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oh my shoulders been hurting but every time I go to the doctor I get nervous and forget things I wanted to ask it's silly even at my age it feels like I'm going to the principal's office everything looks green my daughter said before you go in write down your questions and then when you're there take notes - so we can talk later no Timmy don't put that in your ear so over the next few days I made my list when mrs. Popham came in I was glad she brought a list we talked through her concerns and she even took notes she's on a number of medications so I want to be sure she is clear and what to do sometimes patients get embarrassed or anxious so I help them feel comfortable to ask questions and after I explain something I ask them to repeat it to make sure they truly understand make sure you speak up if you don't understand everything your doctor or nurse is explaining such as new medications why you're being examined or why you need a certain procedure or lab test your medical team is ther
Why do patients have to fill out forms when visiting a doctor? Why isn't there a "Facebook connect" for patient history/information?
There are many (many) reasons - so I'll list a few of the ones that I can think of off-hand.Here in the U.S. - we have a multi-party system: Provider-Payer-Patient (unlike other countries that have either a single payer - or universal coverage - or both). Given all the competing interests - at various times - incentives are often mis-aligned around the sharing of actual patient dataThose mis-aligned incentives have not, historically, focused on patient-centered solutions. That's starting to change - but slowly - and only fairly recently.Small practices are the proverbial "last mile" in healthcare - so many are still paper basedThere are still tens/hundreds of thousands of small practices (1-9 docs) - and a lot of healthcare is still delivered through the small practice demographicThere are many types of specialties - and practice types - and they have different needs around patient data (an optometrist's needs are different from a dentist - which is different from a cardiologist)Both sides of the equation - doctors and patients - are very mobile (we move, change employers - doctors move, change practices) - and there is no "centralized" data store with each persons digitized health information.As we move and age - and unless we have a chronic condition - our health data can become relatively obsolete - fairly quickly (lab results from a year ago are of limited use today)Most of us (in terms of the population as a whole) are only infrequent users of the healthcare system more broadly (cold, flu, stomach, UTI etc....). In other words, we're pretty healthy, so issues around healthcare (and it's use) is a lower priorityThere is a significant loss of productivity when a practice moves from paper to electronic health records (thus the government "stimulus" funding - which is working - but still a long way to go)The penalties for PHI data breach under HIPAA are significant - so there has been a reluctance/fear to rely on electronic data. This is also why the vast majority of data breaches are paper-based (typically USPS)This is why solutions like Google Health - and Revolution Health before them - failed - and closed completely (as in please remove your data - the service will no longer be available)All of which are contributing factors to why the U.S. Healthcare System looks like this:===============Chart Source: Mary Meeker - USA, Inc. (2011) - link here:http://www.kpcb.com/insights/usa...
Do doctors actually read the forms that patients are required to fill out (medical history, known allergies, etc.)?
Oh, we read them. We base the start of your plan of care on them. As the nurse doing that, I go over everything. The doctor I work for uses it to be sure he covered everything. It's very common to forget something when you have the doctor in front of you. This is my profession and even I do it. We expect you to forget something.Then it gets scanned into your chart, there, forever. I refer back to those forms if, for example, your labs turn up something life threatening and I can't reach you. Who was that you listed as an emergency contact? Hope it's legible. Heck, I hope it's filled out! ( If it was entered before my time, it might not be. Now, you can't see the doctor without it filled out.)It's so important my practice asks you to re do them every year. Patients hate it, complain about it, loud! But if I had a dollar for every time I couldn't reach someone in this day and age of fluid phone numbers, why, I'd have several more dogs and we'd all be living somewhere warmer!And…oh, you have another doctor? We didn't know that. And they prescribed what? Did what tests? We don't know if you don't tell us 99.9% of the time. You would be amazed how many patients don't bother to tell their primary care physician such important things like…they went to the ER, had an MRI, see a cardiologist, and..etc and so on. We don't automatically know. We should, but that's another story.Feel that paperwork is beneath you? Are you too busy to fill it out? I see that every day too. You know what that tells us? That you don't value this very much. That you are so much more likely to be non compliant, not take meds, no show for appointments, maybe fib a little….a lot… your lifestyle choices….how, if you take your meds. I mean, come on, you can't even follow directions to fill out paperwork! How do you expect us to take you seriously, when from the very start, you don't offer us the same courtesy.If there are any doctors out there, not reading these things, shame on you. But in 30+ years, I have not seen it. As for the doctor asking you about it, well, mine works very hard to get it right. And even the most earnest patients forget something.
How can you get your family doctor to fill out a disability form?
