Technical Assistance for Primary Care Practice Transformation: Free Help to Perform Unpaid Labor?

Lawrence P. Casalino

doi:10.1370/afm.2226

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Thank you
Robert S Watkins

Published on: 12 April 2018

Published on: (12 April 2018)
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Thank you
Robert S Watkins, Physician
Fascinating commentary - thanks.
"many policy makers and physicians reasonably believe that, with time, the use of such processes will in fact improve quality and reduce unnecessary costs of care."
But is that really a reasonable belief? Neither my personal experience nor that of any physician I know supports it. And I think an objective review of the evidence to date fails to show any significant sup...
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Fascinating commentary - thanks.
"many policy makers and physicians reasonably believe that, with time, the use of such processes will in fact improve quality and reduce unnecessary costs of care."
But is that really a reasonable belief? Neither my personal experience nor that of any physician I know supports it. And I think an objective review of the evidence to date fails to show any significant support. Honestly, it's far more reasonable to think that these processes will increase the cost of care delivery and reduce access to care as physicians spend ever more time on administrative chores.
I have to add that, after all these years, I have absolutely no idea what the phrase "practice transformation" means. It is certainly not something I hear from my patients - rather, they tell me on a daily basis that they hope I will continue to run my practice as I always have.
What they want is a personal physician who sits down with them, one- on-one and privately, and has the time to talk and listen. Who decided that their concerns are so unimportant?
Competing interests: None declared
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Competing Interests: None declared.