Comments on: Would you sacrifice privacy and modesty for improved access to doctors? http://www.kevinmd.com/blog/2008/12/would-you-sacrifice-privacy-and-modesty.html medical blog Sun, 21 Mar 2010 04:06:55 -0400 http://wordpress.org/?v=2.8.4 hourly 1 By: Anonymous http://www.kevinmd.com/blog/2008/12/would-you-sacrifice-privacy-and-modesty.html/comment-page-1#comment-88441 Anonymous Tue, 02 Dec 2008 20:57:00 +0000 http://clients.emmense.com/kevinmd/2008/12/would-you-sacrifice-privacy-and-modesty-for-improved-access-to-doctors.html#comment-88441 I have a chronic disease and I am longing for this kind of interaction to see how the others are coping, and hear their solutions and at the same time hear the physician's opinion about the items that are discussed. Instant feedback, education, sharing with people that have the same issues... what's not to like? I have a chronic disease and I am longing for this kind of interaction to see how the others are coping, and hear their solutions and at the same time hear the physician’s opinion about the items that are discussed. Instant feedback, education, sharing with people that have the same issues… what’s not to like?

]]> By: Anonymous http://www.kevinmd.com/blog/2008/12/would-you-sacrifice-privacy-and-modesty.html/comment-page-1#comment-88437 Anonymous Tue, 02 Dec 2008 18:29:00 +0000 http://clients.emmense.com/kevinmd/2008/12/would-you-sacrifice-privacy-and-modesty-for-improved-access-to-doctors.html#comment-88437 One would think the individual patient waived any privacy concerns by sitting with a group of other people and discussing health problems.<br/><br/>Don't mental health professionals have group therapy sessions?<br/><br/>Since HIPAA is a fairly idiotic law to start with, I can't expect any common sense from that law in practice. One would think the individual patient waived any privacy concerns by sitting with a group of other people and discussing health problems.

Don’t mental health professionals have group therapy sessions?

Since HIPAA is a fairly idiotic law to start with, I can’t expect any common sense from that law in practice.

]]> By: Anonymous http://www.kevinmd.com/blog/2008/12/would-you-sacrifice-privacy-and-modesty.html/comment-page-1#comment-88434 Anonymous Tue, 02 Dec 2008 14:54:00 +0000 http://clients.emmense.com/kevinmd/2008/12/would-you-sacrifice-privacy-and-modesty-for-improved-access-to-doctors.html#comment-88434 These might be a good tool for some patients for some problems.<br/><br/>My mother sits in her internist's office and compares notes with the other elderly patients about meds, physicians, etc. so certainly group visits could take advantage of this. <br/><br/>I'd like to use this for some chronic problem care visits to improve the quality of our teaching and to see if it would help with my noncompliant patietns as well. <br/><br/>However, if these become widespread we can count on CMS to issue a thousand page vague yet detailed set of group visits regulations. These will then be used by CMS and the other payers to reduce or deny payment for these and scare off most of us from trying them at all for fear of drawing more attention from CMS' bounty hunting auditors. These might be a good tool for some patients for some problems.

My mother sits in her internist’s office and compares notes with the other elderly patients about meds, physicians, etc. so certainly group visits could take advantage of this.

I’d like to use this for some chronic problem care visits to improve the quality of our teaching and to see if it would help with my noncompliant patietns as well.

However, if these become widespread we can count on CMS to issue a thousand page vague yet detailed set of group visits regulations. These will then be used by CMS and the other payers to reduce or deny payment for these and scare off most of us from trying them at all for fear of drawing more attention from CMS’ bounty hunting auditors.

]]> By: Anonymous http://www.kevinmd.com/blog/2008/12/would-you-sacrifice-privacy-and-modesty.html/comment-page-1#comment-88428 Anonymous Tue, 02 Dec 2008 04:51:00 +0000 http://clients.emmense.com/kevinmd/2008/12/would-you-sacrifice-privacy-and-modesty-for-improved-access-to-doctors.html#comment-88428 What about HIPAA and patient privacy? I can't see this ever flying in my lifetime.<br/><br/>You would have no idea who else might be sitting in that room with you. You could be discussing a certain illness you have that also has a genetic component to it, and create all sorts of problems for yourself and your family. What about HIPAA and patient privacy? I can’t see this ever flying in my lifetime.

You would have no idea who else might be sitting in that room with you. You could be discussing a certain illness you have that also has a genetic component to it, and create all sorts of problems for yourself and your family.

]]> By: Supremacy Claus http://www.kevinmd.com/blog/2008/12/would-you-sacrifice-privacy-and-modesty.html/comment-page-1#comment-88426 Supremacy Claus Tue, 02 Dec 2008 04:05:00 +0000 http://clients.emmense.com/kevinmd/2008/12/would-you-sacrifice-privacy-and-modesty-for-improved-access-to-doctors.html#comment-88426 I see the potential for enhancing cognitive services by group visits. You have to discuss nutrition and insulin management. The lecture is always the same. Why repeat it separately to 10 patients a week, instead of once to 10 people. If you give it to a group, a patient will take the advice more seriously if another describes the consequences personally experienced when the advice was ignored. I see the potential for enhancing cognitive services by group visits. You have to discuss nutrition and insulin management. The lecture is always the same. Why repeat it separately to 10 patients a week, instead of once to 10 people. If you give it to a group, a patient will take the advice more seriously if another describes the consequences personally experienced when the advice was ignored.

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