Primary Care Physician, Health Services Researcher, Working Dad, Research co-director of @RELATELabPDX in @ohsufamilymed. Views mine only.
Nov 4, 2019 • 13 tweets • 5 min read
Thanks @meggerber@icommhealth@primarycarechat for sending this, it’s exciting sounding work, and highlights how structures of care can affect patient centeredness.
But I think it conflates a number of complex issues, I will try to address in thread.
catalyst.nejm.org/nobody-wants-w…
I agree: the hamster wheel of nonstop 15 minute visits is awful, and directly conflicts with patient centeredness.
As the "fictive schedule" fails, patients wait, in waiting rooms.
Most of what I say here has been voiced by others... As @mikejohansen2 notes, the comment thread on this article is excellent, see examples from Stange, Etz, Katerndahl, Peek
2) The fact that specialists see patients with more diagnoses is NOT surprising. This is how it is supposed to work, i.e. patients get sick, they get diagnosed with diseases, they get referred to specialists.
