The Demoralized Doctor Epidemic

A new survey by Merritt Hawkins shows the following:

  • The majority of the 17,236 physicians surveyed (54%) describe their morale as somewhat or very negative, 63% are pessimistic about the future of the medical profession, 49% always or often experience feelings of burn-out, and 49% would not recommend medicine as a career to their children, according to the survey.
  • They spend 21% of their time on non-clinical paper work duties, according to the survey, while only 14% said they have the time they need to provide the highest standards of care.
  • About two-thirds (72%) said third-party intrusions detract from the quality of care.
  • A growing number of physicians (13.5%) said they will seek non-clinical, administrative jobs, 21% will cut back on hours worked, 11.5% will take temporary (locum tenens) positions, 10% will switch to part-time practice, 14% will retire, and 9% said they will switch to concierge medicine.
  • While 36% of physicians participate in accountable care organizations (ACOs), only 11% believe ACOs are likely to enhance quality while decreasing costs. Physicians also are dubious about hospital employment of doctors, another mechanism for achieving healthcare reform.
  • Two-thirds (66%) do not believe hospital employment will enhance quality of care or decrease costs. Even 50% of physicians who are themselves employed by hospitals, do not see hospital employment as a positive trend.
  • 80% of physicians are overextended or are at capacity, with no time to see additional patients
  • 48% of physicians said their time with patients is always or often limited
  • 46.8% of physicians plan to accelerate their retirement plans

To summarize, I would like to sarcastically quote Freddie Prinze and say “Looooooking good!!!”

 

Give the Poor Insurance Companies a Break

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In another example of this administration doing whatever ever they want with the Affordable Care Act it was found recently that “health insurers that sell plans on the federal HealthCare.gov marketplace may not face ‘enforcement remedies’ in 2017 if they fail to follow all of the rules around consumer complaints”. It goes on to say that…

New AAFP President Coming In

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Yes, it is that time of year again.  The AAFP has a new incoming president and his name is John Meigs, M.D. You can read most of what he says here but basically over the next year the will supposedly tackle the tough issues facing family physicians, including pay, administrative burdens and opioid abuse. My thoughts?  He would…

What’s In Your ACO? by Pat Conrad MD

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How did getting paid for a rendered service become: “It was about the Yin and Yang of payment reform and delivery transformation.” This actual quote from Farzad Mostashari, MD leads off an interview in which the fawning interviewer described him as “a champion of the provider.” A champion?? She asks how he would help the…