Published in:
01-02-2014 | Not the Last Word
Not By Bread Alone: Shortcomings of the Pay-For-Performance Approach
Author:
Joseph Bernstein, MD
Published in:
Clinical Orthopaedics and Related Research®
|
Issue 2/2014
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Excerpt
These days, surgeons are fixing clavicle fractures more frequently. It is fair to wonder why. After all, it was only 1994 when Jupiter and Mullaji [
11] declared that “internal fixation of the clavicle is rarely necessary.” One explanation is that we may simply have learned that fixation is, in fact, the superior approach [
4]. Another explanation might be cognitive or social biases. For example, our experience with fibulas and femurs may produce a false belief that broken bones are happier with hardware. Surgeons may also have noticed that patients are more grateful when a bone heals after an operation. …