CHEST Guidelines--strong-POINT---strong--Is-It-Time-for-Pulmonary-C

-strong-POINT---strong--Is-It-Time-for-Pulmonary-C

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The article explores the potential of pulmonary concierge practices within the evolving medical landscape. Neil Freedman, MD, advocates for such practices, emphasizing the increasing economic and bureaucratic pressures faced by physicians, which lead to burnout and reduced job satisfaction. With the traditional practice models being challenged by changes in healthcare economics, oversight, and competition from nontraditional providers, physicians need to explore alternative models like concierge medicine.<br /><br />Concierge medicine, which usually involves patients paying an annual fee for enhanced care, is mainly seen in primary care. However, a small percentage of pulmonary practices are adopting this model, with a focus on better patient-physician relationships and longer consultation times. Freedman suggests that pulmonary physicians consider transitioning to hybrid models, combining specialty and primary care, to improve job satisfaction, maintain financial viability, and provide quality care.<br /><br />In contrast, Marilyn G. Foreman, MD, and colleagues express skepticism about the widespread adoption of pulmonary concierge practices. They note potential disadvantages, such as exacerbating healthcare disparities, as concierge practices often serve fewer minority patients. Moreover, the costs involved could limit patient access, particularly for less affluent individuals, further entrenching inequalities in healthcare access and outcomes. The authors suggest that while concierge practices may alleviate administrative burdens for physicians and increase satisfaction, they require careful consideration and further unbiased study before broader implementation.<br /><br />Both perspectives acknowledge the current challenges in the healthcare system but differ on whether concierge medicine is a viable solution. While Freedman sees it as a promising alternative to traditional models, Foreman and her colleagues caution against potential negative consequences, advocating for a more thorough evaluation of its impacts.

Keywords

pulmonary concierge practices

Neil Freedman

physician burnout

healthcare economics

concierge medicine

patient-physician relationships

hybrid models

healthcare disparities

Marilyn G. Foreman

healthcare access