4 ms·

My mom was the nurse empress of a large ICU (at least tactically). The biggest issue is there’s no “product manager” for your care. Each specialist doctor has a

My mom was the nurse empress of a large ICU (at least tactically). The biggest issue is there’s no “product manager” for your care. Each specialist doctor has an incentive to do as little as possible as often as possible to avoid having a death on their record, but to be able to bill. So the nurses usually are the most incentivized people to actually take care of you. From her point of view, the management ensured that the best care for patients happened when family was present, especially on irregular intervals, and for prisoners, who had a CO always watching and sometimes logging what happened. Her other big thing was hatred of EMRs. The loss of the clipboard made situational awareness tough.

trynewideas 4y ago
> The biggest issue is there’s no “product manager” for your care. Each specialist doctor has an incentive to do as little as possible as often as possible to avoid having a death on their record, but to be able to bill. So the nurses usually are the most incentivized people to actually take care of you. Man. Maybe this is a tangent, but remember primary care physicians? I can barely remember that as a concept. I waited so long to find a PCP taking patients at my last job that I quit before it happened. Was that a role they ever filled? It kind of feels like it should be considering the title, but being a US citizen I've never experienced it.
- roxgib 4y ago
  Here in Australia to see a specialist your GP has to refer you. To us the idea of going straight to a specialist is odd, if you have a non-emergency medical issue of any kind you just see your GP. Not saying we don't have issues, but I honestly don't know have people manage their medical issues without a GP to coordinate.
- Spooky23 4y ago
  They make like $250k. Specialists make like $500k and up. So the business model is for health networks to vacuum them up and then hire a bunch of nurse practitioners for $100k. Some of these guys get laid off and end up working in dermatology offices getting commissions on expensive creams.

trynewideas 4y ago

> The biggest issue is there’s no “product manager” for your care. Each specialist doctor has an incentive to do as little as possible as often as possible to avoid having a death on their record, but to be able to bill. So the nurses usually are the most incentivized people to actually take care of you. Man. Maybe this is a tangent, but remember primary care physicians? I can barely remember that as a concept. I waited so long to find a PCP taking patients at my last job that I quit before it happened. Was that a role they ever filled? It kind of feels like it should be considering the title, but being a US citizen I've never experienced it.

roxgib 4y ago
Here in Australia to see a specialist your GP has to refer you. To us the idea of going straight to a specialist is odd, if you have a non-emergency medical issue of any kind you just see your GP. Not saying we don't have issues, but I honestly don't know have people manage their medical issues without a GP to coordinate.
Spooky23 4y ago
They make like $250k. Specialists make like $500k and up. So the business model is for health networks to vacuum them up and then hire a bunch of nurse practitioners for $100k. Some of these guys get laid off and end up working in dermatology offices getting commissions on expensive creams.