The health of people will become greatly improved if the healthcare system adopts a model that pays doctors based on how healthy they can keep their patients. KC KatCh
That's a good question. Would it be reasonable to also implement a lottery draw of some sort, where the people in each community are randomly assigned to doctors?
This "pay for performance" model is already in use in such countries as the Netherlands, the UK, Australia, and Germany. How would "healthy" outcomes be measured?SilentOne
That's fantastic. I didn't know there were already countries doing this. I suspect it was quite a big undertaking for them to establish this model and perhaps they would be willing to collaborate how they measure healthy?
That's tricky isn't it? I actually don't know. I wonder if part of the intake process would be a contractual obligation signed by the patient? Any suggestions?
If a patient were unhealthy, beligerent and non-compliant, there would be a tendcy to want to fire this sort of patient. Could a patient be fired and under what set of circumstnaces. Additionally, who would want to care for this sort of person?DHB
That's a very valid concern. Perhaps this is where a random draw process in assigning patients to doctors could balance things out? Could it be expected that there are patients like this in every doctor's practice? Much like there are also patients in every doctor's practice who are very easy, very healthy and make efforts to stay healthy? So it becomes just part of the entire practice for a doctor to experience and handle each type of patient? If one practice ends up flooded with too many more challenging patients perhaps there could be a specifically category they would be put in, with specific requirements to fit into that category such as non compliant, confrontational, etc... and on an annual basis any patient who has been placed in this category becomes automatically reassigned to a new doctor to try again? Any suggestions?
I would expect that whether a patient is healthy only requiring regular check ups; or has serious ailments that the contract would include an agreement to follow the doctor’s advice. Many doctors do offer advice that includes lifestyle changes.
How can physicians guarantee they can keep their patients healthy? No guarantee that one day they are fine; next day very sick with cancer , heart attacks or strokes. No guarantee a physician can predict the future of someone’s health. Maybe AI can in the future.Seagirl
Very true. But there are so many questionable practices currently in place for doctors to generate more income. ie: in many places a surgeon is often paid per surgery, rather than paid based on the long term success of the surgery. A model based on higher reward for better health may still make improvements in many areas of the healthcare system.
