Paterick Timothy J, Paterick Timothy E, Waterhouse Blake E
Division of Cardiovascular Diseases, Mayo Clinic, Jacksonville, Florida 32224, USA.
J Med Pract Manage. 2007 Jul-Aug;23(1):22-7.
Physicians practice at the intersection of medicine, law, and business. Each discipline creates its own challenges for the practicing physician: to practice efficient, effective medicine; to limit potential liability; and to create a positive financial outcome. Those challenges increase with escalating costs and reduced reimbursements. In this paper, the common clinical presentation of chest pain has been used to create a paradigm to educate physicians to understand efficient and effective approaches to diagnosis and treatment, and how effective communication with patients and meticulous documentation of all medical encounters can limit the potential for liability. Ultimately, given today's reimbursement formulas, physicians must also understand the cost of testing, in relation to its benefits, in an attempt to yield a positive financial outcome.
医生在医学、法律和商业的交叉领域开展工作。每个领域都给执业医生带来了各自的挑战：要实施高效、有效的医疗；要限制潜在的责任风险；还要创造良好的财务收益。随着成本不断上升和报销费用减少，这些挑战也日益增加。在本文中，胸痛的常见临床表现被用来构建一个范例，以教育医生理解诊断和治疗的高效有效方法，以及与患者进行有效沟通和对所有医疗接触进行细致记录如何能够限制责任风险。最终，鉴于当今的报销方案，医生还必须了解检测成本及其效益，以努力实现良好的财务收益。
