Comments on: Spending money during the last 2 years of life http://www.medrants.com/archives/3596 Internal medicine, American health care, and especially medical education Sat, 11 Feb 2012 15:15:48 +0000 hourly 1 http://wordpress.org/?v=3.3.1 By: Jack Ashton http://www.medrants.com/archives/3596/comment-page-1#comment-520900 Jack Ashton Fri, 04 Jul 2008 23:12:47 +0000 http://www.medrants.com/?p=3596#comment-520900 An interesting point about specialists. It seems one model cannot best fit all types of patients. As in many things a flexible approach is what is needed, and this requires the application of judgment. An interesting point about specialists. It seems one model cannot best fit all types of patients. As in many things a flexible approach is what is needed, and this requires the application of judgment.

]]> By: Robin http://www.medrants.com/archives/3596/comment-page-1#comment-520755 Robin Sat, 31 May 2008 21:02:03 +0000 http://www.medrants.com/?p=3596#comment-520755 "care was less aggressive at public hospitals because most of their doctors — he estimated 75 to 85 percent — were salaried physicians with little financial incentive to order tests or other interventions." This means that salaried, public physicians require additional money to aggressively treat their patients. I suppose the remaining 15 to 25% of doctors order significantly more medical investigation for their patients, then...? Do the remaining 15% to 25% also have better luck saving their patients? I apologize for the troll, but the part I quoted really upset me. Robin “care was less aggressive at public hospitals because most of their doctors — he estimated 75 to 85 percent — were salaried physicians with little financial incentive to order tests or other interventions.”

This means that salaried, public physicians require additional money to aggressively treat their patients. I suppose the remaining 15 to 25% of doctors order significantly more medical investigation for their patients, then…? Do the remaining 15% to 25% also have better luck saving their patients?

I apologize for the troll, but the part I quoted really upset me.

Robin

]]> By: James gaulte http://www.medrants.com/archives/3596/comment-page-1#comment-520751 James gaulte Sat, 31 May 2008 10:34:12 +0000 http://www.medrants.com/?p=3596#comment-520751 DB, I would like to hear your views on the medical home, particularly the very managed,thinly disguised version of managed care that United Health Care has in mind and the version that the RUC has authored.The devilish details of these plans appear to completely destroy the well intentioned motive of more appropriate compensation for the primary care doc. James Gaulte DB,
I would like to hear your views on the medical home, particularly the very managed,thinly disguised version of managed care that United Health Care has in mind and the version that the RUC has authored.The devilish details of these plans appear to completely destroy the well intentioned motive of more appropriate compensation for the primary care doc.
James Gaulte

]]> By: pcb http://www.medrants.com/archives/3596/comment-page-1#comment-520749 pcb Fri, 30 May 2008 22:06:00 +0000 http://www.medrants.com/?p=3596#comment-520749 DB, The medical home sounds nice in theory. The happy hosptialist has had some rather extensive posts with a lot of comments about whether the theory will translate into a model that does some good for outpatieent generalists. As always, the devil will be in the details. It appears the details, as understood thusfar, aren't that great. DB,

The medical home sounds nice in theory.

The happy hosptialist has had some rather extensive posts with a lot of comments about whether the theory will translate into a model that does some good for outpatieent generalists.

As always, the devil will be in the details. It appears the details, as understood thusfar, aren’t that great.

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