Despite physicians' growing interest in contracting directly with patients, such alternative practice models continue to face some harsh criticism. For a direct primary care physician's take on some key points of controversy, FiercePracticeManagement spoke with Jeffrey S. Gold, M.D., founder of one of the first DPC practices in Massachusetts.
The notion of distilling what matters and arriving at goals to preserve it has come up frequently in discussions about end-of-life care. And when patients perceive their lives as being appreciably shorter, they become much more interested in their state of being than what they could be doing. But what about patients who don't have a foreseeable finality to their conditions? What about people living with chronic or degenerative illnesses that even the best of modern medicine can't substantially alleviate? How are doctors to help people with many years ahead full of things they could be doing, despite the physical and emotional barriers in the way?