Posted on 12/04/2013 6:40:09 PM PST by Innovative
The rise of nonphysician providers will enable more team care. Skilled health aides will monitor patients at home and alert a doctor if certain medical parameters decline. Nurses will provide wound care to diabetic patients, adjust medications like blood thinners and provide the initial management of chemotherapy side effects for cancer patients. Pharmacists will provide more counseling and urgent care. Physicians will remain essential to the proper diagnosis and treatment of disease, but will be backed up by teams who will help manage the more routine features of chronic illness.
(Excerpt) Read more at nytimes.com ...
the rabid documentation cycle is the stage before the professional is expected to be unavailable... with the theory they will be able to replace the professional with a guy fresh off the friolator
Jeremiah 31:7-8 For thus saith the LORD; Sing with gladness for Jacob, and shout among the chief of the nations: publish ye, praise ye, and say, O LORD, save thy people, the remnant of Israel. Behold, I will bring them from the north country, and gather them from the coasts of the earth, and with them the blind and the lame, the woman with child and her that travaileth with child together: a great company shall return thither.
Makes sense WRT Obamacare. After large numbers of good American Jewish doctors escape by making aliyah, the blind and lame and the expectant mothers "from the north country" will want to flee Pharaobamacare in order to follow their doctors and live. Pharaohcare has a history of infanticide.
Interesting that the coasts/sides of the land are mentioned. Those are notorious urban blue zones that prefer the iron fist of Obama's beast.gov.
No there won’t be a doctor shortage... PERIOD~!
- ISN’T DOC ZEKE GETTING TO OLD TO BE “USEFUL”?
Shades of Mao’s “Barefoot Doctors”. I remember how the Left gushed over that...
Group visits, foreign grads, NPs, PAs will pick up the slack, so maybe there will be no shortage of primary care.
But, specialists cannot be replaced as easily, and I think it’s a fairly safe bet that the rate of retirements of critical specialists such as orthopedics, cardiologists, neurosurgeons, and oncologists will outpace the replacement rate at least in the short run. These specialists need to go through residencies that take 4-8years before they can sit for the specialty exam and practice in their field. These rules cannot easily be changed by fiat, even in a dictatorship.
That being said, I think that the architects of 0-care are intent on destroying specialty care. That’s because, almost all medical innovation, life extension and cost are a result of advances in the specialities.
Shame on Gottlieb for putting his name to this article. To point to the MA experience is disingenuous, at best.
MA has one-third more doctors than the rest of the country—and still more than half of of primary care practices are closed to new patients, up from 30% in 2007 (Romneycare was passed in 2006); while data show that low doctor-to-patient ratios (e.g., comparing MA to MS) result in worse outcomes:
http://www.massmed.org/patientaccess/#.Up_8IeInMUM
http://www.boston.com/lifestyle/health/blog/shortwhitecoat/2011/12/where_are_all_the_doctors.html
http://healthcarenews.com/mmss-physician-study-shows-5-consecutive-years-of-primary-care-shortages/
This year’s study of wait times in MA found for the first time that doctors were requiring patients to meet with a nurse or nurse practioner before scheduling to meet with the doctor
Those practices weren’t even included in their stats on the wait time to see a doctor.
In two counties in MA, the average wait time to see a new physician (for those accepting new patients) was over 100 days!
The slimes at the Times are starting to worry about their Dear Leader. Things aren’t looking any better even after the fix is in.
In other news... highway bridges will now be designed by barristas... and your airliner will be piloted by remote control by a kid on his PS4 in mom and dad’s basement.
I agree. Separate but related rant, really.
Still, it seems like having a class of professionals who can deal with the most routine issues and provide immediate referrals upward would be a positive, overall.
That way, there would be opportunities all around. If someone gets this level of education, they can make a nice living treating the endless stream of very minor and routine issues doctors deal with, doctors will have more time for the complicated cases, and anyone who’s absolutely hellbent on having someone with MD on their name instead of NP or PA is welcome to plunk down the extra bucks for the level of care they feel they deserve.
You completely miss the point. It takes 10 years of training to be able to figure out when it’s NOT “ just simple sutures, or a sinus or bladder infection.” Did that lac actually involve a tendon laceration? Is that sinus infection actually venous sinous thrombosis? Is the bladder infection actually an infected renal stone, or cancer?
I’ve practiced ER for almost 30 years, can’t tell you how many times “ simple” things turn out to be anything but.
Just like in the old Soviet Union, every nurse’s aid was called a “doctor” to boost their doctor-patient ratio numbers.
Centrally planned economies - LIE, COOK THE BOOKS...
Not to mention, preventive care. Obama had no intention of remedying this, of course, it’s just that they system is ailing; it thrives on illness, has made advances it cannot afford, and Obama moved in to take it over like a parasite on a sick tree.
The next step, if and when Obama and Hillary ever get out of our way and stop oppressing our lives, is to focus on eating well, knowing how to treat illnesses, taking control of our selves, and being ore responsible for the health of our families, teaching, etc.
Full service gyms, health food & supplement stores, and organic food markets know. They know prevention, as the free market has prevailed in this arena, and they are clear of the medical community, but the health food stores, supplements, will tell you, Obama is encroaching on these industries. He is NOT at ALL about providing health care.
But people are so completely out of touch with their bodies and irresponsible for their health care that they cannot discern health care versus complete government control and greed.
If the insurance companies ever figure out that they don’t have to be so greedy and get into supplementing health care, in a real way, fine. But BO and Hillary will do what they can to prevent it.
You nailed it with the concept of “ fragmentation of care”.
As an ER doc I see it every day. Patients with complex medical issues who don’t have a primary MD they see to coordinate their care. So NO ONE knows what’s going on with the patient as a whole. I ALWAYS recommend people who have serious issues find a primary physician . Also very important, have him give you an ACCURATE UP TO DATE. List of your medical problems, and of your medications, keep it up to date and on you at all times. It might save your life if you need to go to the ER.
I’m in pharmacy school now. I am there to become a pharmacist, not a pseudo-physician.
One thing that the profs pound into your head from Day One is “You are not a physician - you do NOT diagnose!” Sounds like Dr Zeke didn’t get the memo.
Nope, no doctor shortage...we'll just share the one doc we've got as we all spill our guts in a group-therapy session about our hemorrhoids, dyspepsia, and diarrhea.
Figures.
The Obamabot mental midgets have drunk way more of the Obamakoolaid than is safe for their intelligence.
The can't tell the difference between a "doctor" and "skilled health aides."
Obama may be the only known elected official stupid enough to keep trying to redefine the English language and actually believe it works.
I suppose the ebonics crowd is big enough make it appear as if it works.
Was in Hospital last week. ALL PA’s. No Drs except one seeing over 100 patients.
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