How old is too old to practice medicine? That’s a question without a definitive answer, but one of concern to health systems, patients and clinicians.
Normal age-related physical or cognitive issues don’t mean physicians or nurses should stop practicing by a certain age, but according to this new tip sheet from reporter Cheryl Clark, many doctors are seeing patients, and even performing delicate surgical procedures well into their 80s … or even 90s. On the one hand, these doctors may be the only ones available in rural or lower-income areas; they’re helping alleviate the workforce shortage. On the other hand, there’s concern they could they be putting some patients, or themselves, at risk. Continue reading
In a blog post last summer, we asked what appeared to be a simple question: Is value-based care a fad? It turns out that while the question may be simple, the answer is a bit more complicated.
After the blog post ran, we heard from the Dell Medical School at the University of Texas, Austin. The school has a department devoted to teaching value-based care to its medical students. AHCJ will host a webcast at noon ET on Tuesday, June 25, for members featuring two of the school’s professors — Elizabeth Teisberg, Ph.D., and Scott Wallace — who will answer questions about value-based care and explain what students in this program are learning. Continue reading
Every nine minutes, someone in a U.S. hospital dies due to a medical diagnosis that was wrong or delayed. This jarring fact is front and center on the home page of the Society to Improve Diagnosis in Medicine (SIDM). Reducing this number to zero is why some 400 physicians, nurses, patients, health institutions, nonprofits, and policymakers gathered in New Orleans this week for the 11th annual Diagnostic Error in Medicine Annual International Conference. Continue reading
Paul Levy, former chief executive of Boston’s Beth Israel Deaconess Medical Center, recently made a compelling argument in a blog post about why value-based pricing for hospital services ultimately will fail.
In “The Game That Shows Why Value-Based Pricing Is Doomed” on AthenaInsight, Levy argues that the incentives in value-based pricing are all wrong. As a payment model, value-based pricing promotes selfishness but at the same time requires all parties to cooperate, he writes.
It’s not often that anyone criticizes value-based care, and why would they? That would be like opposing the use of grocery coupons. Continue reading
As the legal drama continues to unfold over the Trump administration’s efforts to enforce travel restrictions on people from seven Muslim-majority countries, it is clear that doctors and patients here and overseas are adversely affected.
Caught in last month’s initial chaos were patients seeking medical treatment in the United States, as well physicians practicing or hoping to practice here, ProPublica’s Marshall Allen writes. The impact is expected to be particularly tough for communities already challenged in attracting medical talent, ranging from isolated, rural towns to struggling cities. Continue reading
For every hour that physicians spend with patients, they spend nearly an additional two hours on electronic health record (EHR) tasks and desk work each clinic day, according to a new study published, fittingly, on Labor Day.
The study is sure to add to the debate over how much EHR tasks are contributing to physician burnout.
Many reporters have tackled the subject of physician burnout in their own communities, and physician leaders have called for more clinician support in computer and administrative tasks. Continue reading