Is it any wonder that you cant leave a doctors office in Tokyo without a sheaf of prescriptions?
In this world, a quality improvement is identified, then forcibly rolled out to every doctors office and hospital in the country, regardless of the cost.
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"We like working office hours but lots of patients find they can't go to the doctors during office hours so you have to balance that, " he says.
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So-called weekend warriors -- people who aren't in the type of shape needed to safely run sprints, dive for passes or make cuts on the basketball court -- add to this misconception when they hobble into their doctors' office after an injury.
Doctors in the office are often confronted by the problem, and patients and doctors both are frustrated by the lack of knowledge.
Today the company also negotiates pricing with insurance companies and even handles doctors' back-office payment services.
Most doctors remained in their own office practices or operated in hospitals that they controlled.
We're suggesting that people need to be sure that they can reach their doctors or their doctor's office, and that the office will take their complaints seriously, and deal with them in the most appropriate fashion.
Credit the trend to overcrowded hospitals, better technology (allowing more surgical procedures to be done safely in an office setting) and the doctors' desire to get paid.
The office confirmed it is investigating some doctors who treated Jackson over the years.
He argued, in his first year of office, that money-motivated doctors often will choose to do expensive surgeries on patients when pills would suffice.
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Will insurers (and therefore all of us) incur extra, wasteful costs if doctors (for fear of lawsuits) require an office visit for an OTC prescription and patients then schedule unnecessary appointments as a result?
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Mr. Bush: It gave us a level of detail and immersion in the day-to-day agony of trying to run a doctor's office inside the regulatory and claims environment that doctors do that is with us every hour of every day.
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Earlier this year I overheard one of my neighbors (a senior who doesn't drive) complaining that she might have to change doctors because her physician of 20 years moved to a new office in a part of town she rarely visits.
Most physician office visits still occur in practices with 10 or fewer doctors.
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Doctors say they often rely on their own instant judgments in the office and have little reliable means of double-checking the patients' information.
Unless we do something about the back office, we will eventually have a severe shortage of doctors because the cost of doing business is unacceptably high.
With the recent reform mandates, there is a growing movement toward doctors and clinicians adopting care management models to break the cycle of transactional office visits.
Doctors get around this by performing cosmetic procedures in their own in-office operating rooms or at ambulatory surgery centers, where the credentialing requirements may not be as strict.
Along with the police investigation, which is being aided by the state attorney general's office and the Drug Enforcement Administration, the Los Angeles County coroner's office has also drawn up a list of Jackson's doctors and is trying to talk to them to determine what drugs they may have prescribed him.
Many of these strategies depend on technologies that employ remote monitoring of patients so that doctors and nurses can track their progress without needing them to come to the office.
This means reduced incentives for doctors to cover weekend calls, see patients in the ER, squeeze in an office visit, or take phone calls rather than turfing them to nurses.
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Doctors and academics with internet access rent their passwords so that others can use them after office hours.
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Another bonus: direct email contact with doctors allows patients to ask about small concerns without having to make that visit to the office.
Sure enough, when the change took effect Jan. 1, patients began bringing lists of over-the-counter drugs to office visits and also requesting over-the-counter prescriptions by phone, doctors says.
Even after leaving office, Koop continued to promote public health causes, from preventing childhood accidents to better training for doctors.
Even after leaving office, he continued to promote public health causes, from preventing childhood accidents to better training for doctors.
Doctors could not keep him against his will although concerns about his condition had been so high that the Home Office had been about to order his recall.
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Doctors' leaders in Wales backed the calls for an advocacy service funded by the assembly government and regulated by the office of the children's commissioner.
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