Will Running the Numbers First Violate the Principles of Patient-Centered Care?
Authors: Cynthia M. Boyd
Journal: Annals of Internal Medicine (2008)

Letters2 December 2008Will Running the Numbers First Violate the Principles of Patient-Centered Care?Cynthia M. Boyd, MD, MPH and Bruce Leff, MDCynthia M. Boyd, MD, MPHFrom Johns Hopkins University School of Medicine, Baltimore, MD 21224. and Bruce Leff, MDFrom Johns Hopkins University School of Medicine, Baltimore, MD 21224.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-149-11-200812020-00018 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail TO THE EDITOR:We read with appreciation the innovative article by Kerr and colleagues (1). However, the accompanying editorial by Phillips and Twombly (2) is based solely in the "index condition" framework, in which one condition is viewed to be of paramount interest. The editorialists say that hypertension is the most important condition that is not well managed. Surely, this valuation depends on the defining perspective, whether it be the public health, cost, or health of an individual patient. We suggest that this is the wrong way to frame the issue because it does not adequately acknowledge a patient-centered perspective ...References1. Kerr EA, Zikmund-Fisher BJ, Klamerus ML, Subramanian U, Hogan MM, Hofer TP. The role of clinical uncertainty in treatment decisions for diabetic patients with uncontrolled blood pressure. Ann Intern Med. 2008;148:717-27. [PMID: 18490685] LinkGoogle Scholar2. Phillips LS, Twombly JG. It's time to overcome clinical inertia [Editorial]. Ann Intern Med. 2008;148:783-5. [PMID: 18490691] LinkGoogle Scholar3. Boyd CM, Darer J, Boult C, Fried LP, Boult L, Wu AW. Clinical practice guidelines and quality of care for older patients with multiple comorbid diseases: implications for pay for performance. JAMA. 2005;294:716-24. [PMID: 16091574] CrossrefMedlineGoogle Scholar4. Kent DM, Alsheikh-Ali A, Hayward RA. Competing risk and heterogeneity of treatment effect in clinical trials [Editorial]. Trials. 2008;9:30. [PMID: 18498644] CrossrefMedlineGoogle Scholar5. Weiss CO, Boyd CM, Yu Q, Wolff JL, Leff B. Patterns of prevalent major chronic disease among older adults in the United States [Letter]. JAMA. 2007;298:1160-2. [PMID: 17848649] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAuthors: Cynthia M. Boyd, MD, MPH; Bruce Leff, MDAffiliations: From Johns Hopkins University School of Medicine, Baltimore, MD 21224.Disclosures: None disclosed. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoThe Role of Clinical Uncertainty in Treatment Decisions for Diabetic Patients with Uncontrolled Blood Pressure Eve A. Kerr , Brian J. Zikmund-Fisher , Mandi L. Klamerus , Usha Subramanian , Mary M. Hogan , and Timothy P. Hofer It's Time to Overcome Clinical Inertia Lawrence S. Phillips and Jennifer G. Twombly Will Running the Numbers First Violate the Principles of Patient-Centered Care? Sandeep Vijan , Rodney A. Hayward , and Peter Ubel Will Running the Numbers First Violate the Principles of Patient-Centered Care? Robert C. Sherrick Will Running the Numbers First Violate the Principles of Patient-Centered Care? Sam F. Carter Will Running the Numbers First Violate the Principles of Patient-Centered Care? Lawrence S. Phillips and Jennifer G. Twombly Metrics Cited byGeneral practitioners' justifications for therapeutic inertia in cardiovascular prevention: an empirically grounded typologyWhat to give the patient who has everything? A qualitative study of prescribing for multimorbidity in primary care 2 December 2008Volume 149, Issue 11Page: 838-839KeywordsAtrial fibrillationBlood pressureCaregiversConflicts of interestHypertensionPatientsPrevention, policy, and public healthQuality of lifeRunningSystolic pressure ePublished: 2 December 2008 Issue Published: 2 December 2008 Copyright & PermissionsCopyright © 2008 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...