Rest in peace, primary care

 

Destroyed Priority of Primary Care

The corporatization of medicine has destroyed primary care as a specialty. The primary care physician is supposed to be your go-to doctor, your advocate, the coordinator of your health care. Now that corporations buy out hospitals and private practices in an almost predatory fashion, the priority is turning a profit for the corporation at the expense of not only patient health but also the health and well-being of the primary care physician. Who do you think bears the brunt of patient frustration and public misconception? The PCP.

Patients actually accuse salaried primary care physicians of being greedy, “that’s why you don’t spend enough time” during those seven-minute visits. The reality is that in corporatized medicine, the physicians don’t make the rules. More often than not, hospital administrators with no clinical background or experience dictate how these practices are run. They decide how many patients you need to see in a day to turn a profit, to maintain the salaries of superfluous middle managers.

 

Primary care has become an unsustainable specialty

 

The average internal medicine patient, especially the older demographic, has numerous chronic medical issues. How does a primary care physician address their concerns in such a short visit, much less develop a relationship, which is just as important to patient health?

At the beginning of my career, I took great joy in learning about each patient, their family and home dynamic, having two minutes to chat about “how’s the family?” Now, it’s a challenge to make eye contact, as the pressure to document on the electronic medical record to maximize reimbursement and prevent litigation is the priority.

 

 

The nail in the coffin? There are several. In one of the wealthiest nations in the world, why are our patients so chronically ill? Rates of obesity, autoimmune disorders, cancer, cardiovascular disease are increasing. Assembly line medicine has led to “band-aid” medicine, relying heavily on pharmaceuticals to put out fires, because who has the time to focus on prevention and lifestyle counseling?  Oh, and those greedy, millionaire PCPs, as the public perceives them? Their salaries actually go down every year, and they have to make up the difference by seeing more patients in these poorly constructed RVU systems. Physician burnout is at a record high under their covering operations, understandably so. Primary care physicians are leaving medicine in droves. An already existing shortage will reach devastating levels in the very near future. Corporations like Walmart are opening clinics staffed mostly by nurse practitioners.

Who will care for the complicated patients, who may have rare illnesses in addition to the common fare like diabetes?

I fear for the future of health care in this country. Until the day physicians become as well organized and as strong a lobby as nurses, pharmaceutical companies, and health insurance companies, primary care is doomed as a specialty. Rest in peace, primary care.

 

About FirstChoice Healthcare Consultancy :

First Choice Healthcare Consultancy  is a consultancy that helps our clients drive growth, enhance performance and sustain leadership in the markets they serve. We partner with them to develop strategies and implement solutions that enable the transformative change our clients need to own their future.

First Choice Healthcare Consultancy operates by bringing together a team of qualified multidisciplinary consulting professionals who offer their expertise in healthcare management and leadership to assist our clients in designing, developing and implementing innovative and customized solutions that would deliver a proven approach to long-term sustainable results.

 

Credit and source:

https://www.kevinmd.com/blog/2021/01/rest-in-peace-primary-care.html