Anthony Amoroso MD - Things to Consider When Choosing a Primary Care Physician
Taking charge of your healthcare is imperative no matter how old you are. One of the most important decisions you can make is choosing a great Primary care physician. The primary care physician is on the front lines of your healthcare and can be the difference between receiving early intervention, delayed diagnosis or misdiagnosis. Therefore, there are several questions you should consider before choosing your doctor.
What insurances is your doctor in network with?
• In today's world, insurance is the driving force for
healthcare. Physicians complain they do not receive enough reimbursement for
their services and patients complain that nothing is covered.
Choosing the physician that accepts your insurance can be
the difference in a $50 copay or $10 copay.
What is your doctor's availability during an emergency? If
he cannot attend to you immediately, who will cover for him?
• It is important to consider the physician's office hours
as well as how well he handles situations after hours. Many physicians use an
answering service after hours but, you should ask what his average response
time is if you have an emergency. You should also be able to meet the physician
who covers for your doctor during emergencies, vacations and afterhours.
What is your doctor's education? Is he board certified? How
long has he been practicing primary care?
• When it comes to physicians, nothing is more important
than experience. You want a doctor that has seen it all and has dealt with
problems effectively. His education is certainly a close second as is
demonstrates that he has been certified by the state to practice family or
primary care medicine.
Does your doctor have any sub specialties?
• You would be surprised as to how many primary care
physicians have subspecialties in many different areas like: HIV, Dermatology
and gynecology. This information is important because you should know the
extent of you physician's experience.
What languages does your doctor speak?
• All physicians practicing medicine in the United States
should be able to communicate effectively in English. Moreover, patients should
be able to clearly understand what his physician is saying so that there is no
miscommunication on important issues with your health. Some patients feel more
comfortable in communicating in their native language therefore they should
find a doctor that can speak their native tongue.
What is the average time spent waiting during appointments?
What is the average time spent with his patients?
• In my many years in the pharmaceutical industry, I have
witnessed primary care physicians seeing 45 to 50 patients per day. Some
physicians are simply concerned with seeing as many patients as possible in order
to bill for as many services they can. The average time spent with their
patients did not exceed 10 minutes. Make sure your doctor can spend time with
you discussing your health (physical and mental) and medications.
What hospital is your doctor affiliated with?
• Knowing the hospital your doctor is affiliated with is
very important because that hospital is where you will most likely end up if
you have an emergency. Investigate if that hospital has sufficient resources to
deal with any future health issues that may arise.
Does your doctor communicate effectively with you?
• When it comes to communication with your doctor, being
able to express your thoughts freely is important. You must be able to discuss,
openly, what you are feeling, physically and mentally, so that he can correctly
diagnose your problem.
Do you feel your doctor has a philosophy of treatment that
is in-line with yours?
• Make sure you research how your doctor approaches
medicine. There are physicians that prefer to treat preventatively; others may
choose a more holistic approach while others have a more wait and see approach
to medicine. It is important that you know this because it will save you from
major headaches down the road when you need second opinions.
In conclusion, choosing a Primary care physician is an
important undertaking that should not be taken lightly. Communication is a two
way street that you must feel comfortable travelling down with your physician.
Your Primary care physician is the center of your healthcare network and will
refer you to specialists should you have the need.
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