September 28th, 2011 by Michael Kirsch, M.D. in Opinion
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How much are good bedside manners worth? Would you double your copay if you could be guaranteed an extra measure of TLC from your physician? Can we put price on a physician’s warm smile, an understanding nod or a reassuring hand on your shoulder? Do patients have to contract with a concierge medical practice to receive this treatment?
I agree that our bedside manners with patients need some rejuvenation. It’s not fair, however, to isolate this issue out of context. Physicians today are facing crunching pressures from various sources that we cannot always compartmentalize when we are facing our patients – even though we should. Most folks believe that the bedside manners of the prior generation of physicians were superior to ours. Were our predecessors simply more compassionate and caring human beings than we are? I don’t think so. I think the medical profession was a different beast then. I hypothesize that if these wizened physicians entered the profession today, that they would behave differently.
Context is so critical when examining any issue. Read more »
*This blog post was originally published at MD Whistleblower*
September 28th, 2011 by Bryan Vartabedian, M.D. in Opinion
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It seems that there are medical schools taking the initiative to help their students become more compassionate. It’s a worthy goal but I don’t know if it’s possible. We can teach individuals to act compassionate. But that, of course, is different from being compassionate. While there may be literature to support the cause, I don’t think that a curriculum can cultivate empathy.
Is it possible to change a student or doctor’s heart? Of course, I see it all the time. But not from role playing or small groups. It’s human circumstances that drive change. Personal loss and life experience tempered by introspection and humility change how we see those around us. It’s only when we recognize our own vulnerability that we can begin to see it in others. This doesn’t happen in a classroom. Read more »
*This blog post was originally published at 33 Charts*
September 10th, 2011 by Berci in Uncategorized
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One of the best initiatives in social media and healthcare I’ve recently seen is definitely the Radboud REshape Academy.
Finding for our path to migrate into real participatory healthcare we come across a lot of interesting people, information, innovations and most of all questions.
Right from the beginning we started to share, with our network. We have been doing this with our conferences, our research, our lectures and through field trips made to our Radboud REshape & Innovation Centre for HC institutions, insurers, government and other people interested in changing healthcare. And of course our Innovation Centre.
In setting up The Radboud REshape Academy (@REshapeAcademy on twitter) we would like to create Read more »
*This blog post was originally published at ScienceRoll*
September 3rd, 2011 by Michael Kirsch, M.D. in Health Policy, Opinion
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There was an extremely popular game show where several times each episode the emcee would shout out, “Survey Said!”. Of course, this was just a game, not real life. Now, several times each week I am asked to respond to surveys. They pop up uninvited on the internet and are often veiled advertisements for products and services. They are on the back of receipts from coffee houses and doughnut shops. Is it worth 10 minutes of my time clicking through the doughnut survey for either a free chocolate frosted doughnut or the chance to be entered into the grand prize drawing months later? Hotels I stay at routinely follow-up with e-mail surveys for my feedback. I suspect most folks delete these instantly, which skews the customer base to those who do respond. (Remember, disatisfied folks are often more motivated to give feedback than the rest of us are.) How often do we call a restaurant, a retail store, a bank or even a doctor’s office to offer hosannas about great service?
Medicare recently released fascinating patient-survey data that raises interesting issues. In over 120 hospitals, patients rated the hospitals very highly, despite high death rates for heart disease and pneumonia. So, who do we believe here, the patients or the death rates? I wonder if the patients’ survey results were more optimistic since only the live ones were available to complete them.
Surveys are now serious bu$ine$$. Read more »
*This blog post was originally published at MD Whistleblower*
August 26th, 2011 by Davis Liu, M.D. in News, Opinion
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The New York Times recently published an article titled, Finding a Quality Doctor, Dr. Danielle Ofri an internist at NYU, laments how she was unable to perform as well as expected in the areas of patient care as it related to diabetes. From the August 2010 New England Journal of Medicine article, Dr. Ofri notes that her report card showed the following – 33% of patients with diabetes have glycated hemoglobin levels at goal, 44% have cholesterol levels at goal, and a measly 26% have blood pressure at goal. She correctly notes that these measurements alone aren’t what makes a doctor a good quality one, but rather the areas of interpersonal skills, compassion, and empathy, which most of us would agree constitute a doctor’s bedside manner, should count as well.
Her article was simply to illustrate that “most doctors are genuinely doing their best to help their patients and that these report cards might not be accurate reflections of their care” yet when she offered this perspective, a contrary point of view, many viewed it as “evidence of arrogance.”
She comforted herself by noting that those who criticized her were “mostly [from] doctors who were not involved in direct patient care (medical administrators, pathologists, radiologists). None were in the trenches of primary care.”
From the original NEJM article, Dr. Ofri concluded Read more »
*This blog post was originally published at Saving Money and Surviving the Healthcare Crisis*
How much are good bedside manners worth? Would you double your copay if you could be guaranteed an extra measure of TLC from your physician? Can we put price on a physician’s warm smile, an understanding nod or a reassuring hand on your shoulder? Do patients have to contract with a concierge medical practice to receive this treatment?
