The Survival of Physicians

On January 6, 2012 the CNN website posted an article titled "Doctors Going Broke". It described several cases of independent physicians who are near bankruptcy although they once were quite well off. For instance, the article detailed the case of Dr. William Pentz, a cardiologist in a small group practice, who had to borrow money last month to make payroll. He and the other cardiologists have cut their salaries in order to meet overhead. Dr. Pentz ascribed the budget problems of the practice to the 35% to 40% cut in Medicare reimbursements for certain tests, such as stress tests. The practice overall saw a 9% decline in income compared to 2010. The article did say that there is a worrisome rise in the number of physicians experiencing financial difficulties. Although some point to new regulations and declining enrollment as the source of the troubles some financial experts point out that the problems may be due to the lack of business acumen of physicians and their staff.

A day after this report the Wall Street Journal posted an article about the bankruptcy and decline of several large corporations, including Kodak and Barnes & Noble. It compared these organizations to successful ones such as IBM and Johnson and Johnson. Briefly, it emphasized that the successful organizations were willing to take some risks on future developments and invest some of their capital into these risks. Not all such investments were successful but enough were to insure the success of the business.

With a bit of insight and some reasoning skills I believe I see in these patterns similarities to Darwin's theory on the survival of the species. Businesses and physician practices that adapt to their changing environments succeed where others languish or subside or sell their practices to hospital groups or insurers.

Locating Good Sources for Hospital Medical Supplies and Medical Equipment

Hospitals have a obligation to give their patients quality healthcare. This means not only providing excellent service from doctors, nurses and staff members, but also to make certain the medical equipment used is up-to-date and fully operational. Locating sources of medical supplies is one of the most important functions of a hospital's administrators.

A good place to start the search for medical supplies is by contacting the purchasing managers of other medical centers. These people have experience in obtaining medical equipment for their institutions and can usually offer sound advice on what manufactures and distributors offer quality supplies at reasonable prices. You can simply call the hospitals in your area and tell them your looking to locate a new supplier.

An even easier way to find suppliers is to go online and perform a web search. Just type in "medical supplies" into the search box of your search engine and visit the various websites of the distributors. Virtually all of the major hospital supply companies have websites that showcase the types of products they sell. These websites will also provide contact numbers so that you can contact them directly to ask for more details, such as whether the distributor rents hospital equipment in addition to selling it, and also for pricing information.

If you are looking for a supplier who focuses on a particular need, such as acute care, for instance, you can type this phrase into the search box and discover companies that specialize in a particular field.

Healthcare Translations

The scenario goes like this:

Mrs. Williams does not speak much English because she is new to your country. She takes the pamphlet you gave her for instructions for her new medicine, medical treatment, or daily life changes. The insert that comes with the medicine is not in Mrs. Williams's native language. She does the best she can to understand but in the long run Mrs. Williams does herself harm because she did not understand that particulars of her new drugs.

Her baby also received shots that day and she is handed another pamphlet on what side effects may occur. Some side effects are mild while others are life threatening. Because she cannot understand the pamphlet, her child is at risk.

Who is responsible for translating this information?

All of us at one time or another find ourselves using a variety of doctor specialties. This could be medial doctors, eye doctors, heart surgeons, or even chiropractors. We ingest drugs manufactured in countries from around the world.