Panel Discussion USPSTF Recommendations: Process and Impact on Real-World Provision of Care (Text Version)
On September 27, 2010, John Santa made this presentation at the 2010 Annual Conference. Select to access the PowerPoint® presentation (120 KB).
USPSTF Recommendations: Process and Impact on Real-World Provision of Care
John Santa MD MPH
Director, Health Ratings Center
- General internist, most recent practice at the VA [Department of Veterans Affairs] in 2008.
- Employed by Consumers Union, publisher of:
- Consumer Reports
- Multiple other print and electronic publications
- Independent of industry
- Non profit, non partisan
Systems are perfectly designed to get the results they achieve.
Image: A billboard reads 'Illiterate? Write for free help'. A young man standing below looks confused.
- Consumers should be involved "from the start... at the top"... for appropriate tasks.
- Independence, transparency, a supportive environment needed for constructive and credible engagement.
- Playing field needs to be level. A "referee" needs to enforce "discipline."
- Involve at key steps, in key roles.
- Make information available to consumers at crucial decision points. Accept input.
- Make decision making transparent and independent of subsets of stakeholders.
- Accept feedback on decisions, enable reconsideration if appropriate.
Input to USPSTF Draft Recommendations
- Make consumers aware:
- Diverse media
- Consider innovative strategies
- Target for balance
- Define reasonable boundaries around input:
- Limits on characters, time
- ? able to submit data
- Access to comments.
- Focus on balance and level playing field:
- Identity options
- Conflict of interest options
- Feedback from USPSTF on impact of comments.
"When you're through learning, you're through."
—John Wooden—former UCLA basketball coach