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Former HHS Secretary Dr. Louis Sullivan, Lt. Gov. Cagle Address Need to Improve Quality of Patient Care
Date:9/26/2007

gia's second-highest office.

Dr. Sullivan maintained that the most appropriate way for patients to receive care is through a symphony of health care delivery, with the doctor acting as the conductor. Each aspect of the "symphony" must be transparent and fully appreciated. Too much emphasis on one particular "instrument," or service area, such as cost alone, drowns out other important elements. Deviating from this approach, he said, leads to discordant, off key health care results for patients.

"The relationship between the physician and the patient is crucial to determining what is best for the individual patient and overall quality of care," Dr. Sullivan said. "Individual patients have different needs and care should be driven by those needs; not solely by costs."

Dr Sullivan went on to stress the importance of the doctor-patient relationship in medical decision-making and the understanding that, in terms of patient care, one size does not fit all.

Panelists also commented on the issue of inappropriate cost-driven drug switching (also referred to as "therapeutic substitution"), which is currently before the Georgia State Legislature and could adversely affect the quality of medical care provided in the state. Under this proposed legislation, pharmacists would have the right to change a patient's medication -- even if it was working well -- and switch the patient to a different medicine in the same class of drugs. Although these medications fall under the same therapeutic class, active ingredients work in different ways and have different side effects and risks.

Panelist Peter Pitts said patients sometimes received "switching letters," which "tout short-term cost savings but provide little or no information about potential health risks."

"A recent study showed that switching patients from Lipitor, which treats high cholesterol, to a different, cheaper medicine resulted in a 30 percent increase in the risk of major cardiovasc
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SOURCE Georgia Public Policy Foundation
Copyright©2007 PR Newswire.
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