Drs. Scott Kim and Franklin Miller propose an integrated consent model for pragmatic trials in a recent NEJM Health Law, Ethics, and Human Rights article.
Dr. Kathryn Moseley has received the Pediatric Health Disparities Award from the UM Department of Pediatrics. The award confers $20,000 of intramural funding towards her project titled “Understand Disparities in Ethics Consultation.”
Lisa Lehmann, MD, PhD, MSc
Executive Director, National Center for Ethics in Health Care
U.S. Department of Veterans Affairs
"Moral Distress in Health Care: The Role of Courage and Culture"
Joel Howell is co-author in a paper published in Perspectives in Biology and Medicine, “The heartfelt music of Ludwig van Beethoven.” The paper analyzes several of Beethoven's compositions for clues of a heart condition some have speculated he had.
“His music may have been both figuratively and physically heartfelt,” says co-author Joel Howell, M.D., Ph.D, a professor of Internal Medicine at the University of Michigan Medical School and member of the U-M Institute for Healthcare Policy and Innovation. “When your heart beats irregularly from heart disease, it does so in some predictable patterns. We think we hear some of those same patterns in his music.”
Goldberger ZD, Whiting SM, Howell JD. The heartfelt music of Ludwig van Beethoven. Perspect Biol Med. 2014 Spring;57(2):285-94. doi: 10.1353/pbm.2014.0013.
At CBSSM, we perform the basic and applied scientific research that will improve health care policy and practice to benefit patients and their families, health care providers, third-party payers, policy makers, and the general public. In our "Interactive Decision" web feature, we turn a recent research finding into an interactive decision that a patient or policy maker might face. Read, decide, click—and see how your answers compare with our respondents.
Impact of the Vaccine Adverse Event Reporting System on Vaccine Acceptance and Trust (Aug-17)
Patient understanding of blood test results (Feb-17)
Attitudes toward Return of Secondary Results in Genomic Sequencing (Sep-16)
Moral concerns and the willingness to donate to a research biobank (Jun-16)
Liver Transplant Organ Quality Decision Aid: Would you consider a less than perfect liver? (Jan-16)
Blocks, Ovals, or People Icons in Icon Array Risk Graphics? (Sept-15)
Getting ahead of illness: using metaphors to influence medical decision making (May-15)
This project will examine behavioral economic strategies for decreasing the use of low-value clinical services as listed in the Choose Wisely campaign. The proposed intervention, Committing to Choose Wisely (CCW), will ask clinicians to commit to avoid low-value services and provide resources to support adherence to this commitment. The intervention, which extends across two large health systems, will generate quantitative data from clinical automated data and focused medical record review data to examine rates of order before and after the intervention, as well as qualitative data from surveys and semi-structured interviews of both clinicians and patients to determine the effects of the intervention on their decision-making and experiences.
PI(s): Jeffrey Kullgren
Co-I(s): Eve Kerr
Breast cancer patients face complex decisions about their treatment. Sarah Hawley, Reshma Jagsi, and colleagues developed an interactive online tool to help patients understand their treatment options. In a study published in the Journal of Clinical Oncology, they found that patients using the interactive tool had higher knowledge and felt more informed about options and felt better prepared to make a treatment choice.
The Risk Evaluation and Education for Alzheimer's disease Study (REVEAL) is a series of clinical trials taking place at U-M's School of Public Health, along with other sites including Harvard University, Howard University, and the University of Pennsylvania. An audio interview with Dr. J. Scott Roberts can be found in the press release.
Laura Sedig and Ray Hutchinson will present on a project to improve parental understanding of randomization and equipoise when deciding whether or not to participate in a pediatric oncology clinical trial after diagnosis. Their intervention will be a graphic and/or multimedia depiction of the concepts of randomization and equipoise given to the parents before or after their consent discussion.
The article discusses three themes that allow for creating supportive health care systems: nudge choices, but preserve and promote clinical judgment; promote relationships and communication; and encourage low-tech, high-touch care.
