Doctors are failing to provide Americans with the best care due to a revolving-door system of medicine in which doctors are rewarded for sacrificing quality to see patients as fast as they can
Bingo. We have an increasingly fee-for-service based reimbursement system. That means that physicians are paid for every service they do: i.e. more patients/procedures/tests = more revenue.
This differs from the capitation model, where physicians are paid more to do less. However, with all the negative press that HMOs receive, this model is slowly fading away.
Pay-for-performance is one way to reverse this trend, but such programs are not yet financially viable, or are too expensive to implement.
Fee-for-service rewards quantity over quality and procedures over cognition. Each physician practice is now a small business. Like any business, if you don’t make enough revenue, you go bankrupt. The only ways to increase revenue is to i) do more procedures, or ii) see more patients. Thus, to stay in business, physicians have no choice but to see more patients. The alternative is to be out of a job.
Until this changes, expect the conveyor-belt to continue running. (via symtym)