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Every year my cat gets a postcard notice from his vet when it's time to get his shots. My wife, however, has to keep her own records of when it's time for her mammography.

I love my cat. I think it's wonderful that he has such a conscientious vet. I love my wife even more and want her to stay healthy too. I would like it if she -- and I -- would get the same degree of care and professionalism as our pet enjoys. After all, we're only human. We need help keeping track of our medical histories. I think most Americans do too.

At last we may be getting help from provisions of the new federal health care legislation that seek to support primary care doctors in their work to keep us healthy. The new law understands what the medical profession knows from studies. Mortality rates dip by 19 percent, and costs drop by one- third when Americans have their own primary care doctor.

The new legislation encourages an approach to primary care known as "medical home." I have supported this type of patient-centered care for many years and continue to work for the improvements it can bring to the quality of care you and I and our families receive. Thanks to support from the American Academy of Family Physicians, the American Academy of Pediatrics, and others, 39 states already have medical home practices in place and the results are encouraging.

The medical home puts the family doctor at the center of family care again. It puts in place technology such as electronic health records and new payment structures, which reimburse primary care doctors for their roles coordinating care. This model delivers preventative care, helps patients navigate a complex health system and manage chronic conditions while it helps lower costs.

The medical home model can reduce emergency room visits by as much as 50 percent and can contribute to a 40 percent reduction in hospitalization for individuals with chronic illnesses such as asthma.

Two major innovations are at work:

  1. Primary care doctors are paid for performing essential functions, such as taking medical histories, helping patients manage chronic conditions, providing advice and preventive care, as well as being more accessible to patients via the telephone and e-mail. No longer are they paid only for performing tests and procedures.
  2. Second, technology becomes a helpmate. Electronic health records and Web portals bring 21st century efficiencies to patient information. Getting a notice out to patients for an annual check-up or mammography is a quick click. Patients can get lab results online. When a patient has a serious illness, a primary care doctor can coordinate care with nurses, other doctors, pharmacists and physical therapists.


To improve the quality of the health care my wife and our family, and you and your family receive, we need to put the focus back on primary care.

Each one of us needs to have a doctor that treats our whole person, not only our heart or lungs or gallbladder.

It's time to bring more innovative approaches, such as the medical home, to primary care to help doctors do their jobs the best way possible. We will all be better for it. And, next year my cat may no longer be the only member of my family to get annual reminders for preventive care.

 

Follow Dr. Paul Grundy on Twitter: www.twitter.com/Pcpcc

 
 
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Elijah A Alexander Jr
Elijah NatureBoy
08:09 AM on 08/25/2010
Primary care begins with the individual, going back to the remedies that worked before the only thoughts were about "making a monetary profit," home remedies and prevention.

Today's medical world does nothing to encourage prevention and self help, it's all about "treating the symptoms" rather than discovering the cause and eliminating it. Individuals can meditate on their conditions and receive answers from within themselves concerning what to do. Some of those remedies would be to change from stressful jobs, learn to be pleased with a minimum of stuff, don't care about how others look at and think about you.

So many conditions are because we stress wanting a life as seen in movies, in the house across town and away from my neighbors. Anytime the focus is "me, my and I" we are bring stress and diseases upon ourselves. Doctors can't do anything about those things except treat them, usually with something to bring on a real condition needing treating. The return to and escalating known correcting remedies in and around the house and gardens would be the first step in Primary care.
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12:54 PM on 08/24/2010
Being in doctors waiting rooms here, being in US hospitals...I`ve got to say, I`m bound to say.....your healthcare is RUBBISH
RUBBISH HOSPITALS.....filthy, antiquated machinery, demoralised....RUDE staff
and your country dares to compare to the NHS......

shocking...absolutely shocking
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12:51 PM on 08/24/2010
ohhhhhhhh get a British NHS.......then you will know what REAL healthcare is
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katmeyster
Proud practical progressive atheist
11:50 AM on 08/23/2010
We will not get enough primary care physicians in this current culture. I don't know what has to change, but they make less money than some specialists, and that has deterred the practice -- especially in smaller cities and rural areas. Its a quandary: I can't tell you how many primaries I've been to who are kind and caring, but who don't keep up on the latest advances in medicine. But when you go to a specialist, they only know their area and don't treat you holistically -- and miss how other conditions are related. Many of them keep up in their area, but only in a very narrow way. We are patients have to become our own doctors, learning as much as we can, because we are the only ones who know how it all works together. I don't know what the answer is, but I hope it gets better with this new approach.
08:34 AM on 08/22/2010
I just got my reminder card to book my ob/gyn visit but have to say I related to your example because a few years back I joked that the company that made my top of the line vacuum cleaner expressed more interest in its health (we had a service contract) than my pcp did! Also, being a freelancer, I'm priced out of insurance companies every 3-4 years so doctors meet me once, take a full history, then never see me again. Talk about inefficient!

