'Bravo!' says the applauding Disease Management Care Blog.
'What!?' you ask? [Zounds!] This is the same DMCB that typically links more peer-reviewed literature in single posting than most blogs offer in a year? [Sputter!] The evidence-based DMCB that is distrustful of anedcotes, likes to read the original studies and even then, demands methodological transparency and statistical rigor? [Gasp!] The DMCB is okay with Congress jettisoning traditional effectiveness research and letting lay people [Egads!] decide for themselves?
Not only does the DMCB think that is a good idea, but so does the entire disease management industry. In fact, helping patients talk to their doctors and decide for themselves has been a bedrock principle of population-based care coaching for more than ten years. At one level, advocates of disease management argue that patient engagement is far more likely to result in compliance with phyisican recommendations. At a deeper level, empowering patients will result in some persons making a 'wrong choice,' but, in aggregate, lead far more to getting it right. In fact, there's really no such thing as a 'wrong choice' in rigorous care management, because at its core, it assures each patient can decide what to do based on his or her own values and a uniquely personal assessment of the advantages and disadvantages of the proposed testing or treatment. Radical you say? It can be, but this has been around for quite some time.