DPC News

Dinerstein, M.D. | Everyone Wants Value in Healthcare, We Just Disagree on What That Means

Of the 687 physicians surveyed 33% were primary care physicians and another 30% represented medical specialties. Surgeons represented 18% of the sample, hospitalists, anesthesiologists, radiologists and pathologists who typically have little direct patient exposure represented the remaining 18%. So the survey captures a good range of direct care physicians. Physicians were more clinically focused, their number one measure was ‘knowing and caring about the patient” (58%), their number five (49%)was inclusion of patients in choosing treatment options. Physicians made a greater distinction between care and service; service issues like waiting and convenience were far lower amongst their concerns.

By Chuck Dinerstein — December 29, 2017 | Dr. Charles Dinerstein, M.D., M.B.A., F.A.C.S. is Senior Medical Fellow at the American Council on Science and Health. A retired vascular surgeon, he also writes a “more philosophic” blog at Surgical Analytics.com

Value-based healthcare is the refrain for all the stakeholders, patients and their advocacy groups, physicians and their societies, payers both insurance and government. We must replace payment for volume or procedures with payment for value. As it turns out, like the blind men describing the elephant, what each stakeholder means by value varies tremendously. An online survey conducted by the University of Utah sheds light on our misaligned definitions of value. As they write, “… stakeholders have been talking past each other, not fully understanding each other’s perspectives, experiences, and concerns. We are often using the same key words to mean different things.”

CONTINUE READING FULL STORY …

SOURCE: https://www.acsh.org/news/2017/12/29/everyone-wants-value-healthcare-we-just-disagree-what-means-12287

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