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Nov '13

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Canada Goose Jackets I a healthcare provider and I tell you a major reason for the opioid epidemic and antibiotic resistance. Medicine has become more and more of a business and half of the people running facilities are non medical and have an MBA or MHA. They see Canada Goose online patients as customers. Canada Goose Jackets

buy canada goose jacket cheap I had job offers where my bonus and uk canada goose part of my salary was based off of „patient satisfaction.“ Sounds good right? It actually terrible. Sally comes in with a cold and demands an antibiotic. You explain no, this is a common virus, treat the symptoms and you be fine in a day or two. Sally is pissed because she doesn get the antibiotic and writes a shitty Yelp Canada Goose Jackets review (or google review, press ganey, etc.) about how inept I was and how canada goose clearance sale she „always gets antibiotics to knock it out“. Now the manager gets mad at canada goose store me for poor customer service and my bad review is literally directly taking money out of my pocket. buy canada goose jacket cheap

canada goose store This same concept applies to pain meds. You explain that the shoulder canada goose coats on sale pain is 99% due to inflammation and a strong anti inflammatory will knock it out. Well that not what they want. Percocet is what helps their pain and I heartless for letting them stay in so uk canada goose outlet much pain. They also allergic to the non addictive narcotics mind you. Now online when you look canadian goose jacket up my name it shows that I a terrible provider who Canada Goose Coats On Sale doesn care about his patients pain and refuses to give out pain meds. 1 star out of 5. Manager sees this, gets pissed, we need canada goose happy „customers“ so they return in future. canada goose store

Canada Goose Parka That is the problem. Doctors, PAs, NPs, get stuck in a no win situation where if they do the right thing it sometimes directly takes money out of their pocket or they get threatened Canada Goose Online with termination because poor patient surveys. Canada Goose Parka

cheap Canada Goose Edit: woah this blew up. Glad it starting this conversation though. I typed this quick on my phone and Canada Goose Parka have corrected a couple grammar mistakes and typos. cheap Canada Goose

canadian goose jacket Edit 2: As people have pointed out this is not the case at every clinic or hospital. There are other organizations and metrics used for different settings. Canada Goose Outlet There are also times where pain meds are absolutely indicated. This post was a pretty broad statement over what I seen in some clinics and not meant to describe American medicine as a whole. It not all administrations fault, practice canada goose uk black friday manager, etc. everyone plays a role in spreading and preventing the buy canada goose jacket epidemic. This canada goose clearance was buy canada goose jacket cheap never intended canada goose black friday sale as a dig against canada goose uk shop healthcare administrators, I worked for some great canada goose outlet store ones! At least this is providing a good discussion though and allowing some people to see it from a different perspective. canadian goose jacket

Canada Goose online Edit 3: I never said I think this is what caused the epidemic. This was going on before reviews were even a big thing online. It was mostly canada goose factory sale in response to another comment essentially saying screw anyone who prescribes these so I was giving the other side of the story. The whole point was essentially cheap Canada Goose saying that patient satisfaction should not be linked to reimbursement and patients should be seen as patients and not customers. Canada Goose online

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canada goose clearance sale You Canada Goose sale shouldn’t be blaming the folks you work with non medical MBAs or MHAs. We’re canada goose uk outlet all working in the same healthcare system. no cheap canada goose uk one thinks this is a good thing. Your example patient is an unfortunate reality. Instead of boosting score we need a canada goose coats better system. Anyone you speak to is probably open to suggestion. canada goose clearance sale

Canada Goose sale I’m a non clinician working in healthcare offering a different perspective. BTW, patient satisfaction is being driven by payers, the govt being the biggest. We all have a voice in govt or we’re supposed to Canada Goose sale.

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