You know that some doctors are in the pocket of pharmaceutical companies, some are perpetually on the verge of having their licenses revoked, some are hardworking and honest, and many others are probably somewhere in between.
Intrigued? Read on to learn how to dig up this critical information about your own doctor.
In the Washington Post this week, Christie Aschwanden has put together an excellent primer on how to find the information about doctors that’s available in public records.
Googling your doctor’s name and reading their reviews on Yelp can help with some details, but there’s concrete information available for patients that you might be missing. Sure, most doctors are just trying to help patients and practice medicine within an increasingly complex system, but if your doctor has flouted the law or medical ethics, you might not know.
Here are 5 steps to check up on your doctor, adapted from Aschwanden’s article.
Problems with patients and the medical board
One note before diving in: state records can be incomplete, so pending lawsuits or complaints may not show up. Also, Aschwanden explains, because of technicalities and sometimes-lenient state boards, “what may appear like a minor infraction in the doctor’s record could represent something serious.” On the flip side, medical malpractice lawsuits are more common in certain specialties and don’t always represent wrongdoing.
90-nine per cent of doctors in high-risk specialties and 75% of doctors in low-risk specialties face a malpractice suit by the time they’re 65, one study found. As Daniel Spogen, a physician at the University of Nevada School of Medicine told Aschwanden, “the average physician is sued for malpractice once every seven or eight years, but not every lawsuit has just cause.”
To use most of the resources included here, you’ll need your doctor’s name and state.
Your state medical board is a good place to start — look up your state’s site here. Different states make different kinds of information available, but you can often find out if your doctor has been disciplined by the board or successfully sued for medical malpractice.
In New York, for example, you can verify your doctor has a medical licence and find information about medical malpractice claims, disciplinary actions alleging professional misconduct, criminal convictions, hospitals that have restricted your physician’s privileges, and much more.
Here’s a look at what you can click through in a typical record:
Here’s a screenshot showing the alarming result of one random search:
And here’s what you learn when you click through to the Office of Professional Medical Conduct:
Keep in mind that doctors who have problems in one state may move to another, so that their new state’s database may not mention previous problems. That said, serious misconduct will often prevent a doctor who is disciplined in one state from practicing somewhere else.
2. Doc Info
If your state medical board’s site is difficult to navigate, or if you want to pay for the convenience of a more thorough report, you can look up one physician (in any state) for $US9.95 on DocInfo.org, a service of the not-for-profit Federation of State Medical Boards. When relevant, this will include actions taken in multiple states.
Here is a screenshot from a sample Doc Info report:
Healthgrades is an ad-supported, for-profit site, best known for its patient reviews. But the site also collects state and federal information on sanctions, malpractice, board actions, and more. Here’s where to look on a doctor profile on Healthgrades:
Pharmaceutical ties and prescription practices
Many doctors take handouts from pharmaceutical companies, in the form of everything from free lunches to hefty speaking fees. Most who do so claim there’s nothing untoward going on, but studies have shown that cozy pharmaceutical company-doctor relationships are associated with a lower quality of care and higher costs for patients.
Thanks to two projects by the investigative journalism nonprofit ProPublica, patients can now find out if pharmaceutical companies are paying their doctors and if there are any red flags in a doctor’s prescription practices.
This database lets you type in the name of any doctor or institution and see the money that changed hands. You’re most likely to dig up small payments, but ProPublica found one doctor who had earned more than $US1 million from pharmaceutical companies. Here’s his profile:
The data is incomplete but includes $US2.1 billion in payments from 15 pharmaceutical companies representing about half of the industry. That means that while many companies reported payouts, many others did not.
Beginning this year, the Affordable Care Act requires public disclosure of this information from every pharmaceutical company and medical device manufacturer.
Type the name of your doctor, nurse practitioner, or other provider into Prescriber Checkup, and you’ll immediately get a wealth of information about their prescription practices and how they differ from others in their specialty. The database only includes 364,000 providers who wrote 50 or more prescriptions in 2011, so many doctors may not be listed.
You can see how likely a particular doctor is to prescribe risky drugs, narcotics, and brand-name drugs, and you can also find out whether the cost and number of the prescriptions they write is higher or lower than average. Here’s a look at one doctor’s practices:
Drill down further, and you can browse a list of your doctor’s favourite prescriptions and compare them to how popular the same drugs were among other similar providers.
If any anomalies jump out at you — e.g., a drug is #1 for your doctor but #100 among others — it may be useful to cross-reference what you find with the Dollars for Doctors database. That said, certain doctors may be prescribing expensive or brand-name drugs more often than others for totally benign reasons, like sub-specializing in a rare disorder or a disease (like HIV/AIDS) that has few or no generic drug options.
One important caveat: The information in this database comes from prescriptions obtained through Medicare’s drug benefit (Part D), so about 75% of patients receiving these prescriptions are seniors, and the rest are disabled.
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