Ahh Now I'll bore you senseless.
Medicine has undergone radical changes. It is still labour intensive but it is also run like a cottage industry. More importantly there are two structural changes of enormous import: 1. Third party payment. The Patient no longer pays the Doctor. Someone does it for him. This means that monetary considerations have become taboo. Certainly very non PC. This has been a good excuse to let expectations and consumption be manipulated and run wild. 2. In days of yore we' either killed them or cured them . ' Now Medicine does neither. The vast majority of Medicine is Tertiary Prevention. Stopping things getting worse. Primary prevention is the most effective. The most marked effects in Medicine are 'Healthier Living ', Stopping Smoking'. The most radical improvement made in Surgery was getting the Surgeon to wash his hands! Unfortunately [or fortunately] Tertiary Prevention is best not done by Doctors but less trained staff. Doctors are over trained . We could get better results much cheaper. Add to this the fact that the role of today's Doctor is to supply knowledge. He is no longer a monolithic paternal figure. The Patient is his partner. The Patient has to be informed. Doctors are poor at this too!!! Getting back to the 3rd Party payment. The well managed Health Service has to be able to know 'How many of what', 'What is the best thing to do','How do I prioritise?' , 'How do I meet my budget? Instead today's Medicine the Authorities are consumption driven and cost cutting. Needs and priorities went out of the window! There are turf wars out there. Plus the peddling of Medications. A well run Authority can get round this. Most do not. So what is auditing.? Management should give clear Priorities that are accepted and fulfilled by the Supplier. Supplier should give clear indications what efficient actions they are taking that are agreed upon by the Authority. The Auditor should provide ways [benchmarks] that measure these two parameters in real time. In this way you achieve efficient utilisation of a prioritised Service. At which point the redeemer will appear. And be sold by Ken Bates. Bored you to death? :~) Michael On 05/05/07, [EMAIL PROTECTED] <[EMAIL PROTECTED]> wrote: > > Dear Dr Benjamin > > Is medical audit counting how many piils in a bottle or how many bottles > to a case or is it the continuous real time valuation of the assets and > contingent liabilities of a medical practice. > > As the liabilities are potentially infinite (uninsured losses ) then > counting the pills is all that is really needed. > Therea a lass in our chemist shop does this with a little triangular tray > when I go in to get my viagra. > > Regards > Rob > > > > -- Dr Michael Benjamin, myRay: For peace of mind, http://www.myray.com http://www.MyDoctorExplains.com Cyber Psychiatry ----- _______________________________________________ the Leeds List is an unmoderated mailing list and the list administrators accept no liability for the personal views and opinions of contributors. Leedslist mailing list [email protected] http://list.zetnet.co.uk/mailman/listinfo/leedslist The Leeds List - "where never is heard a discouraging word..."
