by Zangwill M

How to Choose a Primary Care Doctor

IMAGE Maybe you have moved or changed jobs. Maybe you are picking a doctor for the first time or your long-standing doctor has recently retired. Whatever your situation, choosing a doctor can be a complicated decision.
With so many doctors out there, the decision may feel daunting, but experts say the best place to start is not by examining the doctors, but by examining yourself and your medical needs.

Choosing the Doctor that's Right for You

Primary care doctors can differ. Internists study and treat only adults, while family practitioners focus on both adults and children. Women may choose to see their obstetrician or gynecologist as their primary care doctor. It is important to evaluate which type of doctor you will feel most comfortable with and which type will meet your needs.
You may prefer a primary care doctor who will care for most of your medical problems and only refer more complicated ones to specialists, or one who will see you for basic care and refer you to others for specific problems. This depends on what type of doctor you want or need. If you prefer the latter, make sure you choose an office with an efficient system of handling referrals, or find a health plan that allows you to see any doctor you want without costing you more out of pocket money. Current evidence suggests that people do best when they have a medical home—a place that provides nearly all of their care and coordinates referrals.
Keep in mind that most primary care doctors can manage more common problems, such as diabetes and many have specialty training or interest in certain areas.
You might ask potential doctors how they approach different aspects of treatment. For example, how will they involve you in treatment decisions or will they be open to different types of treatment.
If you already have a health plan, your choice of doctors may be limited. If you have your choice of plans, you may want to choose a doctor first and choose the plan that includes that doctor. You may also want to consider other practical factors, as well, such as whether the doctor's office is in a convenient location or if their office hours fit into your schedule. In your research, you may think about a potential doctor's age, gender, training, or hospital affiliation.
Try not to choose a plan based on cost per month, but on what you need. If you try to save money per month, your budget plan may backfire down the road when you need it the most.

Word of Mouth

A good place to start collecting names of potential doctors is through recommendations from friends. But keep in mind that you need to find out why your cousin or neighbor recommends their doctor so highly. You may find a recommendation is based on a doctor that distributes educational materials when you may have an interest in complimentary and alternative treatments.
Once you have your priority list and the names of potential doctors, set up an interview appointment with each one. This is the time when you can ask specifically about their views and experience to find out if you can work together.

Conducting a Background Check

While most large insurance plans routinely check a doctor’s board certification and licensure before including them, you can also usually get this information through each state’s medical board. Some state medical boards also publish whether a doctor has had any disciplinary actions or malpractice claims. The National Practitioner Databank is a listing of all doctors who have had disciplinary actions levied against them. This is not open to the public, but the organization Public Citizen’s Health Research Group offers resources.
You can also obtain information about many licensed doctors in the United States from the American Medical Association (AMA).

The Bottom Line

No one but you can decide what is the most important thing to look for in a doctor. If you know what you are looking for, you can find a doctor who will meet your needs. That is the best way to get a good match.

RESOURCES

Family Doctor—American Academy of Family Physicians
http://familydoctor.org
Public Citizen
http://www.citizen.org

CANADIAN RESOURCES

Health Canada
http://www.hc-sc.gc.ca
Healthy Alberta
http://www.healthyalberta.com

References

Choosing a doctor. Agency for Healthcare Research and Quality website. Available at: http://archive.ahrq.gov/consumer/qnt/qntdr.htm. Accessed April 27, 2016.
Choosing a family doctor. American Academy of Family Physicians Family Doctor website. Available at: http://familydoctor.org/familydoctor/en/healthcare-management/working-with-your-doctor/choosing-a-family-doctor.html. Updated May 2014. Accessed April 27, 2016.
Kellerman R, Kirk L. Principles of patient-centered medical home. Am Fam Physician. 2007;76(6):774-775. Available at: http://www.aafp.org/afp/2007/0915/p774.html. Accessed April 27, 2016.
Patient-centered medical home. American College of Physicians website. Available at: https://www.acponline.org/practice-resources/business-resources/payment/models/patient-centered-medical-home. Accessed April 27, 2016.

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