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The Water Cooler
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Flu Shot didn't work
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<blockquote data-quote="tRidiot" data-source="post: 2810053" data-attributes="member: 9374"><p>Labs won't do any good. It's a social/political thing.</p><p></p><p></p><p></p><p>When payment is tied to satisfaction rates and you have a patient population that is poorly-educated, has unrealistic expectations and you're expected to see a volume of patients that doesn't allow time for teaching/education and/or people don't care to listen and learn or understand, the only thing you get is complaints because the provider "didn't do anything for me."</p><p></p><p>Let's think... come in to the ER with a cough and cold +/- low-grade fever. Maybe sore throat, maybe earache, headache, whatever. Provider comes in, spends a couple minutes listening to your history of 1 day to 1 week of symptoms. Listens to lungs and heart, looks in throat and ears, maybe feels on neck. Tells you it's a virus and to drink plenty of fluids, chicken soup, stay in where it's warm and get lots of rest. Reasonable? </p><p></p><p>This patient will often refuse to pay their bill (a whole other story there about who is paying for these visits), complain to administration on the day of the visit or later when they are billed, AND take to social media to complain about said provider on FacePalmBook to the local community, badmouthing their poor diagnostic skills and obvious lack of training because they "didn't even do anything for me" and they "only saw a doctor for less than 5 minutes" after waiting for an hour or two.</p><p></p><p>Combine that with a payment system that specifically adjusts reimbursement for services based upon patient satisfaction. Guess how that's gonna work out?</p><p></p><p></p><p>It's just one more very very commonplace example of modernday administrative control over healthcare specifically promoting <strong>bad medical care</strong> and practice. But nobody cares. Nobody in a position to do anything about it, anyways. It's all just numbers on a page.</p><p></p><p></p><p></p><p></p><p><edit> And I'll add, that THIS is the mentality that makes healthcare a miserable field, and why I am trying to find a way out. It's NOT just "Obamacare" although that has made it worse. Healthcare is NOT about caring for people anymore - it's about numbers on a page and meeting arbitrary quotas or goals established by people completely out of touch with the real world. That's why I hate it. That's why I and many other physicians I know are trying to find a way <strong>out </strong>- think about it - do you want to be cared for by a physician who can't stand going to work and can't wait to get out? Sucks, but it is what it is. Love helping people (who really need help) - hate playing political and administrative games.</p></blockquote><p></p>
[QUOTE="tRidiot, post: 2810053, member: 9374"] Labs won't do any good. It's a social/political thing. When payment is tied to satisfaction rates and you have a patient population that is poorly-educated, has unrealistic expectations and you're expected to see a volume of patients that doesn't allow time for teaching/education and/or people don't care to listen and learn or understand, the only thing you get is complaints because the provider "didn't do anything for me." Let's think... come in to the ER with a cough and cold +/- low-grade fever. Maybe sore throat, maybe earache, headache, whatever. Provider comes in, spends a couple minutes listening to your history of 1 day to 1 week of symptoms. Listens to lungs and heart, looks in throat and ears, maybe feels on neck. Tells you it's a virus and to drink plenty of fluids, chicken soup, stay in where it's warm and get lots of rest. Reasonable? This patient will often refuse to pay their bill (a whole other story there about who is paying for these visits), complain to administration on the day of the visit or later when they are billed, AND take to social media to complain about said provider on FacePalmBook to the local community, badmouthing their poor diagnostic skills and obvious lack of training because they "didn't even do anything for me" and they "only saw a doctor for less than 5 minutes" after waiting for an hour or two. Combine that with a payment system that specifically adjusts reimbursement for services based upon patient satisfaction. Guess how that's gonna work out? It's just one more very very commonplace example of modernday administrative control over healthcare specifically promoting [B]bad medical care[/B] and practice. But nobody cares. Nobody in a position to do anything about it, anyways. It's all just numbers on a page. <edit> And I'll add, that THIS is the mentality that makes healthcare a miserable field, and why I am trying to find a way out. It's NOT just "Obamacare" although that has made it worse. Healthcare is NOT about caring for people anymore - it's about numbers on a page and meeting arbitrary quotas or goals established by people completely out of touch with the real world. That's why I hate it. That's why I and many other physicians I know are trying to find a way [B]out [/B]- think about it - do you want to be cared for by a physician who can't stand going to work and can't wait to get out? Sucks, but it is what it is. Love helping people (who really need help) - hate playing political and administrative games. [/QUOTE]
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