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submitted by: admin on 09/19/2013
Physicians are primarily concerned with providing the best laboratory tests and patient care possible, and cost is not a huge consideration. A study published in Internal Medicine in April of 2013 showed that if hospitals would post the cost of tests on lab requisitions that MDs would pay more attention to ordering fewer and less expensive tests. In...
submitted by: admin on 09/20/2013
Ideally there should be a partnership between patients and doctors and the Internet has empowered patients to participate more so in their care. The authoritarian role of the MD is changing. HMO medicine is discussed.
submitted by: admin on 10/05/2024
We are losing personalized care with HMO medicine. The one size fits all approach, lack of personal continuity, and fragmented care is now what is offered. Medicine is becoming a job rather than a passion.
submitted by: admin on 10/05/2024
Hospital environments leave much to be desired for comfort. Convenience in the hospital is more for the staff but at home it is the reverse. HMOs are starting to pay for home care. The pros and cons are addressed.
submitted by: admin on 10/22/2018
If you are frustrated with the limited time your doctor has during your office visit, be prepared for this to get even worse. According to a study published in the October 2014 issue of the International Journal of Health Services, the average doctor now spends nearly 17% of his or her time on billing, obtaining insurance approvals for services, financial...
submitted by: admin on 09/24/2013
What happened to Drs. Marcus Wellby, Ben Casey, and Kildare? How did physicians lose control of the practice of medicine? It began in the late 1980s when MDs refused to deal with the cost of delivering health care. They took the perspective that they would help their patients, but wanted nothing to do with regulating healthcare services. They gave...
submitted by: admin on 09/24/2013
ObamaCare, or the Affordable Care Act, will bring 50 million new people into the Medicaid program, but who will pay for this and who will take care of them? Most MDs cannot afford to treat patients in Medicaid because reimbusement for services is far too low. The quality of care will drop and access to care will take time to take effect.
We're...
submitted by: admin on 10/08/2013
Before going to medical school it is very important that students take a careful look at what being a physician means today. HMO medicine has changed the way medicine is practiced and health care has become a business first and service second. There are many health care disciplines are available and students should consider each of these disciplines...
submitted by: admin on 10/09/2013
Insurance companies depend on our being sick to make a profit. Physicians released the purse strings of medicine to the insurance industry. Now they control the practice of medicine. MDs need to take back this financial authority..
submitted by: admin on 10/10/2013
A survey of US primary care MDs revealed that 42% believe they administer too much medical treatment. The reasons are related to malpractice concerns, clinical performance measures, inadequate time with their patients. They believe that are paid more to do more and exposed to legal punishment if they do less. Medicine is now a business first and a service when...
submitted by: admin on 10/05/2024
In an article published in the American Journal of Preventive Medicine in 2012 it was determined that MDs are not ordering preventive screening tests very often. Perhaps they don't have sufficient incentive, but they certainly don't have much time in today's HMO medicine. Even though they receive automated reminders, only a few tests, such as colonoscopy,...
submitted by: admin on 10/12/2013
Occupy Wall Street is now a global movement to stop the greed of corporate America that is oppressing 99% of the middle class and poor. The effects of this greed on health care are reviewed as Dr. Len points out that even though there are 30 million more Americans who'll quality for Medicaid, that the quality and extent of services are being soundly compromised....
submitted by: admin on 02/18/2015
One in every 10 people who get a stent for a blocked coronary artery ends up in the hospital within 30 days according to a Duke Medical Center article in Archives of Internal Medicine in November of 2011. In this study of 13,000 patients over 10 years have complications such as bleeding or a heart attack. Of these patients, 8% died within a year and...
submitted by: admin on 10/14/2013
Many MDs are leaving practice as HMO medicine is becoming more prevalent. There is a high level of discontent that has led them to retire early or find other work that does not involve seeing patients.
submitted by: admin on 10/14/2013
The Institute of Medicine calculates that there are 50-100,000 unnecessary deaths in the US every year. This number is likely much higher because of under-reporting. Personalized health care and working with causes rather than suppressing symptoms. We also need to work together...integratively.
submitted by: admin on 10/17/2013
A survey of more than 7000 MDs that was published in the August 2012 issue of Archives of Internal Medicine showed that nearly 50% were suffering from burnout. Thirty eight percent had high emotional exhaustion, 29% felt depersonalized, and 12% had a low sense of accomplishment. MDs at the front line of care were at the greatest risk. They work too...