[log in to unmask],Net writes:
>Imagine this scenario then:
>Pt. So you're contradicting the advice of a consultant then?
>Dr. Weeeeell..............
>Pt. I'm going to complain. This isn't right and it isn't fair. You
>won't give
>me my prescription because of a few pounds.
<snipped>
>And this would happen all the time at our surgery if we were to take up
>your
>suggested stance. :-( I couldn't stand the confrontation every time.
I think that unlike the health service management you have
misunderstood the role of consultantcy in all areas including in this
instance medical.
People in general rarely pay a consultant (business, NHS planning etc)
to give an opinion. They pay to have the opinion they hold legitimised.
For an example consider the role of IT consultancy in planning NHS Net
and the messages thereon, the conversations in the bar are rather
different from the conclusions in the report.
Likewise, if Mr Bloggs makes non-evidence-based recommendations don't
send any more patients to him.
It is easy enough for consultantcs to do it well, "I recommend using an
NSAID..." rather than coming straight out with Oruvail or whatever it
is.
If there is a particular reason for a particular drug, then for £50 one
could expect that reason to be documented in the letter... and worth
following.
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