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Are hospital ads just unregulated false hope? Print E-mail
Written by Elina Serrano | KevinMD   
Tuesday, 26 December 2017 19:07
In a world where health care is defined by consumerism, positive health care campaigns like “Redefining Possible. The profound and unstoppable power of yes” and “Making Cancer History” have been directly targeting consumers in an effort to thrive in an increasingly competitive marketplace. Health care reform is partly responsible for the increase in hospital advertising, as customers now have a greater agency to choose where they seek care. But how common is this practice of positive health care marketing and how does it affect patients?
Last Updated on Tuesday, 26 December 2017 19:11
Do quality metrics really improve patient care? Print E-mail
Written by FHI's Week in Review   
Monday, 18 December 2017 18:35

Fred N. Pelzman, MD states, in a Dec. 13, 2017 KevinMD post, "178 measures. This is what we're up to - the collected compilation of quality and performance metrics for our ambulatory care network, across all the different divisions."

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Last Updated on Wednesday, 27 December 2017 17:03
Between Patients: The Myth of Multitasking Print E-mail
Written by A Country Doctor Writes   
Thursday, 07 December 2017 00:00

Primary care doctors don't usually have scheduled blocks of time to read incoming reports, refill prescriptions, answer messages or, what we are told the future will entail, manage their chronic disease populations. Instead, we are generally expected to do all those things "between patients". This involves doing a little bit of all those things in the invisible space between each fifteen minute visit, provided we can complete those visits, their documentation and any other work generated in those visits, in less than he fifteen minutes they were slotted for.

Last Updated on Friday, 08 December 2017 19:23
Physicians must embrace the business side of medicine Print E-mail
Written by FHI's Week in Review   
Monday, 27 November 2017 00:00

Davis Liu, MD asserts in a KevinMD post dated November 26, 2017 that the "issue lies in the false dichotomy...often create<d> by asking whether physicians or business people should ultimately be responsible for hospital care."

Read more in the current issue of Week in Review>>

Last Updated on Friday, 01 December 2017 17:42
Why Curbside Consults are Dangerous Print E-mail
Written by MD Whistleblower   
Monday, 13 November 2017 00:00

One of the skills and stresses about being a doctor is giving advice to or about patients we have never seen. If readers think these are rare events, it happens nearly every day.  Often during weekend or evening hours when I am on call, my partners' patients will call with questions on their condition or about their medications. Radiology departments contact me during off hours with abnormal CAT scan results of patients I do not know. Or, a doctor may call me during the day for some informal advice about one of his patients. These physician-to-physician inquiries are called 'curbside consults', which are appropriate for simple questions that do not require a formal face-to-face consultations.

Physicians must be cautious when providing a curbside opinion on a patient he has not seen as even informal advice could result in legal exposure if the patient later files a medical malpractice claim. Consider this hypothetical example...

Last Updated on Tuesday, 14 November 2017 19:32
Polypharmacy in the Elderly: Who's Responsible? Print E-mail
Written by MD Whistleblower   
Tuesday, 07 November 2017 20:17
There's a common affliction that's rampant in my practice, but it's not a gastrointestinal condition. It's called polypharmacy, and it refers to patients who are receiving a  pile of prescription and other medications. I see this daily in the office and in the hospital. It's common enough to see patients who are receiving 10 or more medications, usually from 3 or 4 medical specialists.
Last Updated on Tuesday, 12 December 2017 19:48
Caught between two paradigms Print E-mail
Written by A Country Doctor Writes   
Friday, 20 October 2017 17:27
In the very near future, clinics like ours will be paid according to how well our patients do medically, or at least according to how consistently we provide certain medical tests and interventions. This includes frequency of diabetic blood tests, foot exams, eye exams, prescriptions for heart and kidney protective medications, achievement of pre-set targets for blood pressure, body mass index and immunization rates, and other measurable "quality indicators".
But paychecks for medical providers as well as short term financial viability of clinics like my Federally Qualified Health Center depends, besides Federal grants for being open in the first place, almost entirely on the fixed revenue we receive from every face to face encounter we have with patients.
Last Updated on Friday, 20 October 2017 17:29
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