Remember the movie Treasure of the Sierra Madre? One of the banditos threw that classic line at Humphrey Bogart: “Badges? We don’ need no stinkin’ badges!” Whenever there is a new regulation imposed for which there is no evidence, I can just see some legislator, adviser, or bureaucrat twirling a handlebar moustache exclaiming: Evidence? We don’ need no stinkin’ evidence!
You expect your doctor to do her homework, reviewing the literature and doing tests before making a recommendation for your treatment. That is called good medicine, a form of structured decision-making.
What patients experience during health care is the result of decisions made by providers and by managers and by regulators. If we want good outcomes – error-free medicine; reduced cost; easy, friendly service; and constantly improving quality – then we need to hold all three decision-makers to the same standard.
ALL decision-makers should be required to have evidence.
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