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I'd like to discuss one of the problems the author encountered on its own. Here a doctor was presented with a tool that would allow them to prescribe better tre
by CobrastanJorji 5y ago
I'd like to discuss one of the problems the author encountered on its own. Here a doctor was presented with a tool that would allow them to prescribe better treatments to her patients, but there was no incentive for her to adopt that tool.
How could we change medicine so that such tools could be adopted? Patients probably won't individually notice any difference, and they don't control what they pay. Insurance companies might be motivated to provide something like this to doctors under the theory that better results are probably cheaper in the long term. A single payer system might perhaps provide certain solutions to doctors and hospitals in various manners, but adopting novel stuff like this from small shops might become effectively impossible. What models would allow for an inventor inventing something like this?
- swalsh 5y agoYou don't need a single payer system for this. We have a solution today via quality metrics. There are a number of quality metrics from places such as NCQA. They attach performance in these metrics to payments (or penalties). ACO's are one example.
- CobrastanJorji 5y agoInteresting. I'm unfamiliar with quality metrics. Do they affect individual doctors? Say this one doctor's patients tend to recover from colds 50% faster or slower than other doctors. Does this affect her practice in any way?