tag:blogger.com,1999:blog-8489009971732520747.post3339766592967598216..comments2024-03-24T07:19:28.136+00:00Comments on Lake Cocytus: CommentThe Shrinkhttp://www.blogger.com/profile/10009039342346247138noreply@blogger.comBlogger6125tag:blogger.com,1999:blog-8489009971732520747.post-54548622703794279902008-07-24T13:39:00.000+01:002008-07-24T13:39:00.000+01:00What about 360 on the Prime Minister and the Healt...What about 360 on the Prime Minister and the Health Secretary and others. Also, hospital managers and perhaps revalidation too on them too.<BR/><BR/><A HREF="http://cockroachcatcher.blogspot.com" REL="nofollow">The Cockroach Catcher</A>Cockroach Catcherhttps://www.blogger.com/profile/14440000294855006966noreply@blogger.comtag:blogger.com,1999:blog-8489009971732520747.post-85544260373535104142008-07-23T00:38:00.000+01:002008-07-23T00:38:00.000+01:00cbtish, I'd make the distinction between patient f...cbtish, I'd make the distinction between patient feedback undertaken in a systematic and credible fashion, in contrast to poor clinical care.<BR/><BR/>In that post I was highlighting roles. PCT commissions services, service providers undertake that clinical activity they're tasked to do. Patients can fall between services when the system lets them down. Individuals are part of that system, so individuals have choices and responsibilities but work within a health/social welfare community and can't orchestrate change unilaterally.<BR/><BR/>It's this issue of duties that I was posting on. Only medics working in that system, or managers commissioning/operating it, have the insight and appreciation of what's not working well for patients.<BR/><BR/>I see that as a systemic failure and thus different to individual patient feedback on a doctor's specific performance. <BR/><BR/>Blurring the 2 is unhelpful. "Dr X is a heartless swine, he didn't give me a third course of infertility treatment. He doesn't understand my/my husband's need for a child. He's mean and didn't listen."<BR/>"Dr Y is uncaring. She didn't understand that my back pain is stopping me driving to work or playing with the grandchildren because she didn't refer me for a spinal cord stimulator to cure it. So she's ruined my life and I can't work now."<BR/>"Dr Z is rude. He said to me that although I have insulin dependent diabetes I must take my insulin and must take it every day. I know diabetics who just have diet or diet and tablets but Dr Z didn't listen and wouldn't give me pills. The needles are really saw and I hate taking them to restaurants as I look like a drug user. Dr Z has ruined my social life and didn't give me choice and treated me unfairly compared to other diabetics."<BR/><BR/>None of these would be justified comments about individual doctors, all could be challenged. They're about systems (how many infertility cycles the NHS funds in that area, how the PCT assesses and funds £20000 SCS) or clinical decisions (an insulin dependent diabetic who stops insulin will only go one way). Yet patient naturally will shoot the messenger. "That doctor said . . ."<BR/><BR/>Without explanation, that's meaningless. Patient feedback should not be meaningless. 360 degree appraisal can make it meaningful.The Shrinkhttps://www.blogger.com/profile/10009039342346247138noreply@blogger.comtag:blogger.com,1999:blog-8489009971732520747.post-4952417395460025702008-07-22T10:44:00.000+01:002008-07-22T10:44:00.000+01:00"If we want patient feedback..." LOL! You should r..."If we want patient feedback..." LOL! You should read <A HREF="http://lakecocytus.blogspot.com/2008/07/duty.html" REL="nofollow">this great post</A> about how doctors sometimes fail their patients.<BR/><BR/>Oh, hang on a minute...that great post is <I>your own</I> previous post here. The point is that failures of that kind are commonplace, and that the sanitised systems of feedback that are already in place are not effective in changing those doctors' attitudes and behaviours.<BR/><BR/>And one of the attitudes that needs to change is: "If we want patient feedback..." It's the feedback you <I>don't</I> want that will create change. It's true, of course, that iwantgreatcare in its present form is not going to create that change either. It is, however, the writing on the wall...cbtishhttps://www.blogger.com/profile/02115327990031750889noreply@blogger.comtag:blogger.com,1999:blog-8489009971732520747.post-73274519389313185072008-07-21T22:56:00.000+01:002008-07-21T22:56:00.000+01:00I thought it was an absolutely abhorrent site. Th...I thought it was an absolutely abhorrent site. There's absolutely no way to verify the integrity behind the feedback - I could easily go on there and find a consultant or an arsey SpR I may have seen on rotations once and then run my mouth off about them through this rather nebulous site behind a cloak of anonymity. Absolutely awful.<BR/><BR/>...although, have you checked out iwantgreatbacon.com? It's the parody to iwantgreatcare and it is HILARIOUS! I couldn't stop laughing!Calaverahttps://www.blogger.com/profile/02827844632460123157noreply@blogger.comtag:blogger.com,1999:blog-8489009971732520747.post-51518533674062880632008-07-21T22:54:00.000+01:002008-07-21T22:54:00.000+01:00Perhaps the site is designed only to accept negati...Perhaps the site is designed only to accept negative comments?<BR/><BR/>But it seems self-evident to me that such a site is more likely to receive negative than positive comments. Unlike the 360 degree appraisal which you describe, people who make comments will be self-selected and hence more likely to be motivated by agitated discontent than calm satisfaction.<BR/><BR/>I'm sure Fred Shipman would have rated highly prior to his less orthodox treatments becoming known.Dr Andrew Brownhttps://www.blogger.com/profile/13858213625632400403noreply@blogger.comtag:blogger.com,1999:blog-8489009971732520747.post-36993213013243472072008-07-21T22:42:00.000+01:002008-07-21T22:42:00.000+01:00Good post.The same can be said about the "rate my ...Good post.<BR/><BR/>The same can be said about the "rate my teacher" type sites.<BR/><BR/>Nothing new....<BR/><BR/>But still not good.<BR/><BR/>(Though I did try to post a very favourable review of my own GP - and couldn't. The site seemed caught in an endless loop. I tried to alert the site creators to this. Their feedback is caught in an endless loop of computer generated responses, so I didn't get very far with that either.)Disillusionedhttps://www.blogger.com/profile/03250678226289036634noreply@blogger.com