Patient complaints do not fit the primary care office visit

by Kevin Pho, MD

Primary care physicians often have to see patients with a litany of issues.  Often within a span of a 15-minute office visit.

This places the doctor in the middle of a tension — spend more time with the patient to address all of the concerns, but risk the wrath of patients scheduled afterwards, who are then forced to wait.

And, in some cases, it’s simply impossible to adequately address every patient question during a given visit.

It’s a situation that internist Danielle Ofri wrote recently about in the New York Times.

In her essay, she describes a patient, who she initially classified as the “worried well”:

via kevinmd.com

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Electronic Health Records: Status, Needs and Lessons – 2011 Report Based on 2010 Data

The use of electronic health records (EHRs) by medical practices and other organizations in the United States has increased measurably in the past decade. Despite the potential to improve the quality of patient care and enhance practices' financial performance, the technology remains far from universal.

To better understand the current state of EHR use, MGMA conducted a study funded by PNC Bank to explore the barriers and benefits of EHR adoption. MGMA collected data between Oct. 1, 2010, and Nov. 9, 2010, from 4,588 healthcare organizations nationwide that responded to the survey. The data represent the aggregate experience of more than 120,000 physicians in medical practice.

via blog.mgma.com

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amednews: Model legislation drafted for out-of-network balance billing :: March 29, 2011 ... American Medical News

A legislative organization calls on hospitals, insurers and physicians to disclose when patients must pay for care.

By Emily Berry, amednews staff. Posted March 29, 2011.

As several states consider whether, or how, to restrict balance billing by out-of-network physicians, the National Conference of Insurance Legislators on March 6 adopted model legislation on the issue.

Rather than explicitly banning or allowing physicians to bill patients when insurance doesn't cover what a physician is owed, the model legislation calls for greater transparency on the part of hospitals, insurers and doctors to alert patients to the possibility that they could end up paying out of pocket for care.

The model bill builds on laws recently adopted in Louisiana and Texas, according to NCOIL's announcement.

via ama-assn.org

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Doctors' house calls making a comeback - USATODAY.com

Dr. Ina Li walked down the seventh-floor hallway of a local apartment building recently, pausing at each door to check the number.

She finally found the one of her patient, Katherine Talmo.

It's easier for Talmo if Li, a geriatrician, comes to her. The 90-year-old doesn't get out nearly as much since she stopped driving nine years ago. But she is determined to stay in her home.

"If I was in a nursing home, I'd only live for one more year," she said. "But if I live at home, I'll live to be 100."

The notion of doctors making house calls harkens back to an era before HMOs, medical centers and outpatient surgery centers.

Those visits offer insights not available during a 15-minute office visit. Doctors learn more about a patient's lifestyle, eating habits, their ability to take medicine and exercise.

via usatoday.com

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