The day before my annual eye exam, I got an email asking me if I would like to check-in online. Sure, why not? So many questions! When I went to the doctor's office, the receptionist breezed me right through. The man who came after me spent at least ten minutes checking in with the receptionist. As the Fram commercial used to say, "Pay me now, or pay me later." They're going to get your information one way or the other.
A few minutes ago, I got a recorded phone call asking me to rate the doctor and his office. That comes from the Big Medical side of it, not the doctor himself. Doctors must hate giving patients a chance to rate them lower than perfect.
My 96-year-old mother had to sit in the waiting room for 2 hours yesterday before moving her to the eye doctor's exam room. Another 30 minutes in there before she saw a doctor. Pretty sad.
Or, if the doctor is in a group.... metrics.
I had a doctor's appointment scheduled for yesterday. I had filled out all the info online. Nurse called and said "doctor didn't make it in today, we'll have to reschedule you, how about next Monday ?" I said fine, in less that 1/2 and hour I get an email asking me to answer all the same questions online again.
kpmac wrote:
My 96-year-old mother had to sit in the waiting room for 2 hours yesterday before moving her to the eye doctor's exam room. Another 30 minutes in there before she saw a doctor. Pretty sad.
That's beyond sad. The rule is to keep the waiting room full so there is a steady flow of "Chargeables."
My eye doctor used to be part of a small private practice with two other doctors. Then the changes began for about three years, every time I went there, they had a different name. Now, it's Optum.
jerryc41 wrote:
Doctors must hate giving patients a chance to rate them lower than perfect.
Doctors try to manipulate their ratings with patients. I worked as a doctor at a large HMO, so I know. There are the follow up phone calls and also email messages encouraging high ratings, or they ask you to discuss what you didn't like so it can be corrected before turning in the rating. In the old days of prescribing large amounts of narcotics for questionable reasons, the doctors who prescribed the most got the highest ratings by far. Why did this matter? Salary increases used ratings as a factor.
For doctors it is a mercenary businesss. Nothing or very likttle to do with palliative care.
As a military veteran with a service connected disability I recieve free health care through the Veterans Administration. On my recent annual checkup at the local VA clinic I was sorely dissapointed in the new changes they've made. First question my check-in nurse asked me was if I had any suppressed sexual orientation issues I felt the need to talk to someone about. She was quick to add that she didn't like asking but under the new "woke" VA guidelines she is required to ask. Guessing from the look I gave her she figured it best to move right along to any physical health issues I may have. Next came the MD visit. All of a sudden here's this big fat slob in street clothes on a big screen TV up in the corner of the room. He says, ya got any medical issues ya wanna to talk to me about. I was sorely tempted to ask him the best way to lose the extra 10 lbs. Iv'e gained over the last several years. No longer any blood draws, etc. etc.
therwol wrote:
Doctors try to manipulate their ratings with patients. I worked as a doctor at a large HMO, so I know. There are the follow up phone calls and also email messages encouraging high ratings, or they ask you to discuss what you didn't like so it can be corrected before turning in the rating. In the old days of prescribing large amounts of narcotics for questionable reasons, the doctors who prescribed the most got the highest ratings by far. Why did this matter? Salary increases used ratings as a factor.
Doctors try to manipulate their ratings with patie... (
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That's a sad state of affairs. People from other countries are surprised to see lawyers and Rx drugs advertised on American TV.
usnret wrote:
As a military veteran with a service connected disability I recieve free health care through the Veterans Administration. On my recent annual checkup at the local VA clinic I was sorely dissapointed in the new changes they've made. First question my check-in nurse asked me was if I had any suppressed sexual orientation issues I felt the need to talk to someone about. She was quick to add that she didn't like asking but under the new "woke" VA guidelines she is required to ask. Guessing from the look I gave her she figured it best to move right along to any physical health issues I may have. Next came the MD visit. All of a sudden here's this big fat slob in street clothes on a big screen TV up in the corner of the room. He says, ya got any medical issues ya wanna to talk to me about. I was sorely tempted to ask him the best way to lose the extra 10 lbs. Iv'e gained over the last several years. No longer any blood draws, etc. etc.
As a military veteran with a service connected dis... (
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My brother has had less than ideal experiences with the VA. Lots of traveling, switching doctors, changing appointments, offices closing. At least he's getting treatment.
therwol wrote:
Doctors try to manipulate their ratings with patients. I worked as a doctor at a large HMO, so I know. There are the follow up phone calls and also email messages encouraging high ratings, or they ask you to discuss what you didn't like so it can be corrected before turning in the rating. In the old days of prescribing large amounts of narcotics for questionable reasons, the doctors who prescribed the most got the highest ratings by far. Why did this matter? Salary increases used ratings as a factor.
Doctors try to manipulate their ratings with patie... (
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Older patients (in their 80’s or 90’s) must vary widely in their demeanor and personality. I am guessing it might be difficult for a doctor to stay on schedule if you have 3 or 4 patients in a row who may have difficulty speaking (aphasia) or maybe even like to visit with the doctor in a familiar way. Nobody likes waiting in the doctors office. It seems like wasted time. But we should all be mindful that there are not enough doctors to go around.
Never forget that the Federal Government took over a brothel in Nevada and went broke. Anytime that the government gets involved in anything, it builds a never-ending kingdom to administer it. As of 25 Oct 2023, there are over 70,000 ICD-10-PCS procedure codes and over 69,000 ICD-10-CM diagnosis codes as part of the Affordable Care Act.
Some are so silly that they are beyond belief. Two of my favorites are "Bit by a Pig" and "Hit by a Duck". Only in America.
kpmac wrote:
My 96-year-old mother had to sit in the waiting room for 2 hours yesterday before moving her to the eye doctor's exam room. Another 30 minutes in there before she saw a doctor. Pretty sad.
I have been known to walk out of the doctor's office when the wait time got excessive.
Dear Jerry,
You say your brother is at least getting care, but is it good care ?
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