Do you know the name of your hospital doctor?

And if you don’t, does it really matter?

Bob Wachter discusses a recent study concluding that very few could actually name their hospitalist one month after an admission.

Ideally, “patients need to have a personal connection to their physicians, particularly at times of great need and uncertainty,” writes Dr. Wachter.

I agree, but the health system has incentives geared towards giving more disjointed, fractionated care. Hospitalists work in shifts, so it’s likely more than one will be caring for a patient during a given admission. If you’re in an academic medical center, the cap on resident work-hours increases the number of doctors you’ll see, possibly as many as three different teams, in addition to the attending.

And of course, there’s people like Dr. Ernest Moy, medical officer at the federal Agency for Healthcare Research and Quality, who wonders what the big deal is: “Do you really need to know who your doctor is, or is it more important to know some processes that will help you get at the information you need?”

It seems that the depersonalization of medicine is reaching full stride. Doctors are beginning to become no more valuable than faceless technicians.

Or replaceable parts.

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  • alexa-blue

    Interchangeable parts led to a big increase in the quality of manufacturing.

  • Anonymous

    If you are sheparding an older relative through a hospitalization putting a “responsible” name with your aged-one is a must.

    It might have been interesting to see if the next-of-kin of those confused patients knew who was in charge.

  • Moof

    I wrote about this a number of years ago. There is almost no continuity of care anymore …

    Patients see strangers when they’re at their sickest and neediest, and the benefit of having a good PCP that understands them and which they trust is actually turned against them in a hospital setting.

    Medicine seems to be getting better scientifically, but the delivery method is moribund … and failing fast.

  • Anonymous

    In 2009, a (medically appropriate) non-elective hospital admission means a life threatening condition.

    I wonder how many patients in the hospital could tell the researchers what was wrong with them, their treatment plan, or their prognosis. Don’t these matter more?

    I met a 56 year old man today – metastatic cancer, pneumonia, on the vent, on dialysis, upper GI bleeding. His wife seemed suprised to hear that he might not survive ??!!

    Does it matter if she remembers my name, or the name of the 8 other subspecialists seeing him? Or does it matter more that she think about and tell us what kind of care the poor man would want us to do (or not do) if he was able to tell us himself?

    Just asking.

  • The Happy Hospitalist

    I can’t remember any of my patient’s names. I wouldn’t expect them to remember mine.

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