May 5th, 2010 by KevinMD in Better Health Network, Health Policy, Opinion, Research
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Doctors often have a communication disconnect with their patients. A recent piece from the New York Times encapsulates the issue, citing a recent New England Journal of Medicine perspective.
According to oncologist Ethan Basch, “Direct reports from patients are rarely used during drug approval or in clinical trials. If patients’ comments are sought at all, they are usually filtered through doctors and nurses, who write their own impressions of what the patients are feeling.”
There are a variety of reasons for this. Some doctors feel they have a better sense of the patient’s symptoms than the patient himself. Biases can affect how doctors and nurses perceive symptoms. Read more »
*This blog post was originally published at KevinMD.com*
May 3rd, 2010 by Felasfa Wodajo, M.D. in Better Health Network, Health Policy, Opinion, Research, True Stories
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[Here’s a] good article [from] the New York Times written by a doctor [Pauline Chen, M.D.] about intrusive aspects of electronic health records (EHRs) on doctor-patient communication. An excerpt:
“…just because EMR improves information sharing and retrieval, it doesn’t necessarily follow that our communication with patients and colleagues will also be better.”
Read the rest of the article here.
*This blog post was originally published at a few thoughts from a tumor surgeon*
April 28th, 2010 by KevinMD in Better Health Network, Health Policy, Health Tips, Opinion, Research
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Patient satisfaction, as I wrote about previously, is being increasingly focused upon.
Doctors are often pressed for time, and appear rushed — which can potentially lead to unhappy patients.
I saw this small study showing that the simple act of sitting down while talking to patients can have a profound effect. Many doctors I know already do this, but now there’s some data to support sitting. Read more »
*This blog post was originally published at KevinMD.com*
April 28th, 2010 by RyanDuBosar in Better Health Network, Health Policy, News, Opinion, Research
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Two new surveys take the temperature of the primary care working environment.
In the first, a collaboration between the Medical Group Management Association and the Association of Staff Physician Recruiters, recruiters took a median of six months to fill positions for internal medicine or family practice physicians, according to the In-House Recruitment Benchmarking Survey: 2010 Report Based on 2008 Data.
Among the findings:
— It cost less to recruit specialists, due to the economic downturn and a 30% rise in the use of Internet job boards as a primary recruitment method.
— It takes longer to fill a position in non-metropolitan areas, where the impact of the primary care shortage is greatest. Read more »
*This blog post was originally published at ACP Internist*
April 27th, 2010 by Edwin Leap, M.D. in Better Health Network, Humor, Opinion
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Our relatively new electronic medical record (EMR) product has prompts and clicks for everything imaginable. One of them, which we can use during the physical exam, is the long list of “constitutional” findings that we perceive on generally looking over the patient.
They include things like: Obviously ill, comfortable, uncomfortable, pale, well-nourished, well-hydrated, well-dressed, alert, chronically ill, contracted, emaciated — and so on.
But these descriptors don’t always cut it. I mean, people are both amazing and annoying, so why not add a few more to the list? Read more »
*This blog post was originally published at edwinleap.com*
