In one of my favorite books, Zen and the Art of Motorcycle Maintenance, Robert Pirsig wrote:
“Quality is a characteristic of thought and statement that is recognized by a nonthinking process. Because definitions are a product of rigid, formal thinking, quality cannot be defined.”
If you are a patient or doctor then close your eyes and think of a quality doctor visit. What would be in it? What would be included? What would you talk about? How in depth would it be? Would there be personal discussions? Would there be eye contact? Would there be human contact?
Now, do you think that Medicare, the insurance companies, the P4P gurus, and the administrators envision the same thing you do as they create more “quality indicators” to judge whether your doctor gives quality care? I bet not.
That my friends is the difference between AUTHENTIC MEDICINE and INDUSTRIALIZED MEDICINE.