tag:blogger.com,1999:blog-4968787219619380438.post245411090997550448..comments2023-09-21T04:02:29.457-04:00Comments on Skeptical Scalpel: Uninsured patients released from hospital sooner than insured: Significant? You tell me.Skeptical Scalpelhttp://www.blogger.com/profile/13206922456661320751noreply@blogger.comBlogger7125tag:blogger.com,1999:blog-4968787219619380438.post-44544416184361872762011-11-19T15:49:25.746-05:002011-11-19T15:49:25.746-05:00Drinking
I agree with you. What I don't under...Drinking<br /><br />I agree with you. What I don't understand is how such a paper could be (a) published and (b) reported as fact by so many so-called news outlets? It was also tweeted by a lot of people without any critical comments. <br /><br />Maybe I do understand. The paper supported the "politically correct" point of view that the uninsured are mistreated. They are in a lot of instances, but this paper doesn't prove anything.Skeptical Scalpelhttps://www.blogger.com/profile/13206922456661320751noreply@blogger.comtag:blogger.com,1999:blog-4968787219619380438.post-9494159008517248062011-11-19T10:38:45.838-05:002011-11-19T10:38:45.838-05:00As ever, "the median is not the message."...As ever, "the median is not the message."<br /><br />Would be more interesting to see whether this clinically irrelevant difference is due to a clinically relevant difference in smaller sub-groups ... of course, would need to be a planned analysis. if unplanned (data-mining) would only be hypothesis-generating ...Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-4968787219619380438.post-59044523482096266252011-11-17T09:24:28.669-05:002011-11-17T09:24:28.669-05:00Lastone
Thanks for the comments. I agree. It'...Lastone<br /><br />Thanks for the comments. I agree. It's easier to let them go to a nursing home or rehab than fight the battle to discharge them home.<br /><br />Philip<br /><br />When a patient balks at going home, I just give in. No amount of talking will convince them that they can leave, even if you tell them insurance won't pay. They don't care and they just get angry with you.Skeptical Scalpelhttps://www.blogger.com/profile/13206922456661320751noreply@blogger.comtag:blogger.com,1999:blog-4968787219619380438.post-91148054701453410202011-11-16T20:51:20.259-05:002011-11-16T20:51:20.259-05:00Often, the excuses like "I don't have a r...Often, the excuses like "I don't have a ride" or "my sister can't help me this week" translate to "if you send me home today, I'm coming right back the the ER at 4am as a bounce back." Sometimes its better to let people stay and save the expense and hassle. Seems like the uninsured have more of these issues than people who manage their lives well, plan, and design support structures in the event of illness or other calamity. Also, keep those posts coming. Blog seems to get better every time it pops up in my feed reader.Philipnoreply@blogger.comtag:blogger.com,1999:blog-4968787219619380438.post-57460454714327543192011-11-16T20:44:04.032-05:002011-11-16T20:44:04.032-05:00Completely agree. My usual dilema: Delay discharge...Completely agree. My usual dilema: Delay discharge by 2 days so patient makes it home? Or discharge to nursing home so statistically length of stay is shorter to appease these idiots? More associated costs with the later. I'm seeing many hospitalists choosing the later.Lastone2joinhttp://twitter.comnoreply@blogger.comtag:blogger.com,1999:blog-4968787219619380438.post-88659837050453476222011-11-16T16:51:07.146-05:002011-11-16T16:51:07.146-05:00Norman
Thanks for the comment. I could have liste...Norman<br /><br />Thanks for the comment. I could have listed many more.Skeptical Scalpelhttps://www.blogger.com/profile/13206922456661320751noreply@blogger.comtag:blogger.com,1999:blog-4968787219619380438.post-28711290173975856502011-11-16T16:22:08.994-05:002011-11-16T16:22:08.994-05:00Interesting to see that although health systems ra...Interesting to see that although health systems radically different, you guys across the pond get the same irritating reasons for delayed discharge. I'm a cardiac surgeon in UKAnonymoushttps://www.blogger.com/profile/01536080469186800888noreply@blogger.com