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Sunday, December 19, 2010

Everything about medicine is now big business, KevinMD

Medicine used to be different. Doctors couldn’t do too much for you. They didn’t get paid very much and they were focused more on helping than on managing a business.
Hospitals were community-based not-for-profit or public entities. Drugs and devices were not as sophisticated or expensive, and they weren’t marketed directly to consumers. Well Toto, we’re not in Kansas anymore.
After witnessing our “healthcare reform” process you must have seen that almost everything about medicine is now big business. If you don’t know that by now, you’re not paying attention.
Yes there are still some “little guys” out there, but they’re playing by big business’ rules. What does that mean for you? Hang on, I’m coming to that.
Now it’s often said ” the first rule of business is to stay in business.” It’s not wrong either.

via kevinmd.com

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Monday, December 6, 2010

Health reform will bring need for more nurses in Oklahoma | NewsOK.com

More Oklahomans could soon hear: “The nurse will see you now.”
The prescription for hospitals and doctors' offices, which will get even busier as health care reform brings millions more people to their doorsteps, may be highly trained nurses with greater authority.

Those nurses should practice to the full extent of their education and be full partners with doctors as health care reform collides with an aging population and a reduction in primary care doctors, according to the Institute of Medicine and the Robert Wood Johnson Foundation.
“This is such a historic, monumental prescription for change,” said Marvel Williams, the dean of the nursing school at Oklahoma City University.
“I know there will be some people out there among other health care professions, particularly, who are a bit nervous about the role nurses are expected to take, based on these recommendations.”

via newsok.com

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Sunday, November 14, 2010

Facing doctor shortage, 28 states may expand nurses' role - USATODAY.com

A nurse may soon be your doctor. With a looming shortage of primary care doctors, 28 states are considering expanding the authority of nurse practitioners. These nurses with advanced degrees want the right to practice without a doctor's watchful eye and to prescribe narcotics. And if they hold a doctorate, they want to be called "Doctor."

For years, nurse practitioners have been playing a bigger role in the nation's health care, especially in regions with few doctors. With 32 million more Americans gaining health insurance within a few years, the health care overhaul is putting more money into nurse-managed clinics.

PRIMARY CARE: As shortage looms, doctors cut work hours

GENERAL PRACTICE: Losing its pull among med students

NURSES: Already covering more

Those newly insured patients will be looking for doctors and may find nurses instead.

The medical establishment is fighting to protect turf. In some statehouses, doctors have shown up in white coats to testify against nurse practitioner bills. The American Medical Association, which supported the national health care overhaul, says a doctor shortage is no reason to put nurses in charge and endanger patients.

Nurse practitioners argue there's no danger. They say they're highly trained and as skilled as doctors at diagnosing illness during office visits. They know when to refer the sickest patients to doctor specialists. Plus, they spend more time with patients and charge less.

via usatoday.com

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