Podcast
PCP Lens Podcast
Hosted by Medicine + Metrics + Money + Madness = Healthcare · EN
I discuss the boring, confusing, and maddening details about the business of healthcare, which has a big impact on your wallet—and your health.
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23episodes
Episodes
Newest firstAll episodes
Podcast - Rethinking Quality of Colon Cancer Screening
Apr 24, 202500:24:41Tap to summarizeDescriptionColon cancer screening is a cornerstone of preventative medicine, yet it's surrounded by a complex interplay of hope, fear, and financial incentives. This podcast delves into the benefits and harms of screening, exploring whether our current approach truly saves lives or leads to overdiagnosis and overtreatment.Chapter Markers00:00 - Intro01:18 - Anatomy of Colon Cancer Screening Quality Measure03:08 - Rational and Physiologic Basis for Colon Cancer Screening03:59 - Defining Colon Cancer06:33 - 2021 USPSTF Colon Cancer Guidelines Critical Review09:32 - NordICC Trial12:07 - Importance of Measuring All-Cause Mortality13:28 - Problems with Colorectal Cancer Screening Quality Measure14:00 - Biasis in Cancer Screening (False Positives, Real Profits Video Section)16:19 - Average Risk Vs Low Risk for Colon Cancer17:36 - Over-Screening Colon Cancer18:34 - Resource Allocation & Access to Care19:09 - False Assurance From Screening Colonoscopy19:39 - Lack of Informed Consent21:10 - At the Intersection of Assumption, Advertising & Quality21:48 - Improving Performance on Colorectal Cancer Screening Quality Measure23:59 - Conclusion & OutroLink to Written Article: https://www.pcplens.com/p/rethinking-quality-of-colon-cancer-screeningLink to Video: https://www.pcplens.com/p/podcast-rethinking-quality-of-colon-cancer-screeningLink to YouTube: https://www.youtube.com/@PCPLens?sub_confirmation=1Subscribe at www.PCPLens.comPlease see Disclaimer on PCPLens About Page. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit www.pcplens.com
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Podcast - False Positives, Real Profits
Mar 20, 202500:14:07Tap to summarizeDescriptionThis episode examines the principles and paradoxes behind disease screening programs. I discuss the technical aspects of effective screening tests, the statistical concepts of false positives and overdiagnosis, and how improvement in treatment affects screening tests. Through examples from cancer screening to chronic disease detection, the discussion covers the interplay between screening accuracy, population health outcomes, and healthcare system dynamics, while exploring how economic factors influence screening implementation and guidelines.Chapter Markers- 00:00 - Intro- 00:55 - Purpose & Principles of Screening- 01:33 - What makes a good screening test?- 03:52 - Role of Disease Definition in Screening- 06:57 - Statistical techniques to lie about screening benefits- 07:40 - Overdiagnosis Bias- 08:38 - Lead Time Bias- 09:12 - Length Time Bias- 09:59 - The Paradox of Treatment & Screening- 11:16 - The Pound of Profits- 13:54 - OutroLink to Written Article: https://www.pcplens.com/p/false-positives-real-profitsLink to Video: https://www.pcplens.com/p/podcast-false-positives-real-profitsLink to YouTube: https://www.youtube.com/@PCPLens?sub_confirmation=1Subscribe at www.PCPLens.comPlease see Disclaimer on PCPLens About Page. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit www.pcplens.com
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Podcast - The Depressing Reality of Depression Screening
Feb 20, 2025Tap to summarizeDescriptionExplore how depression screening quality measures oversimplify complex mental health care, leading to false positives, over-treatment, and unintended harm to patients and providers. This episode dives into the flaws of standardized metrics and their real-world impact on primary care.Chapter Markers- 00:00 - Intro- 00:35 - Definition of Depression Screening & Follow-Up Plan Quality Measure- 00:57 - Anatomy of Depression Screening & Follow-Up Plan Quality Measure- 02:32 - Rationale for Depression Screening & Follow-Up Plan Quality Measure- 02:44 - Problems with Depression Screening & Follow-Up Plan Quality Measure- 07:59 - Depression Remission at 12 months Quality Measure- 08:46 - Suggestions for Workflow Improvements- 11:25 - Outro Link to Written Article: https://www.pcplens.com/p/the-depressing-reality-of-depression-screening Link to Video: https://www.pcplens.com/p/podcast-the-depressing-reality-of-depression-screeningLink to YouTube: https://www.youtube.com/@PCPLens?sub_confirmation=1Subscribe at www.PCPLens.comPlease see Disclaimer on PCPLens About Page. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit www.pcplens.com
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