Doctor Bonus

Primary Care Physicians are internists, family practitioners, and pediatricians who are frontline doctors encountered by patients seeking medical care.

Some physicians are in private practice, while others are employed by medical business organizations like HMOs.  These latter doctors are known as “gatekeepers” and not only provide basic care, but regulate access to more costly specialists, procedures, hospitalization, and blood testing.  Statistics are kept on all physicians by government and insurance companies, but within HMOs, data is collected on the frequency of these referrals.

Too many referrals could lead to termination of the physician by the profit-seeking HMO.

But, what if your doctor receives a bonus and is incentivized to withhold care to you or your loved one?  Happens every day.

On your next visit, ask your physician if they receive a bonus.

Business has usurped the Hippocratic Oath.

Gene Uzawa Dorio, M.D.

Comments:  http://scvphysicianreport.com/2017/08/16/doctors-diary-august-16-2017-doctor-bonus/


Improving Nursing Home Care

None of my seniors want to go to a nursing home.  Being surrounded by screaming patients, the odor of incontinence, and the loss of dignity and independence make them cringe.  

Primary care physicians (PCP) are reimbursed once-a-month for a visit, so the scope of medical care is minimal. 

My suggestion:  Develop public-private partnerships to fund for one year a recent PCP graduate who will serve in a nursing home seeing patients daily.  These newly minted doctors can study for their Boards, have weekends off and set vacation time, but must round on patients and be on-call for problems.  At the end of one year, an equal amount of salary will be awarded to pay back some of their medical school loans (which now can be greater than $200,000).

From this experience, young doctors will carry into their careers empathy for a vulnerable and growing group in society.

The odor may not change, but nursing home care could improve.

Gene Uzawa Dorio, M.D.

Comments:  http://scvphysicianreport.com/2017/08/13/doctors-diary-august-13-2017-improving-nursing-home-care/