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Post by majestic on Mar 22, 2023 13:18:52 GMT -5
Here in the USA we use Physician Assistants & Nurse Practitioners. The majority of medical care is routine and doesn't require the lengthy training that a medical doctor goes thru. Docs would be better utilized for the more complicated and non routine care. That would help with Dr shortages.
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Post by Deleted on Mar 22, 2023 13:25:12 GMT -5
We do have nurse practitioners here, and there has been talk of physician associates (which I’d wager would be the equivalent of your physician assistants). It certainly makes sense.
I had a minor medical issue years ago. I couldn’t get a doctor’s appointment, but went to a walk-in centre where a nurse practitioner was able to diagnose the problem and give me some medication. So that helped!
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Post by Deleted on Mar 22, 2023 13:34:04 GMT -5
On a related note, there’s been some debate about whether pharmacies should have access to patient records.
I get that there would be data protection concerns, but if a pharmacist could access a patient’s medical records, that could be helpful (in theory). I had food poisoning years ago. The pharmacist was able to help. Now, he didn’t need access to my medical records, but a different medical issue for someone else might have been solved quicker if a pharmacist could have accessed such records.
Our healthcare system seems so disjointed. I’d like to see more joined-up thinking between the NHS, pharmacies, social care, mental health care, etc. Data protection concerns aside, it often seems like the right hand doesn’t know what the left hand is doing. It has been reported that so many patients in hospital beds are there because of a disconnect between the NHS and care homes (and I don’t even know if convalescence homes even exist anymore).
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Post by impulse on Mar 22, 2023 13:57:55 GMT -5
I'm biased as I've known pharmacists closely, but it could be very good for them to have access to medical records. While doctors of course study and understand medicine and their impacts, pharmacists live and breathe it in their daily lives and can catch interactions, etc.
You'd be shocked how many mistakes doctors make.
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Post by majestic on Mar 22, 2023 14:04:16 GMT -5
It makes sense. Hospital Pharmacists have access to pts medical records and are involved in care in complicated cases. I don't know why it isn't done for out patient care. IMO Pharmacists knowledge is underutilized.
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Post by majestic on Mar 22, 2023 14:09:25 GMT -5
IMO the best healthcare would be delivered by a team approach. And keep the "suits" out of it. And by suits I mean those CEO of medical systems that have never practiced medicine making decisions that impact a community's healthcare.
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Post by impulse on Mar 22, 2023 14:10:39 GMT -5
But how would anyone get rich if we didn't monetize the shit out of healthcare???
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Post by majestic on Mar 22, 2023 14:13:00 GMT -5
Seriously. Everyone says docs make too much money but the admins make 10-20× what the docs make. And probably 90% of them aren't needed.
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Post by majestic on Mar 22, 2023 14:15:53 GMT -5
You'd be shocked how many mistakes doctors make. Mostly because they are pushed to see more Pts then is safe.
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Post by majestic on Mar 22, 2023 14:18:17 GMT -5
I'm not a doctor but both my wife & I work in health care and can't wait to retire. We see the direction it has taken and most of us in healthcare aren't happy with the way it has changed. Most of us went into healthcare to help people and yes make a decent living. But now it is run so inefficiently that modern medicine gets in the way of patient care. And yes I am an old fart that wishes things were better😳
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Post by Roquefort Raider on Mar 22, 2023 14:47:27 GMT -5
IMO the best healthcare would be delivered by a team approach. And keep the "suits" out of it. And by suits I mean those CEO of medical systems that have never practiced medicine making decisions that impact a community's healthcare. I must sadly report that our own state-run healthcare system is no better. Too many career-minded managers and politicians, too few doctors and nurses.
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Post by codystarbuck on Mar 22, 2023 16:13:05 GMT -5
IMO the best healthcare would be delivered by a team approach. And keep the "suits" out of it. And by suits I mean those CEO of medical systems that have never practiced medicine making decisions that impact a community's healthcare. I must sadly report that our own state-run healthcare system is no better. Too many career-minded managers and politicians, too few doctors and nurses. Yes, but without those administrators and managers, we wouldn't have the Machine That Goes BING!
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Post by majestic on Mar 22, 2023 17:10:19 GMT -5
You'd be shocked how many mistakes doctors make. Mostly because they are pushed to see more Pts then is safe. for example the urgent care I work for pre Covid the MD/PA/NP were expected to see 25-30 pts a shift. Now it is 35-40 a shift with less support staff. And you guessed it. The support staff are leaving because they are burned out. The medical providers really can't go anywhere else since everything has merged and there is little competition.
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Post by Deleted on Mar 23, 2023 12:37:00 GMT -5
I am going to send a letter to a national newspaper, pertaining to current controversies in the UK around policing, specifically the Met Police.
I always want to write a good letter - and ensure good grammar, punctuation, etc. So, because I’ve seen something done differently in various publications, I’ll ask this: should you capitalise police ranks?
I’m going to mention an idea to cut some senior ranks in the Met. Would I type deputy assistant commissioner or Deputy Assistant Commissioner? I’m not naming individuals in those ranks, merely commenting on the ranks.
Thanks.
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Post by Cei-U! on Mar 23, 2023 15:14:45 GMT -5
I am going to send a letter to a national newspaper, pertaining to current controversies in the UK around policing, specifically the Met Police. I always want to write a good letter - and ensure good grammar, punctuation, etc. So, because I’ve seen something done differently in various publications, I’ll ask this: should you capitalise police ranks? I’m going to mention an idea to cut some senior ranks in the Met. Would I type deputy assistant commissioner or Deputy Assistant Commissioner? I’m not naming individuals in those ranks, merely commenting on the ranks. Thanks. If I remember my Strunk & White correctly, you should only capitalize the rank when applying it to an individual. So, "the position of deputy assistant commissioner earns an annual salary of...", but "Deputy Assistant Commissioner Smedly Bishpod announced today..."
Cei-U! I summon the grammar police!
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