This is in response to a post by Dr. Kimberly Manning of Grady hospital. I believe she is a hospitalist at Grady Hospital in Fulton County, Georgia. In other words, like many other modern physicians she is employed by the hospital to provide primary care for patients while they are in the hospital. This frees up community physicians with admitting privileges from having to come to the hospital frequently. It is part of a management strategy that may work for everyone involved. It is not the "old days" when your personal physician came to see you in the hospital every day.
I have been following Dr. Manning's posts on her blog occasionally for several years. A surprising number of health care professional (and hospital administrators) have blogs. Dr. Manning posts frequently and share a lot about her experiences at work and with her family. She really writes well.
In this particular post she reports an event relevant to the cultural environment of medical care. It is no secret that many patients are dissatisfied with their care in part because of cultural insensitivities. There are so many potential barriers including, for examples, languages and religious differences. Hospital administrators and medical care professionals have always faced such challenges. Patients are not always reasonable. Under new policies financial revenue flows will be linked directly to patient satisfaction scores, because patient satisfaction is a proxy measurement of quality of care.
Please reflect on the situation Dr. Manning faced with this patient. Did she handle it well? It is easy to "blame" patients who may appear irrational or unreasonable. In your opinion, is the use of patient satisfaction scores "fair" to hospitals and physicians in the assessment of quality of care? Include a working link to another web page or video that is relevant to your thoughts.