Missing the Obvious

I was forwarded this article called Why Everyone Needs Their Own Emergency Medicine Doctor and was really unimpressed. The authors believe they have discovered something new which is “a service everyone should have.” Here are some points they bring up:

  • Why doesn’t everyone have an ED doctor they can call? 
  • recent JAMA study from Ontario, Canada, found that patients with virtual visits who saw outside family physicians (whom they had never met) compared with their own family physicians were 66% more likely to visit an ED within 7 days after the visit. 
  • Probably the closest thing to having your own personal emergency medicine doctor is concierge medicine, which combines personalized care and accessibility. Concierge doctors come in many forms, but they usually charge a fixed fee for 24/7 availability and same-day appointments. A downside of concierge medicine is its expense ($2000–$3500 per year), and that many don’t take insurance. Concierge medicine is also criticized because, as doctors gravitate toward it, people in the community often lose their physician if they can’t afford the fees.

Please read the article from Medscape and join me in commenting. How in the hell did they not know Direct Primary Care exists? Listen, ED docs want to do ED stuff in the ED. Most do not want to do primary care as an add-on.

DPC docs do EVERYTHING these doctors describe. How are two physician authors ignorant of the fastest growing movement in the healthcare industry? Beats me.