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From the issue: January 2010 Quarterly
Just the other day I hosted a town meeting for doctors and patients. The idea was to bring everyone together to discuss how each of us could be a more “powerful patient.” I was thrilled that about 15 top doctors showed up, on their own time, to share their perspective. What I learned is that the newest breed of physicians is seeing the patient calling the shots a lot more than them.
Most seniors remember the old order where we revered physicians. Some described it as “the doctor as God.” Certainly, the old TV shows portrayed everyone, including many nurses, quaking in their boots if doctor’s orders weren’t followed.
That was then, but we are now seeing a new age of healthcare consumerism. As I write this we don’t know if healthcare reform legislation will pass, and we don’t know if Medicare will be changed and how. However, we do have control over the doctors we choose, and our relationships with them.
My speakers at the town meeting were unanimous in making several key points:
· There are no stupid questions, you should feel free to ask whatever is on your mind, and receive a full and respectful answer
· You have every right to get a second opinion, or more, and any doctor who balks at this should not be your doctor
· You are welcome to bring your family and friends, who support you, to appointments
· Doctors have failings and feelings. They want to work with you to do what’s right. Have open, honest communications with them to get the best care
What each of them said is today, the patient is not on an equal level with the doctor, and they’re really on a higher level. As patients do research, maintain their medical records at home or on computer, and speak out, they are taking back control. More and more the doctors are being put in the role of advisors, or consultants.
My speakers uniformly said that was a good thing, and I heartily agreed.
Just as you or your spouse, or friend has become a savvy shopper at the mall or hardware store, you now too can be a savvy consumer in healthcare. More and more key players in our flawed system, the doctors and most nurses want you to take on that power. It doesn’t matter if you are 18 or 80, don’t be shy to ask questions, get answers, and retain your right to make decisions.
Since the town meeting, many doctors have written me to say that they think the dialogue we have begun in the Northwest is one that is poised to sweep the nation. I invite you to be part of that leading edge in how we all deal with our doctors. Study after study says “powerful patients” get better care, and have better health. Now it is your turn to take charge, and heed the call!
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