Word: physicians
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Dates: during 2000-2009
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...city of 540,000 already had--besides Via Christi's hospitals--the Wesley Medical Center, part of the for-profit HCA chain. Wichita now has five doctor-owned hospitals as well, along with a dozen ASCs and at least 10 free-standing diagnostic imaging centers, eight of which have physician investors. (Via Christi has a share in four of them, as it does in one ASC and a specialty hospital.) "The fear that emergency rooms and cardiovascular programs would close at community hospitals," says Duick, "has not been borne out over seven years in Wichita...
...Physician-owned facilities do less charity care and treat fewer Medicaid patients than community hospitals do, government research shows. And they treat healthier (hence more profitable) patients, or--as in the case of heart hospitals--favor well-remunerated treatments. Not surprisingly, doctors who own a piece of the action are more likely to send patients to their own facilities...
...says John Goodnow, CEO of Benefis Healthcare, a hospital system in Great Falls, Mont., that tried unsuccessfully to shut down a specialty hospital opened by half the city's doctors. "You can say patients have choice. Yes, theoretically. But c'mon, who's going to go against their own physician...
...the toughest things I do as a physician is deal with uncertainty. Doctors are often only as good as their diagnostic tests, and those tests aren't perfect. Too often we are forced to say, "You might have cancer"--which leads to lots of fear, anxiety and lost sleep. It is also often the beginning of an arduous process of more tests and in some cases surgical procedures. The only way to be absolutely sure about cancer is to examine some of the suspicious cells under a microscope. That means a biopsy. And in the U.S. we perform more than...
...believes the particles pose no serious health risk, but swallowing the pills could cause minor stomach discomfort and cuts to the mouth and throat. See your physician if you notice any unusual symptoms, and report them to FDA?s MedWatch Program, at 800-FDA-1088 or www.fda.gov/medwatch.