Practice Notes

Gawande speaks on hospitals' lack of transparency and improving end-of-life care

"[P]hysicians and hospitals actually have no idea what type of costs they are imposing on patients" and how their decisions may cause "tremendous anger and fear," renowned Brigham and Women's Hospital surgeon Atul Gawande tells hfm magazine.

In the interview, Gawande discusses how doctors can drive key reforms at point-of-care, touching on two of the most significant challenges in the U.S. health care system: lack of transparency and the need to improve end-of-life care.

According to Gawande, doctors are situated to help on both fronts by advancing shared decision-making—once they're armed with the right data and tools.

For example, Gawande says the industry's push toward cost transparency has been hampered because not everyone has access to—or understands—the relevant clinical and financial information.

Read more in the Daily Briefing.


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