医師の一分

アクセスカウンタ

zoom RSS メイヨー・クリニックの医療/米国医療事情 医療制度改革

<<   作成日時 : 2009/09/10 01:21   >>

ナイス ブログ気持玉 2 / トラックバック 0 / コメント 0

 メイヨー・クリニックの医療
 ミネソタ州のロチェスターに本拠地をおく非営利のメディカルセンターは3つの州に病院を持ち、3,300人以上の医師・研究者・科学者をかかえ、年に50万人以上の患者の治療を行っているという。そのアプローチ法は、世界で最もよい治療を提供すると言ったオバマ大統領を含めて、突出した賛美を受けている。メイヨクリニックがより良い治療をより安く提供していることは明瞭だとオバマ大統領は7月1日にバージニア州のアナンデールで言った。
 米国人はより多くがより良いと信じることが好きだが、ダートマス大の研究では、メイヨー・クリニック医師が絶対に必要であると考えていた検査だけを行うことによって総医療費が下げられたという。
 メイヨー・クリニックの多くの医師は給料制の従業員であり、彼らが施行する検査数、外科的処置量、診療患者数による代金として支払われない。患者のニーズに合わせて最も効率的に働いているという。メイヨー・クリニックの成功はまた、「統合され調整された治療」"integrated coordinated care"と呼ばれるチームアプローチのおかげだという。
---------------------------------------------------
Inside Health Care at the Mayo Clinic
Robin Roberts Explores the Clinic's Goal of Providing Low-Cost Quality Care
By KARSON YIU, JENNIFER PEREIRA and MARIECAR FRIAS
Sept. 4, 2009
http://abcnews.go.com/GMA/robin-roberts-explores-healthcare-mayo-clinic/story?id=8486679

"Good Morning America's" Robin Roberts visited the Mayo Clinic to find out more about what some people call a radically different approach to practicing medicine -- providing high-level care at a low cost.

画像Photo:
The 81-year-old Plummer Building, one of the oldest on the vast Mayo campus, peaks through a skylight in the clinic's more modern cafeteria. "Good Morning America's" Robin Roberts takes a look inside the Mayo Clinic's different approach to practicing medicine. Collapse
(Noel/Chicago Tribune/MCT)

This nonprofit medical center, headquartered in Rochester, Minn., has sites in three states with more than 3,300 physicians, researches and scientists treating more than 500,000 people each year, according to its Web site.

Its approach has attracted prominent admirers, including President Obama, who has said it provides some of the best care in the world.

"It turns out Mayo provides care much more cheaply than a lot of other health systems, even though it's better care," Obama said at a health care town hall in Annandale, Va., July 1, 2009.

Although many Americans like to believe that more is better, a study conducted by the Dartmouth Atlas of Health Care at Dartmouth University found that overall costs were reduced by performing only the tests that Mayo Clinic doctors deemed absolutely necessary.

While it is hard to escape the traditional thinking that running more tests equals better care, the Mayo Clinic also encourages doctors to look elsewhere for the answers.

"People who are just starting out, like us, we are more likely to order X-ray, CT, MRI, blood work, all of these fancy genetic tests that we have available," said Dr. Sylvia Jaramillo. "And a lot of times the answer is in the history."

Tune in to "Nightline" next Wednesday, Sept. 9, 2009, for more on this story following President Obama's address to Congress on health care.

Inside Health Care at the Mayo Clinic

Many doctors at the Mayo Clinic are salaried employees and are not paid for the number of tests they run, the amount of surgical procedures they do or the number of patients they see.

"I'm not figuring out how do I work most efficiently to get the most out of reimbursement. I'm working most efficiently for the needs of the patient," said Dr. Dana Thompson, a pediatric surgeon.

Thompson believes she has a special bond with each of her patients because five years ago she was diagnosed with breast cancer and was treated at the Mayo Clinic.

"I am certainly a much better physician in terms of how I'm able to approach patients and my perspective in delivering difficult information," Thompson told Roberts. "I'm light-years ahead of where I would have been."

The Mayo Clinic also attributes its success to a team approach it calls "integrated coordinated care." Doctors with different specialties work closely with one another on a patient's case and seem grateful for the extra support.

Roberts asked Dr. Todd Baron, who specializes in endoscopies, if it was encouraging that "if you don't know something you can ask. ... In other hospitals it's almost like they don't want to share information."

"It's very encouraging," Baron said.

As Obama prepares to address Congress next week on health care, the ongoing debate on health care reform is something these doctors are acutely aware of.

"Do you understand why people are a little worried that we're not going to, we, the American public, are not going to have qualified people such as yourselves wanting to get into medicine if some of the reform they are talking about is enacted," Roberts asked two interns at the Mayo Clinic.

"I actually think it's going to draw people that are interested in medicine, like Mike and myself. Because it isn't going to be money that drives us," Dr. Sylvia Jaramillo said. "We're here because we love medicine, and we want to improve health care."

テーマ

関連テーマ 一覧


月別リンク

ブログ気持玉

クリックして気持ちを伝えよう!
ログインしてクリックすれば、自分のブログへのリンクが付きます。
→ログインへ
気持玉数 : 2
ナイス ナイス

トラックバック(0件)

タイトル (本文) ブログ名/日時

トラックバック用URL help


自分のブログにトラックバック記事作成(会員用) help

タイトル
本 文

コメント(0件)

内 容 ニックネーム/日時

コメントする help

ニックネーム
本 文
メイヨー・クリニックの医療/米国医療事情 医療制度改革 医師の一分/BIGLOBEウェブリブログ
文字サイズ:       閉じる