Word: doctors
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Alex Mitchell, Amol Vaze and Sanjay Rao of Leicester General Hospital in the U.K. estimate that about 1 in 5 people in developed nations will experience depression in their lifetime. That means that among a general patient population of 100, about 20 will develop the condition, but the typical doctor will find it in only 10 of those who have it. And among the 80 healthy people, the doctor will incorrectly identify depression...
...reason is that the typical doctor visit - even in wealthy nations - is quite short, usually no longer than 15 minutes. It's hard for patients, who may already be reluctant to discuss depression, to open up about their symptoms during that brief period. The authors of the paper suggest that doctors should spend more time or schedule follow-up appointments with patients they suspect have depression; research has shown that such follow-ups can dramatically increase the rate of accurate diagnoses...
...just a - not only an ideological suspicion of the public option on the part of many Republicans, but many of them also saw it as an opportunity to try to resurrect the old scare tactic of government-run health care, socialized medicine, eliminating your ability to choose your own doctor. That was going to exist regardless of whatever tactics we employed...
...when you have a system this large, with this many players involved, it was inevitable that not only would that be contentious but that, again, the public would be suspicious of the possibilities that, well, somehow this means that my doctor is not going to be able to give me what he or she thinks I need...
...what we've said is that if doctors and patients had that information, and you start changing some of these delivery systems, you will see significant changes in the cost of health care and you will see improved outcomes and improved convenience, because if people are going through a battery of tests when one test would be sufficient, every time they're going to the doctor, that's gas, babysitting, sitting around for two hours, a day off work. We're not even factoring in those costs...