December 19th, 2010 by DrWes in Opinion
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The consolidation of physician specialty practices into larger corporate healthcare systems in urban areas is creating a new challenge for today’s doctors when the music stops: There might not be a chair available.
There are simply many fewer hospital systems in large urban areas than there are specialy practices, so the number of specialist positions a large healthcare system is willing to absorb might be limited. As doctors and hospital systems coalesce into as-yet-to-be-clearly-defined “accountable care organizations,” the cost of too many specialists in an organization is being carefully weighed. Read more »
*This blog post was originally published at Dr. Wes*
December 16th, 2010 by DrWes in Better Health Network, News, Opinion
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In a desperate attempt to reach an even number it seems, hospital defibrillators were added to ECRI.org’s “Top 10 Health Technology Hazards” list of devices that threaten to kill or maim patients:
The Top 10 Health Technology Hazards list is updated each year based upon the prevalence and severity of incidents reported to ECRI Institute by healthcare facilities nationwide; information found in the Institute’s medical device problem reporting databases; and the judgment, analysis, and expertise of the organization’s multidisciplinary staff. Many of the items on this year’s list are well-recognized hazards with numerous reported incidents over the years.
If one honestly looks at the number of lives saved versus the number of deaths from defibrillators, I wonder how many of this highly-esteemed group of “multidisciplinary staff” of the ECRI might reconsider. Clearly, most of them have never been in a code situation.
– WesMusings of a cardiologist and cardiac electrophysiologist.
Hat tip: Wall Street Journal Health Blog
*This blog post was originally published at Dr. Wes*
December 13th, 2010 by DrWes in Opinion
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The greatest minds are assembled to discern the answer in healthcare reform. Powerful interest groups are aligned to design solutions to protect their turf. Rubrics, formulas, slogans and taglines get designed, spun, pitched and thrown out. The burden of finding alignment, an answer, a plan that suits everyone seems insurmountable — unless we don’t.
The idea of a fit for all is an illusion. Justice and equity are seen differently. We imagine some public consensus at our own peril. But honesty has been in short supply. To paraphrase Oprah: What do we know for sure?
Some people want a relationship with a trusted doctor who knows them well. They want to pick the doctor, the neighborhood and the hospital they attend. Others want immediate access and have little trust or interest in a personal relationship with a doctor.
Some people want interchangeable access to medical care in the most convenient venue — they care little if it occurs at Walgreens, doc-in-a-box, by a nurse practitioner or by a newly-minted resident — it is about access that fits their lifestyle, which may be at a late hour and may be chosen by shortest waiting time at an ER. To others, this type of medical care is anathema. Read more »
*This blog post was originally published at Dr. Wes*
December 12th, 2010 by Bryan Vartabedian, M.D. in Better Health Network, Opinion
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I suspect that in the next couple of years we’ll see the emergence of a viable social network for physicians. It hasn’t happened yet, but I suspect that we’re getting close. Physicians are increasingly dabbling in mainstream social sites.
But maybe that’s a problem. After all, a doctor can only hang in so many places. If you have “The Facebook for Doctors,” do you expect us to spend our time there instead of on Facebook itself? Maybe we will, and maybe we won’t.
Beyond the obvious requirement of a network to deliver value, I think the rate-limiting factor is old-fashioned bandwidth. You can only be one place at a time. If I spend my days on Twitter, I’m not likely to spend my days on said doctor’s network. I will go there for particular things and to talk to certain people about specific issues, but like most doctors I’m not sure I can tell you exactly what I want. I’ll know it when I see it. (Actually I do, but I’m keeping it tip-top secret.) Read more »
*This blog post was originally published at 33 Charts*
December 8th, 2010 by DrWes in Better Health Network, Opinion
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The pros and cons of social media for physicians are nicely reviewed by a number of prominent medbloggers (including yours truly) by Bonnie Ellerin in her recent white paper (pdf). An excerpt:
There is a profound change sweeping the world of medicine. Technology is the driver, but it has nothing to do with a new drug, device or procedure. Rather it is about the change in physician behavior and mindset that technology — the Internet more specifically — has unleashed. Today, physicians of all ages and specialties are online, whether via laptop, desktop, or mobile.
With physicians’ acceptance of technology has come a new type of openness among a small but growing number. In the past, the only doctors who were likely to air views publicly were medical journalists. But, today, there are physicians who blog, tweet, email with patients, post videos, even check-in on Foursquare. If you have any doubt, just look at the “Favorite Blogs” section of a physician blogger or scan the list of followers/following of any doctor on Twitter, and you’ll get a sense of how many of them are getting social. Far more than you thought.
Read more HERE.
-WesMusings of a cardiologist and cardiac electrophysiologist.
h/t: @hjlucks on Twitter via Smartblog On Social Media.
*This blog post was originally published at Dr. Wes*
