How to Choose a Physician That Is Right for You
December 23, 2003
Choosing a new physician is often a difficult decision to make. As
with any important decision, you should conduct as much research as
possible. Within this document, we have outlined some general thoughts
that you may find useful in conducting your research and making your
decision. This information refers only to medical doctors and doctors of
osteopathy who are licensed by the Massachusetts Board of Registration
in Medicine.
Gathering Information
- One of the best places to start your search is by asking your family
and friends for their
recommendations.
- If you already have a primary care physician and are looking for a
specialist, it is usually wise to ask your primary care physician for a
recommendation. Likewise, if you only have a specialist, you should ask
whom they would recommend for a primary care physician.
- Patients may wish to contact the Massachusetts Board of Registration
in Medicine (BORIM) to obtain “Physician Profile”
information for the names of the physicians you are considering. The
BORIM will provide the information if
you:
- Go to their website (www.massmedboard.org) and click
on the button “Physician Profiles” and enter the
physician’s name.
- Write to them at:
Massachusetts Board of Registration in Medicine
560 Harrison Avenue, Suite G4
Boston, MA 02113.
- Call them at 617-654-9800.
The information on the physician that you will obtain from the BORIM
will include:
- The educational background, training and specialty board
certification of the physician;
- A list of insurance companies with which she/he is affiliated;
(Since this insurance list is not updated frequently, checking with the
insurer may be more helpful.)
- Whether she/he has had any disciplinary actions taken against
her/him in the past ten years (e.g., criminal convictions, pleas,
admissions, hospital disciplinary actions, and BORIM disciplinary
actions);
- If she/he (or her/his professional liability insurer) has made any
payments on a malpractice claim in the past 10 years.
Please remember that it is important to review your insurer’s
provider directory to determine if the physicians you are considering
are part of the insurer’s network of physicians. The
provider directory will also usually include information such as the
type of physician practice, location and hours of physicians’
offices, languages spoken, and whether they are accepting new patients.
You should be sure to call the physician’s office to confirm that
the information is current and accurate.
Evaluating Your Options
Once you’ve gathered your data, it’s now time to consider
what are the most important attributes for YOU
Some things to consider (this is not meant to be a comprehensive
list):
- Do you want a physician close to your home or your place of
work?
- Which are the hospitals where she/he has admitting
privileges?
- What is the communication style of the physician and office staff
(listening to your questions and responding with adequate answers, how
they communicate test results and other important
information)?
- What is the educational background of the physician, and is she/he
board certified in a specialty?
- If you have a complicated medical condition, does the physician
treat other patients with similar conditions/specialize in your
condition?
- What are the covering arrangements when your doctor is unavailable
or on vacation?
- Does the office keep open appointment times for urgent
issues?
- Do non-physicians, such as physician assistants and nurse
practitioners, participate in your care and is your care reviewed by
your physician?
- When you visit the physician’s office did you notice: a
clean and comfortable office environment; a pleasant
staff; courteous treatment of
patients?
- Does the physician speak your language fluently, or does he/she use
interpreter and translation
services?
- Is the physician office on a public transportation route, such as
the bus or subway?
- Is the office easily accessible (e.g., adequate parking, elevators,
ramps)?
In addition, you might contact the physician’s office to
schedule an appointment to meet the physician to get a better feeling if
she/he is the right choice for you. (This is especially important when
choosing your primary care physician or obstetrician/gynecologist.)
Making the Decision
Once your research is completed, you should consider all of the
information that you have collected. You may also want to review the
information with a family member or a close friend to get their thoughts
and comments. Don’t hesitate to call the physician’s office
with any additional questions.
The Future
The Massachusetts Medical Society’s Committee on the Quality of
Medical Practice continues to work with state and national organizations
on issues of clinical quality, clinical efficiency and the
“patient experience.” We hope to participate in the
development and testing of some quantifiable measures that
could be used to inform patients in their choice of a physician.
The information provided is intended for use as a general reference
guide only. It is necessarily selective and lists only some
of the issues you may wish to consider when selecting a
physician. It does not constitute legal
advice.
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