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PubMed2001

Ask the doctor. I am a 73-year-old woman and just found out that I have very high LDL cholesterol (197 mg/dL). I don't have any symptoms of heart disease and I hate taking pills, so I am reluctant to take cholesterol-lowering drugs. One doctor told me I should have a special CT scan of my heart to help decide whether to take medications, but I learned I would have to pay $750 for the test since it isn't covered by insurance. Should I do it?

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Why we love quality but hate to measure it.

As a group, physicians strive for quality but often resist quality measurement. Cost, inconvenience, lack of time, mistrust of quality measures, and a fear of what assessment may find are all factors contributing to this resistance. However, quality, in both rich and poor counties, continues to be poor at worse and varied at best. If we are to improve the quality of our care, we need quality measurement to show us our weaknesses. A variety of tools are available to assess quality, which, when followed by the right policy interventions, can lead to improved care. Quality measurements are most effective when they are comparative, reflect the complexity of clinical practice, are not expected to be a panacea for spiraling costs, and are made available to our colleagues and our patients.

Attitude of Health Personnel↗