Banner
  • Revenue Cycle Management
  • COVID-19
  • Reimbursement
  • Diabetes Awareness Month
  • Risk Management
  • Patient Retention
  • Staffing
  • Medical Economics® 100th Anniversary
  • Coding and documentation
  • Business of Endocrinology
  • Telehealth
  • Physicians Financial News
  • Cybersecurity
  • Cardiovascular Clinical Consult
  • Locum Tenens, brought to you by LocumLife®
  • Weight Management
  • Business of Women's Health
  • Practice Efficiency
  • Finance and Wealth
  • EHRs
  • Remote Patient Monitoring
  • Sponsored Webinars
  • Medical Technology
  • Billing and collections
  • Acute Pain Management
  • Exclusive Content
  • Value-based Care
  • Business of Pediatrics
  • Concierge Medicine 2.0 by Castle Connolly Private Health Partners
  • Practice Growth
  • Concierge Medicine
  • Business of Cardiology
  • Implementing the Topcon Ocular Telehealth Platform
  • Malpractice
  • Influenza
  • Sexual Health
  • Chronic Conditions
  • Technology
  • Legal and Policy
  • Money
  • Opinion
  • Vaccines
  • Practice Management
  • Patient Relations
  • Careers

Patients are Receiving Too Much Care

Article

Many physicians feel they are giving patients too much medical care because they feel pressured to do so.

Archives of Internal Medicine

Many physicians feel patients are receiving too much medical care, according to a report in the .

According to the survey, physicians feel pressured to do more than they really feel is needed, but there are a number of ways to reduce this: malpractice reform, realignment of financial incentives and having more time with patients.

Health care spending in the U.S. exceeds that of comparable countries, and it’s growing at an “unsustainable rate,” according to the authors. The authors were looking into suggestions that “a substantial amount of U.S. health care is actually unnecessary.”

Nearly half (42%) of the physicians surveyed believed that their own patients received too much medical care and just over half (52%) replied that the amount of care was just right. The remainder thought that their patients received too little care.

While physicians thought they (28%) or others in their community (29%) were practicing too aggressively, a much higher percentage reported that mid-level primary care clinicians and medical subspecialists practice too aggressively — 47% and 61%, respectively.

Of the three factors that cause physicians to practice too aggressively, malpractice concerns were the most important and 83% of physicians believed they could be sued for not ordering a test that was indicated. Three-quarters of respondents identified malpractice, while 52% said clinical performance measures and 40% said not enough time spent with patients.

According to the authors, physicians want to practice more conservatively with how they treat their patients.

“Physicians believe they are paid to do more and exposed to legal punishment if they do less,” the authors wrote. “Reimbursement systems should encourage longer primary care physician visits and telephone, e-mail and nursing follow-up, rather than diagnostic intensity.”

Related Videos
Victor J. Dzau, MD, gives expert advice
Victor J. Dzau, MD, gives expert advice