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Physicians can maximize their time - and their practice's income - by delegating more documentation tasks to well-trained staff.
If it isn't thoughtfully applied, the team model may have unintended consequences.
Partnering with local groups that work with seniors can help you meet the special needs of older patients.
"A physician is obligated to consider more than a diseased organ, more even than the whole man - he must view the man in his world." -- Dr. Harvey Cushing
Admit it, you're guilty of at least one of these.
To satisfy all of the recommended preventive services for a typical primary care panel of 2,500 patients would require 7.4 hours per day, 5 days per week, of a physician's time, according to one analysis. How are family physicians supposed to provide these services and meet patients' acute care needs, as well as meet other demands on their time? Is team-based care the answer?
Most practices that implement same-day or open-access scheduling manage to improve patient access by reducing waiting times, but few achieve same-day or next-day access or sustainable improvements. Those that have sustained same-day access have done so by reducing demand and increasing capacity using the building blocks of improved access. These building blocks include panel size management, continuity of care, and the development of teams that add new capacity to deliver care without pushing work back to the physician. An interactive exercise, which follows a fictitious patient as she tries to schedule a same-day appointment with her family physician, is included with the article to help family physicians reflect on ways to improve access in their own clinics.
The doctor-patient relationship is key to effective health care, but it isn't the only relationship that matters. There are six critical "touch points" in our health care system, each with their own special needs. They are physician and patient; office staff and patient; physician and caregivers/family; physician and physician; physician and allied health professionals; and physician, inpatient facility, and patient. Poor communication in just one area can affect the entire health care experience.
The author, a family physician, describes how he changed his practice model to work with two nurses simultaneously, allowing them to take on more of the work for each patient encounter so that the physician could focus on the patient.
The author contrasts a doctor-centered medical home with a patient-centered medical home.