Marcus Welby Medicine?????
 

Is anyone else amused by this new discription of primary care in TV? Ummmm ......Dr Welby was a fictional character who didn't worry about getting paid for his services. I doubt that is what they mean. :a20:

I think they're aiming for having primary care doctors that actually know their patients by having the time with each one to actually converse and learn about the patient's whole health and lifestyle picture.

A worthy goal, but from what I've seen I think feeding the computer or iPad the information "it" demands, and clicking the right check-boxes to have canned, scripted text fill in that has excess info in it that doesn't even apply to this particular person, for the electronic medical record (EMR), is going to suck up most of the clinicians' time and attention.

I've seen it in visits and hospital stays up north and here, and the nurses and drs. I know have to wrestle The Thing at the expense of interacting with and caring for the patient. But that's what the feds and laws are mandating. It's driving seasoned, skilled clinicians to seek other work right when they're needed the most in clinical practice.

Your explanation was spot on as to my experience at the Colony Plaza Center. Very discouraging. Then when I called to arrange a meeting with the Chief Medical Office at Colony Plaza (Dr. Hildner who said in the article he wanted to hear what we liked and didnn't like) I was advised I couldn't schedule a meeting, only an appointment. I didn't want to see him for medical care, but to give him feedback on my experience. They are talking the talk, but not walking the walk from my experience.

Up north and here also, paper-less is how the medical field is functioning. I for one think the "Marcus Welby" concept is a good one. You won't be filling out those small books of information everytime you see a new physician...they can go into the computer to get it all. From what I understand your info will also transcend to TVHospital as well, in the event you are admitted.

The care I've gotten here in FL (so far--with the exception of one un-named physician) has been excellent. I have several auto-immune diseases so need to be monitored on a regular basis. My experience with Belleview Family Practice/The Villages has been excellent.

I also deal with a variety of health issues, at least one potentially life-threatening, and I would have to agree about having received excellent AND compassionate care (and also about one unnamed physician who goofed big-time...)!

Yes, I agree that the "Marcus Welby" thing sounds like a marketing gimmick....

My most fervent hope is that people will suspend their skepticism and crushing disappointment that things are never perfect.

My suggestion is that the Developer's voluntary sponsorship of a primary health care system available to TV'rs only a "10 minute golf cart ride away", deserves a chance to succeed.

Let's give it a chance.

The other 99% are doing just that.

I:agree:
We previously lived in Georgia and had Kaiser Insurance. It is a big organization, sorta one stop does all: X-rays, MRI, blood, RXs, specialist, Etc. the doctors really rarely looked at you and sat at a computer asking questions and ticking off boxes. At first we hated it but after awhile it was a great system that we loved. No constant filling out forms at different doctors. Test results were available within a few hours on our home computer. RXs could be ordered online and could be mailed to our home. No matter which doctor we saw, they had ALL of our health information. We could ALWAYS see a doctor the same day and and if you emailed a question to your doctor it would be answered in a few hours. This is the modern day Marcus Welby. We were VERY happy with the Kaiser Health Care System. It seems to me that this is the type of Health network they are trying to build.

This is EXACTLY right. I LOVED the electronic component as you say here---could e-mail my provider with questions, could request RX's, could also see test results and also info from prior dr. visits. It was a step backward (or two) when we arrived here 4 years ago to have to fill out what seemed like volumes of paperwork each time we went to a new location. I see nothing but positive re: this new system and we're happy to be a part of it!

Marcus Welby label does leave one with the impression that is is a marketing gimmick. The Health Care Industry in general is moving toward a paperless system. I have to commend them but many corporations they have done the same thing but really never got rid of the paper.
The cocnern for this electronic health history on patient's is that it will be easy to secure leaving the patient""s privacy at risk.

I made a conscious choice to use my cardiologist as my primary care doc primarily because he he will spend as much time as a patient needs ...Now that is what I dwfinw as Marcus Welby

I heard Morse's speech at the Savannah Center and I'm not quite sure what all this means. I have a very good gp and I would hate to leave him for one of these centers. I believe that most people who like their gp will want to stick with him or her. I don't think there will be a big rush to change doctors.

John

I'm not sure I agree with this observation - at least not in theory. Nothing drives me more nuts than when I see my doctor and he asks ME when the last time I had a colonoscopy or whether I had such and such shot or what drugs I am on. It is unconscionable that he doesn't have that information at the tip of his fingers in digital form. In fact, I would expect his iPad or whatever, to start flashing in big red characters that I am due for a certain test or inoculation as soon as he pulls up my records. It should also flash a warning that the drug he is about to prescribe is dangerous in combination with one that another specialist already has me on.

The notion that doctors have to rifle through reams of paper to find any information is mind numbing in today's hi tech world. In a 21st century world of medical technology, we are literally killing ourselves with 19th century record keeping.

I give 2nd chances to hairdressers and restaurants and the like - not my primary doctor. Actually I wanted to give Dr. Hildner the information about my experience in the hopes of improving the system. Unfortunately he is about as unaccessible as Mr. Morse.

I arrived in June of 2012 and waited to sign up with a primary because I was so excited about The Village Health Care and what is was promising. Maybe that is why I was sooooo disappointed. Expected them to deliver what they promised and didn't even come close.

I am not unrealistic in my hopes. I want a well trained physician.I don't care if he is mean as a snake.

Marketing ploys are NOT bad. They just are.

I'm all for digitized records if they are designed to work the way the people who actually USE them think and work....in putting patient care first and foremost. But sadly, programmers and IT people often want nothing to do with the dr. or nurse on the front lines and the critical tasks they need to accomplish quickly and efficiently, under pressure.

Instead of rifling thru reams of paper, they now rifle thru 15 menu and submenu screens that choke, stall and take too long to load in light of the person in the bed needing something done promptly and correctly.....and in light of the captive souls in the waiting area who've waited 12 hours to be seen in the ER.

This is a case of "be careful what you wish for".