Quote:
Originally Posted by powderjunkie
My big question is what would be the outcome from ordering a particular test? Presumably the results will inform the treatment, but there should be a general order of less invasive to more invasive (and with anything serious you're going to involve an MD sooner or later). And while it sucks to run around to multiple appointments, you're also getting multiple medical opinions.
There is a wide range of certification/experience levels among physios...I think it would be reasonable to have the most senior physio(s) at a clinic obtain a certification that lets them order these tests. In most cases, this probably wouldn't happen on the initial visit, but after several treatments that see no progress.
Ultimately I think it's a fairly narrow scope where this could be more efficient, with a lot more breadth for abuse/inefficiency.
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Yes, this will inevitably lead to more unecessary diagnostic imaging use, but thats not what the UCP is concerned with on the big picture.
Its largely about pushing costs outside of AH/AHS. Some hack chiro ordering a pelvic ultrasound and not knowing what do with the result, is significantly cheaper than also paying GP/Gynecologists fees + further treatment/follow up.
Its also about taking away oversight and agency from MDs on healthcare issues. MD's are expensive, not only in fees, but also because their decisions are primarily healthcare driven, moreso than cheapest option. The paramedical fields are much more controllable under the shroud of non-government services.
Modern diagnostic imaging is also >90% digital, meaning it is easily commoditized, and ripe for cheap private outsourcing to India etc, thereby mitigating the cost of increased imaging utilization. I presume this is the long game.