Page 44 - issue
P. 44
Doctors
discourage you by putting up a lot of red tape. Some special-
ists won’t bother trying to admit patients to themselves any-
more, saying it is just not worth the hassle.”
Dr. Land blames this on monetary concerns as the hospi-
tal is then able to make money. If he admits a patient under
Dr. Cooper feels that, down the
line, most of the primary care
providers will be nurse
practitioners and physician
assistants with fewer and fewer
doctors doing it. He says there’s a
big push now to have doctors go
into primary care, but he does not
think that it will happen.
his own care, his practice is the one that gets to bill the insur-
ance company. Dr. Land feels that “Today we have better
medications and treatment, but the quality of care is much
lower.”
Unintended Consequences
Dr. Cooper points out that the new system may be creating
several unintended consequences. One is training. “Primary
care doctors are going to be less and less common because
most of their training to be community doctors was done in
the hospital setting,” he says. “They spent three years in the
hospital and one day a week in a clinic, which mirrors the
outpatient setting. A lot of knowledge and information comes
from that system. However, now they are going to try to focus
on making it more of an outpatient-type training.” Dr. Cooper
believes that would-be doctors in this system will miss out on
important training.
They will be less comfortable with specialty care, for one
thing. “A lot of issues that we take care of in the office are
things we had exposure to day in and day out in the hospi-
tal.” Now that he does not go to the hospital anymore, Dr.
Cooper feels he is losing that additional training in that set-
ting. “I often felt that being in the hospital orbit and seeing
patients interacting with the specialists and all the other doc-
40 u www.wherewhatwhen.com u
discourage you by putting up a lot of red tape. Some special-
ists won’t bother trying to admit patients to themselves any-
more, saying it is just not worth the hassle.”
Dr. Land blames this on monetary concerns as the hospi-
tal is then able to make money. If he admits a patient under
Dr. Cooper feels that, down the
line, most of the primary care
providers will be nurse
practitioners and physician
assistants with fewer and fewer
doctors doing it. He says there’s a
big push now to have doctors go
into primary care, but he does not
think that it will happen.
his own care, his practice is the one that gets to bill the insur-
ance company. Dr. Land feels that “Today we have better
medications and treatment, but the quality of care is much
lower.”
Unintended Consequences
Dr. Cooper points out that the new system may be creating
several unintended consequences. One is training. “Primary
care doctors are going to be less and less common because
most of their training to be community doctors was done in
the hospital setting,” he says. “They spent three years in the
hospital and one day a week in a clinic, which mirrors the
outpatient setting. A lot of knowledge and information comes
from that system. However, now they are going to try to focus
on making it more of an outpatient-type training.” Dr. Cooper
believes that would-be doctors in this system will miss out on
important training.
They will be less comfortable with specialty care, for one
thing. “A lot of issues that we take care of in the office are
things we had exposure to day in and day out in the hospi-
tal.” Now that he does not go to the hospital anymore, Dr.
Cooper feels he is losing that additional training in that set-
ting. “I often felt that being in the hospital orbit and seeing
patients interacting with the specialists and all the other doc-
40 u www.wherewhatwhen.com u
