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Old 02-01-2013, 11:15 PM  
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Survey: Pysicians reducing their hours/access

Comprehensive Survey of 13,575 U.S. Physicians Points Toward Substantial Challenges

Research Commissioned by The Physicians Foundation Also Examines Physician Morale and Perspectives on Current / Future State of U.S. Healthcare System

Boston, MA, September 24, 2012— American patients are likely to experience significant and increasing challenges in accessing care if current physician practice patterns trends continue, according to a comprehensive new survey of practicing physicians. One of the largest physician surveys ever undertaken in the U.S., the research was commissioned by The Physicians Foundation, a nonprofit organization that seeks to advance the work of practicing physicians and help facilitate the delivery of healthcare to patients.

Physicians are working fewer hours, seeing fewer patients and limiting access to their practices in light of significant changes to the medical practice environment, according to the research, titled “A Survey of America’s Physicians: Practice Patterns and Perspectives.” The research estimates that if these patterns continue, 44,250 full-time-equivalent (FTE) physicians will be lost from the workforce in the next four years. The survey also found that over the next one to three years, more than 50 percent of physicians will cut back on patients seen, work part-time, switch to concierge medicine, retire, or take other steps likely to reduce patient access. In addition, should 100,000 physicians transition from practice-owner to employed status over the next four years (such as working in a hospital setting), the survey indicates that this will lead to 91 million fewer patient encounters.

“It is clear that the introduction of nearly 30 million new patients into the U.S. healthcare system through healthcare reform, added to the already growing physician shortage, will have profound implications for patient access to medical care,” said Walker Ray, M.D., vice president of The Physicians Foundation and chair of its Research Committee. “The rate of private practice physicians leaving the medical field, as well as changes in practice patterns that reduce the number of hours spent seeing and treating patients, is alarming. When these lost hours are added up, we get a much fuller and more ominous picture of the kind of access crisis that patients may soon face.”

More than half of physicians (52 percent) have limited the access of Medicare patients to their practices or are planning to do so, while one out of four physicians (26 percent) have already closed their practices altogether to Medicaid patients, the survey shows. Physicians cited rising operating costs, time constraints and diminishing reimbursement as the primary reasons why they are unable to accept additional Medicare and Medicaid patients.

The survey, fielded online from late March to early June 2012 by Merritt Hawkins for The Physicians Foundation, is based on responses from 13,575 physicians across the U.S. The overall margin of error (MOE) for the entire survey is (μ ± 0.998 percent), which indicates a “low to very low” sampling error for a survey designed to draw opinions and beliefs from a large population. Generally, an overall MOE at 99 percent confidence is considered highly trustworthy at +/- 2 percent or less, and all questions within the survey met this criterion.


Physician Morale

An overwhelming 80 percent of physicians cited “patient relationships” as the No. 1 most satisfying part of their job. Yet the survey also found an overwhelming majority of physicians, 77 percent, are pessimistic about the future of medicine. Eighty-two percent believe they have little ability to change the healthcare system.

Multiple factors were cited as driving widespread feelings of discontent among the nation’s physicians. “Liability / defensive medicine pressures” (related to potential malpractice lawsuits) was cited first, followed by “Medicare / Medicaid / government regulations,” “reimbursement issues” and “uncertainty / changes of health reform.” These issues and others cited throughout the study tend to distract or interfere with the time physicians spend with their patients, according to survey respondents.

“The level of pessimism among America’s physicians is very troubling,” said Lou Goodman, Ph.D., president of The Physicians Foundation and CEO of the Texas Medical Association. “More than 84 percent of physicians feel that the medical profession is in decline and nearly 58 percent are reluctant to recommend medicine as a career to their children. That means we need to make significant changes to ensure that we preserve the patient-physician relationship and continue to have the brightest minds going into medicine.”

Healthcare Cost Drivers

When asked about the factors driving increases in healthcare costs, “defensive medicine” was cited as the No. 1 cause for 69 percent of physicians, followed by an “aging population” (65 percent). On average, older patients visit physicians three times as often compared to younger patients. Other factors ranked included “cost of pharmaceuticals,” “advances in technology / treatment” and “social conditions.”

Additional survey findings of note include:

• Close to 92 percent of physicians are unsure where the health system will be or how they will fit into it three to five years from now
• More than 62 percent of physicians said Accountable Care Organizations (ACOs) are either unlikely to increase healthcare quality and decrease costs, or that any quality / cost gains will not be worth the effort
• Physicians are divided on the efficacy of the “medical homes” concept, and many (37.9 percent) remain uncertain about their structure and purpose
• While close to 70 percent of physicians have implemented electronic medical records (EMR), 47.4 percent have significant concerns that EMR poses a risk to patient privacy

“The 13,000 plus physicians who participated in this landmark survey, which included nearly 8,000 open-ended responses, strongly demonstrates the overwhelming desire of America’s physicians to share their perspectives and concerns about the current state of medicine,” said Tim Norbeck, CEO of The Physicians Foundation. “The accuracy, rigor and sheer scope of this survey should make it an invaluable piece of research to policy makers, healthcare providers, media and other stakeholders that truly want to understand the challenges that face America’s healthcare system.”

http://www.physiciansfoundation.org/...al-challenges/
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Old 02-04-2013, 01:17 PM   #16
Cephalic Trauma Cephalic Trauma is offline
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whaaat? You mean they are cutting teachers salaries?
Did you miss the brightest minds part?
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Old 02-04-2013, 01:18 PM   #17
Cephalic Trauma Cephalic Trauma is offline
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Join a union and throw a hissy fit?
Meh. We're better than that. We strike (which will never happen), people die.
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Old 02-04-2013, 01:19 PM   #18
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Prices increase.

