Leadership

Reading List: Bruce Leff and Sachin Jain

Article · May 11, 2017

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We asked NEJM Catalyst Thought Leaders to tell us the books and articles that have been “game-changers” for them — the ones that have really affected the way they think about health care and their jobs. Here’s what they said. See all entries here.

 

From Sachin Jain

Full Coverage for Preventative Medications After Myocardial Infarction, NEJM, N. Choudhry et al., December 2011.

From the abstract: “The elimination of copayments for drugs prescribed after myocardial infarction did not significantly reduce rates of the trial’s primary outcome. Enhanced prescription coverage improved medication adherence and rates of first major vascular events and decreased patient spending without increasing overall health costs.”

Contributed by: Sachin Jain, MD, MBA, President and Chief Executive Officer, CareMore Health System

 

From Bruce Leff

Clinical Practice Guidelines and Quality of Care for Older Patients with Multiple Comorbid Diseases: Implications for Pay for Performance, JAMA, C. Boyd et al., August 2005.

From the abstract: “This review suggests that adhering to current CPGs in caring for an older person with several comorbidities may have undesirable effects. Basing standards for quality of care and pay for performance on existing CPGs could lead to inappropriate judgment of the care provided to older individuals with complex comorbidities and could create perverse incentives that emphasize the wrong aspects of care for this population and diminish the quality of their care. Developing measures of the quality of the care needed by older patients with complex comorbidities is critical to improving their care.”

Contributed by: Bruce Leff, MD, Professor of Medicine, Johns Hopkins University School of Medicine

 

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