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Started By
Message
re: Doctors, specifically pediatricians, who can’t keep appointment times
Posted on 12/19/17 at 5:58 pm to LSUintheNW
Posted on 12/19/17 at 5:58 pm to LSUintheNW
quote:
understand. My ex and I always did it but like ordering food we always were efficient in communicating our concerns and never tried to monopolize his time.
According to whom?
quote:
If the actions are wasting time and being needy I get it but if it's just because they ask about other concerns in their alotted time then I don't. You're paying for that time. If I get 10 min I'm going to use the 10 min I paying for.
This is what you think you are paying for? Time?
1
Posted on 12/19/17 at 5:58 pm to magildachunks
quote:
And schools are out.
Not here
They go through Friday.
Posted on 12/19/17 at 5:59 pm to LSUintheNW
quote:
Isn't that smart for a parent to do?
No. It messes up the physician's schedule.
quote:
Why pay more co-pays when you are there now?
Billing for time occurs in tiers. There are 5 "sick" codes which can be billed based on complexity or time. The doc is going to bill for a 30 minute visit when the visit took 30 minutes regardless of whether the parent came in "just for a flu shot" or not.
I really wish patients understood this. Being upfront about the number of problems and how concerned you are with them drastically changed the approach to the visit. Often people are embarrassed to talk about something and wait until the doc is leaving the room to bring it up, which then pretty much starts the visit over. Of course, there are two styles. One kind of doc starts the visit over, the other asks them to schedule a new appointment.
I don't believe patients know how much this little behavior/action throws off a schedule. It's difficult to communicate it in a way that gets the intent across without "drawing a line" that makes it more difficult for patients to talk to me, which is the last thing I would want.
But if I had someone walk in and say "let's talk about my blood pressure, I've been feeling down lately, and what's this on my arm?" Instead of doing that in 2-4 minute increments as the visit goes on, time could be used much more wisely.
Posted on 12/19/17 at 6:00 pm to RogerTheShrubber
quote:
I can be the first patient in and still be delayed. It's nuts
You can be the first patient at the office, but not the first patient of the day. Most doctors have rounds and follow-ups of admitted patients they do before office visits.
Posted on 12/19/17 at 6:00 pm to RogerTheShrubber
quote:
I can be the first patient in and still be delayed. It's nuts
Yep
Posted on 12/19/17 at 6:00 pm to Hopeful Doc
quote:
I really wish patients understood this. Being upfront about the number of problems and how concerned you are with them drastically changed the approach to the visit. Often people are embarrassed to talk about something and wait until the doc is leaving the room to bring it up,
My doctor would tell me to make another appointment
Posted on 12/19/17 at 6:00 pm to lsunurse
quote:
quote:
I'm drinking an Emergen-C right now
My daily cocktail from October until end of March
Whiskey works better. Germs can't survive if I keep my BAC levels up
Posted on 12/19/17 at 6:01 pm to magildachunks
quote:
This is what you think you are paying for? Time?
Obviously not
Posted on 12/19/17 at 6:03 pm to RogerTheShrubber
I really prefer walk in clinics for common illnesses. They just run smoother than the traditional offices.
Posted on 12/19/17 at 6:04 pm to Hopeful Doc
The peds clinic for our hospital has started a thing where they have the MA or nurse that sees the patient first ask them if there is any specific concerns they wish the doctor to discuss at that visit. They put this in the computer and the doctor can see it before they go in the room.
They did this to help improve communication and patient satisfaction scores. But as you can guess...it also has helped with their appointments not running over so much.
They did this to help improve communication and patient satisfaction scores. But as you can guess...it also has helped with their appointments not running over so much.
This post was edited on 12/19/17 at 6:06 pm
Posted on 12/19/17 at 6:06 pm to LSUintheNW
quote:
You're paying for that time. If I get 10 min I'm going to use the 10 min I paying for.
You're usually actually paying for the complexity of the visit rather than the time in pediatrics. One simple straightforward problem vs three or four problems is billed differently (and may even increase the copay, but usually not).
It would be very nice to have a more transparent billing system that both the patient and provider understood. It will probably beging to move that way in the next few decades. The current system is borderline embarrassing to be part of.
Posted on 12/19/17 at 6:07 pm to Hopeful Doc
quote:
Isn't that smart for a parent to do?
No. It messes up the physician's schedule
quote:
But if I had someone walk in and say "let's talk about my blood pressure, I've been feeling down lately, and what's this on my arm?" Instead of doing that in 2-4 minute increments as the visit goes on, time could be used much more wisely.
That's exactly what we would do with our kids. I specifically said I am efficient and don't waste time. Whether you like it or not we weren't going to make another appt, pay another co-pay, and my ex take off just for 2 more min of your time about a concern.
Posted on 12/19/17 at 6:07 pm to yellowfin
quote:
I really prefer walk in clinics for common illnesses. They just run smoother than the traditional offices.
It's at least a two hour wait at the walk in clinic locally. Plus the Physician is a Tulane fan.
Posted on 12/19/17 at 6:07 pm to TDcline
I can almost guarantee you that other parents are the reason why your appointment times at the pediatrician's office are so effed.
Posted on 12/19/17 at 6:09 pm to AlonsoWDC
quote:
can almost guarantee you that other parents are the reason why your appointment times at the pediatrician's office are so effed.
Mostly. I've seen our doc show up late from his golf game though.
he saw us so didn't try blaming it on his day. Posted on 12/19/17 at 6:10 pm to RogerTheShrubber
quote:
My doctor would tell me to make another appointment
Some people are OK with this. Some people are nearly offended by this. Neither is particularly superior.
Any chance you don't mind sharing your thoughts on that request (as it regards to this thread with it likely being part of his attempt to run right on schedule)?
Posted on 12/19/17 at 6:10 pm to RogerTheShrubber
There's one on every corner here. I can look in the waiting room and decide if I want to stay or drive to the next one.
Posted on 12/19/17 at 6:11 pm to RogerTheShrubber
quote:
It's at least a two hour wait at the walk in clinic locally.
I would imagine that is the case for most urgent cares during flu season.
Also...you will likely see an NP or PA and not a doctor. Great for minor illnesses. But...they don't know you like your regular PCP or pediatrician(for your kids) does.
Posted on 12/19/17 at 6:13 pm to yellowfin
quote:
I can look in the waiting room and decide if I want to stay or drive to the next one.
An empty waiting room just means
the waiting room is empty.
They could still be full in the back with patients waiting to be seen and you could still wait for hours.
Posted on 12/19/17 at 6:15 pm to RogerTheShrubber
quote:
It's at least a two hour wait at the walk in clinic locally
Too busy with culcha to care about healthcare. I've got quick care places out the arse by my place.
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