The looming health-care crisis will bring about a sea change in the practice of medicine, predicts this expert. He assesses whether specialized teams or a return to capitation will likely win out and gives tips on preparing your ob/gyn practice for an uncertain future.
Finding the best way to fix our broken health-care system remains one of our major challenges. Dr. Charles J. Lockwood summarizes two competing approaches, one championed by Michael Porter, which revolves around integrated practice units (IPU), and one recommended by Alain Enthoven, which hinges on the use of large integrated health-care delivery systems (IHS).
A small but growing number of physicians are asking patients to sign agreements pledging not to post negative remarks about them on Web sites that allow the public to rate medical encounters.
The practice of medicine has become too complex for ob/gyns to rely solely on their memories to keep patients safe. A mishap during the test flight of the B17 bomber taught its designers the value of a preflight checklist, and clinicians can likewise benefit from preprocedure checklists.
Dr. Carrie Klima discusses the value of educating patients in a group setting, rather than one on one.
Here's how new regulations will affect ob/gyns.
Sick of high premiums? If you're willing to control risk in your practice and be involved in decisions, this non-traditional liability insurance option may be for you.
As the burden of uncompensated care mounts, some companies are offering credit histories to help screen prospective patients and collect overdue bills.
State medical societies are conducting economic impact studies to show that physician practices pump billions of dollars into local and state economies through payrolls and purchases of local goods and services, so that local businesses and government assist physician practices with small business loans, etc.
Fear of litigation, damage to reputation, and ostracism by peers have been responsible for a "code of silence." The wiser course in most circumstances is to reveal one's mistakes, and have a well thought out protocol for providing full disclosure.