Comments on: Online consultations http://www.kevinmd.com/blog/2006/06/online-consultations-2.html Tue, 14 Feb 2012 17:18:00 +0000 hourly 1 By: Anonymoushttp://www.kevinmd.com/blog/2006/06/online-consultations-2.html#comment-63880 Anonymous Thu, 08 Jun 2006 18:19:00 +0000 http://clients.emmense.com/kevinmd/2006/06/online-consultations.html#comment-63880 I fail to see any relationship between online consults and the prescribing of expensive antibiotics that promote resistance and breed superbugs.<br/><br/>This doc might have prescribed Avelox whether the consult was online or in person.<br/><br/>If you redo the math, online consult + 10 days amoxicillin = $49. Online consult + 10 days Augmentin = $70. I fail to see any relationship between online consults and the prescribing of expensive antibiotics that promote resistance and breed superbugs.

This doc might have prescribed Avelox whether the consult was online or in person.

If you redo the math, online consult + 10 days amoxicillin = $49. Online consult + 10 days Augmentin = $70.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2006/06/online-consultations-2.html#comment-63879 Anonymous Thu, 08 Jun 2006 15:56:00 +0000 http://clients.emmense.com/kevinmd/2006/06/online-consultations.html#comment-63879 It is instructive to see how we are using broad spectrum quinolones like Avelox for these cases of sinusitis. I believe it will also be instructive when we likely see an ever increasing number of antibiotic resistant superbugs present in the community over the next few years. <br/>Let's see<br/><br/>online consult + 10 days Avelox = approximately $40 + $65 = $105<br/><br/>office visit + 10 days Amoxicillin = approximately $65 + $9 = $74<br/><br/>office visit + 10 days Augmentin = approximately $65 + $30 = $95<br/><br/>Does this online medicine really save money? It is instructive to see how we are using broad spectrum quinolones like Avelox for these cases of sinusitis. I believe it will also be instructive when we likely see an ever increasing number of antibiotic resistant superbugs present in the community over the next few years.
Let’s see

online consult + 10 days Avelox = approximately $40 + $65 = $105

office visit + 10 days Amoxicillin = approximately $65 + $9 = $74

office visit + 10 days Augmentin = approximately $65 + $30 = $95

Does this online medicine really save money?

]]> By: Anonymoushttp://www.kevinmd.com/blog/2006/06/online-consultations-2.html#comment-63878 Anonymous Thu, 08 Jun 2006 15:49:00 +0000 http://clients.emmense.com/kevinmd/2006/06/online-consultations.html#comment-63878 Um, didn't you read the article? She paid a $40 consult fee, and her health plan apparently is considering reimbursement for e-consults.<br/><br/>I agree it would be pretty risky to consult this way, especially for a patient you don't know very well or a potentially risky situation. For established patients, though, with chronic, well-recognized problems, e-consults would probably be quite efficient. Um, didn’t you read the article? She paid a $40 consult fee, and her health plan apparently is considering reimbursement for e-consults.

I agree it would be pretty risky to consult this way, especially for a patient you don’t know very well or a potentially risky situation. For established patients, though, with chronic, well-recognized problems, e-consults would probably be quite efficient.

]]> By: Gasmanhttp://www.kevinmd.com/blog/2006/06/online-consultations-2.html#comment-63877 Gasman Thu, 08 Jun 2006 14:14:00 +0000 http://clients.emmense.com/kevinmd/2006/06/online-consultations.html#comment-63877 Not only is it diagnosing without seeing it is a difficult to sustain business model. While great service potentially for the patient, where is the cash for the doc. It did after all require some time, and does expose him to liability. But no remuneration. Not only is it diagnosing without seeing it is a difficult to sustain business model. While great service potentially for the patient, where is the cash for the doc. It did after all require some time, and does expose him to liability. But no remuneration.

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