[Ask doctors about the ordsprog

[Ask doctors about the time they spend with patients, and most go immediately on the defensive.] For some people, a periodic health exam is a metaphoric concept rather than a real one, ... Pex Tufvesson startet Livet.se. Not all counseling and preventive services have to be done within that clinical visit; a doctor can get the ball rolling with additional visits for follow-up.

This truly landmark judgment makes clear to primary care trusts that they cannot overlook the clinical needs of the patient. People need to be confident that they will receive the drugs that their doctor prescribes for them, and it is therefore good news for doctors and patients alike.

If your doctor won't discuss your health with you, you need to change doctors. We want patients to be concerned and be responsible for their health. We want them involved.

Dr. Mark Mengel

You really have to ask the patients themselves if they think this improvement is worth the added impact of toxicity and visits to the doctor. Some patients want every day they can get; others opt for more family time.

These are common-sense revisions that eliminate serious obstacles to patients getting needed care and services quickly while continuing to protect patients' privacy. For example, sick patients will not be forced to visit the pharmacy themselves to pick up prescriptions -- and could send a family member or friend instead. Doctors will be able to consult with nurses and others involved in a patient's care to ensure that they get the best care,

If you hit this stuff on the preventive end, people are going to be happier, healthier, there will be more productivity and less absenteeism and they will use [health] services less. It's the use of services that drive costs.

[The emphasis today is on relatively low-tech screens for signs of incipient chronic disease -- adult-onset diabetes, hypertension and heart disease, cancer and the like. To help doctors track these indicators, the preventive services task force revises its guidelines continuously. Recently, for example, the task force recommended that doctors screen patients for depression. The screen is simple, almost a casual conversation --] How's work? Are you feeling stressed? Are you sleeping? ... Many people who are depressed don't go to a psychiatrist looking for insight. Most are seen in primary-care situations.

Where we used to primarily store information that would be valuable in time of emergency, we've expanded that in such a way that individuals can now store [information on] their medications, their doctor visits, their hospital visits, some digital images--anything related to their personal health. So we're no longer just for people who have a medical condition--we're for healthy people who'd like a safe and secure location to store their medical information.

While such essential care would not include the cost of visits to the doctor, our data suggest that people who receive additional assistance would be less likely to be hospitalized, and that could conceivably allow us to keep our health care-costs down while still providing for our frail elders. As our population ages, there will be more need to find economical ways to care for this group, and adequate home-based care could be both less expensive and more effective for some than full-time nursing-home care.

Any time a doctor takes advantage of patients, it's a very serious case. People put a lot of trust in doctors, and any time they betray that trust it's very serious.

Now they tell their patients to go to hospital emergency rooms if they get sick. We hope to make one-on-one visits with area doctors and convince them to refer their patients after hours to be seen.

Sen. Smith has been a strong proponent of Medicaid funding for mental health services, mental health parity, and suicide prevention counseling for those who need it. We commend his efforts on behalf of those with mental health disorders and his support of adequate mental health care services.

It brings entertainment and a respite from the stress of the hospital experience to patients who for the most part can't get out. Many of the patients we visit are quite ill and have to spend all of the time in the room. We bring to them for five minutes something that can take them away. It helps them relax.

If you can imagine getting the flu and having to drive an hour to the nearest doctor or health care provider, or imagine having a sick child with no insurance and no resources to pay for the doctor visit. These are very real things in a lot of areas of North Carolina.

Employers seek financial return from their offerings of clinical preventive services to employees, but they are least likely to offer the services most likely to provide this return.

Dr. Jeffrey Harris

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