August 26th, 2011 by Davis Liu, M.D. in News, Opinion
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The New York Times recently published an article titled, Finding a Quality Doctor, Dr. Danielle Ofri an internist at NYU, laments how she was unable to perform as well as expected in the areas of patient care as it related to diabetes. From the August 2010 New England Journal of Medicine article, Dr. Ofri notes that her report card showed the following – 33% of patients with diabetes have glycated hemoglobin levels at goal, 44% have cholesterol levels at goal, and a measly 26% have blood pressure at goal. She correctly notes that these measurements alone aren’t what makes a doctor a good quality one, but rather the areas of interpersonal skills, compassion, and empathy, which most of us would agree constitute a doctor’s bedside manner, should count as well.
Her article was simply to illustrate that “most doctors are genuinely doing their best to help their patients and that these report cards might not be accurate reflections of their care” yet when she offered this perspective, a contrary point of view, many viewed it as “evidence of arrogance.”
She comforted herself by noting that those who criticized her were “mostly [from] doctors who were not involved in direct patient care (medical administrators, pathologists, radiologists). None were in the trenches of primary care.”
From the original NEJM article, Dr. Ofri concluded Read more »
*This blog post was originally published at Saving Money and Surviving the Healthcare Crisis*
August 16th, 2011 by StevenWilkinsMPH in Opinion
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I am a big fan of Infographics. They are great for turning otherwise complex data into practical information. Here’s an Infographic I built to describe the “disconnect” that often occurs between physicians and patients and the impact of adherence.
*This blog post was originally published at Mind The Gap*
August 4th, 2011 by StevenWilkinsMPH in Opinion, Research
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There seems to be an inverse relationship between the amount of spin one hears about “the next big thing”…and reality. First it was EMRs and virtual e-visits, then social media, and now patient portals seem poised to be next big thing. The drumbeat of vendors and pundits is unmistakable….physicians that don’t adapt will be toast. It can all sound pretty convincing until you ask to see the evidence. What do patients think?
Take the physician patient portal. If you read between the lines, patient portals are frequently being positioned as the new “front door” to physician practices. By signing on to a secure website patients will have real time access to the electronic health record and will be able to communicate with their physicians by e-mail. Additional patient features include being able to schedule an appointment with their doctor, reading their test results and refilling prescriptions. But despite these features, according to John Moore at Chilmark Research, “nationwide use of patient portals remains at a paltry 6%.”
Ok… so now we know what vendors and pundits think about patient portals. What about patients – what do they think? Read more »
*This blog post was originally published at Mind The Gap*
July 29th, 2011 by Davis Liu, M.D. in Opinion
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Let me say first that I am a practicing primary care doctor who is very much focused on patient centered care. Though I cannot go back to being a patient who is unaware about what a doctor does, the terminology she uses, or what the importance of certain test results are, I can empathize with the overwhelming amounts of information, challenges, and stressors patients and families can have in navigating the healthcare system to get the right care. This is the reason I wrote my book.
However, over the past few months I’ve noticed a particularly disturbing trend. Patients are not consulting doctors for advice, but rather demanding testing for diagnoses which are not even remote possibilities. A little knowledge can be dangerous particularly in the context of little to no clinical experience. Where many patients are today are where medical students are at the end of their second year – lots of book knowledge but little to no real world experience.
More patients are becoming the day traders of the dot.com boom. Everyone has Read more »
*This blog post was originally published at Saving Money and Surviving the Healthcare Crisis*
July 23rd, 2011 by Peggy Polaneczky, M.D. in Opinion
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My practice has been using the EPIC electronic medical record for 5 years now, and it’s taken about that long for me to figure out how to tweak the system to make myself more efficient, and for the system to evolve to a place where I could tweak it myself.
Case in point – Quick Actions.
EPIC’s most recent upgrade includes little self-made macros called “quick actions” that turn repetitive tasks into a mouse click. I’m using quick actions to manage my results in basket in much the same way you may be using Rules in Outlook to manage your email.
Some of my macros are actually little work-arounds for a system that is not yet entirely integrated and a patient population that has not yet embraced online results communication. About half of my patients sign up for online results – I’m working hard on the rest…
Like many of you, I like a clean inbox, but need a place to park messages that are awaiting some future task for completion. I’ve decided to use the “results notes” inbasket for this purpose, so you’ll see some of my macros moving messages there.
I now have the following Quick Action options whenever I view a lab report – Read more »
*This blog post was originally published at The Blog That Ate Manhattan*
