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Quite a lot of doctors live in departments where their bosses give them the goal to raise the amount of specific yearly targets by 10% every year. If they don't they fail their performance goals.

A while ago I heard a presentation about the issue of how to deal with myoms in woman.
The structure of the medical system in Germany is different than in France in a way that means that a German gynocologist doesn't get much benefit by sending a patient to a radiologist. It's advantageous for him to send the patient instead for surgery where the uterus get's removed. France doctors in a similar situations have different incentives.

The result of those incentives is that in Germany a lot more woman lose their uterus due to surgery when there are problems with myome's than in France.
Because the system has different financial incentives doctors act differently.

I also talked a lot with a person from Pfizer about the health market. According to his view doctors treatment decisions have a lot to do with the incentives that exist to him. In his view you are very unlikely to get a doctor to change to something that's better for the patient if there's nothing in it for the doctors.

That's the world in which we live. Humans are driven by incentives. Doctors are humans. In the US doctors sometimes even take sales seminars about how to sell their patients expensive treatments.

Because that's the world we live in it's good to have limited supply of medical treatment to prevent patients suffering from getting overtreated.
Patients getting overtreated also happens to be the reason why in the US the breast cancer screening for woman was set to a higher age than it was previously.

Overtreatment is a huge problem in the US system where profit driven clinics acts to favor their bottem line. The EU system with waiting lists produces better health outcomes.

The EU system with waiting lists produces better health outcomes.

Are there reliable statistics on that?
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