Concierge Medicine Something Old Something New
Concierge medicine: something old, something new by Leila M. Hover Discontent on the part of both physicians and patients with the state of healthcare in the United States has led to the reappearance of an old mode of medical practice, reworked for today's needs, whi.... Published date on: 2008 with total page: 205 pages. Publisher of Concierge Medicine: Something Old, Something New is ProQuest.
Discontent on the part of both physicians and patients with the state of healthcare in the United States has led to the reappearance of an old mode of medical practice, reworked for today's needs, which places personalized patient care at the heart of it. The use of an annual retainer fee, similar to that used in the legal profession, allows physicians to reduce the size of their patient panels from 2500 or more to between 300 and 600, which in turn permits changes in their practices. These are reflected in extended office visits, permitting greater attention to patients' problems; same or next day office visits without long waits once in the office; house calls, and the patient's access to the physician all day, every day, via the physician's home and cell telephones. While this type of practice was initially directed at an elite and wealthy demographic, the size of the average retainer has dropped considerably, thereby allowing those with less stratospheric incomes to use discretionary funds for this purpose. Retainer fee practices have raised questions regarding the ethics of this type of practice and the possibility of reduced medical access for other patients as a result of it but, given the small number of such practices, there is little likelihood of their having any real impact on access. However, the use of medical retainers has a long history, although it has tended to be forgotten and, though there has been much discussion of the topic, mainly in the lay press, no formal ethical decision, negative or positive, has been reached. The long-term future of concierge practice is uncertain, but it is likely that it will remain a niche product. However, it is still an evolving process, as both physicians and state governments have begun to recognize the adaptability of the concept to the needs of the underinsured and uninsured.
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