Share your ideas

There's a million ways to make medicine better and we want to hear them all. From the political arena of health care reform, to the personal world of what you want and need medicine to be, Share Your Ideas is where you talk and we listen. So, if you have an idea, a question, or advice on what the world of medicine needs to do in order to be better, please share it. And check back often to see if it becomes reality.

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Psychiatrist

January 26, 2010 Leonard Kessler, MD

1 Comment

I would like to advocate a health care system which: 1)Keeps the treating physician accountable for the appropriateness, effectiveness, and cost of care. 2)Provides a primary care model such that one physician is responsible for the coordination of all specialist care, diagnostic studies, and address drug interaction and compliance. 3)Addresses the issue of medication, and other treatment modalities, compliance with specific approaches for dealing with lack of compliance. 4)Actively address common issues of public health, such as smo... more >>>

Psychiatrist

January 26, 2010 Leonard Kessler, MD

0 Comments

I am hopeful that you have addressed the following areas: 1)Given multiple studies showing medication compliance rates of 50% have you included a methodology for tracking compliance? This area results in massive waste of costs for unused medications as well as diminished quality of care. 2)I hope that you have required a justification for polypharmacy often utilized in psychiatry, especially as it results in enormous costs, increase in complexity and non compliance, and increased adverse effects of medication. 3)Have you provided incen... more >>>