tag:blogger.com,1999:blog-5352877448651935316.post2529524918991920404..comments2023-11-16T06:49:00.102-05:00Comments on Dr. Synonymous : The Human Centered Health Home: Protecting Patient and Family Doctor Like NeighborsA. Patrick Jonas, MDhttp://www.blogger.com/profile/15935504320560038973noreply@blogger.comBlogger8125tag:blogger.com,1999:blog-5352877448651935316.post-76499252546434459412010-10-14T21:10:58.786-04:002010-10-14T21:10:58.786-04:00Good point, Elizabeth, how do we have the right pe...Good point, Elizabeth, how do we have the right people, team and model ready and able? The IOM report on the future of nursing seems to address the potential for expanding nursing roles to the limits of their training and licenses. This may lead to better connections between patient and primary care, leading to closer to optimal, less wasteful sub-specialty care. We're in a vortex of changeA. Patrick Jonas, MDhttps://www.blogger.com/profile/15935504320560038973noreply@blogger.comtag:blogger.com,1999:blog-5352877448651935316.post-2893509031118708792010-10-09T17:22:25.879-04:002010-10-09T17:22:25.879-04:00What we are doing is creating more steps between t...What we are doing is creating more steps between the specialist and the patient needing specialty care. First we have to go to the NP. THEN we can go to the FP. FINALLY we can go to the specialist. I don't think so. This is not a great model.<br />A better model might be NP(s) in an office with one or more FPs / internists. This is a 1 1/2 step model that is less complex than the Elizabethhttps://www.blogger.com/profile/16235917932407164518noreply@blogger.comtag:blogger.com,1999:blog-5352877448651935316.post-27436868530510173432010-09-05T10:09:19.396-04:002010-09-05T10:09:19.396-04:00Another good point, Stephanie, the market will dri...Another good point, Stephanie, the market will drive all physicians to make less money. Temporarily, primary care physicians will get more money while other strategies are invoked that will get more people into primary care. Conscripting all the physicians graduating from medical school starting in 2016 could take care of the money concerns for doctors, but that is too radical to happen this A. Patrick Jonas, MDhttps://www.blogger.com/profile/15935504320560038973noreply@blogger.comtag:blogger.com,1999:blog-5352877448651935316.post-57855512475497549972010-08-28T10:12:39.921-04:002010-08-28T10:12:39.921-04:00You're right, they are limited. Patients will ...You're right, they are limited. Patients will go to a NP and get sent to a specialist if the patient need is beyond protocol. But maybe then, specialist will have the same problem family drs. are having as far as having to accept less payment to accommodate patients' needs (maybe not at first, but the market may eventually demand it)? What are your thoughts?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5352877448651935316.post-15672150236217262282010-08-28T02:25:56.099-04:002010-08-28T02:25:56.099-04:00Good question, Stephanie,
They will have a definit...Good question, Stephanie,<br />They will have a definite place in the primary care system. Convenience is important for many who have a minor "parts problem" or non-emergent condition. NP's bring caring and Heart (capital H) to the system and work well on teams. They excel in many aspects of chronic disease management and could make the group visit concept workable as a team A. Patrick Jonas, MDhttps://www.blogger.com/profile/15935504320560038973noreply@blogger.comtag:blogger.com,1999:blog-5352877448651935316.post-81296780229870252082010-08-28T01:42:15.652-04:002010-08-28T01:42:15.652-04:00Do you think walk-in clinics & NP's are go...Do you think walk-in clinics & NP's are going to become the new norm for "primary care"?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5352877448651935316.post-3874324790711603442010-08-26T01:05:45.197-04:002010-08-26T01:05:45.197-04:00Thanks for your comments. Indeed, the grocery is ...Thanks for your comments. Indeed, the grocery is a good analogy. You get to pay for each and every item in your basket. The store owner is happy because you pay for each and every item in your basket. If the item is scarce or valuable, you are willing to pay more, reflecting its worth and your assessment of its worth. That's neighborly, mutually beneficial for you and the store owner.<brA. Patrick Jonas, MDhttps://www.blogger.com/profile/15935504320560038973noreply@blogger.comtag:blogger.com,1999:blog-5352877448651935316.post-33885031527085724612010-08-25T20:43:29.371-04:002010-08-25T20:43:29.371-04:00Interesting that you use the grocery store as an a...Interesting that you use the grocery store as an analogy. I've been thinking about that very thing. When I need groceries, I make a list and go get everything on my list. The bill is rung up based on everything in my basket. It would drive me crazy to stop at the store and be told that there was a limit on how many items I could buy. Maybe they'd let me buy bananas and tomatoes today, butWarmSockshttps://www.blogger.com/profile/12192702662231361355noreply@blogger.com