Dr. Jim Weinstein

speaker

183 appearances 1 recordings 1 series first heard Jan 2020 last heard Jan 2020

Dr. Jim Weinstein’s voice in public audio — every appearance, attributed to the second.

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McKinsey on Healthcare · Picking winning strategies to improve healthcare productivity: An interview with Dr. Jim Weinstein · 24 Jan 2020 podcast

And I did studies that said less is more in spine surgery, for example.

And everything we studied in the Atlas showed tremendous variation, mostly surgical procedures, but

heart failure, bypass surgery, stents.

I break it down into three specific areas.

One is, is there effective care being provided by our system or our country?

And when I mean effective care, things that are evidence-based like aspirin to prevent heart attacks.

Then there's the supply-sensitive issue.

Is it because we have more beds in Boston than we have in New Haven that more health care is utilized and you're more likely to die?

But actually, you're more likely to die living in Boston than New Haven.

And is that a supply side issue?

So again, why?

So supply-sensitive care was important.

So effective care, supply-sensitive care.

And the last one is preference-sensitive care.

and this notion that where two treatments were equal, a patient should have the choice.

So I tried to develop a sustainable health system

that embodied let's do effective care and let's have a stream by which that occurs.

Let's not build more beds, even though that might make more money for us.

So let's not get into supply sensitive care.

And let's start the first in the world shared decision making center, which I started at Dartmouth, where patients are given tools to make decisions when preferences matter.

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