Post # 17
IMO, the ideal would be a nice 30 min for any (non -New Pt.) appointment that is more than 1 problem. That would leave a nice amount of time to bond, listen, examine, answer all questions, educate, order labs and tests, write prescritions, do note, etc. It is not as cost effective as the 15 or 20 min system though.
Post # 18
Usually things that are on-going for me are scheduled in advance; I may mention it briefly or get asked a little bit if I’m there for something unrelated and acute. Actually, I’m having a lot of trouble getting appointments even with my GP for acute conditions. He’s so busy–which I don’t blame him, he’s fantastic! I had to talk to a nurse through a certain reaction to BCPs and she basically said to go to the ER (not so helpful). Luckily we have an urgent care place that is basically for acute conditions and my GP works with them (owned by the same medical company?).
Post # 19
By The Way. I don’t think it is the passion to see everyone that creates the garbage system. It is the way reimbursement occurs. What they need to do is pay less for those shorter visits and pay a little more for the longer visit (and allow physician discretion). All of a sudden the visits would be 30 min. They should come up with a system where two 15 min visits equals one 30 min visit so there is no incentive to cram more in.
If people aren’t being seen, more docs, NPs, PAs. If not enough are choosing it (primary care), offer more incentives.