Internists Aim to End 'Assault' on Patient-Physician Relationship

Greg Freeman , April 9, 2013

ACP calls for elimination of SGR, better physician-patient relations
The American College of Physicians (ACP) recommends these steps to make the health system more effective:


  • ACP calls for a renewed commitment at both the national and state levels to effectively implement the coverage expansions and related policies under the Affordable Care Act (ACA), with particular attention to ensuring the poorest and most vulnerable patients have access to affordable coverage.
  • ACP urges Congress and the administration to reach agreement on a plan to replace across-the-board sequestration cuts and potential future disruptions in funding for critical healthcare and instead enact fiscally-and socially-responsible alternatives to reduce unnecessary healthcare spending.
  • Congress must enact legislation to eliminate ­Medicare's SGR formula and support the medical profession's ­commitment to transition to new payment models.
  • ACP calls for policies to recruit and retain primary care physicians.
  • A reduction of firearms-related injuries and deaths must result by improving access to mental health services, supporting research on the causes and prevention of ­violence, and enacting reasonable controls over access to firearms that do not infringe on constitutionally protected rights.
  • Public and private policymakers and payers must ensure that any payment reforms have, as an explicit goal, ­allowing physicians to spend more appropriate clinical time with their patients.
  • Payment and delivery reforms that hold physicians accountable for the outcomes of care (measurable performance on quality, cost, satisfaction, and experience with care) should concurrently eliminate the layers of review and second-guessing of the clinical decisions made by physicians.

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    2 comments on "Internists Aim to End 'Assault' on Patient-Physician Relationship"

    Robert Luedecke, MD (4/12/2013 at 6:40 PM)
    Outstanding article in that it says the well-being of each and every patient must remain the most important focus of healthcare and that we need to make system changes in a way that make sense for physicians. Thank you for asking state and federal legislators to resist the temptation to practice medicine by telling us what tests to order in a specific case.

    Lyle Kelsey (4/11/2013 at 10:27 AM)
    "State and federal authorities should avoid enactment of mandates that interfere with physician free speech and the patient-physician relationship." Dr. Freeman, I read your article with interest in that as a state regulator, the Oklahoma Medical Board is currently changing the way the patient-physician relationship (PPR) is delivered to embrace better interstate Telemedicine access for physicians. This is a major progressive step for a regulatory board. I want to make sure what the ACP means by the "assault" on PPR? Do they mean the assault to do away with the actual face to face PPR or the assault to keep actual face to face "in person" PPR or simply more regulatory intrusion into the PPR? Lyle Kelsey executive Director Oklahoma Medical Board




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