Comments on: The hands-off culture of American medicine http://www.kevinmd.com/blog/2008/08/hands-off-culture-of-american-medicine.html Tue, 14 Feb 2012 22:04:00 +0000 hourly 1 By: Steven Knope, M.D.http://www.kevinmd.com/blog/2008/08/hands-off-culture-of-american-medicine.html#comment-87050 Steven Knope, M.D. Tue, 12 Aug 2008 17:45:00 +0000 http://clients.emmense.com/kevinmd/2008/08/the-hands-off-culture-of-american-medicine.html#comment-87050 Not only have American physicians abandoned the physical exam, they have also abandoned the history - where most of the important diagnostic information is obtained. <br/><br/>All of this speaks to a loss of clinical skills, which is due to the time pressures associated with practicing third-party, fast-food medicine. The answer is simple: direct financial relationship between doctors and patients. In this model, the ingredient of TIME is added back into the doctor-patient interaction. <br/><br/>Steven D. Knope, M.D.<br/>Author, "Concierge Medicine, A New System to Get the Best Healthcare" (Greenwood/Praeger, May 2008)<br/>www.conciergemedicinemd.com Not only have American physicians abandoned the physical exam, they have also abandoned the history – where most of the important diagnostic information is obtained.

All of this speaks to a loss of clinical skills, which is due to the time pressures associated with practicing third-party, fast-food medicine. The answer is simple: direct financial relationship between doctors and patients. In this model, the ingredient of TIME is added back into the doctor-patient interaction.

Steven D. Knope, M.D.
Author, “Concierge Medicine, A New System to Get the Best Healthcare” (Greenwood/Praeger, May 2008)
http://www.conciergemedicinemd.com

]]> By: Anonymoushttp://www.kevinmd.com/blog/2008/08/hands-off-culture-of-american-medicine.html#comment-87047 Anonymous Tue, 12 Aug 2008 14:35:00 +0000 http://clients.emmense.com/kevinmd/2008/08/the-hands-off-culture-of-american-medicine.html#comment-87047 If patients weren't paying with Other People's Money, they'd be more likely to want or demand a physician whose physical exam skills make hundreds or thousands of dollars in tests or imaging unnecessary. If patients weren’t paying with Other People’s Money, they’d be more likely to want or demand a physician whose physical exam skills make hundreds or thousands of dollars in tests or imaging unnecessary.

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