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View Diary: Obamacare repeal still the Republicans' big goal. Really. (119 comments)

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  •  I disagree (3+ / 0-)
    Recommended by:
    shortfinals, tb mare, Mr MadAsHell

    One of the key aspects to patient-centered care is the use of a care team in a primary care practice. That is, the physician or lead clinician does not have to perform all aspects of a patient's care. Nurses, PAs, medical assistants, all have a role to play in providing high-quality care, within the scope of their training, of course. This frees physicians (of which we have a shortage, especially in primary care) to handle the most complex and complicated aspects of care. This allows the same practice to see more patients, meaning we can provide more patient care with the same number of people.

    The patient-centered model also relies on technology to ensure all providers have the essential information about their patient's care and current health status. This helps reduce unnecessary testing and missed diagnoses, also reducing overall costs.

    Finally, the patient-centered model also calls for the use of technology to identify and reach out to patients who may need care (e.g., diabetics who haven't gotten their needed lab tests). By increasing the quality of primary care, this helps reduce serious illnesses and hospitalizations.

    As you can tell, I live this stuff every day, but I really believe the patient-centered model is exactly what we need to keep costs down and patients healthier.

    Boycott Russian vodka, Russian caviar and all things Russian. LGBT oppression cannot be allowed to stand.

    by CPT Doom on Tue Oct 29, 2013 at 10:49:42 AM PDT

    [ Parent ]

    •  Actually, that's something I run into every day... (2+ / 0-)
      Recommended by:
      tb mare, RiveroftheWest

      Along with the rise of medical informatics, and other technologies, we are seeing a quiet revolution in way care is provided.

      Certainly, the health care group I work for is investing in this in a big way. We were selected as one of the national Pioneer Accountable Care Organization (ACO) organizations, and have been changing to fit the new dynamic.

      'Per Ardua Ad Astra'

      by shortfinals on Tue Oct 29, 2013 at 10:58:26 AM PDT

      [ Parent ]

    •  I believe in it too (2+ / 0-)
      Recommended by:
      tb mare, RiveroftheWest

      but I don't think it will do much to expand coverage to the poor. I'm skeptical that it will bring costs down significantly.

      The meat of the ACA is about making healthcare access possible for millions and shifting the burden/responsibility of growing health costs away from private enterprise (who increasingly cannot handle it).

      So Boehner saying he'd replace the ACA with "patient-centered care" doesn't make sense. It's like saying you're going to replace airport security screenings with a lemony fresh scent.

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