Your doctor has sold his practice: 6 tips for patients (tips are also good for doctors not selling their practice!)
I’m not sure I’d have the chutzpah to ask about performance requirements or conflicts of interest.
But maybe if I went to an office visit with these types of questions written down, I would be more likely to ask them!
(As an aside, I accompanied my mom to outpatient surgery yesterday. The only way I could assure myself I would
ask the surgeon a few questions while mom was in post-op…was to write them down and have them “on display” in what is now called the “interview room”. The surgeon did take note of the scrawled questions and was ever so patient and answered each one completely.
Granted, these were questions related to how to take care of my mom, not his performance requirements or conflicts of interest.
Still, I think I could build on writing down questions about how to take care of oneself or others to include questions relating the necessity of a medical test or procedure.)
I am not sure about two of the points.
Would anyone in the doctor’s office really be candid about performance requirements? Or even know about them?
The office staff has at least the potential about conflict of interest. They work for the doctor (and by extension any health organization the doctor belongs to which could be the source of a conflict of interest!) Maybe it would be best to ask the doctor directly.
Online databases and forums are most likely not objective. They only record input from folks. And the input is not evaluated for “truth”.
Crowdsourcing at times can point to the truth, but I believe at times crowds can be misinformed (and act on rumors). And I don’t think that online databases/forums can readily distinguish when reports are based on fact or falsehoods.
When doctors sell their practices to hospitals or networks, the practices are typically restructured. When they restructure, the new arrangement can put the doctor under more pressure to treat you (the patient) more “economically,” so as to generate more income. This can mean ordering tests or prescribing medicines that you may or may not need – things that are more for “let’s just be safe” and would be avoided in a private practice.
What does this all mean for you as a patient? Other than potentially higher medical costs, possible deterioration in treatment, and a lack of personal attention as a person, it boils down simply to a conflict of interest. In other words, there is greater potential for disagreement regarding what is in your best interest according to convention and how the doctor or hospital treats you…
- First, when your doctor is recommending tests or treatments or hospitalization for you, take the time to ask if you really the treatments – ask if the doctor would do the same for a family member
- Second, ask for a second opinion to determine if you need the recommended care – this should be your standard reaction when tests are ordered…
- Doctors took money, wrote treatment guidelines (HeraldReview.com)
- Doc faulted for overmedicating patient made big bucks teaching other docs how to prescribe (Syracuse.com)
- Physicians Cautioned about Divided Loyalty between Patients and Hospitals (labsoftnews.typepad.com)
- Physicians fail to disclose conflicts of interest on social media (medicalxpress.com)
- Patient power troubles GPs (theage.com.au)
- The empowered patient (theage.com.au)
- Follow the Money: Hospitals and Doctors Put Profits over Care (mcntalk.com)
- UVa Med Center Gets “D” Grade for Patient Safety (newsplex.com)
- AMA Reaches Out to Doctors To Remind Them Patient Welfare Must Come First As Rising Pressures From Insurers and Hospitals Can Surmount At Times (ducknetweb.blogspot.com)
- One in three have online medical record, many without knowledge – Telegraph [del.icio.us] (telegraph.co.uk)
- Medical bill saga is tip of morass of healthcare issues (gazette.com)
- Beyond Informed Consent: Shared Decision-Making|Harriet Hall|Science-Based Medicine (sciencebasedmedicine.org)
No comments yet.