Need all your fingers and toes to count the Medicare "quality" initiatives doctors have to comply with, and many are responding with a certain finger to those programs.
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Accenture surveyed physicians in six countries regarding use of health information technology.
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According to a survey from Vitals, belonging to their health plan's network is far and away the primary factor in selecting a doctor and only 30% are fully satisfied with their current physician.
http://www.vitals.com/about/posts/press-center/press-releases/seventy-percent-americans-just-arent-doctor-patient-relationshipAccording to research in the British Medical Journal, primary care doctors who dress more formally are often more trusted by and develop better rapport with patients, although the results may vary by age, specialty and other demographic factors.
http://bmjopen.bmj.com/content/5/1/e006578.abstract?sid=17a0d689-f452-4247-a8fa-e1fe9348ffc0Medscape reports on a survey of physician "burnout", which you have to imagine could affect quality.
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One of the unintended consequences of all the requirements to use HIT has been the creation and growth of a whole new category of health care employee--the medical scribe.
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A new study examines whether requiring physicians to periodically re-certify will improve quality or lower costs.
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A few years safety concerns led to more limits on the hours residents worked. Of course, research published in JAMA shows that those limits haven't led to any better quality or less safety issues.
http://consumer.healthday.com/general-health-information-16/doctor-news-206/cutting-physicians-in-training-hours-hasn-t-improved-patient-care-694471.htmlA survey of doctors from the Physicians Foundation finds high levels of stress and dissatisfaction with many aspects of the practice of medicine.
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Happy Halloween!! A scary item for physicians is apparently Medicare's quality reporting programs, according to an MGMA survey.
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Research published in the Journal of the American Medical Association reveals that less physician competition results in higher prices, exactly as traditional economics would predict.
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A Medscape-sponsored survey of physicians explores their attitudes toward various payers and other matters.
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Research published in the Journal of the American Medical Association confirms that when hospitals own physician practices, outrageously higher total health spending per patients results, as much as 20%.
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About this Blog
The Healthy Skeptic is a website about the health care system, and is written by Kevin Roche, who has many years of experience working in the health industry. Mr. Roche is available to assist health care companies through consulting arrangements through Roche Consulting, LLC and may be reached at khroche@healthy-skeptic.com.
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