Clinton's Dilemma in Healthcare Decision Making

Transcript

1. Bill Clinton’s Dilemma
2. When Bill Clinton needs to have a heart quadruple bypass surgery, he can choose any hospital he wants. He chose: New York Presbyterian- Columbia Medical Center But the problem is …
3. New York Presbyterian-Columbia has a mortality rate for this kind of surgery that is twice the average rate of all hospitals in the State of New York. At the time, it was a low performing hospital with high risk of poor outcomes. Ref: The American Journal of Managed Care, Oct 2004. http://www.ajmc.com/publications/issue/2004/2004-10-vol10-n10/Oct04-1900p664
4. Why? ¡ Maybe he does not know this fact. ¡ unlikely, given his extensive knowledge on healthcare policies, and the advisors and resources he has ¡ Maybe his doctor / insurer pushed him to make this decision. ¡ probably, given the urgency of the surgery ¡ Maybe Hilary chose it for him (just joking!)
5. It is difficult for even well-informed and affluent patients to choose their own healthcare providers.