tag:blogger.com,1999:blog-18943510.post4309057164395111066..comments2023-08-21T02:57:37.362-05:00Comments on Dr. Wes: Biasing the Argument Against SpecialistsDrWeshttp://www.blogger.com/profile/17438019699222125477noreply@blogger.comBlogger7125tag:blogger.com,1999:blog-18943510.post-28316868793242532682009-07-01T19:08:23.336-05:002009-07-01T19:08:23.336-05:00i am anon 9:54
i do not have the background to be ...i am anon 9:54<br />i do not have the background to be able to appreciate the dartmouth data to be as definitive as you find it. if my experience was such that it confirmed my observations, i would likely find it more believable.<br /><br />my wife is a general internist. i appreciate general internists and have the highest respect for them. that said, my own experience in several practices isAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-87114612571827776112009-07-01T12:59:02.310-05:002009-07-01T12:59:02.310-05:00Anonymous (whomever you are),
I grant you I do no...Anonymous (whomever you are),<br /><br />I grant you I do not patrol the surgical floors watching to see if surgeons are seeing their patients. I commend you for still paying a visit to see your patients post op, although the most common question I get from post op patients is what happen to my surgeon; I haven,t seen him/her since the lights went out. I realize that surgeons tend to dwell in Keith Sarpolisnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-18063466390975784662009-07-01T09:54:17.462-05:002009-07-01T09:54:17.462-05:00what time were you on the surgical floor dr keith?...what time were you on the surgical floor dr keith? i am usually rounding at 5 am and i don't see too many of the internists there at that time. many of the internists don't round any more in the hospital either. <br />since i can't be in two places at once, if i'm operating and someone on the floor needs something, either they wait till the end of the day or my extender goes toAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-11413095691627155312009-06-30T10:42:15.449-05:002009-06-30T10:42:15.449-05:00As compared to all other college graduates, the me...As compared to all other college graduates, the medical field is quite different in requirements and I wonder if the average citizen knows what makes a GP or FP different than speciality physicians.<br /><br />I hope that most know that in addition to having to have higher grades in college, those choosing most medical fields must pass testing and then go on to further studies which takes an Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-71957730465920516242009-06-30T10:38:20.563-05:002009-06-30T10:38:20.563-05:00Dr. Wes,
Seems I have touched a nerve here.
Rega...Dr. Wes,<br /><br />Seems I have touched a nerve here.<br /><br />Regardles of whether you travel to several hospitals or not, does not explain why you don't see any docs on the floors anymore (except for hospitalists). I think the problem here is some tranference of anger from what others are telling you you need to do vs what you would prefer (I personally discovered the insanity of trying Keith Sarpolisnoreply@blogger.comtag:blogger.com,1999:blog-18943510.post-36496464956638191652009-06-30T06:28:04.457-05:002009-06-30T06:28:04.457-05:00The Dartmouth data are being touted more and more ...<i>The Dartmouth data are being touted more and more as the data that proves that where there are more specialists, you get higher costs, and in some cases even worse outcomes.</i><br /><br />There are significant limitations to the Dartmouth data - the largest being that they only include data from Medicare beneficiaries. That being said, the whole argument of "less cost with better DrWeshttps://www.blogger.com/profile/17438019699222125477noreply@blogger.comtag:blogger.com,1999:blog-18943510.post-37900315503412718802009-06-29T10:29:18.062-05:002009-06-29T10:29:18.062-05:00Wes,
Your point is well taken that attempts by th...Wes,<br /><br />Your point is well taken that attempts by the goverment to regulate the payments for different services is less than perfect which leads to undervaluation of some services and overvaluation of others. The market acts appropriatly by giving more of those things that are more profitable (but not nesecarily adding value) and less of those that are not.<br /><br />The Dartmouth data Keith Sarpolisnoreply@blogger.com