Definitely ask for a psychologist referral! You want someone on your side who can understand your issues and be willing and eager to advocate for you with the beancounters because disability can be rather hard to get some places, like just south of the border in America.Having a psychologist means you have a more qualified specialist filling out your papers (which is a positive for you and for the government), and it means you can be seeing someone who can get to know your issues in greater depth and expertise for further government and non-profit organization provided aid.If seeing a psychologist on a regular basis is still too difficult for you, start with your initial appointment and then perhaps build up a rapport with a good therapist through distanced appointments (like via telephone, if that is easier) until you can be going into a physical office. It would probably look good on the form if your psychologist can truthfully state that you are currently seeking regular treatment for your disorders because of how serious and debilitating they are.I don't know how disability in Canada works, but I have gone through the process in the US, and specifically for anxiety and depression, like you. Don't settle for a reluctant or wishywashy doctor or psychologist, especially when it comes to obtaining the resources for basic survival. I also advise doing some internet searches on how to persuasively file for disability in Canada. Be prepared to fight for your case through an appeal, if it should come to that, and understand the requirements and processes involved in applying for disability by reading government literature and reviewing success stories on discussion websites.
Why are patients asked to fill out extensive forms and go into details with a nurse only to repeat the same information to the doctor? I find it frustrating and a waste of time. What is the point of this?
Could be many reasons.Most common is that you are a new patient and after all that paperwork filling out you want to see the doctor as soon as possible. After all you came to see the doc, not fill out paperwork, right?So after you fill out the paperwork your answers are still in the papers and not in your electronic health record (EHR). Most of the answers aren’t even for the doctor: they are for insurance, billing and legal purposes. All that information will have to be scanned or entered by the nurse or medical tech, but he’s already on to another patient. He’ll have to do it later.The doc has just seen another patient. She’s only had time to fill out a skeletal note in the EHR for that patient that she will have to finish after she’s done seeing patients and before she goes home. If she doesn’t complete that not in 48 hours she could face fines and in some cases, dismissal depending on state or health system.Now she picks up your folder. There is a sheaf of forms and a blank health record with likely only your name and insurance number in it. Would you rather she spent 15 minutes reviewing what you wrote or actually meeting with you and asking some of those same questions?Most patients will likely choose the latter. Again, you’re there to see the doctor, not to fill out forms.And guess what? It’s only going to get worse as health care becomes more bureaucratic.
How much paperwork do doctors, patients, and administrators need to fill out in countries with universal healthcare before treatment can occur?
If the treatment is simple counselling in my office, all I have to do is type my note, then I bill automatically through my electronic health record. So all codes for diagnosis and type of exam are preprogrammed into the system. Treatment has occurred. No trees were injured.If the treatment requires a prescription, then I can write the prescription in my Electronic health Record (EHR) and efax to pharmacy. Or I print it out, sign it. The patient takes it to a pharmacy where his or her insurance is checked, information is added to her computerized record and the medication is dispensed. If I made an error or pharmacist has a question, then they contact me and we fix it. Sometimes a medication is covered only under specific circumstances, so I may have to fill out an online form that gets efaxed to government requesting approval. (Examples might be a cholinesterase inhibitor for dementia, or a specific expensive treatment for Attention Deficit Disorder…). Minimal paperwork for treatment.It’s more complicated if I refer to a specialist. Depending on the specialty, there are a variety of ways to refer. Some go to a centralized booking Center, some are given to the patient who then has to call and make appointment, sometimes it goes to a team that has a specific referral form (pain clinic, head trauma….). In some cases I phone a specialist to find out how to get a patient in for rapid diagnosis in cancer care. Sometimes they’ll see the patient the next day. Only paperwork was a printed out referral with a copy of the X-ray.I have very little paperwork in general for treatment to occur (which is what you asked in your question).When I do have paperwork, it’s usually for insurance companies for short or long term disability, life insurance, workman’s compensation, road insurance for someone injured in a vehicle accident, fitness to drive forms….,The other administrative stuff I have to do involves looking up the patient results for all the tests I do. I try to minimize the testing I do, for example I do not send every cough for a chest x Ray or every case of dizziness for a brain scan. But even so, most of my patients come in with an illness that does require testing and I have to look through the results, file them or act upon them. That takes at least an hour a day.That has nothing to do with whether healthcare is privatized or universal.Hope this answered your question.
How much will a doctor with a physical disability and annual net income of around Rs. 2.8 lakhs pay in income tax? Which ITR form is to be filled out?
For disability a deduction of ₹75,000/- is available u/s 80U.Rebate u/s87AFor AY 17–18, rebate was ₹5,000/- or income tax which ever is lower for person with income less than ₹5,00,000/-For AY 18–19, rebate is ₹2,500/- or income tax whichever is lower for person with income less than 3,50,000/-So, for an income of 2.8 lakhs, taxable income after deduction u/s 80U will remain ₹2,05,000/- which is below the slab rate and hence will not be taxable for any of the above said AY.For ITR,If doctor is practicing himself i.e. He has a professional income than ITR 4 should be filedIf doctor is getting any salary than ITR 1 should be filed.:)
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