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View Diary: Scott Walker's War on Women escalates (95 comments)

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  •  Webcam consultation with my doctor (3+ / 0-)
    Recommended by:
    wishingwell, phonegery, hepshiba

    is something I can only dream of for the future.  Right now there are essentially no payment mechanisms for doctors or clinics to get reimbursed for email communications or video chat -- even where both would greatly smooth efficiency and avoid unnecessary fatigues of transport and sharing of germs.  

    A very few private-practice docs have started a "boutique practice" where they incorporate some of these technologies.  One boutique family practice I know of has a hefty annual membership fee as compensation for the enhanced communications.   If I had kids I'd probably try it.   But right now, such services are strictly luxuries for those with means, and rare even at that.

    "The extinction of the human race will come from its inability to EMOTIONALLY comprehend the exponential function." -- Edward Teller

    by lgmcp on Mon Apr 09, 2012 at 08:58:02 AM PDT

    •  A whole bunch of Dr. Frists? (2+ / 0-)
      Recommended by:
      Aquarius40, dotdash2u

      No thank you.

      I'd like to see all practices designate one doctor to do house calls.  Maybe once they can let their "figuring out the fucked up byzantine insurance paperwork" department go, they can afford that.

      •  So you can't think of ANY safe, practical reasons (1+ / 0-)
        Recommended by:
        tb mare

        to be in remote contact with your doctor?  You go ahead and pass, but I think there are times when it would be just the ticket.

        "The extinction of the human race will come from its inability to EMOTIONALLY comprehend the exponential function." -- Edward Teller

        by lgmcp on Mon Apr 09, 2012 at 09:24:04 AM PDT

        [ Parent ]

      •  Rural services benefit (3+ / 0-)
        Recommended by:
        lgmcp, tb mare, dotdash2u

        greatly from online connection to doctors.  So do setups where folks can visit a nurse practitioner who can get online with a doctor.  Many insurance programs in Europe allow folks to contact a practitioner via internet because many problems can be solved with a simple contact, rather than an office visit.

        This allows doctors to spend time with the patients whose conditions require f2f treatment.

        In fact, laws against telemedicine are shutting down Planned Parenthood clinics in rural areas, that rely on distance medicine to stretch an already thin staff.

        "If you fake the funk, your nose will grow." -- Bootsy Collins

        by hepshiba on Mon Apr 09, 2012 at 09:50:14 AM PDT

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    •  Geisinger is going to start E Visits online by the (2+ / 0-)
      Recommended by:
      lgmcp, tb mare

      summer. They have a survey about how much we would be willing to pay.  Since we are fortunate to have a copay for office visits, as long as it a few dollars lower than the copay, sounds good for us.

      I think how it works is if the doctor feels he cannot diagnose or prescribe during the E Visit and more tests are needed or he needs to fully examine the patient; then he will ask the patient to schedule an office visit.

      But for some recurrent problems I have, it would be great.

      Follow PA Keystone Liberals on Twitter: @KeystoneLibs

      by wishingwell on Mon Apr 09, 2012 at 09:26:04 AM PDT

      [ Parent ]

    •  We just have regular Geisinger insurance and (1+ / 0-)
      Recommended by:
      lgmcp

      no membership or extra fee services..just regular insurance and yet we have all these perks because we also go to Geisinger Family Practice and specialists and they are going to start evisits. Now we each have our health page and tests results are posted and we can email the doctor and so on and ask for med refills online.

      But it is not a boutique service, it is just part of being any patient of the practice.

      Follow PA Keystone Liberals on Twitter: @KeystoneLibs

      by wishingwell on Mon Apr 09, 2012 at 09:28:09 AM PDT

      [ Parent ]

      •  The big academic medical center here (0+ / 0-)

        wants to go this way, but it will be a number of years before they can implement it.  

        Public health and primary doctors are interested in reforms leading to a care delivery model known as the "patient-centered medical home".  E-visits are one of many components proposed to help implement it.

        "The extinction of the human race will come from its inability to EMOTIONALLY comprehend the exponential function." -- Edward Teller

        by lgmcp on Mon Apr 09, 2012 at 09:33:54 AM PDT

        [ Parent ]

        •  I like it as it is faster through the website to (1+ / 0-)
          Recommended by:
          lgmcp

          get answers from doctors, to get appointments, to get the results of lab work,  to change or cancel an appointment, to get medication refills and more.

          Follow PA Keystone Liberals on Twitter: @KeystoneLibs

          by wishingwell on Tue Apr 10, 2012 at 08:54:33 AM PDT

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          •  I'm envious! (1+ / 0-)
            Recommended by:
            wishingwell

            I think it will be a very popular service whereever it is offered.  

            "The extinction of the human race will come from its inability to EMOTIONALLY comprehend the exponential function." -- Edward Teller

            by lgmcp on Tue Apr 10, 2012 at 09:05:41 AM PDT

            [ Parent ]

            •  It is great, the doctor will answer emails (1+ / 0-)
              Recommended by:
              lgmcp

              promptly and the nurses very promptly. And I can even schedule an appoment without picking up a phone....sometimes it can be done in one step as you choose one of the times available and then confirm it.

              Follow PA Keystone Liberals on Twitter: @KeystoneLibs

              by wishingwell on Wed Apr 11, 2012 at 08:00:09 AM PDT

              [ Parent ]

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