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Medicine Needs to get Back to Hands-on Basics, Rather than Focusing on Technology
By Staff Reporters
According to Rahul Parikh MD, there is plenty to criticize in our bungling trek toward health reform. Leaders on the right, left and at 1600 Pennsylvania Avenue have sidestepped the crucial conversation of controlling the cost of care, in favor of partisan rhetoric about “death panels” and “rationing care.”
Technophilic Doctors, Legislators and Patients
Worse, our entire focus seems to be toward technology and away from hands-on basic patient-philic care; starting with a detailed history and careful physical examination [remember Barbara Bates MD?]. And, all stakeholders are partly at fault.
Assessment
Here are a few related posts from Kevin Pho, MD.
- Is medical technology making doctors less relevant?
- Will technology kill health care?
- The hands-off culture of American medicine
- How to tell doctors to wash their hands
- More medicine isn’t better
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Filed under: Career Development, Ethics, Health Economics, Information Technology, Quality Initiatives | Tagged: Barbara Bates, dealth panels, healthcare reform, kevin pho, Rahul Parikh, rationed care |
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Here are some more thoughts on medical and lab testing and technology for doctors, patients, FAs and economists from Kevin Pho, MD:
* Newer isn’t always better.
* More isn’t always better.
* Screening doesn’t make sense for everyone.
* Many screening tests do good; many also do harm.
http://www.kevinmd.com/blog/2008/11/which-cancer-screening-tests-are-really.html
Thanks for advocating same on this ME-P forum. The key words is “appropriate” – a nebulous concept for many who disdain ambiguity and require a level of false certainty.
Betty
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Great points in this post, and in the Dr. Pho’s blogs as well!
I can think of many instances when a thorough physical exam not only saved the time and expense of “high tech” testing, but probably prevented significant patient morbidity/mortality as well.
As a medical student, I recall an 8 year old girl admitted with intractible back pain. Extensive lab testing and spinal x-rays failed to reveal a diagnosis. The correct diagnosis was not made until a complete exam by the resident revealed crackles at the lung bases, and a chest x-ray demonstrated a lower-lobe pneumonia as the cause of the pain.
At times advanced technology can save the day, but it should be used as a supplement to – not a replacement for – good basic history-taking and physical exam techniques. Physicians who use the “hands-off” approach and rely on high-tech testing are opening themselves to replacement!
Brian J. Knabe; MD
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