athenahealth, Inc. (NASDAQ: ATHN), a leading provider of cloud-based
practice management, electronic
health record (EHR),
and care
coordination services to medical groups, and Sermo (www.sermo.com),
the world's largest online community for physicians, today announced
the findings from the third annual Physician Sentiment Index (PSI). Five
hundred physicians representing a wide range of specialties and practice
sizes responded to the survey.
This year's PSI tells a story of over-burdened physicians who are deeply
concerned about the future of medicine. These data suggest the chief
distractions affecting physicians' ability to provide the best care for
patients center on government intervention, increased utilization of and
frustration with EHRs, and administrative burdens. All told, these
distractions have diminished physicians' optimism around their ability
to deliver quality care and remain viable, profitable practices.
"There is a lot of "stuff" going on in health care that is making the
noble pursuit of the MD degree a lot less attractive," said Jonathan
Bush, athenahealth CEO and Chairman. "Government involvement,
ill-designed EHRs, and administrative complexities are encroaching on
the sacred relationship between the physician and the patient and the
ability for that doctor to be fully present at the point of care."
"U.S. health care is changing rapidly, but time and again policymakers
aren't listening to the physician perspective," said Jon Michaeli, VP of
Membership for Sermo. "As a result physicians feel disempowered to
influence change, and hence they are more disenchanted with their
profession and less connected to patients than ever. At Sermo, we
advocate on behalf of our community by voicing their expert opinions to
constituents in the healthcare system and helping this country move
towards better patient outcomes, efficiently, at sustainable cost."
Government regulation: Doctors skeptical of benefits
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Over half (in 2012 and 2011) say that government involvement in regulation
will not yield lower costs and better outcomes, with slightly more
pessimism on display this year.
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The Affordable Care Act (ACA) remains unintelligible for many;
with a growing number concerned about its impact on the quality of
care:
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Nearly one-third (29%) say they still do not understand the
details and implications, compared to 22 percent in 2011.
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16 percent said they'd like to see the ACA remain 'as is' (versus
11 percent in 2011).
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53 percent report the ACA will have a detrimental effect on their
ability to provide high quality care, versus 50 percent in 2011
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43 percent more believe the ACA will be very detrimental
to the delivery of quality of care (from 14% in 2011 to 20% in
2012).
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26 percent want to see the entire ACA repealed (versus 21% in
2011).
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Three-quarters report that the Meaningful Use process is at
least somewhat difficult/cumbersome.
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Accountable Care Organization (ACO) model draws concerns: more
indicated ACO as having a negative impact on quality of care (39% in
2012 versus 26% in 2011) and profitability (63% in 2012 versus 48% in
2011)
EHRs - more purchased, more in use, but are they improving care?
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The number who purchased an EHR jumped 10 percentage points between
2011 and 2012 (from 70% to 80%).
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Yet, very favorable opinions did not move in line - 18 percent
fewer voiced a very favorable opinion of EHRs (from 39% in 2011 to
32% in 2012)
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36 percent more say they believe EHRs somewhat or significantly worsen
patient care (from 11% in 2011 to 15% in 2012)
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The majority (44%) say that the EHR was not designed with physicians
in mind (versus 32% in 2011).
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72 percent reported EHRs as a distraction from face-to-face patient
interaction, up 12 percentage points from 2011.
Admin woes - making practice untenable?
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89 percent said payors have become more intrusive on the
patient-physician relationship (87% in 2011)
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74 percent said payors inhibit the care they would like to
provide their patients (76% in 2011).
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59 percent more physicians see pay-for-performance as
negatively impacting quality of care; 30 percent more believe it will
negatively impact their bottom line.
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However, 42 percent are very/somewhat confident their transition to ICD-10
will be smooth.
Independent physicians - fretting about the future of medicine, their
viability
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81 percent do not see the future of independent practice as viable,
representing 19 percent more doctors in 2012 than 2011.
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This year, 50 percent more view the current health care climate as
very detrimental to quality care delivery.
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Unchanged from 2011, about two-thirds anticipate that the quality of
medicine in the U.S. will decline over the next five years.