5 Ways the Healthcare System Isn’t Working

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Real Patient Stories

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Primary care physicians are the front lines against illness for most of the population. Yet only 30 percent of physicians are general practitioners, compared to 50 to 70 percent in other industrialized nations. The lifesaving work they do is routinely undervalued and unrewarded.

A third of all primary care physicians plan to leave their practice within five years, half experience burnout symptoms, and 82 percent don’t think they have the ability to change the healthcare system.

At Paladina Health, we understand the obstacles physicians face, and we’re creating better options for physicians and patients alike.

1. Too Many Patients, Rushed Physicians

The time you spend one-on-one with your patients is the most important single factor in their satisfaction—and for many physicians’ too.

Physicians: Top 5-Single-issue Appointments

Julie Story

For many patients, seeing a new physician means rushing through the shortest version of his or her health history—with physician and patient feeling hurried. For Julie, a Paladina Health patient, this is no longer an issue.

"...she didn't make me feel rushed in any way. She wanted to know the complete medical history—from what happened from when I had heart surgery when I was four to the 10 surgeries I had on my ankle. She wanted details about every single incident I've had which I've had a lot. And she wanted the details and it was more—it was the best doctors experience I've had."

– Julie, Paladina Health patient
Denver, Colorado

Value Big Right: Time Spent Comp. DOC TOP-5 DELETE

2. Not Enough Face Time with Patients

Paperwork eats up more of private practitioners’ time each year, resulting in fewer patients seen. Meanwhile, a general medicine physician in a hospital may have a panel size of 2,300 to 3,000, spending only 7 to 11 minutes with each patient in an appointment.

This forces many physicians, rather than getting at the root of their patients’ problems, to rely on prescriptions, tests, and specialist referrals to help their patients.

Patients suffer when they don’t have the time to build a trusting partnership with their physicians, and physicians don’t get to do the work that drew them to medicine. Patients nearly always do better when their physicians are happy with their jobs.

Time Spent with Provider

Physicians: Top 5-Fragmented Care

Central point of care

3. Fragmented Healthcare

Patients with chronic diseases see an average of 13 physicians a year. A patient with complex medical treatments needs a physician to partner with in managing their healthcare. Care suffers from miscommunication between physicians, patient confusion about prescriptions and treatments, and redundant or unnecessary treatment.

A primary care physician is the generalist who ties all the threads together. But physicians are not given time and reimbursement for playing this vital role: coordinating with upwards of half a dozen specialists with little compatibility in records systems, explaining results to the patient, developing an ongoing treatment plan, and checking in regularly with the patient.

At Paladina Health, physicians are the "quarterbacks" of their patients' care—staying involved at all phases of treatment.

4. Too Much Administrative Paperwork

General practitioners spend 17.3 percent of their time on administrative duties, and have less satisfaction in their jobs because of it, in hospitals and large groups. And a private practice comes with much of the same work as any other small business—plus specialized staffing and complex insurance billing. But what these statistics come down to is this: administrative tasks aren’t why you became a doctor. You did it to help people.

5. Work-Life Balance

If scheduling doesn’t leave time for a physician to coordinate patient care, then where does that time come from?

Merely trying to see enough new patients to stay afloat and give those patients the attention they need eats into personal time. 81 percent of physicians feel overextended, working well over an average workweek, and eventually many leave private practice for a hospital that can guarantee schedules and time off—or they leave medicine altogether.

Physicians: Top 5-Panel Size

Get Time with Your Patients

  • To begin with, Paladina Health physicians have a panel size 30 percent of the primary care average. The difference this creates is immediate when it comes to building doctor-patient relationships.
  • A smaller panel size allows Paladina Health to guarantee its clients same- or next-day urgent care appointments, usually with no co-pays on the patients’ part. This lets Paladina Health patients avoid unnecessary ER visits and lets you treat your patients yourself.
  • Paladina Health patients are encouraged to come in for an initial 60- to 90-minute physical exam, when physicians and patients have time to get to know each other and discuss the patient’s background and health issues. In many cases this gives physicians a chance to catch chronic issues the patient—having often put off a routine physical for years—was unaware of, such as high blood pressure or type 2 diabetes. Appointments afterwards are scheduled in a minimum of 30-minute blocks.

As a Paladina Health physician, you will be busy—busy improving your patients' health.

Patient Panel Comparison

Physicians: Top 5-Access

Ability to Access

Be Accessible to Your Patients

  • We give each physician a cell phone to be accessible to their patients 24/7. In our physicians’ experiences, midnight calls are rare, and the benefits are enormous. A combination of smaller panels, closer physician-patient relationships, and more time to answer questions lead to a manageable number of contacts outside of business hours. A patient with a question about whether they need emergency care can call their Paladina Health physician any time, which can save an unnecessary and expensive ER visit.
    • Paladina Health provides patients and doctors with a heath portal that allows patients to see their own lab results, prescriptions, and more from their physicians, so administrative busy work can be cut down without sacrificing patients’ ownership of their own health information.

    For dedicated physicians who want to make a difference, change lives, and have the freedom to focus on patient health, your career path leads to Paladina Health.

    Physicians: Top 5-Improve Health

    Join a Practice Designed to Help You Be an Amazing Physician

    • One of the most revolutionary things Paladina Health does is realign physician incentives. We tie payment incentives to patient outcomes, not volume. So not only do our physicians have the time to take care of patients, but the results of that work are recognized.
    • Paladina Health physicians use risk stratification data to consider appropriate engagement approaches, proactively contact patients, and treat health issues preventively and completely.
    • Freed of the burden of fee-for-service billing, our physicians aren’t charting late into the night.
    • Paladina Health locations offer our physicians and patients the benefits of a traditional family practice without the risk of business ownership.
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