“There is no issue today more important to CEOs than workforce and that is at least as true in health care as any other industry.” Primary care is especially impacted by these stresses. I have kept in touch with a number of my primary care colleagues, and many are looking for something else to do. They are very dissatisfied. Most of them are employed by big health systems and they are just a cog in a wheel. They are not paid on the basis of the quality of their care. Payers pay for a visit note under our fee-for-service system. So the more visit notes a primary care provider generates, the more the system gets paid. In turn, the system pays the physician for the number of notes she generates. They are on a hamster wheel, governed by they tyranny of the urgent. It has all been amplified by the pandemic.
I’ve seen the amount of time with a doctor shrink to barely 10 minutes. You present the answers here, but when will our health care systems change?
Yup. We need fundamental reform or the legacy American Medicine as a “profession” will be done with: https://www.linkedin.com/posts/joseph-thomas-shen-md-b01760106_culture-physician-doctors-activity-6925804881869987840-5zgZ?utm_source=linkedin_share&utm_medium=ios_app