Family physician, author, blogger, speaker, physician leader.

Tag Archive for prescription medications

The Seven Pillars of High Performing Primary Care Practices – Part One

In a previous post titled, “Is Making Primary Care More Professionally Satisfying as Simple as Lowering Panel Size” I observed that lowering panel size and implementation of an electronic medical record did not change how doctors worked. Those doctors who stayed late continued to stay late. Those who left earlier tended to continue to leave earlier. Within a health care organization often touted by many to be an example of how health care should be delivered in the country, this phenomenon existed. Why? Was making primary care more professionally satisfying and more attractive to future doctors simply more than lowering panel size? Doctors at the Permanente Medical Group, where I practice, do not have many of the frustrations of other primary care doctors. Doctors are salaried. There is no perverse incentive of doing more tests or more procedures when there is no medical benefit. Doing more is a common pressure […] Read More »

How Patients Can Save Money On Medical and Health Care Costs

With the new year looming, it is increasingly becoming the year of the Thrifty Patient. People are paying for more medical care and are more responsible for the costs of getting that care via higher deductibles and co-pays. Patients don’t have a choice but to be involved in their care. Though the recent 2008 recession saw a decrease in overall medical and health care utilization as a sign of better informed patients, I believe that was simply because people deferred needed care in order to keep their jobs. With the economy getting better, more people will begin to seek care again. The question is how can they save money on medical and health care costs? Here are a few tips, of which many are covered in my book – The Thrifty Patient: Vital Insider Tips for Saving Money and Staying Healthy. Use Dr. Google and the internet thoughtfully. The first […] Read More »