Source: I have a degree in Finance.
What if compensation is fixed? Or, in this case, decreased?
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Old 02-04-2013, 01:24 PM   #19
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Originally Posted by Cephalic Trauma View Post
Did you miss the brightest minds part?
no, I was thinking teachers as soon as you said it. Someone had to take your little brain and feed it.
(and no, I am not a teacher)
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Old 02-04-2013, 01:25 PM   #20
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Dear teachers,

I love you and you made me smart. But there are far too many of you to compensate you fairly, and it sucks.

Edit: I would also like to pledge 50% of my future salary spread evenly to every teacher that 'fed my little brain' from K-12. I am not worthy of the salary that I will "earn" during college, graduate, and residency. I will also wait to pay off my six figure debt in order to pay you for the work you've done.

Thanks,
Cephalic "Forever in Debt" Trauma

Last edited by Cephalic Trauma; 02-04-2013 at 01:32 PM..
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Old 02-04-2013, 01:27 PM   #21
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Originally Posted by Cephalic Trauma View Post
What if compensation is fixed? Or, in this case, decreased?
Then the laws of free market supply/demand no longer apply. Supply will continue to drop while demand increases.

The wealthy will be able to go outside the "system", and the rest will get rationed care.
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Colon is 0.7 WAR or 5M in value. He makes 500k. Getting pretty close, and since he's producing war each of the next 4 years of club control, he's fair value for Upton straight up. More than fair actually.
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Old 02-04-2013, 01:28 PM   #22
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Then the laws of free market supply/demand no longer apply. Supply will continue to drop while demand increases.

The wealthy will be able to go outside the "system", and the rest will get rationed care.
Bingo.
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Old 02-04-2013, 01:28 PM   #23
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Originally Posted by Saul Good View Post
Then the laws of free market supply/demand no longer apply. Supply will continue to drop while demand increases.

The wealthy will be able to go outside the "system", and the rest will get rationed care.
That is the law of supply and demand still working. Just like black markets were a market response to soviet socialism.
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Old 02-04-2013, 01:29 PM   #24
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Originally Posted by Saul Good View Post
Prices increase.

Source: I have a degree in Finance.
Finance is not economics....but I'm sure you covered economics as part of it.
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Old 02-04-2013, 01:31 PM   #25
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You're close to being logical in the DC area. Logical thinking is not allowed. Unless your post supports some far right agenda or way of thinking you're a socialist anti American scum bag per 90% of DC posters.
What's so logical about his post? He's provided some optimistic conjecture, but none of it addresses the facts of the survey.

In every case:
Facts > Conjecture
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Old 02-04-2013, 01:31 PM   #26
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Originally Posted by BucEyedPea View Post
That is the law of supply and demand still working. Just like black markets were a market response to soviet socialism.
You'll notice the "free market" qualifier in my post...
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Colon is 0.7 WAR or 5M in value. He makes 500k. Getting pretty close, and since he's producing war each of the next 4 years of club control, he's fair value for Upton straight up. More than fair actually.
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Old 02-04-2013, 01:34 PM   #27
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You'll notice the "free market" qualifier in my post...
What ever market is there?
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Old 02-04-2013, 01:35 PM   #28
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Originally Posted by Taco John View Post
What's so logical about his post? He's provided some optimistic conjecture, but none of it addresses the facts of the survey.

In every case:
Facts > Conjecture
Your facts are physicians conjectures. Which is great if our primary concern about public health is related to how physicians think about future events. Is that your concern? Or is a good, affordable health care system your concern?
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Old 02-04-2013, 01:36 PM   #29
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The market always has the last say—even in a socialism.It just goes underground to operate freely.
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“The power to declare war, including the power of judging the causes of war, is fully and exclusively vested in the legislature.” ~ James Madison, Father of the Constitution

“We do not believe in aggressive or preventive war. Such war is the weapon of dictators, not of free democratic countries like the United States.”~ Truman, Sept 1, 1950
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Old 02-04-2013, 01:37 PM   #30
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Originally Posted by La literatura View Post
Your facts are physicians conjectures. Which is great if our primary concern about public health is related to how physicians think about future events. Is that your concern? Or is a good, affordable health care system your concern?
Quality
Affordability
Accessibility

Pick two
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Originally Posted by Prison Bitch View Post
Colon is 0.7 WAR or 5M in value. He makes 500k. Getting pretty close, and since he's producing war each of the next 4 years of club control, he's fair value for Upton straight up. More than fair actually.
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