What happens when you don’t get the right doctor? Physiotherapy associates PhD candidates have an unexpected dilemma
By KATIE FIFEBOTTISABAARERAssociated PressMANCHESTER, N.H. (AP) It’s a question every patient has asked at one point or another: Where should I go for a doctor appointment?
For some, it’s a no-brainer.
For others, it can be an insurmountable task.
For some patients, it seems to be their last choice.
But the question may never be answered for many.
And for some, the answer isn’t simple.
Physiotherapy associate degrees aren’t exactly on the up and up.
Some offer limited or no training, and some have few doctors in their fields.
Others have few jobs.
But for many, it just isn’t a question that matters anymore.
The numbers show that more than half of the people in the U.S. with a physician-assisted dying certificate have no one else in their corner, according to a new study published in the medical journal The Lancet.
The study also found that only about a quarter of the population in that group had a doctor in their field, and only about 2 in 10 of them had a primary care physician.
The findings may be discouraging for some people.
For those with a disability, it may be especially troubling, said Dr. Paul Waddell, a physician at the University of Texas Health Science Center at Houston and a co-author of the study.
Waddell and his colleagues analyzed data from more than 10,000 patients with a doctor-assisted death certificate who sought medical help from a health care provider in 2014 and 2015.
The researchers used data from the Centers for Medicare and Medicaid Services, which collects data on physician-advised death in the United States, to compare the patients who received physician-supervised or physician-directed help to those who did not.
They also compared the numbers of people who received help to the total number of people with a certified medical physician in the same year.
The number of patients with no one to turn to was about 2.2 million, according the analysis.
Among the groups of people that received help, those with no doctor were about twice as likely as those with doctors to be uninsured.
That is, more than 1 in 5 of the patients in those groups lacked health insurance coverage in 2014.
The numbers weren’t surprising, Waddill said.
They show that people have more to worry about than just whether they will have access to care.
It also shows that there are people who have insurance and are not being helped, he said.
The results are consistent with other studies that have shown that people with no health insurance are more likely to be in the emergency room or go to the hospital than those with insurance, Wadell said.
But the data aren’t yet definitive.
Waddel and his team will continue to monitor the data and will publish a follow-up paper on the data in the coming weeks.
The data could help answer questions about how many people with Medicare or Medicaid are being helped with physician-approved death, Wattel said.
People with health insurance can help pay for care, but they can’t pay for the care themselves.
It may be the case that people are getting help without paying for their own care, he added.
More information:The study is part of the RAND Health Insights Initiative, a consortium of research groups, including the University at Buffalo and Dartmouth.