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Andrew R. Barnosky, DO, MPH

Faculty

Dr. Andrew R. Barnosky is an Associate Professor in the Department of Emergency Medicine and the former Chair of the Adult Ethics Committee for the University of Michigan Hospitals and Health Centers. In the College of Literature, Sciences, and the Arts, he is the director of the Health Sciences Scholars Program for undergraduate students. He is a graduate of the A. T. Still University of Health Sciences - College of Osteopathic Medicine (Missouri), and holds a master's degree (MPH) in public health and health policy from the Harvard School of Public Health.

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Barnosky
Fri, July 26, 2013

Susan Goold is the senior author in a newly published study in JAMA, in which 2,500 U. S. physicians were asked about their views on 17 specific strategies to reduce health care spending, including proposed policies in the Patient Protection and Affordable Care Act. They were also surveyed on their perceived roles and responsibilities in addressing health care costs as care providers.

The vast majority of U.S. physicians (85 percent) agreed that trying to contain costs was a responsibility of every physician but most respondents prioritized patients’ best interests over cost concerns. Most surveyed physicians supported cost-containment initiatives aimed at improving the quality and efficiency of care, such as promoting chronic disease care coordination and limiting corporate influence on physician behavior. Substantial financing reforms, however, were much less popular among physicians. Examples include bundled payments, penalties for readmissions, eliminating fee-for-service reimbursement and other Medicare pay cuts. Physicians also believed that patients, pharmaceutical companies, and malpractice lawyers shared as much or more of the responsibility for containing escalating healthcare costs.

Jon C. Tilburt, M.D., M.P.H., of the Mayo Clinic, Rochester, Minn., was lead author of the study.

Tilburt JC, Wynia MK, Sheeler RD, Thorsteinsdottir B, James KM, Egginton JS, Liebow M, Hurst S, Danis M, Goold S (2013). Views of US Physicians About Controlling Health Care Costs. JAMA 310 (4): 380-388.

We are delighted to officially announce that Raymond De Vries will be joining Angie as the new Co-Director of the Center. Ray has been an active faculty member of CBSSM for several years.  He is a Professor in the Departments of Medical Education, Obstetrics and Gynecology, and Sociology, as well as a visiting Professor at Maastricht University in the Netherlands.  He is particularly interested in the regulation of science; clinical trials of genetic therapies and deep brain stimulation; international research ethics; and the social, ethical, and policy issues associated with maternity care.

Scott Kim recently stepped down from the Co-Directorship of CBSSM to take on a new position as Senior Investigator in the Department of Bioethics at the National Institutes of Health.  He continues to assist with various CBSSM-related research projects.

 

The Presidential Commission for the Study of Bioethical Issues (Bioethics Commission) invited three speakers to provide their insights on the importance of professional ethics and professionalism in neuroscience research on February 10th. The speakers included Nicholas Steneck, Ph.D., Director of the Research Ethics and Integrity Program of the Michigan Institute for Clinical and Health Research; David E. Wright, Ph.D., Director of the Office of Research Integrity at the U.S. Department of Health and Human Services; and Peggy Mason, Ph.D., Chair of the Society for Neuroscience’s Ethics Committee.

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Fri, February 14, 2014

Dr Peter Ubel, the previous director of CBDSM, discusses health care policy in his Forbes article "Is The Profit Motive Ruining American Healthcare?" He says, "when we debate healthcare costs in the U.S., we need to be clear on whether we are focusing on profits, per se, or instead on the simple fact that everyone in the healthcare industry – from for-profit insurance companies to private practice physiotherapists – understandably need to focus on their own bottom lines," 
 

Fri, February 21, 2014

Dr. Reshma Jagsi was involved with a study that reported an increase in women who recieved breast reconstruction following a masectomy for breast cancer. The study found that, "46 percent of patients received reconstruction in 1998 but that figure rose to 63 percent by 2007." Jagsi said, "Breast reconstruction has a big impact on quality of life for breast cancer survivors. As we are seeing more women survive breast cancer, we need to focus on long term survivorship issues and ensuring that women have access to this important part of treatment."

Fri, February 28, 2014

Brian Zikmund-Fisher was quoted in a Scientific American article about risk communication of certain chemicals in the lives of expectant parents. He explains, “Look at your life and the choices you make, and do things that can make you safer easily, but don't overreact to anything ... There are very, very few things out there that have such huge effects on our lives or our baby's lives that one teeny bit of exposure is going to make a difference.”

CBSSM's Co-Director Angela Fagerlin, Ph.D., has been named one of "25 Champions of Shared Decision Making." According to the Informed Medical Decisions Foundation, "Angie has spent her career testing methods for communicating the risks and benefits of treatment options to patients, especially through decision aids. Based on the knowledge she has gained, Angie developed and tested decision aids for prostate cancer and breast cancer prevention. Her work has truly advanced the field of risk communication and patient-physician communication." 

Congratulations Angie! You can view the list here

On May 1, Jeff Kullgren, M.D., M.S., M.P.H., assistant professor of general medicine and a research scientist at VA CCMR and Mark Fendrick, M.D., director of U-M's Center for Value-Based Insurance Design (V-BID) urged the Michigan Senate Health Policy Committee to enact stronger state health care transparency laws, including requirements to make more data on price and quality publically available. "As more Americans face high levels of cost-sharing in their insurance plans, it's even more important to improve access to data that helps them anticipate their out-of-pocket expenses," Kullgren told the panel. Proposed legislation would establish an easily accessible database to help consumers compare both prices and quality of care for various medical procedures and prescriptions.      

Thu, May 22, 2014

Susan Dorr Goold, M.D., M.H.S.A., M.A. is the senior author on an article receiving the annual “Professionalism Article Prize” by the ABIM Foundation. Jon C. Tilburt, M.D., M.P.H. of the Mayo Clinic is the study’s first author.

This award recognizes outstanding contributions to the field of medical professionalism. The article “Views of U.S. Physicians About Controlling Health Care Costs” was published in the Journal of the American Medical Association in July 2013.

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