By Jeremy Brooker
Often, when people
find themselves in a situation where they’ve gone to the hospital for an
emergency or other after-hours issue – their family doctor or personal
physician may not legally be able to service them there, and communication
about their conditions from hospital staff to their physician may be poor or
non-existent.
For
physicians that care about their clients and know their personal medical
history (which can play a valuable role in healthcare-related decisions), this
is cause for concern.
“Most
primary care physicians are experiencing a shrinking role in hospital care,”
said Michael Demoratz, palliative care expert, PhD and LCSW, “and that’s not
necessarily a good thing.”
Lack of
communication about condition and status becomes even more of an issue with aging
patients, given that they typically see an increase in the frequency of
hospital visits and medical care due to issues like Alzheimer’s, dementia,
broken bones, congestive heart failure, and the slew of other health related problems
that come with age.
“It gets
interesting when you have three or more sources that have provided, or
sometimes continue to provide, an individual with care,” said Michael. “Communication
breaks down, and so does a clear plan of care and control.”
When asked
what can be done by primary care physicians to improve their own access to and
control of patients, Michael was reticent.
“It can be
very hard,” he noted.
“If
[patients] go to a hospital on their own, the physician may lose control. If
you’re a physician who is sending a patient to the hospital, you can prevent
that sort of thing by sending them to a medical facility with hospitalists that
you know and that will communicate with you, or to one that allows you to
follow and access them yourself,” he said.
According to
Michael, physicians tend to maintain access to and control of their patients by
having this kind of presence in skilled nursing facilities, nursing homes, and
hospitals.
“Another
great option, especially in certain situations – is in-home senior care.”
Michael
explained how having a caregiver in a patient’s home can keep physicians up to
date on the status and whereabouts of a patient.
“Caregivers,
especially from some of the better companies, know what warning signs to look
for when a senior has an issue, and they know how to care for a person who has
a condition or history with a certain issue.”
Since
in-home caregivers assist with things called “activities of daily living,”
(which include things like bathing, dressing, eating, functional mobility and toilet
hygiene), they can act as “boots on the ground” for physicians, and can monitor
their patients’ statuses from day to day.
Many senior
care companies have software that provides real-time, up-to-date information on
patients’ statuses, and some even have devices that monitor patients’ vital
signs and log the reports in real-time.“This kind
of thing is invaluable for physicians, especially in certain cases,” Demoratz
said.
According to
Michael, measures like these are important not only to keep physicians in touch
with their patients - they also play an integral part in reducing the problem
of hospital readmissions.