I absolutely feel doctors should get paid for answering every question, for keeping their patients healthy. Unfortunately, like many freelancers, I pay out of pocket for everything, including preventive care, so I have to do everything possible to avoid actually going into their office to avoid the bill for $150 for a 5 min. visit. I don't know if the new health care bill will help in a situation like this--it only refers to eliminating copays (would I love a policy with a copay!) for preventive care. But forcing people with high deductibles to pay for every little thing definitely reduces the incentive for preventive care. This has to be addressed as well.
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dbmetzger
07:35 PM on 08/19/2010
4 in 10 Americans Seek Alternative Medicine
In the United States, more patients are turning to alternative and complementary medicine as part of their health care. The National Institutes of Health say that nearly 40 percent of adults have used some type therapy that isn't taught in med school.
http://www.newslook.com/videos/242916-4-in-10-americans-seek-alternative-medicine?autoplay=true

Holistic Approach to HIV
A medical project in Elandsdoorn, in South Africa works to encourage healthy lifestyles for the HIV positive, focusing on motivation as much as prevention and treatment. . http://www.newslook.com/videos/242151-holistic-approach-to-hiv?autoplay=true
04:36 PM on 08/18/2010
I have health insurance and my health insurance has a $1,500.00/year deductible which means that I might as well not have health insurance.

For the Dr. there's the $35 co-pay per visit, 100% percent of any needed lab work or other treatment on that visit, prescriptions that my insurance won't cover the biggest part of the time.

So instead of getting prompt, early or preventative care, I let an issue go on for months until it can no longer be ignored then I go to the ER where I have a $125 co-pay and still have to meet the $1500/year deductible so I have to pay 100% of everything for the ER visit.

And co-pays go up every year like clockwork and "covered" expenses or treatments diminish every year like clockwork.

And all this out-of-pocket expense is in addition to the money they take out of my paycheck to pay for this insurance that I can't actually use for anything.

Dr. Grundy, I see in one of your responses below that studies validate my experience that the those with private fee-for-service insurance are less likely to receive appropriate, evidence-based treatment.

And I couldn't even consider treatment for a catastrophic illness because after the $1500 deductible, my insurance only covers 80%. Of some things. Zero for other things.

So I used all these words to basically say that our health care system doesn't work and isn't going to anytime soon.
08:39 AM on 08/22/2010
I have a $10,000 deductible. I hear you! I do have an h.r.a. (used to have an h.s.a.) which helps but of course if you're not running a business that $1500 is all after tax dollars.

As you've seen, waiting to get care can be more costly. For lab work, ask your doctor what the tests are and call around to different labs. Some won't work with certain labs because they feel the results are unreliable, so ask about that, but do shop around. I found hospital labs (located conveniently near my doctor's office) charge double what a self-standing lab in my neighborhood costs.

If you can't do generic prescriptions to bring the price down, check WalMart--I find that's the cheapest. Costco has a break for the uninsured but not for those with deductibles. Also, consider using food and nutritional supplements to address underlying issues--this is a type of preventive medicine that can be very affordable. Acupuncture, too, is less expensive and often effective for many conditions, not just pain.
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martintillier
human
09:58 AM on 08/14/2010
Its very telling that so many people support a system that only serves those who can afford it. If you are poor, better not get sick, unless you are prepared to rely on charities to serve your needs. The weak and the vulnerable seem to be considered surplus to requirements, a harsh sort of ethos, survival of the richest. The society that despises its poor is corrupt and selfish, the blamelessly ill deserve better than they get, I suppose that all those who became ill because of their jobs, yet still could not afford decent health insurance, are doomed to the same fate as the homeless,the prevailing mindset wants them all to crawl off and die, just do it somewhere we don't have to step over you as we walk in the street. I hope that healthcare in the US is reformed to be more humane and encompassing of all regardless of income, a national health service paid for by all, used by all, would be a step forward.
02:18 AM on 08/15/2010
I am not certain which countries system you are describing, but it is not the one in the USA.
The poor actually get quite good corrective care even if they cannot pay - the same care that the wealthier patients get - although they do miss out on the preventative.

