Favorite Quotes
"For every complex problem, there is a solution that is simple, neat, and wrong." - HL Mencken
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"I hear and I forget. I see and I remember. I do and I understand." - Confucius
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"The good physician treats the disease; the great physician treats the patient who has the disease" - Sir William Osler
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" The best test of a person's character is how he or she treats those with less power." - Bob Sutton
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"Those are my principles, and if you don't like them - well, I have others." - Groucho Marx
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"The difference between genius and stupidity is that genius has its limits." - Albert Einstein
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"It is hard enough to remember my opinions, without also remembering my reasons for them" - Friedrich Nietzsche
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"Anyone can make the simple complicated. Creativity is making the complicated simple." - Charles Mingus
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"Not everything that can be counted counts, and not everything that counts can be counted." - Albert Einstein
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"A foolish consistency is the hobgoblin of little minds, adored by little statesman and philosophers and divines. With consistency a great soul has simply nothing to do." - Ralph Waldo Emerson
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"This ain't no party, this ain't no disco, this ain't no fooling around." - Talking Heads, Life During Wartime
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"What is hateful to you, do not do to your neighbour. This is the whole Torah; all the rest is commentary. Go and learn it." - Hillel, Talmud, Shabbath 31a
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"You will never understand bureaucracies until you understand that for bureaucrats procedure is everything and outcomes are nothing." - Thomas Sowell
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"An idealist is one who, on noticing that a rose smells better than a cabbage, concludes that it will also make better soup." - HL Mencken
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"If you only have a hammer, you tend to see every problem as a nail." - Abraham Maslow
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"A great teacher is one who realizes that he himself is also a student and whose goal is not to dictate the answers, but to stimulate his students creativity enough so that they go out and find the answers themselves." - Herbie Hancock
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"There are no facts, only interpretations." - Nietzsche
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"An education isn't how much you have committed to memory, or even how much you know. It's being able to differentiate between what you do know and what you don't." - Anatole France
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"In character, in manner, in style, in all things, the supreme excellence is simplicity." - Henry Wadsworth Longfellow ====
Nov - 15
Dec - 19
Jan - 21
Feb - 8
Mar -
Comparative effectiveness research – more thoughts
1 Feb2010
Nice to see that I create a bit of controversy. Perhaps I have read the blogs incorrectly, but my reading had suggested a bias against comparative effectiveness research. The comments I receive state no concern with research but rather how the government will use the research.
The government and the insurance industry can always pervert data. I contend that excellent data will help us avoid bad performance measures. Excellent CER will give us the ammunition to describe the problem of many performance measures.
Readers know of my concern about performance measurement for the purposes of incentives. I am interested in knowing how we do on performance measures so that we can learn, but I do not want those results reported as if they actually measure care quality.
So I am strongly on the side of expanded CER while opposing incentives to drive performance. The data do not support the use of incentives, and they even suggest that incentives could have markedly negative externalities.
I want CER so that i can use the data and practice better medicine.
Related posts:
- Comparative effectiveness research
- A specious argument against CER
- Organizations in favor of CER
- My hopes for CER
- We need comparative effectiveness and cost effectiveness
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- In: Medical Rants