Should Doctors be More Accountable?

Some say doctors get away with murder. Hospitals CEOs stress about patients’ lengths of stay, often because doctors refuse to arrive early and discharge patients.

IT leaders groan when doctors mangle data entry. Health records departments lose their minds about overdue discharge summaries.

A former hospital CEO and management consultant took issue with my post: Experts Blame Doctors. He said this on social media:

Your series so far has painted Drs as victims without much accountability.

Unfortunately, there are just far too many example [sic] of Drs acting total [sic] beyond accountability who seem to be protected by other Drs and their guilds. Like Dr God in Ottawa who fertilized eggs randomly with his own sperm who remained a member of the college in good standing for years.

Yes the payer and the patient can both have reasonable expectations that the practitioner doesn’t like. It is called work for a reason and pay has meaning.

A few suggestions about what your guild might do to be better would lend some credibility over this poor me stuff you have been putting out. Mix it up a bit like there might even be a public interest.

Leaving aside Dr. God, for now, our CEO says docs might have “some credibility” if they offered solutions instead of “this poor me stuff you have been putting out”. Docs are unaccountable whiners. Continue reading “Should Doctors be More Accountable?”

Experts Blame Doctors

Experts often sound out of touch.

A well known doctor said,

“…and frankly, when they [patients] are admitted to hospital 4 and 5 and 6 times a year, often it’s because people like me aren’t doing a good enough job of keeping them out of hospital and managing their illness well in the community.

~48:45 start Bending the Healthcare Cost Curve

That seems strong.

  • How often do patients suffer because docs aren’t doing a “good enough” job?
  • Should the CPSO punish doctors if patients end up in hospital?

Michael Decter thinks so. The former DM of Health in Ontario said this about diabetes care,

Continue reading “Experts Blame Doctors”

Does the Public Hate Doctors?

As usual, my best ideas come from readers. After my last post, Fees Drive Quality, Incomes Drive Envy, someone wrote:

“Trust me, if the Toronto Star did not get lots of mileage/sales and clicks from their articles about doctors, they wouldn’t keep beating this horse.

The problem is with the public that ‘consumes’ these stories about our profession.

Doctors are nothing more than free, taken for granted, envied and hated pieces of garbage who make too much money no matter what it is because…well…because they are doctors.”

He has a point. Why is doctor bashing so popular?

Do Toronto Star readers despise doctors and look to consume all the hateful, spiteful news they can find? Continue reading “Does the Public Hate Doctors?”