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http://www.healthdecisions.org/News/default.aspx?doc_id=125162
Why as a physician I won't do E-mail-TIME!
I already spend about 2-4 hours a day on paper work (no less when I used an electronic medical record). Lab, x-ray and outside records review take a lot of time! Several years ago I tried doing E-mail and found patients or their family members wanted regular dialogues!! It took way to much time. I would have to decrease the nummber of patients seen per day in order to devote time to respond to E-mails. That would further erode the already drastically eroded practice revenue (while expenses increase). No wonder so many female physicians are leaving practice. We see fewer patients to begin with. Adding E-mail might be the nail in the coffin.
.........because we don't get paid for it. That's why.
It's a shame that physicians largely can't get paid for e-mail medicine, because my instinct (as an extremely wired patient) is that there are times it would help provide accessible care to some folks who seldom have time to see a doctor. That being said, with McKesson pitching e-mail through its Relay Health division, and getting some payers to actually reimburse for e-mail visits, I think the other payers will soon come on board. Ultimately, when CMS pays for such visits--and I believe it will at some point--they'll suddenly go mainstream. :-)







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