Large systems do what large systems do best. Maximize revenue and minimize expenses. Implement systemic, uniform standard delivery for large scale population throughput. The process is prioritized over results, and organizational priorities are designed for the benefit of the system. Less emphasis is placed on the needs of physicians, nurses, technicians and staff. Even less emphasis is placed on the needs of individual patients.

Large medical systems implement their large scale solutions from the demand side of the equation. The hospital system makes more money through specialty care diagnostics, procedures, and hospitalization.

Primary care is viewed as a loss leader, and fulfilling a gatekeeper referal function for the insurance industry. Physician extenders are less expensive, and perform upwards of 80% of all primary care visits. Primary care physicians, having been devalued and overly burdened with administrative tasks, are increasingly disillusioned with their profession. Unhappy. Contemplating quitting medicine or early retirement.

Upwards to 48% of primary care physicians will be retiring or deciding to change careers within FIVE years.

Learn more from this in depth ECU Healthcare System report.
The State Of Rural Health Care