August 25th, 2010 by KevinMD in Better Health Network
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Abraham Verghese is a professor of medicine at Stanford University and one of the most articulate physician-writers today. He recently wrote an op-ed highlighting primary care’s plight, and focuses on the scarcity of time:
The science of medicine has never been more potent – incredible advances and great benefits realized in the treatment of individual diseases – yet the public perception of us physicians is often one of a harried individual more interested in the virtual construct of the patient in the computer than in the living, breathing patient seated on the exam table.Time is the scarcest commodity of all. Patients, particularly when it comes to their routine, day-to-day care, want a physician who has time to understand them as people first, and then as patients.
It’s been frequently discussed on this blog, with solutions ranging from paying physicians per hour to cash-only practices.
There’s no easy answer, and worse, money isn’t even the root of the problem. Often left unaddressed is the burnout that primary care doctors face, practicing in unpalatable environments where the doctor-patient relationship is obstructed by bureaucracy and paperwork. Read more »
*This blog post was originally published at KevinMD.com*
February 6th, 2010 by DrRich in Better Health Network, Health Policy, Opinion
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Yesterday, DrRich noted (with his usual affecting humility, modesty, self-deprecation, &c.) that the Covert Rationing Blog has been named a Finalist in the 2009 Medical Weblog Award Competition, in the category of Best Health Policy/Ethics Blog. He now calls to his readers’ attention the fact that, among the other two finalists – both of which are of very high quality and undoubtedly are more deserving of this award than DrRich – is none other than the ACP Advocate Blog.
The ACP Advocate Blog, written by Bob Doherty, is a publication of the American College of Physicians, and its purpose is to explain, elaborate on and advocate for the ACP’s positions on important matters related to health policy and medical ethics that affect its members, namely, internal medicine specialists. Doherty – who DrRich does not know, but of whom he has heard many very complimentary things – is an insightful analyst of matters related to healthcare policy, and to boot he is an excellent writer. DrRich is a loyal reader of the ACP Advocate Blog, which in fact has habitually led off DrRich’s blogroll.
Here’s why this is interesting. While both the ACP Advocate Blog and DrRich’s blog are finalists in the medical ethics category, it so happens that DrRich and the ACP are far apart on that very issue. Read more »
*This blog post was originally published at The Covert Rationing Blog*
January 20th, 2010 by Bryan Vartabedian, M.D. in Better Health Network, Health Policy
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This picture from 3G Doctor is remarkable. It captures the flier of a Merck supported Mexican Medmobile initiative that apparently connects patients with their doctors via SMS (translation available on 3G Doctor Blog.)
But don’t expect fliers of this type in American offices anytime soon. Risk of privacy violation and difficulty in documentation stifle this level of
doctor-patient connectivity. The very laws created to protect patients may ultimately thwart the timely adoption of new communication channels.
And the slow march towards a single payer system will only make real connectivity a rare bird.
Look to the groundswell in mobile technology and social platforms will force change in our current privacy laws. Until then look for innovation to come from the second and third world.
*This blog post was originally published at 33 Charts*
January 6th, 2010 by Happy Hospitalist in Better Health Network, Humor, True Stories
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Have you ever thought you need to find a new doctor? Sometimes patients and doctors need to part their ways. Some doctor-patient relationships are so good that gifts are exchanged. Some are so bad that the doctor dismisses the patient from their clinic.
What about the patient who isn’t happy with the care they are receiving? What about the patient who wants to find a new doctor? Sometimes legitimate reasons exist. Perhaps the patient and doctor do not agree on the recommended therapies. When the patient and doctor do not have the same goals in mind, sometimes it’s best for the patient to find a new doctor that can better work with their needs. Read more »
*This blog post was originally published at The Happy Hospitalist Blog*
December 30th, 2009 by eDocAmerica in Better Health Network, Health Policy, Opinion
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As 2009 draws to a close, the US health care system is ailing and quasi-reform proposals are frantically being debated and voted on. Although some type of reform is likely in 2010, we will have only scratched the surface of what still needs to be changed.
One particular aspect relates to the ease with which patients can use the internet to improve their health care. At eDocAmerica, we’ve been using the internet to improve the health of our users for over a decade. Ten years ago, I predicted that patients would routinely use internet messaging to interact with the health care industry by now, but I was wrong. Although, increasingly, web 2.0 approaches are providing innovative communication and health management tools for patients, the growth of interaction between patients and doctors has been much slower than I predicted it would be. And the future still remains cloudy. The issues are nothing new and include: Read more »
*This blog post was originally published at eDocAmerica*
