Solo practices let doctors spend more time with patientsPublished: 2010-01-19 16:51:29Author: Chris Swingle | Rochester Democrat & Chronicle | January 19, 2010 When Dr. Linda Lee sees patients, she brings them from the waiting
room, typically spends a half hour with them, cleans up the exam room
and submits the insurance claims online. She's the one who returns
phone voicemails, and she gives patients her cell phone number for
urgent after-hours needs.
She has no nurse, no billing staff and no answering service. She
only has a part-time secretary to digitally scan records that still
arrive on paper at her paperless office.
The
Rochester family physician's 5-year-old, low-overhead, solo practice is
a stark contrast to the hurry-up, assembly-line format she found in
large medical practices. "You basically had to see a patient every 10
minutes," said Lee. "How can you address the patient's medical problems
in that short a time?"
Few
physicians work solo these days. Even fewer do so with little or no
staff, because health care has gotten more complicated than the old
days of the country doctor. But at least eight primary care doctors in
the area — in Perinton, East Rochester, Pittsford, Gates, Canandaigua
and three in Rochester — are taking this stripped-down approach, termed
"ideal medical practice," trying to recapture the traditional
doctor-patient relationship in what they see as an ailing health care system.
They rely on technology to fill the gaps of having little or no staff.
Patients typically schedule their own appointments online. Medical
records are electronic. The goal is to provide the care that patients
want, when they want it. The physicians minimize expenses so that they
don't have to see as many patients per day. Health professionals such
as therapists, acupuncturists and massage therapists have used the
low-overhead model for years.
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