Same for me. Virtually all home visits are for palliative patients. I have
a post-polio patient whom I do see at home for urgent things (the rather
good HandyDart bus service that picks up disabled people from their homes
and takes them to wherever they wish to go needs two days notice) but I
expect him to come to the office for routine care. He is wheelchair bound
and requires a hoist to get him in and out of it but that would not be seen
as a reason to visit at home in Canada.
Jonathan
----- Original Message -----
From: "Jel Coward" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Thursday, June 28, 2007 9:40 AM
Subject: Re: Greener grass
Jonathan Reggler wrote:
> Naughty, Jel.
>
> Jonathan
> PS I do a few. On my terms, of course, as they are not expected.
Yes - and I did 2 on Tuesday - by helicopter and then walked. Fly in to a
tiny Reserve community and wandered around knocking on doors of the a
couple of elders as requested but not expected by the Community Health
Representative. They would all have come to the health building (hut) if I
had asked - but it was a sunny day and I had a few minutes and a med
student with me.
From the main practice though, we only visit for palliative care - and
then only at our choosing - and there is much gratitude.
I get to bill the govt about 2 x the office visit rate for house calls -
which also helps.
Cheers
Jel
>
> ----- Original Message ----- From: "Jel Coward" <[log in to unmask]>
> To: <[log in to unmask]>
> Sent: Thursday, June 28, 2007 8:18 AM
> Subject: Re: Greener grass
>
>
> Russell Brown wrote:
>> Thats about 25-30 patients a day. The visits will be the killer, and
>> aren't there more of them than us?
>>
>
> What's a 'visit?'
>
> Jel ;-)
>
>
>> Russell
>>
>> On 28/06/07, *Michael Leuty* < [log in to unmask] <mailto:[log in to unmask]>>
>> wrote:
>>
>> It seems that English GPs are not the only ones to have problems
>> with morale.
>>
>> Quotimed have just reported a recent study carried out in the greater
>> Parisian area (Ile de France) involving 2,200 doctors. According to
>> the study, 53% of non-hospital doctors (médecins liberaux) reported
>> themselves as suffering from burn-out (le burn out) and 12% are
>> considering changing their profession. The doctor most likely to be
>> affected is a GP (généraliste du secteur 1) aged between 45 and 50,
>> with more than 6,000 patient contacts (actes) per year including
>> numerous visits. Among the main causes thought to be responsible are
>> excessive paperwork, lack of professional respect, excessive workload
>> and an increase in "collective constraints" (I don't know what this
>> refers to).
>>
>> Overall the picture sounds depressingly familiar.
>>
>> The high workload referred to (6,000 consultations per annum) would
>> give a gross income of around £100,000 but this is before practice
>> expenses, pension contributions, etc. I don't know how good the
>> pension scheme is, but it doesn't pay out before the age of 65.
>>
>> Our New Contract has its faults, of which I remain highly critical,
>> but things are not necessarily better elsewhere.
>>
>> --
>> Michael Leuty
>> Nottingham, UK
>>
>>
>
>
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