Publications by authors named "M Moleman"
Article Synopsis
- Physicians are increasingly viewed as key players in controlling health care costs through frameworks like the quadruple aim and value-based care, which emphasize engaging the health workforce in creating affordable care.
- Current educational programs are training future doctors to deliver 'high-value, cost-conscious care' (HVCCC), but this has sparked debates about the ethical responsibilities of doctors in balancing patient care and resource stewardship.
- A study found that physicians often navigate the complexities of HVCCC by focusing on individual patient needs and quality of life, redefining value and prioritizing efficient care that minimizes waste rather than making tough choices about resources.
Background: Clinical practice guidelines (CPGs) have become central to efforts to change clinical practice and improve the quality of health care. Despite growing attention for rigorous development methodologies, it remains unclear what contribution CPGs make to quality improvement.
Aim: This mixed methods study examines guideline quality in relation to the availability of certain types of evidence and reflects on the implications of CPGs' promise to improve the quality of care practices.
Background: At the start of the COVID-19 pandemic, guidance was needed more than ever to direct frontline healthcare and national containment strategies. Rigorous guidance based on robust research was compromised by the emergence of the pandemic and the urgency of need for guidance. Rather than aiming to "get guidance right", guidance developers needed to "get guidance right now".
View Article and Find Full Text PDFPhenomenon: In order to tackle the persistent rise of healthcare costs, physicians as "stewards of scarce resources" could be effective change agents, extending cost containment efforts from national policy to the micro level. Current programs focus on educating future doctors to deliver "high-value, cost-conscious care" (HVCCC). Although the importance of HVCCC education is increasingly recognized, there is a lag in implementation.
View Article and Find Full Text PDFBackground: Shared decision-making (SDM) is considered the "final stage" that completes the implementation of evidence-based medicine. Yet, it is also considered the most neglected stage. SDM shifts the epistemological authority of medical knowledge to one that deliberately includes patients' values and preferences.
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