There are few situations in which the standard of care is so clear-cut as to preclude physician judgment. Assessing the degree of need (not just the standard of care) when asking a patient to spend money requires judgment.
Physician employment adds a practice management stakeholder to the patient-physician encounter, a stakeholder whose financial interests differ from those of physicians in solo or group practice.
William Martinez, MD, MS and Thomas H. Gallagher, MD
Running away from the problems and inefficiencies of our current health care system and into the comforts of concierge medicine does little to advance health and well-being for the vast majority of people.
Publicizing physician ordering information as a way of peer-pressuring hospital employees into cutting costs is likely to have unintended consequences.
When a patient requests an unfamiliar treatment, the physician should not hesitate to research it before giving a categorical reply about its safety or efficacy.
Medicaid is a vital piece of health care for children; any decision to close a practice to new Medicaid patients means more preventable illness, more severe, acute illness among children, and an overloaded community emergency department.
Teamwork is the key. Hospitals are full of nurses, case managers, and social workers, all striving for better patient care. Communicate with these caregivers to find out what they do for patients and how you can help.
The guidelines for patients’ eligibility for bariatric surgery have not changed since 1991, although recent data suggest there may be indications for broadening application of the surgery.