DX-RX Readings
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Class Readings

Note that the materials below are restricted to UVa students and require access either on grounds, or off grounds using the proxy server.

Day 1:

Required Reading

  1. Frist, W.H., "Health Care in the 21 st Century", (2005 Shattuck Lecture) NEJM 352:5 January 20 2005 p. 267 -272. Full text.
  2. Smith, C., et al, "Health Spending Growth Slows", Health Affairs 24:1 Jan/Feb 2005 p.185-194. Full text.

Supplemental Reading

  1. Hussey, P.S., et al "How Does the Quality of Care Compare in Five Countries?", Health Affairs 23: 3 May/June 2004 p.89-99. Full text.

Day 2:

Required Reading

  1. Richard A Cooper, Thomas E Getzen, Heather J McKee, and Prakash Laud, "Economic and demographic trends signal an impending physician shortage." Health Affairs, January/February 2002; 21(1): 140-154. Full text.
  2. David C. Goodman, "Trends : Twenty-Year Trends In Regional Variations In The U.S. Physician Workforce", Health Affairs. Web Exclusive, October 7, 2004. Full text.
  3. Edward S Salsberg and Gaetano J Forte "Trends in the physician workforce", 1980-2000, Health Affairs , September/October 2002; 21(5): 165-173. Full text.
  4. Richard A. Cooper, "Medical Schools And Their Applicants: An Analysis", Health Affairs , July/August 2003; 22(4): 71-84. Full text.

Day 3:

Required Reading

  1. Smedley BD, Stith AY, Nelson AR, eds. "Summary," In: Unequal treatment: Confronting racial and ethnic disparities in health care. Institute of Medicine, 2002: pp. 1-29. ( http://www.nap.edu/books/030908265X/html ).

Supplemental Reading

  1. The Cross Cultural Health Care Program:
    http://www.xculture.org/
  2. American Medical Student Asscociation: Cultural Competency:
    http://www.amsa.org/programs/gpit/cultural.cfm

Day 4:

Required Reading

  1. Wynia, M and Gostin, L, Ethical Challenges in Preparing for Bioterrorism: Barriers Within the Health System, Am J Public Health, 2004; 94:1096-1102. Full text.
  2. MMWR, May 10, 2002, Vol 51, No. RR-6: Sexually Transmitted Diseases Treatment Guidelines (the report is over 80 pages but the first 11 pages are the most important). Full text.
  3. MMWR, April 18, 2003, Vol 52 (15): 329-332:   Advancing HIV Prevention:   New Strategies for a Changing Epidemic - United States, 2003. Full text.
  4. Fight Against AIDS Needs Top Priority, Richmond Times-Dispatch Richmond, Va: Jan 30, 2005, pg. E1. Full text.
  5. Trust for America's Health Report, December, 2004:   Ready or Not?   Protecting the Public's Health in the Age of Bioterrorism. Full text.

Supplementary Reading

  1. VDH website:   www.vdh.state.va.us
  2. CDC web site:   www.cdc.gov
  3. Diagnosis and Management of Foodborne Illnesses: A primer for physicians at:   http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5002a1.htm

Day 5:

Required Reading

  1. Sean R. Tunis, M.D. "Why Medicare Has Not Established Criteria for Coverage Decisions," New England Journal of Medicine, Vol 350: 2196-2198, May 20, 2004 No.21
    http://content.nejm.org/cgi/content/full/350/21/2196
  2. "Medicare Coverage for Technological Innovations," New England Journal of Medicine, Vol 351:719-720, 8/12/04 Number 7
    http://content.nejm.org/cgi/content/full/351/7/719
  3. "Medicare Coverage of ICDs," Mark McClellan and Sean Tunis, New England Journal of Medicine, Vol 352:222-224, January 20, 2005, No. 3
  4. Health Affairs , Vol 24, Issue 1, 180-184. "PERSPECTIVE:   Sean Tunis, A Clinical Research Strategy To Support Shared Decision Making,"   http://content.healthaffairs.org/cgi/content/full/24/1/180
  5. "NIH Grant Recipients Are 'Asked' to Post Data: New Policy on 'Public Access' Draws Criticism." By Rick Weiss, Washington Post Staff Writer, Friday, February 4, 2005; Page A15. Full text.
  6. "Medicare Will Pay for Alzheimer's Scan: Doubts About Technology Lead Agency to Cover Only Some Patients." By Rick Weiss and David Brown , Washington Post Staff Writers, Friday, September 17, 2004; Page A02. Full text.
  7. "Medicare To Cover Cardiac Device, Plan Raises Issue Of Line Between Care and Research."By Rick Weiss, Washington Post Staff Writer, Thursday, January 20, 2005; Page A01. Full text.
  8. "A Tale of Politics: PET Scans' Change in Medicare Coverage,"
    By Rick Weiss, The Washington Post, October 14, 2004. Full text.

Day 6:

Required Reading

Topic 1:

United States v. Rutherford , 442 U.S. 544 (1979).Full text.

American Pharmaceutical Ass'n v. Weinberger, 377 F.Supp. 824 (D.D.C. 1974). Full text.

Washington Legal Foundation v. Henney, 202 F.3d 331 (D.C. Cir. 2000). Full text.

Topic 2 :

Tort Resolution and Injury Prevention
"Health Care at the Crossroads: Strategies for Improving the Medical Liability System and Preventing Patient Injury," published in February 2005 by JCAHO. Full text.

Topic 3:

  1. In re Schiavo (2001)
  2. In re Schiavo (2003)
  3. Bush v Schiavo (2004)
  4. Burt, "The Supreme Court Speaks - Not Assisted Suicide but a Constitutional Right to Palliative Care," New England Journal of Medicine, Vol 337:1234-1236, October 23, 1997. Full text.
  5. Oregon v Ashcroft

Small Group Discussions

Case study

"Companies Fight to Ensure Coverage for Erectile Drugs," New York Times, February 22, 2005, by Robert Pear. Full text.

Required Readings

  1. "The Nation's Health Policy Agenda:   Real--and Realistic--Opportunities for Progress," by Gail Wilensky. Full text.
  2. "Post-Election Rx for Progressive Health Policy," by Christopher Jennings. Full text.