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Proton center marks 10 years in Oklahoma

Oklahoma Proton Center is completing upgrades to software and equipment as it anticipates treating its 3,000th cancer patient this fall. However, not everyone within the medical community is sold on proton therapy, which has not been widely proven to be more successful than standard radiation that is much cheaper.
“It’s controversial because it’s incredibly expensive, and there isn’t any evidence that it actually works for many of the ways it’s being used,” Shannon Brownlee, senior vice president at the Lown Institute, a Brookline-based health care think tank, told the Boston Globe this year.
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Rating the Raters: An Evaluation of Publicly Reported Hospital Quality Rating Systems

The numerous currently available public hospital quality rating systems frequently offer conflicting results, which may mislead stakeholders relying on the ratings to identify top-performing hospitals. Given that there is no gold standard for how a rating system should be constructed or perform and no objective way to compare the rating systems, we evaluated the strengths and weaknesses of four major public hospital quality rating systems based on our experience as physician scientists with methodological expertise in health care quality measurement. More

Robotic Surgical Tool, Not Medical Evidence, Drives Free Hernia Screenings

Hospitals say such screenings provide valuable education about treatment options for the common medical condition, in which part of the intestine protrudes through a weak spot in the abdominal wall. But no research has been done on hernia screenings, and some experts worry that these outreach efforts — some of which showcase da Vinci robotic surgery devices made by Intuitive Surgical based in Sunnyvale, Calif. — could lead people to get potentially harmful operations they don’t need. More

Are Fat Hospital Salaries for Doctors Really Kickbacks?

For a hospital that had once labored to break even, Wheeling Hospital displayed abnormally deep pockets when recruiting doctors. To lure Dr. Adam Tune, an anesthesiologist from nearby Pittsburgh who specialized in pain management, the Catholic hospital built a clinic for him to run on its campus in Wheeling, West Virginia. It paid Tune as much as $1.2 million a year—well above the salaries of 90 percent of pain management physicians across the nation, the federal government charged in a lawsuit filed this spring. “If we’re going to solve the health care pricing problem, these kinds of practices are going to have to go away,” said Dr. Vikas Saini, president of the Lown Institute, a Massachusetts nonprofit that advocates for affordable care. More