tag:blogger.com,1999:blog-9181810725696409953.post7350107992025460487..comments2024-03-17T04:20:11.083-04:00Comments on The Population Health Blog: An Under-Recognized Ingredient in the Lingering Battle Over Health Reform, the SGR and Physician Buy-In: Professional AutonomyJaan Sidorovhttp://www.blogger.com/profile/05072456803925863874noreply@blogger.comBlogger2125tag:blogger.com,1999:blog-9181810725696409953.post-56671943107833841442010-06-07T22:39:17.604-04:002010-06-07T22:39:17.604-04:00This business over the autonomy of physicians has ...This business over the autonomy of physicians has certainly generated a lot of feedback. More to follow......Jaan Sidorovhttps://www.blogger.com/profile/05072456803925863874noreply@blogger.comtag:blogger.com,1999:blog-9181810725696409953.post-12272594548184526032010-05-27T17:53:56.136-04:002010-05-27T17:53:56.136-04:00Autonomy is one of my two major "sins" t...Autonomy is one of my two major "sins" that physicians commit that worsens the care system. (the other is passivity)<br /><br />The high valuation of autonomy leads to low valuation of collaboration and "system thinking". Autonomy often morphs into a sense of entitlement. <br /><br /><i>I, and only I, get to judge what's important for this patient</i><br /><br />I know the analogy to airline pilots is overused but a pilot is autonomous within the cockpit but he relies on the checklists and instruments that others have constructed. He collaborates with air traffic control to safely land the plane. <br /><br />And finally, when physicians directly consume a quarter of every dollar spent in healthcare and by the power of their pen control a large proportion of the rest, do they really believe the system can change with a significant impact on their "autonomy". In other words:<br /><i>You had your chance to run the system and we now have a pretty good BUT NOT PERFECT care system that still can't care for 1 in 7 in the country and costs 50% more than the next highest system</i><br /><br />PS I'm a physicianPhil 314https://www.blogger.com/profile/04133300763922742206noreply@blogger.com