It is the in-betweeners that are in real trouble: first they loose their savings, then their house, then their credit rating - until they, too, are poor and so pay nothing. But the service they get is the same high-quality service throughout the process.
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ckdogs
09:56 AM on 08/14/2010
He is exactly right. My husband is an internist, and he saves the medical care system thousands in so many ways. Simply by knowing his patients well, he is more efficient. A patient called last night describing an acute pain. Remembering that the patient had had a kidney stone 10 years ago, my husband sent him for a CT scan, found the stone, and ordered appropriate treatment - in this case pain relief and lots of water, as it looked small enough to pass. He never saw the patient, & never sent him to the ER, but he calls him daily, to be sure things are progressing appropriately. He also saves patients grief by knowing what all the specialists are doing, and coordinating conflicting medications, side effects, etc. Most specialists don't take the time to discuss the case with other specialists. But primary care has to be compensated better, as fewer and fewer are choosing this specialty. And compensating by outcomes will not work. Why take a sick complicated patient, if you are paid by outcome?
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Pamela Grundy
Freelance writer & blogger.
09:51 AM on 08/14/2010
Right. Like that's going to ever happen in a fee for service system. The focus has to come off profit and onto health, onto what works. Until that happens, doctors will gravitate toward specialization for the bigger money and GPs will keep running themselves ragged writing referrals and dispensing Vicondin scrips.
04:52 AM on 08/14/2010
This is already being done in the UK. You know, the land of evil single payer medicine. Drs. get rewarded for doing things like getting weight and blood pressure down by discussing lifestyle changes. In the UK, the British health service realizes that you will be a liability for years to come to them, if preventative treatment is not is not provided. In the US, health insurers just hope that in a few years you will be on someone else's policy, or be dropped and thus make a calculated bet on not doing (paying) what is right for the patient. It's just like owning a car : If you only plan to keep it for a year or two, you don't care too much about maintenance, but if you want to keep it forever, you give it the best treatment.
08:46 AM on 08/17/2010
I doubt your "maintenance" is any better than what we have in Canada. It consists of putting everybody on big piles of drugs to "maintain" them in some sort of pseudo fake healthy state. "discussing" lifestyle changes does nothing. Having no health care coverage would force you to actually "make" lifestyle changes. The only person I know that made any lifestyle changes is me because I have a doctor and hospital phobia and my only health care consists of going to a walk in clinic. My husband goes regularly to a family physician and is overweight, smokes and doesn't exercise but he would be considered a model patient because he listens to the lifestyle maintenance speech and gets all the recommended medical tests and takes a lot of drugs for things that he could have controlled himself.
08:45 AM on 08/22/2010
Alas, having no health care coverage does not force people to make lifestyle changes. Instead, it makes them sicker--so that they cost the overall system more money.

But you make an important point about drugs being prescribed for conditions that would be better addressed by lifestyle changes. But is it the underpaid pcp's job to call a person regularly to ask, "Are you exercising? Eating more whole grains? How's the stress management going? Did you take that meditation class?"

I think the system has to be designed around making it as easy as possible for a person to get preventive care of any type. True, a person with lifestyle/eating related high bp should stop eating junk, but I'd rather have her on blood pressure medications I pay into via my premiums than have her suffer a stroke I have to help pay for, kwim?
04:23 AM on 08/14/2010
This model will never work as long as the primary goal of american health care is big profits for people who provide no health care. I still haven't had one wingnut explain to me why every industrial nation exept the US has national health care. If their systems suck, why don't these democratic nations demand to switch to the much more expensive, exclusionary American model?
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alongst
too often denied to speak
04:54 AM on 08/14/2010
Why do so many people from those countries come here for their healthcare?
07:57 AM on 08/14/2010
Because a for-profit system funds the leading-edge well.
America has the best healthcare system in the world for the wealthy
It is only the poorest 90% who are worse off than in other OECD countries
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barkingcat
Woof?
08:43 AM on 08/14/2010
What do you mean by "so many people"?

Can you provide some statistics or other data about which countries, as well as the income levels of these people who come here for their care, and possibly even the type of treatment they're receiving?

I'd like to know more about this.

My sense is that it's a function of folks who want special procedures/treatment, don't want to have to wait for the procedure/treatment in their own country, and have the funds to pay for it.
03:11 AM on 08/14/2010
Does "putting the focus on primary care" mean forcing patients to go to one doctor and one doctor only, unless that doctor OKs visits to others?

Everything said in this article sounds good and logical, but I sense there are other aspects to this proposal that many would find objectionable if the whole thing - good and bad - from the patient's point of view, was completely described.
pup sydney
needs of regular folks, Italy; cancer;
10:56 AM on 08/14/2010
If you have a single payer systemthere is no reason to go mandatorily to one doc : that is due to insurances that want to control what you do where you go etc etc. Single payer means reimbursement is the same all over the country so no point in keeping tabs on you regarding who you see (in network and out f network do not exist in single payer systems). But that is too hard to understand watching FOX news and Snooki.
08:42 PM on 08/18/2010
This is exactly the kind of care I receive (and have for years) from my fabulous GP, and with all that I am dealing with medically, I have a number of physicians. It generally falls to me to make them share information with each other and collaborate. I am good at keeping tabs on who is getting in touch with whom, and on doing follow-up with them all, but it is a lot of work and a person needs to have the time to spend doing it. I am a very active and involved dialysis patient and run herd on my physicians but not everyone can. A medical home would benefit everyone!
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Anne Duchard
07:11 PM on 09/20/2010
This is the kind of care that many health care practitioners are trained to deliver but need resources to do and that is money.