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Freakonomics, M.D.

51. What Can We Do About the Hardest Patients?

Freakonomics, M.D.

Freakonomics Radio + Stitcher

Society & Culture, Science

4.81.1K Ratings

🗓️ 26 August 2022

⏱️ 29 minutes

🧾️ Download transcript

Summary

A small number of patients with multiple, chronic conditions use a lot of resources. Dr. Jeffrey Brenner found a way to identify and treat them. Could it reduce health care spending too?

Transcript

Click on a timestamp to play from that location

0:00.0

As a young family physician, living and working in Camden, New Jersey, in the early 2000s,

0:10.1

Dr. Jeff Brenner started to notice something about his patients.

0:13.7

We were in the most dangerous city in the country, and I had people come into my office and

0:18.2

I would take staples out, I'd take stitches out, and they had been beaten, they'd been

0:23.3

stabbed, they'd been shot, and I'd ask them, this is horrible, did you report your crime

0:27.8

to the police?

0:28.8

And they'd sort of laugh at me and say, I'd never call the police here, honestly at

0:32.9

the time I couldn't get my head around that.

0:35.2

And I realized despite the fact that statistically, we were the most dangerous city in the country,

0:39.9

that the true crime rate was probably much, much higher than we realized.

0:44.3

Jeff had an idea, perhaps emergency room and hospital data, could paint a more accurate

0:49.5

picture of crime in Camden, New Jersey.

0:52.4

He asked for and received claims data from local hospitals and health centers.

0:57.7

We didn't know idea what we were doing.

0:59.0

We stuck it in Microsoft Access, we mapped it, graphed it, charted it, and the data was

1:03.8

eye popping.

1:04.8

We found out that in the census tract, right next to the hospital, in a one year period,

1:10.1

one in 15 kids are beaten up badly enough to come to the emergency room.

1:15.4

And it was just like in rates that were so staggering and shocking.

1:19.3

And here we had this hospital data sitting in claims databases, it never really used

1:23.7

as a tool to understand public safety.

1:27.0

They got claims data from two other local hospitals and the findings were similar.

...

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