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Health Works Collective > Policy & Law > Health Reform > Universal Coverage in Mass. Overwhelms Primary Care Physicians
Health Reform

Universal Coverage in Mass. Overwhelms Primary Care Physicians

MichaelDouglas1
MichaelDouglas1
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The predicted efflux of primary care physicians in Massachusetts, as a by-product of its universal coverage of healthcare, looks like it’s a reality. A new survey released by the state’s medical society shows that more than half of all primary care physicians in Massachusetts are no longer accepting new patients, and the average waiting time to see specialists is lengthening. A microcosm of the socialized structure of Canadian delivery?

The predicted efflux of primary care physicians in Massachusetts, as a by-product of its universal coverage of healthcare, looks like it’s a reality. A new survey released by the state’s medical society shows that more than half of all primary care physicians in Massachusetts are no longer accepting new patients, and the average waiting time to see specialists is lengthening. A microcosm of the socialized structure of Canadian delivery? If these staff-to-patient ratios are any indication…well, you can be the judge:

Dr. Joseph Viadero, of Connecticut River Internists, said the four doctors and three nurse practitioners who staff the practice in Turner Falls, Mass., have about 12,000 patients spread between them and cannot take any new ones. “We’re overwhelmed and just have difficulty taking care of our own patients,” said Viadero, who has struggled to recruit any new primary care physicians to serve in the small western Massachusetts community.
[…]
Dr. Richard Dupee, a primary care physician in the Boston suburb of Wellesley, continues to accept new patients though he already has some 8,000 in his practice. He says he’s willing to put in the long hours necessary to keep up, but many younger doctors take a different approach. “They really look upon lifestyle more importantly than income,” said Dupee. “They want to quit at 5 o’clock is the bottom line.”

Universal coverage does not equal universal access. Not much more than half of Massachusetts’ internists and family docs accept an adequate number of Medicaid and subsidized care patients (via Commonwealth Care). | LINK

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The ACA has put patients at the center of healthcare services. A patient-centric healthcare approach in this digital era means a revised definition of quality in the physician-patient relationship. When it comes to healthcare services, patients shell out a hefty amount from their pocket and want nothing less than the best. The services in healthcare are no longer limited to just cost as consumers now evaluate quality and experience in the same equation. Research highlights from the 2015 Healthcare Consumer Trends by National Research Corporation states that reputation in healthcare matters more to consumers when choosing a brand than any other industry, e.g. hospitality, retail, airline, etc. The new generation of quality measurements in healthcare require a different mind-set and a different 'toolbox' to handle the hurdles. It’s the need of the hour for healthcare providers and others across the healthcare value chain to adopt the patient-centric approach for surviving in the vast competitive ocean of healthcare services. Patient-centric care is an approach that develops through effective communication, empathy and a positive physician-patient relationship. The primary purpose is to improve patient care outcomes and satisfaction and to reduce patient symptoms and unnecessary costs. It’s a win-win situation for both physicians and patients. While healthcare providers are able to support their patients in becoming more compliant with treatment and management of their conditions/diseases, patients feel more satisfied with the care that they are receiving. PwC’s Health Research Institute’s annual report 2016 states that health systems should keep an eye on the consumer experience as they expand and extend. More partnerships and more caregivers could mean confusion for patients and poor customer experiences. To differentiate their practice among competitors, patient satisfaction can be used as a competitive distinguishing factor. Although patient satisfaction cannot really provide tangible benefits, but an experience that exceeds patient expectations for what a practice/hospital can provide is very important as it creates loyal patients who return for future health needs and refer their family and friends. Happy and satisfied patients are a secret marketing weapon for healthcare providers, whether they are physicians, dentists, physiotherapists or hospitals. Your patients are the new-age digital health decision-makers. In this era of Internet and social media, they now have multichannel access to information related to health. Needless to mention, they have gained new power to make their decisions; whether it’s choosing a healthcare provider or referring a physician to family and friends. By converting your satisfied patients to be your brand advocates, you can capitalize and use their voice as an effective marketing strategy to reach out to many other potential patients. To strive and thrive, in the U.S. many healthcare organizations are applying patient-centric approaches to healthcare. It’s all about what matters to patients, so it makes a lot of sense for the healthcare industry to place patients' healthcare experience at the center of their policies and procedures. The best deliverables are a combination of great communication for a positive physician-patient relationship, disciplined measurement and analysis of patient feedback and commitment to technology innovation – the formula for improving patient engagement and care.
The Link Between Patient Satisfaction and Long-Lasting Relationships
You Are Not Your Doctor’s Customer – But You Can Do Something About It
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The Walking Gallery: Personalizing Patient Stories [Podcast]
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