Doctors

If you’re like many people, you may have begun to notice some telling changes in the “atmospherics” you encounter in your visits to the doctor’s office.

Perhaps the signs are just subtle, but things seem to be a little more stressed in the office – and a little less comforting for patients.

With the big changes happening in how healthcare services are delivered and how care providers are compensated, perhaps those changes are to be expected.

But a new survey of more than 500 physicians by InCrowd, a Boston-based market intelligence company focusing on the healthcare, pharmaceutical and life sciences fields, points to some unwelcome “collateral damage” that has to be concerning to everyone.

According to the InCrowd research results, three-fourths of the physicians surveyed do not feel that their healthcare facility or practice is doing enough to address the issue of physician burnout.

For the purposes of the research, burnout was defined as “decreased enthusiasm for work, depersonalization, emotional exhaustion, and a low sense of personal accomplishment.”

If three-quarters of the physicians think that too little attention is being paid to burnout issues, that may be one explanation for the changes in the “dynamics” many patients sense when they pay a visit to their doctor.

This doesn’t mean that the majority of physicians feel that they themselves have experienced burnout. But in two particular physician categories – emergency care and primary care – nearly 60% of the physicians surveyed reported that they had personally experienced burnout.

And most of the remaining respondents know other physicians who have experienced the same.

While burnout may be a more extreme condition, for many physicians the average day presents any number of challenges and frustrations. Nearly four in ten respondents reported that they “feel frustrated” by their work at least a few times weekly — or even every day.

The two biggest contributors to this frustration? Time pressures, and working with electronic medical records.

Perhaps the most startling finding from the InCrowd survey is that ~58% of the physician respondents say that they’re either unsure or wouldn’t recommend a career in medicine to a family member or child.

To me, that finding says volumes. When a profession goes from being the object of aspiration to something to be avoided … we really do have a problem.

What’s been your experience at your doctor’s office on recent visits? Do you sense a degree of tension or stress that’s more than before? Please share your thoughts with other readers.

The harsh realities of cost are driving healthcare providers, insurance carriers and government agencies to implement policies designed to encourage consumers to take better control over their own health.

More healthcare plans and programs than ever before are including incentives for making lifestyle changes, undergoing preventive care routines, “do-it-yourself” testing as well as online consultations with physicians.

In this regard, it seems everyone is completely on the bandwagon … except perhaps the consumer.

Why is that the case? One reason might be because of what we’ve trained people to expect in the delivery of healthcare services.

For decades, American consumers weren’t given any meaningful incentives for engaging in preventive care or in making lifestyle adjustments. Several generations of Americans were acclimatized to seek out healthcare services when they needed it – and that was when something was wrong. And the billing for those services was sent directly to the insurance company for payment.

In such an environment, preventive health or cost control was the last thing on people’s minds.

I recall being hospitalized for six days back in the early 1980s, along with being given a battery of medical tests conducted by health specialists of every stripe. I’m sure the invoicing associated with my hospitalization and treatment was astronomical … but I never saw a copy of the bill to really know.

My only out-of-pocket expense for the entire week? Thirty dollars for using the television set in the hospital room.

What was surprising to me, even at the time, was that I was kept in hospitalization far longer than I felt I needed to be – my symptoms of infection were gone after just a day or two. If I had been responsible for paying for even a portion of my hospitalization, I’m sure I would have been talking with anyone I could find about how quickly I could be discharged!

Today of course, people are far more aware of skyrocketing healthcare costs – not to mention their concerns about ever-rising health insurance premiums, higher deductibles, and bigger co-pays. Still, when asked about adopting new ways of interfacing with healthcare providers, American consumers seem somewhat ambivalent about them.

A recent online survey of ~1,000 Americans age 18 and over conducted by marketing and research firm Euro RSCG Worldwide found that only ~42% of respondents are comfortable with the idea of having online consultations in lieu of personal visits with their doctors.

[Men are more receptive to this idea (~58%) than women are (~37%) … but women are the ones more apt to make healthcare decisions for their families.]

On the other hand, here’s an interesting additional insight from the survey: When told that having an online consultation with their physician might result in lower expenses, ~77% of those same respondents reported that they’d be open to trying it.

What about the concept of “do-it-yourself” testing? Close to half of the respondents in the survey (~48%) reported that they’re receptive to the idea of using mobile apps to run their own tests and checkups at home. Checking blood pressure was the most popular DIY test, along with tracking and reporting on symptoms.

Of course, as time moves forward, technology is no longer the big obstacle it once was for turning “virtual visits” and “remote care” into a reality. Instead, it’s consumer attitudes and a willingness to adapt. And to accomplish that, the purveyors of modern healthcare must try to undo several generations of “learned” behavior that’s nearly the polar opposite.

Denise Murtagh, a planning director at Euro RSCG, mentions another factor as well: the doctors themselves. “A lot will depend on how facile physicians are with the technology, and how comfortable they are with it.”

And let’s not forget age demographics, too. The survey underscores that Gen-X and Gen-Y consumers are far more comfortable with the idea of physician remote care (47% – 52% positive) than Baby Boomers and those born earlier are (only 33% – 39% positive).

It looks like we’ll need to give this trend a bit more time to come into full flower.