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- House of CardsShow More
A very thoughtful analysis on "Technology vs. Fidelity." However the authors expect us to swallow a bitter pill.
The premise is grounded on sand. There are too many assumptions that have been proven nonviable.
1. Rational people can't believe we can do a better job of socialism than socialist countries. They have all failed.
2. Are we expected to believe the 45 million uninsured are the sam...
Competing Interests: None declared. - The Best of Times and the Worst of TimesShow More
The authors draw a sharp line between the return on investment in technological innovation versus investments in system improvement to ensure that people get timely appropriate care(authors refer to this as fidelity). Without a doubt, many in the public and policymaking arenas have come to equate high quality care with technology improvement, without paying much attention to the care systems on which the application of th...
Competing Interests: None declared. - Another example - pap smearsShow More
Great article.
Another classic example of efficacy vs fidelity is the common use of Thin- Prep paps by physicians who do annual gynecological exams on well patients. This more expensive tchnology is undoubtably more sensitive, but I question whether it has saved any lives from cervical cancer when used in this way. The way to save lives from cervical cancer is to screen women who don't routinely recieve it....
Competing Interests: None declared.