>1
>>Sheesh, gotta do it: how do you judge that you get excellent care?
>I use the same process that I use to decide anything else - did he/she meet the standards that reasonable people use?
>Nothing magical. He/she either performed or didn't.
But how do you know? I'm going for my annual physical next week. My doc will decide what screening tests I should have, based on my history, my family history and what she finds in her exam (along with her experience and best practices). If she fails to recommend some screening and it later turns out it should have been done, will she have provided excellent care? What if she recommends a screening test that comes back negative because something I say or she finds raises red flags? In this case, I trust this doctor and this practice (which I've been using for my entire adult life and my parents used before me) and I've found that she and the practice as a whole do a good job of balancing caution against over-testing with caution against missing something.
So when you go see a provider with whom you don't have a history and who doesn't know all the details of your medical history, how do you know it's excellent care? Even if it seems right at the time, in some cases, you won't know for a long time if something wasn't done that should have been.
Tamar
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