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Perceptions of Care Differ Between Dr. and Patient
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Medscape REPORTS HERE that "Physician and patients' perception of medical knowledge and care appear to differ dramatically, according to a new survey...

"An apparent discordance of opinion exists between patients and physicians regarding many elements of hospitalization...."This study, to our knowledge, is the first to compare patient and physician opinions about multiple facets of care provided to inpatients in an internal medicine teaching service facility..."

"To compare patient and physician perspectives about their inpatient care, the researchers administered two surveys....Three fourths of the patients thought that they had 1 main physician, but only 18% could name that physician compared with 67% of physicians who guessed that patients knew their names. Likewise, 77% of physicians believed that patients knew their diagnosis, but only 57% of patients in fact did know their diagnosis on the day of discharge."

"In addition, 58% of patients thought that physicians always explained things in a comprehensible way, but only 21% of physicians stated they always provided explanations of some kind."

"Two thirds of hospitalized patients reported receiving a new medication, but only 10% were told about potential adverse effects of those medications. All but 2% of physicians stated that they at least sometimes talked about patients' fears and anxieties, but more than half (54%) of patients said that their physicians never did this."

"These data show that significant differences exist between patients' and physicians' impressions about patient knowledge and care received in the hospital," the authors conclude, and suggest that "steps to improve patient physician communication should be identified and implemented."

 
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U.S. government overpaid private insurance companies administering Medicare Advantage plans by as much as $3.1 billion in 2010, according to a new report from the Government Accountability Office (GAO).

About a quarter of all Medicare beneficiaries are enrolled in Medicare Advantage plans, and the Centers for Medicare and Medicaid Services (CMS) paid about $114 billion to the plans in 2010.


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