October 6th, 2011 by StevenWilkinsMPH in Opinion
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Irrational exuberance was a term once used to describe the stock market before the last crash. It also seems an apt description for much of the talk these days about empowered health consumers.
To be sure, patients today have unprecedented access to health information. Patient decision-support tool can be found on just about every provider, payer and self-insured employer website. Consumers can go to any number of websites to find quality data about hospitals, physicians and health plans. Personal health records (PHRs) promise to make our personal health data portable for meaning that all our treating physicians will be “singing off the same song sheet.”
That’s what the industry experts tell us. But what’s really going on? Here I will describe what I see as the top 5 myths about empowered health consumers. Read more »
*This blog post was originally published at Mind The Gap*
September 27th, 2011 by StevenWilkinsMPH in Research
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Turns out there is an unintended consequence of many of the current efforts to standardize the way doctor’s practice medicine. It is called de-skilling. De-skilling can occur when physicians and other providers try to adapt to standardized, new ways of doing things. Examples of such standardization include clinical based care guidelines, electronic medical records (EMRs), Pay for Performance (P4P), Patient Centered Medical Home (PCMH) requirements and so on.
Examples of physician de-skilling were revealed in a recent study which consisted of in-depth interviews with 78 primary care physicians regarding EMR use. EMRs are all about standardization – what data is captured and recorded, how data is reported, how data is used, and so on.
Over the course of the interviews, physicians in the study described significant examples of de-skilling behavior. Most indicated that Read more »
*This blog post was originally published at Mind The Gap*
September 1st, 2011 by StevenWilkinsMPH in Health Policy, Opinion
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The first experience patients are likely to have with your hospital is not in an ER visit or inpatient stay. A patient’s first experience will most likely be in one of your primary-care physician offices. That because a person is 10 times more likely during a year to end up in the physician’s office for a routine visit than they are to require an overnight hospital stay.
As a hospital marketer or patient experience officer this should raise an interesting question. How well do your physicians–particularly your primary-care physicians–represent your brand?
Take “patient-centeredness.” Lots of hospitals these days are promoting themselves as providing patient-centered care. You know … when the hospital and its staff try where possible to be sensitive to and honor the wishes of patients. But when it comes to patient-centeredness, “walking the talk” is hard in physician offices and even tougher in the hospital.
The fact is that most physicians, with some exceptions, are Read more »
*This blog post was originally published at Mind The Gap*
August 31st, 2011 by Bryan Vartabedian, M.D. in Opinion, True Stories
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Sometime around 1998 in the Texas Medical Center:
DrV: (enters exam room) Hey, How are you? I’m Bryan Vartabedian (extends hand).
Father: (arms crossed, smiling, leaning against wall) Oh I know who you are, Doc. And I know where you went to school, where you’ve lived, if you’ve been sued and a few other things. And I’m fine, by the way.
DrV: Um, Okay. (Shakes hands with father. Looking to child, scruffing his hair). And this must be Caleb.
An odd moment, for sure. When it happened I didn’t know what it was about. After similar encounters I understood. It was about where patients found themselves in the early days of the information revolution. And there was the father who wheeled into the exam room two large boxes of printouts perched on a dolly. Inkjet validation of his role in the decision about his son’s surgery.
These situations illustrate Read more »
*This blog post was originally published at 33 Charts*
August 31st, 2011 by PreparedPatient in Health Policy, Research
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It’s not just about money – Americans Face Barriers to Health Care Beyond Cost. A study released recently in Health Services Research found that while financial concerns prevent 18% of Americans from getting needed health care, more Americans – 21% – delay health care for nonfinancial reasons. These barriers include getting to the doctor, getting a timely appointment and taking time out of other responsibilities. Lead author Jeffrey Kullgren, M.D. adds what he believes is the crux of the issue: “We need to think about how to organize the existing resources we have in ways that are going to improve access to care.”
In Would You Lie to Your Own Doctor?, Connie Midey of The Arizona Republic reports on a common practice that can “compromise [doctors’] ability to diagnose and treat patients effectively.” The reason? Read more »
*This blog post was originally published at Prepared Patient Forum: What It Takes Blog*
