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	<title>Comments on: Op-ed: What we have in health care today is a failure to communicate</title>
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	<link>http://www.kevinmd.com/blog/2008/06/classic-post-what-we-have-in-health.html</link>
	<description>medical blog</description>
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		<title>By: disgusted</title>
		<link>http://www.kevinmd.com/blog/2008/06/classic-post-what-we-have-in-health.html/comment-page-1#comment-111630</link>
		<dc:creator>disgusted</dc:creator>
		<pubDate>Fri, 11 Sep 2009 17:49:37 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2008/06/op-ed-what-we-have-in-health-care-today-is-a-failure-to-communicate.html#comment-111630</guid>
		<description>Is it me? I have wonderful doctors but it seems that some of their staff members don&#039;t communicate with them much! Does anyone else seem to have this problem?</description>
		<content:encoded><![CDATA[<p>Is it me? I have wonderful doctors but it seems that some of their staff members don&#8217;t communicate with them much! Does anyone else seem to have this problem?</p>
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		<title>By: AngryYoungMrs</title>
		<link>http://www.kevinmd.com/blog/2008/06/classic-post-what-we-have-in-health.html/comment-page-1#comment-106010</link>
		<dc:creator>AngryYoungMrs</dc:creator>
		<pubDate>Fri, 10 Jul 2009 10:51:48 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2008/06/op-ed-what-we-have-in-health-care-today-is-a-failure-to-communicate.html#comment-106010</guid>
		<description>As a young Finnish GP-to-be, I¨d rather give a patient 30 minutes or more, see them leaving satisfied and meet them again in six months or a year than 8 minutes per head and have them either come back to me or visit the ER after a week. But alas, it is seen as more &quot;efficient&quot; and &quot;cost-effective&quot; to have dissatisfied patients. Fast food is sloppy and unhealthy nutrition, why on earth go Fast healthcare?</description>
		<content:encoded><![CDATA[<p>As a young Finnish GP-to-be, I¨d rather give a patient 30 minutes or more, see them leaving satisfied and meet them again in six months or a year than 8 minutes per head and have them either come back to me or visit the ER after a week. But alas, it is seen as more &#8220;efficient&#8221; and &#8220;cost-effective&#8221; to have dissatisfied patients. Fast food is sloppy and unhealthy nutrition, why on earth go Fast healthcare?</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2008/06/classic-post-what-we-have-in-health.html/comment-page-1#comment-87074</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Fri, 15 Aug 2008 21:17:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2008/06/op-ed-what-we-have-in-health-care-today-is-a-failure-to-communicate.html#comment-87074</guid>
		<description>http://www.bmj.com/cgi/content/full/337/jul04_1/ a664&lt;br/&gt;&lt;br/&gt;I hope you&#039;ll enjoy seeing that the problem is bad in UK as well.&lt;br/&gt;&lt;br/&gt;If you think 10-15 minutes is quick per patient try UK medicine where anything over ten minutes a patient is considered extravagant.&lt;br/&gt;&lt;br/&gt;Bad communication is endemic in UK NHS.</description>
		<content:encoded><![CDATA[<p><a href="http://www.bmj.com/cgi/content/full/337/jul04_1/" rel="nofollow">http://www.bmj.com/cgi/content/full/337/jul04_1/</a> a664</p>
<p>I hope you&#8217;ll enjoy seeing that the problem is bad in UK as well.</p>
<p>If you think 10-15 minutes is quick per patient try UK medicine where anything over ten minutes a patient is considered extravagant.</p>
<p>Bad communication is endemic in UK NHS.</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2008/06/classic-post-what-we-have-in-health.html/comment-page-1#comment-86456</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Tue, 24 Jun 2008 06:54:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2008/06/op-ed-what-we-have-in-health-care-today-is-a-failure-to-communicate.html#comment-86456</guid>
		<description>Your EMR can&#039;t talk to my EMR.  &lt;br/&gt;&lt;br/&gt;Electronic records don&#039;t help.  What they do is make long, unreadible notes that are easy to bill from.  These same long, unreadible notes often convey minimal (if any) unseful clinical information.&lt;br/&gt;&lt;br/&gt;Communication is much more difficult and care is more fragmented than ever.  You&#039;re solution (changing the incentives) would work and solve a lot of problems.&lt;br/&gt;&lt;br/&gt;Let me bill for talking to a pt&#039;s PCP, nephrologist, oncologist and family.  I&#039;ll make sure t get it done and documented.</description>
		<content:encoded><![CDATA[<p>Your EMR can&#8217;t talk to my EMR.  </p>
<p>Electronic records don&#8217;t help.  What they do is make long, unreadible notes that are easy to bill from.  These same long, unreadible notes often convey minimal (if any) unseful clinical information.</p>
<p>Communication is much more difficult and care is more fragmented than ever.  You&#8217;re solution (changing the incentives) would work and solve a lot of problems.</p>
<p>Let me bill for talking to a pt&#8217;s PCP, nephrologist, oncologist and family.  I&#8217;ll make sure t get it done and documented.</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2008/06/classic-post-what-we-have-in-health.html/comment-page-1#comment-86444</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Mon, 23 Jun 2008 16:45:00 +0000</pubDate>
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		<description>I take issue with your mention that EMR&#039;s reduce medical errors. Best as I can tell from what data exists, it may reduce some and create others.</description>
		<content:encoded><![CDATA[<p>I take issue with your mention that EMR&#8217;s reduce medical errors. Best as I can tell from what data exists, it may reduce some and create others.</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2008/06/classic-post-what-we-have-in-health.html/comment-page-1#comment-86443</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Mon, 23 Jun 2008 16:13:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2008/06/op-ed-what-we-have-in-health-care-today-is-a-failure-to-communicate.html#comment-86443</guid>
		<description>I agree that this is a tremendous problem.  Just read through the comments on the last 2 posts and you will see how wide that divide is!</description>
		<content:encoded><![CDATA[<p>I agree that this is a tremendous problem.  Just read through the comments on the last 2 posts and you will see how wide that divide is!</p>
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		<title>By: Onehealthpro</title>
		<link>http://www.kevinmd.com/blog/2008/06/classic-post-what-we-have-in-health.html/comment-page-1#comment-86442</link>
		<dc:creator>Onehealthpro</dc:creator>
		<pubDate>Mon, 23 Jun 2008 15:41:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2008/06/op-ed-what-we-have-in-health-care-today-is-a-failure-to-communicate.html#comment-86442</guid>
		<description>Hooray!  Great ideas.  I spend a great deal of time maintaining copies of medical records for my aging parents because the various offices involved frequently lose the information provided.&lt;br/&gt;Onehealthpro</description>
		<content:encoded><![CDATA[<p>Hooray!  Great ideas.  I spend a great deal of time maintaining copies of medical records for my aging parents because the various offices involved frequently lose the information provided.<br />Onehealthpro</p>
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