tag:blogger.com,1999:blog-4968787219619380438.post1009837325323671692..comments2023-09-21T04:02:29.457-04:00Comments on Skeptical Scalpel: Life Expectancy and Health Care Expenditures: Fun with StatisticsSkeptical Scalpelhttp://www.blogger.com/profile/13206922456661320751noreply@blogger.comBlogger15125tag:blogger.com,1999:blog-4968787219619380438.post-26645400953277054972012-04-12T20:42:11.175-04:002012-04-12T20:42:11.175-04:00As I said in the blog, there are social issues tha...As I said in the blog, there are social issues that lead to markedly increased health care expenditures. Those issues have no bearing on life expectancy.Skeptical Scalpelhttps://www.blogger.com/profile/13206922456661320751noreply@blogger.comtag:blogger.com,1999:blog-4968787219619380438.post-38111896211509341132012-04-12T07:47:26.052-04:002012-04-12T07:47:26.052-04:00but how do you address that we spend twice with ev...but how do you address that we spend twice with everyone else does per capita with a very very minor effect.P. Pettitnoreply@blogger.comtag:blogger.com,1999:blog-4968787219619380438.post-77942884412039898712011-12-06T22:21:45.457-05:002011-12-06T22:21:45.457-05:00I know Kerala is not a country. I'm not the on...I know Kerala is not a country. I'm not the one who said it was. UCSC said it.Skeptical Scalpelhttps://www.blogger.com/profile/13206922456661320751noreply@blogger.comtag:blogger.com,1999:blog-4968787219619380438.post-81674971707498486902011-12-06T22:14:39.010-05:002011-12-06T22:14:39.010-05:00Kerala is not a country, it's a state in the s...Kerala is not a country, it's a state in the south of India. #justsayingKate S.noreply@blogger.comtag:blogger.com,1999:blog-4968787219619380438.post-52830873449216776932011-12-05T11:19:22.804-05:002011-12-05T11:19:22.804-05:00While your contention about EMRs may be true, that...While your contention about EMRs may be true, that doesn't address the fact that the US lags behind in numerous quality metrics. Clearly there is a lot of room for improvement in the US health care system.Joe S.noreply@blogger.comtag:blogger.com,1999:blog-4968787219619380438.post-76901816472699809712011-12-04T12:44:45.947-05:002011-12-04T12:44:45.947-05:00Joe,
Thanks for the comments. There's a reaso...Joe,<br /><br />Thanks for the comments. There's a reason you haven't seen any research indicating that EMRs improve outcomes. It doesn't exist.Skeptical Scalpelhttps://www.blogger.com/profile/13206922456661320751noreply@blogger.comtag:blogger.com,1999:blog-4968787219619380438.post-39987092963215421542011-12-03T18:01:50.105-05:002011-12-03T18:01:50.105-05:00While I haven't seen any research indicating t...While I haven't seen any research indicating that EMRs improve outcomes (I haven't looked into it), there is excellent evidence that more coordinated care does improve outcomes which is something that an EMR can facilitate. Additionally, if you look at what a system like Kaiser has been able to do with the data available from its EMR, it is clear that they can be a powerful tool for improving care. <br /><br />While infant mortality is subject to social issues, this issue is addressed. The author points out that not only does the US have worse outcomes on quality metrics than other industrialized nations, these outcomes, for the most part, have improved at a slower rate than other countries. Moreover, it isn't just one metric that the US lags in. Across the board, the US is at the bottom of the pack.Joe S.noreply@blogger.comtag:blogger.com,1999:blog-4968787219619380438.post-69512683237090331542011-12-01T20:45:45.394-05:002011-12-01T20:45:45.394-05:00Joe,
I read a few of the sections of the link you...Joe,<br /><br />I read a few of the sections of the link you posted. Regarding physicians, the US is behind in implementing electronic medical records. So what. There is no proof that EMRs improve quality of care. MDs are dissatisfied. True but again, that doesn't mean the quality is bad. <br /><br />The life expectancy data is the same numbers as displayed in my blog. Obviously, I have the same objections. Infant mortality also is subject to a lot of social issues similar to life expectancy.Skeptical Scalpelhttps://www.blogger.com/profile/13206922456661320751noreply@blogger.comtag:blogger.com,1999:blog-4968787219619380438.post-75515179175020527552011-12-01T16:31:05.816-05:002011-12-01T16:31:05.816-05:00While I agree that population behavior will need t...While I agree that population behavior will need to change to fix the US health care system, there is good evidence to indicate that our system is seriously lacking in quality compared to other industrialized nations. The link below has a thorough discussion of quality indicators.<br /><br />http://theincidentaleconomist.com/how-do-we-rate-the-quality-of-the-us-health-care-system-introduction/Joe S.noreply@blogger.comtag:blogger.com,1999:blog-4968787219619380438.post-50973903577695590802011-11-28T18:08:56.686-05:002011-11-28T18:08:56.686-05:00F.E.R.
Agree. Education and (over)eating are two ...F.E.R.<br /><br />Agree. Education and (over)eating are two more social problems that affect mortality rates and really aren't impacted by health care spending that much.Skeptical Scalpelhttps://www.blogger.com/profile/13206922456661320751noreply@blogger.comtag:blogger.com,1999:blog-4968787219619380438.post-17816974660518130882011-11-28T17:51:35.801-05:002011-11-28T17:51:35.801-05:00Nice post!
Education and Eating Habits are also tw...Nice post!<br />Education and Eating Habits are also two factors that are not considered. It would be interesting to see that. <br />Also, I would expect the graph to behave differently if you separate it with data of different the USA's states. <br />Thanks for the info!F.E.R.https://www.blogger.com/profile/17557106772706329934noreply@blogger.comtag:blogger.com,1999:blog-4968787219619380438.post-32276878791968734982011-11-27T14:01:15.373-05:002011-11-27T14:01:15.373-05:00Good points, comrade.Good points, comrade.Skeptical Scalpelhttps://www.blogger.com/profile/13206922456661320751noreply@blogger.comtag:blogger.com,1999:blog-4968787219619380438.post-9269231109883160502011-11-27T11:58:14.470-05:002011-11-27T11:58:14.470-05:00Who wouldn't want to have a long life expectan...Who wouldn't want to have a long life expectancy when you live in such places like Cuba, China, Sri Lanka and India? But of course, these data conclusively prove the superiority of Communist/Socialist state! As long as you're not a woman, when you're aborted before you're even born. Or a dissident. Or anyone but a member of the Party. But such collateral damage is to be expected in the upcoming global proletarian revolution. Viva la revolucion!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-4968787219619380438.post-6339361999183653782011-11-24T08:19:53.499-05:002011-11-24T08:19:53.499-05:00Thanks. I've read all of his books.Thanks. I've read all of his books.Skeptical Scalpelhttps://www.blogger.com/profile/13206922456661320751noreply@blogger.comtag:blogger.com,1999:blog-4968787219619380438.post-62271911118393551002011-11-24T07:23:37.186-05:002011-11-24T07:23:37.186-05:00Good post. Edward Tufte would be proud.Good post. Edward Tufte would be proud.jachttps://www.blogger.com/profile/16097045440283226336noreply@blogger.com