Word: doctorings
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...Doctors are having a hard go of things. Squeezed by falling reimbursements, soaring malpractice insurance and punishing patient loads, they shouldn't have much to fear from the likes of Wal-Mart. But the fact is, the greeter in the red vest is increasingly going toe-to-toe with the doctor in the white coat - and winning - thanks to the growing phenomenon of retail health clinics...
...that clinics - which are typically staffed by nurse practitioners and are positioned in stores that also sell prescriptions - will be inclined to misdiagnose and overprescribe. Worse, they are not built to provide long-term care for chronic conditions such as hypertension, and they threaten the ideal of a lasting doctor-patient relationship, denying consumers a so-called "medical home...
...five years, meaning that there was a rich vein of data to mine. The investigators focused on data on 2,100 patients who had gone to a clinic for one of three common complaints: sore throat, urinary tract infection and earache. These were compared to patients who had visited doctors' offices, urgent-care facilities and emergency rooms for the same ailments. The investigators judged quality of care by 14 different measures, including what kinds of tests were ordered, what drugs were prescribed and whether follow-up visits were scheduled. (Read "This Doctor Does Not Want...
...results are any indication, the next time you have a routine medical need, you should probably make haste to a clinic. On a quality scale of 0% to 100%, the clinics finished first with a 63.6% while urgent-care centers and doctor's offices followed within a couple of points. Habitually overcrowded emergency rooms came in last at a distant 55.1%. When it came to fees, the results were even more dramatic. For the various kinds of services studied, the average visit to a retail clinic cost $110, versus $156 for urgent care and $166 for a family...
...health-care system is in a remedial class by itself. In no other industrialized country do 20,000 people die each year because they can't afford to see a doctor; nowhere else do 700,000 a year go bankrupt because of their medical bills. When it comes to health-care policy, an economist tells T.R. Reid, the U.S. is the "bogeyman of the world." The question Reid poses, however, isn't, What are we doing wrong? It's, What are other countries doing right--and how can the U.S. learn from them? A Washington Post correspondent with a nagging...