When doctors know each other: Patients benefit when specialists know referring physicians, research says harvardmed JAMAInternalMed
between two groups of patients—those seen by a specialist who trained with the patient's PCP in medical school or postgraduate programs, and patients of the same PCP seen by a specialist who did not train with their PCP—while controlling for specialist performance for patients of other PCPs when such co-training ties were absent.
Harvard Medicine News spoke about the implications of the findings with study first author Maximilian Pany, an MD-Ph.D. candidate at HMS and Harvard Business School, and senior author J. Michael McWilliams, the Warren Alpert Foundation Professor of Health Care Policy at HMS and a general internist at Brigham and Women's Hospital.
I'd say that there is another high-level policy implication of the dramatic effect we found: What drives physicians to excel is primarily not money. Policymakers have been trying for years to try to pay for quality, with little success. What our study suggests is that physicians' intrinsic motivation runs deep—it's there but often undermined by our system. We need to do a better job of tapping into it.
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