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  • Is “Patient-Centeredness” a Healthcare MacGuffin?

    Last week’s ABIM Foundation Summer Forum focused on patient-centered care… and who could be against that? But is patient-centered care just a healthcare MacGuffin? What’s a MacGuffin, you ask? In a spectacular talk at the Forum, Michael Richardson of Chicago’s Hines VA reminded us that the MacGuffin was one of Alfred Hitchcock’s favorite ...
    Posted to Wachter's World (Weblog) by Bob Wachter on August 4, 2008
  • Absurd: Resuscitating 90-year-olds with Dementia or Metastatic Cancer

    Last month on the wards, I unilaterally told two patients’ families that we were not going to resuscitate their loved ones. My residents were horrified – this violated the DNR playbook – but the alternative seemed both immoral and absurd.What do you think?In deference to HIPAA, I’ve altered a few clinically irrelevant factoids, but here’s the ...
    Posted to Wachter's World (Weblog) by Bob Wachter on March 11, 2008
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