Archive for Health Care Quality
What we can learn from Avarind and McDonald’s.
Watch this remarkable TED talk on how one man used McDonald’s as a template for providing world-class eye care to millions in India.
Dr. Richard Reece points out something that has been glaringly obvious to me: the intense desire to make everyone accountable for a patient’s health, except the patient himself.
June 6, 2011 – U.S. health system critics and health reform zealots often close their minds to a major cause of poor outcomes – lack of patient compliance. Instead , they attribute poor outcomes to lack of universal coverage, socioeconomic distress, or the profit-seeking medical industrial complex.
To say bad outcomes stems from bad behavior to cultural and peer conformity is unmentionable and therefore unspeakable because patients are sacred. Criticism of patients as a source of bad results is off-limits. It is viewed as bad politics. These are potential voters you are criticizing.
Read the rest here.
by Jordan Grumet, MD
One physician’s experience practicing medicine, and his view of the threat government bureaucracy poses to quality medical care:
I see such change coming. Medical homes … pay for performance … bundled payments … employed physicians … the endless jargon of health care reform. And my anxiety grows. For those who practice ineffectively some of these government intrusions will undoubtedly bring them in line. But for some of us … those who have prided themselves on cost effective, efficient care … these changes will just slow us down. They will make it harder to get reimbursed at our current level. They will produce more silly administrative hoops to jump through. More useless pain. Eventually many of us will leave. ..
It makes me sad. And makes me think … the reformers … the government. … I wish they would just leave me alone.
Full article here.
Dr. Hal Scherz, president and co-founder of Docs4PatientCare, has had a number of Op-Ed’s published in the WSJ. This latest is his best one and hits directly on the topic of how the PPACA is going to alter the doctor-patient relationship–and NOT for the better. He quotes extensively from a letter that D4PC is recommending physicians post in their offices or hand out to their patients:
“Dear Patient: Section 1311 of the new health care legislation gives the U.S. Secretary of Health and Human Services and her appointees the power to establish care guidelines that your doctor must abide by or face penalties and fines. In making doctors answerable in the federal bureaucracy this bill effectively makes them government employees and means that you and your doctor are no longer in charge of your health care decisions. This new law politicizes medicine and in my opinion destroys the sanctity of the doctor-patient relationship that makes the American health care system the best in the world.”
Read the rest of the editorial here.
The full D4PC letter is posted here.
As the health care bureaucracy grows, so does the paperwork.
Paperwork, or documentation, takes up as much as a third of a physician’s workday; and for many practicing doctors, these administrative tasks have become increasingly intolerable, a source of deteriorating professional morale. Having become physicians in order to work with patients, doctors instead find themselves facing piles of charts and encounter and billing forms. —NYT 4/8/10
Paperwork is also taking more and more time away from patient contact and direct patient care…[more]