4 ms·

It's not possible to pay for a longer consult, in the same way it's not possible to pay for a 3 Michelin star meal in a McDonalds. This is not meant to sounds

by gleb 10y ago

It's not possible to pay for a longer consult, in the same way it's not possible to pay for a 3 Michelin star meal in a McDonalds. This is not meant to sounds harsh, all I am saying that from any business you can't buy a product they aren't in the business of selling.

jazoom 10y ago
I guess GPs where you are practice differently to GPs where I am. I can't imagine why they wouldn't book a double consult. How do they do more complex procedures and sort out patients with complex health problems? Comparing this business model to McDonalds is a bit ridiculous. Maybe compare to a lawyer booking double time, or thousands of other professionals. But don't make the unnecessary jump to a fast food chain.
- gleb 10y ago
  Spend more time than allocated on complex cases, then run late and short on others. More typical of specialists, but GPs do it too. Beyond that, incrementally, 1 appointment/billing code and a new test/intervention at a time. Until the patient gets better, worse or gives up. Are you in US? Is double consult something insurance/government pays for twice for you? Or are you are talking about a different billing code? Or self-pay?
  - jazoom 10y ago
    Australia. We have different billing codes for different length of time and different complexity of concern/procedure. We book double/triple/etc. appointments when necessary. Doctors still often go over time.
    - gleb 10y ago
      Interesting. In US there are also different billing codes like that. But it's not something a patient has input on. However, it's safe to expect a provider to chose the maximum code that can be reimbursed at any given time by default. So given that, a patient is likely getting the most expensive product a given doctor will deliver already. To get a better product simple options are specialists (much higher reimbursements, selection bias for more complex cases) and specialists at major teaching hospitals (even more of the above). There are effective ways for a patient to hack the system by doing lots of work themselves (e.g. by maintaining his own clinical summary) but they are beyond what most patients will do.
      - jazoom 10y ago
        Patients don't really have anything to do with choosing item numbers. They just may request a longer appointment or a specific procedure or test.

by gleb 10y ago

jazoom 10y ago

I guess GPs where you are practice differently to GPs where I am. I can't imagine why they wouldn't book a double consult. How do they do more complex procedures and sort out patients with complex health problems? Comparing this business model to McDonalds is a bit ridiculous. Maybe compare to a lawyer booking double time, or thousands of other professionals. But don't make the unnecessary jump to a fast food chain.

gleb 10y ago
Spend more time than allocated on complex cases, then run late and short on others. More typical of specialists, but GPs do it too. Beyond that, incrementally, 1 appointment/billing code and a new test/intervention at a time. Until the patient gets better, worse or gives up. Are you in US? Is double consult something insurance/government pays for twice for you? Or are you are talking about a different billing code? Or self-pay?
- jazoom 10y ago
  Australia. We have different billing codes for different length of time and different complexity of concern/procedure. We book double/triple/etc. appointments when necessary. Doctors still often go over time.
  - gleb 10y ago
    Interesting. In US there are also different billing codes like that. But it's not something a patient has input on. However, it's safe to expect a provider to chose the maximum code that can be reimbursed at any given time by default. So given that, a patient is likely getting the most expensive product a given doctor will deliver already. To get a better product simple options are specialists (much higher reimbursements, selection bias for more complex cases) and specialists at major teaching hospitals (even more of the above). There are effective ways for a patient to hack the system by doing lots of work themselves (e.g. by maintaining his own clinical summary) but they are beyond what most patients will do.
    - jazoom 10y ago
      Patients don't really have anything to do with choosing item numbers. They just may request a longer appointment or a specific procedure or test.