jumpinmunkie.xanga.com/?nextdate=12%2f11%2f2006+15%3a40 -
[Cached Version]
Published on: 11/29/2006
Last Visited: 10/15/2009
"If you happen to be the person they don't like, they can respond very differently than they do to most people," said Dr. Howard Beckman, the medical director of the Rochester Independent Practice Association.
...
They also infuriate doctors, who, Dr. Beckman says, "think these things are capricious and stupid."
It is harder to argue with the methods being used by medical groups, like the Tufts Health Plan and the Rochester Independent Practice Association, that are employing scientific methods to survey satisfaction.
Such practices, Dr. Beckman says, are becoming increasingly common in health maintenance and preferred provider groups that are starting to pay doctors according to their performance.
Purchasers of insurance plans are demanding it, he added.
And, he says, there is a common thread to difficult doctors: most have problems talking to, or listening to, patients.
"What often happens," Dr. Beckman said, "is that the patient has something they want to tell the doctor but they're not allowed because of the doctor's style to say what they want to say.
So the doctor does most of the talking, often alienating patients.
Dr. Beckman teaches doctors simple ways to let patients tell their stories and to show empathy by responding to a patient's emotionally charged comments.
For example, he said, "A patient comes in and says to the doctor, 'I stopped smoking.'" Instead of saying, "That's terrific," the doctor will say something like, "How's your weight?"
Dr. Beckman said a doctor recently called him, stung by his low scores and asking how it could be that his patients did not like him.
"We looked at his survey results and the area where he was low was the question of, Did the doctor spend enough time with you?
Dr. Beckman said.
"I told him a bit about how a person feels that enough time is spent.
You have to uncover the heart of their problems."
Of course, Dr. Beckman said, "everyone thinks they're listening" to patients.
But one method does work, he told the doctor.
...
The doctor, Dr. Beckman said, "looked at me like I'm a little nuts," but agreed to try.
Later he returned, elated.
Dr. Beckman recalled him saying: "I can't believe how different it is.
I hear things I don't usually hear."
"That's terrific," Dr. Beckman said.