September 1st, 2010 by StevenWilkinsMPH in Better Health Network, Health Policy, Opinion
No Comments »
Hint: Being Designated As A Patient-Centered Medical Home Is Not One
We hear a lot about patient-centered care these days. In particular, a growing number of physicians across the country are now referring to their practices as a “Patient-Centered Medical Home.”
But how can you tell if your physician’s practice really is patient-centered, no matter what he or she may call themself? More importantly, why should you care? What is patient-centered care, you ask?
It’s quality care delivered in a manner where you feel that your provider:
- Knows who you are personally as well as clinically.
- Understands, respects and honors (where practicable) your previous health experiences, beliefs and preferences.
- Facilitates and supports your health choices and behavior barring a serious conflict of beliefs or principles.
Since each of us possess a different set of experiences, beliefs and preferences, patient -entered care by definition is tailored to individual patients. Read more »
*This blog post was originally published at Mind The Gap*
August 10th, 2010 by DrRob in Better Health Network, Health Policy, Opinion
1 Comment »
Dr. Wes (a cardiology blogger whom all should read) wrote a very compelling post about technology and the bondage it can create for doctors:
The devaluation of doctors’ time continues unabated.
As we move into our new era of health care delivery with millions more needing physician time (and other health care provider’s time, for that matter) –- we’re seeing a powerful force emerge –- a subtle marketing of limitless physician availability facilitated by the advance of the electronic medical record, social media, and smartphones.
Doctors, you see, must be always present, always available, always giving.
These sound like dire words, but the degree to which it has resonated around the Web among doctors is telling. Read more »
*This blog post was originally published at Musings of a Distractible Mind*
August 9th, 2010 by StevenWilkinsMPH in Better Health Network, Health Policy, Opinion, Research
No Comments »
Anyone who’s ever been downsized or otherwise lost a job knows the feelings: Personal loss (social, financial and routine), self doubt, and in some cases fear of what the future will bring. Unemployment and its cousin, underemployment, are not subjects that a lot of people are comfortable brining up in polite conversation — even with their doctor.
Given today’s tough economic environment, chances are that 15 to 20 percent of the people sitting in most doctors’ waiting rooms are out of work. Do you know who they are? You should. Read more »
*This blog post was originally published at Mind The Gap*
July 28th, 2010 by RyanDuBosar in Better Health Network, Health Policy, News, Research
No Comments »
While the “patient-centered medical home” may be a good idea, it needs a better name. It sounds like a hospice, reports surgeon and columnist Pauline Chen, M.D. She outlines the initial experiences of practices making the transition to the new practice model.
One problem uncovered by pilot projects is that doctors in transition to the practice model have to spend inordinate amounts of time of things other than patients. And while the patients want and welcome the changes, they face a learning curve too, as they move from seeing just the doctor to working with a team of providers for their care.
Physicians suggested using resources from the Patient-Centered Primary Care Collaborative, a collaborative group set up to help offices make the transition. (New York Times)
*This blog post was originally published at ACP Internist*
July 26th, 2010 by BobDoherty in Better Health Network, Health Policy, News, Opinion
No Comments »
Many conservatives are up-in-arms about President Obama’s decision to appoint Don Berwick, a pediatrician and renowned expert in quality improvement and patient safety, to lead the Center for Medicare and Medicaid Services (CMS). They object to Dr. Berwick’s views on a range of issues, and to Obama’s decision to use his office’s authority to appoint Dr. Berwick while the Senate was out on a short Independence Day holiday recess. As a “recess appointment,” Dr. Berwick was able to take office without Senate hearings and confirmation, but he can only serve through the end of the 111th Congress — that is, until the end of 2011 — unless ratified by the Senate.
Berwick, though, also has many supporters. Maggie Mahar articulates the “pro” viewpoint on Dr. Berwick’s appointment in a recent Health Beat post. She observes that two former CMS administrators who served in Republican administrations have commented positively about Dr. Berwick’s qualifications. Read more »
*This blog post was originally published at The ACP Advocate Blog by Bob Doherty*