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Why Docs are 'Constantly Encouraged to Do Bad'

Joe Cantlupe, for HealthLeaders Media, August 22, 2013

Potential Conflicts
De Brantes also lambasted some fiscal relationships involving physicians that may not only undermine their relationships with patients, but impact patient care. Physician ties to pharmaceutical, medical device or biotechnology companies that produce products they use in their practices and physician ownership of ambulatory, surgical, imaging and other freestanding facilities create potential conflicts of interest. That, de Brantes says, surely "saps" physicians' motivation, and could influence their decision-making process.

As de Brantes and I discussed his report, we talked about how hospital leadership can be involved in improving physician incentives, and push physician "motivation."

Healthcare chiefs should learn as much as they can from the private sector, particularly publicly listed corporations, de Brantes says.

"Healthcare should model itself off the private sector, [and] keep experimenting and modifying various approaches for various professionals and their organizations," de Brantes says.

His message to hospital leaders: "You should really take the CEOs, CFOs, and COOs of hospitals across the country and ship them off to Fortune 500 or Fortune 1000 companies, and shadow their counterparts in their organizations," de Brantes says. "That would be a good thing.'

"After all, let's remember that the private sector has been working on employee compensation for decades and continues to balance the incentives so that they don't get in the way of motivation," he adds.


Joe Cantlupe is a senior editor with HealthLeaders Media Online.
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2 comments on "Why Docs are 'Constantly Encouraged to Do Bad'"


John Jaffe MD (8/23/2013 at 12:46 AM)
Please show me the evidence that physicians working under fee for service arrangments "order too many tests" (which usually they don't profit from), "do too many procedures", etc. It's possible that physicians working under capitation arrangements do too few! Thank you.

Jeff Angel (8/22/2013 at 2:39 PM)
Article is full of generalized, over-used debate points with no real ideas on how to improve medicine or no validity to the fact that even if waste is cut to zero, which technically cannot happen in a multi-variable system, there are not enough resources for the amount of pathology going forward. Blaming doctors is a good sound byte, but if docs worked for minimum wage there still is a deficit. To make like you are solving " medicine" with getting rid of bad behavior/bad docs is intellectually naive or dishonest. Demographics will require rationing....so call it out...we need to ration, and quit bashing docs New article in JBJS.....Total knee replacements save society 12billion dollars a year....MPHs and brainwashed media and politicians will reject that study, because of bias...please become scientific in your reporting to help us all.