions Foundation.

The results indicate that rather than guide patients to thoughtfully consider alternatives, physicians are still paternalistically making those decisions for their patients—without discussion—on grounds that they think they know what’s best for their patients, says principal investigator Floyd J. Fowler.

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