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Topic # 132376 20-Oct-2013 09:39 Send private message

http://www.stuff.co.nz/national/health/9304709/Patients-get-to-rank-their-stay-in-hospital

It's good ... only if the hospital gets to rank the patients and their relatives as well

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  Reply # 917648 20-Oct-2013 09:57 Send private message

One sided rubbish




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  Reply # 917656 20-Oct-2013 10:17 Send private message

"He was loved by his patients; the fact that he was killing them was a minor detail."

made my day that quote lol

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  Reply # 917677 20-Oct-2013 11:48 Send private message

A rating system for hospitals Great Idea! and doctors and dentists and veterinarians.

Why?
I knew a sister at Wellington hospital who's son had to go in for a operation and was going to be there 2 days. She went and stayed with him whilst he was there as she knew of so many mistakes, that she knew of, that were made by doctors and nurses alike.

My daughter had to have a emergency appendix operation whist in Oz and my ex worked in the medical field so we knew a lot of the doctors and they knew us. Our GP chose the surgeon because when he was seeing who was available said 'oh you don't want him doing it"

I have a huge respect for doctors etc but just like car mechanics or plumbers some are good and some are cowboys.

I believe they have a rating system in the UK ?




Is an English Man living in New Zealand. Not a writer, an Observer he says. Graham is a seasoned 'traveler" with his sometimes arrogant, but honest opinion on life. He loves the Internet!.

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  Reply # 917684 20-Oct-2013 12:01 Send private message

Actually there is a rating system already called ratemds.com that lists New Zealand docs and hospitals

wouldnt be that hard to set somthing up rategp.com and co.nz is still available!!!




Is an English Man living in New Zealand. Not a writer, an Observer he says. Graham is a seasoned 'traveler" with his sometimes arrogant, but honest opinion on life. He loves the Internet!.

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  Reply # 917713 20-Oct-2013 13:39 3 people support this post Send private message

Just because someone behaves well how can you tell competence?

Just because someone behaved poorly how can you judge incompetence?

What if the patient started off by a barrage of swearing or other rude or even intimidating behaviour?

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  Reply # 917740 20-Oct-2013 14:23 Send private message

You have to be smart about it and base the rating on death incident complications etc .Of course these can and will occur with no fault. But if you get 10 deaths a year compared to average of 2 you would have to think you have a problem.
An example in my mind would be the dentist i had in the UK totally adequate but very rough and inconsiderate and brusque. My dentist pleasent chatty and very gentle. Wouldn't you like to know that information?




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  Reply # 917778 20-Oct-2013 15:45 Send private message

The way I see it, if the information is just shared with the DHB then there's nothing wrong with it. It allows DHBs to see how well individual areas are performing in terms of patient satisfaction - many DHBs already do it, so nothing is really changing.

I can also see a benefit in terms of sharing aggregate results with the doctors themselves, giving them opportunities to see where they might be able to improve (or not, depending on the legitimacy of the feedback).

However, I don't agree with sharing the individual doctor's feedback with the public if that's their plan. A doctor can be a right jerk, but still be hands down the best possible person to treat you, and penalising them because they don't get good marks in National's popularity contest is downright idiotic.

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  Reply # 917789 20-Oct-2013 16:43 Send private message

This is like those "Rate my Teacher" sites. You will see a lot of crap with no evidence at all being thrown in...




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  Reply # 917794 20-Oct-2013 16:50 Send private message

freitasm: This is like those "Rate my Teacher" sites. You will see a lot of crap with no evidence at all being thrown in...


If you want to see a lot of crap I think you mean Ratemypoo.com

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  Reply # 918997 21-Oct-2013 10:22 Send private message

joker97: Just because someone behaves well how can you tell competence?

Just because someone behaved poorly how can you judge incompetence?

What if the patient started off by a barrage of swearing or other rude or even intimidating behaviour?

 What has swearing got to do with the diagnosis and or treatment? Ranking the hospital is a bit lame, most public health patients don't get a choice where they go.

Ranking doctors is a good idea.
Here's a real life example:

Patient needed blood pressure medication and was prescribed one.
Due to moving towns, then went on to an new doctor, then again later, another doctor. They continued the original medication

Meanwhile after a bit, a swelling problem came up, mouth, tongue etc would swell. 2nd doctor said it was an allergy, dismissed it, no treatment, no suggestions, bye bye.

Then I got him to change to a new doctor yet again after we moved again - my idea this time, due to some issues that weren't being looked into separate to this.
New doc, other than the other issues decides to do a lot of blood tests and so on.
Results high creatinine, potassium, bad kidney function.
Why? Well turns out this and the "allergy" thing were caused by the blood pressure medication, this was changed to a different one, all problems go away.

So why did the first 3 doctors spend several years ignoring it all until it got almost to the point of kidney failure?

Because they don't look, they don't review it they don't pay attention to the blood results.  Latest doctor noted the past results had been showing this for ages....
Some doctors are good, some are shocking.

Here's another:
A friend of mine had a brother, he felt unwell in certain ways, goes to doc. Doc says you're stressed, move away, change jobs etc.

This persists for some time, back and forth, doc  says same things....eventually he does move away. Goes to a new doc, doc looks at notes and prescribes anxiety medication. Argument ensues, nope, he's stressed.

By then he's really unwell and starts going to the hospital too, they look at notes and do nothing further.
He persists and by then he's as sick as a dog, so hospital finally does some tests.

Cancer.
Sorry, too far advanced, nothing can be done.
He dies.


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  Reply # 919072 21-Oct-2013 11:40 Send private message

Mother had a brain tumor misdiagnosed as high blood pressure for 2 years. Luckily a very slow growing non malignant tumor.

The surgeons etc. were absolutely excellent but the initial GP I have lost a bit of faith in. I am very thankful we still have the neurological ward in Dunedin. 

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  Reply # 919123 21-Oct-2013 12:45 Send private message

One would assume that a ranking system would taken the individual through a set of guided questions about the experience they had, rather than just letting them type in some free-form text, although I suspect their could be a general comments section.

For example, some cultures expect their extended family to be involved, whereas others expect privacy - so getting the balance right would be an ideal thing to measure.




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  Reply # 919131 21-Oct-2013 12:53 Send private message

freitasm: This is like those "Rate my Teacher" sites. You will see a lot of crap with no evidence at all being thrown in...


I don't think it is quite the same. 

RateMyTeacher is designed to be a joke on teachers by spotty faced school kids.   You'd hardly expect a mature and balanced view on ratemyteacher. 

I would take it that you don't use tripadvisor either? 

I think it is a good idea, sure, you'll get some silliness going on but I think most people are mature enough to represent their views in an accurate manner. With a bit of moderator control and a good number of reviews I think an overall picture can emerge about a given facility. 


But, I doubt people will really use it enough to build up enough information to be useful. Our population base is just too small.



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  Reply # 919151 21-Oct-2013 13:05 Send private message

Talking about trip advisor I can imagine a hospital getting caught putting their own comments

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  Reply # 919190 21-Oct-2013 13:47 Send private message

Something like this *could* be worthwhile, but is a hugely fraught exercise. Struggle to see it really helping patients with selecting doctors.





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