Mine do. And I think its a good thing. When I was diagnosed with breast cancer the first thing they did was set up a day of appointments with the medical oncologist, radiation oncologist, surgeon and social worker where they all examined me and looked at my test results and then had a meeting and set up a treatment plan for me. I know there are other times where they have talked about me because they tell me. They email each other, they call each other. They confer. I like that. I think they talk about me and don't tell me.
Apparently the idea of coordinating care through collaboration is known to be cost saving and provide better patient care.I was reading this article on what they didn't tell us about health care reform at the debates and was particularly struck by topic 5 on how the Cleveland Clinic and the Mayo Clinic do things right:
"The candidates agreed during the debate that more needs to be done to control the cost of health care.
Obama praised the
Cleveland Clinic as a model for new ways of controlling the cost of
care. "They actually provide great care cheaper than average," he said.
"And the reason they do is because they do some smart things."
One approach he
highlighted was the collaborative approach of the clinic's doctors.
Instead of each doctor ordering a different test, they meet and decide
as a team how to approach the patient's problem. This prevents
duplication. The team of doctors also provides preventive care...
One of the big
differences between the Cleveland Clinic and other hospitals is that it
and other multi-specialty clinics like the Mayo Clinic...
employ their own doctors and can create these teams. In most traditional
hospitals, doctors are independent private practitioners who are left
to making their own choices.
Clinic's doctors are paid fixed salaries, there is less incentive to do
unnecessary tests or procedures compared to a doctor who works on a
"Going to separate
doctors with their own plans is expensive. These integrated group plans
work well and the ongoing preventive care they provide -- working with
doctors, nutritionists, nurses, nurse practitioners and the rest --
ultimately save on costs.""
Doctors who talk to each other share ideas and you end up with better treatment so what is there to lose? I am all for saving money and getting better care.
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