My idea of a loser

Kevin MD links to a story about the only concierge pediatrician in the nation. Dr. Scott Serbin cut his panel of patients from 2500 to 200. It appears he’d rather have 500 patients but not enough think he’s worth it.

As far as I’m concerned, concierge practices are a lame idea. As I’ve said here and here, I wouldn’t go to a concierge physician who is more concerned about his lifestyle than about treating patients. There are better ways to improve service than to reduce the number of patients cared for by 90 percent.

September 14, 2005

2 thoughts on “My idea of a loser”

  1. David,

    This idea is very near and dear to my heart.

    Right now I deliver something like a concierge level of care to my 655 patients, including my medicaid patients. I am rapidly moving in this direction, adding more home visits to my already busy schedule (I have 7 today alone).

    The lifestyle changes this has entailed have included the following:

    One 7-day vacation in the last three years (24/7 coverage the remainder of the time);

    Inability to afford day-school (private Jewish schools for those unfamiliar with the lingo) for my children.

    Inability to visit my ailing father in NYC.

    If there is a better way to improve service to my patients, I’d be interested in knowing about them. In any case, they cannot come without significant sacrifice on the part of the pediatrician.

    FWIW, there is another concierge pediatrician, Mike McKenzie in Natick.

    best,

    RPL

  2. I’m not mad at this guy. I had a physical in August, and I was also supposed to have skin tags removed. However, because he was in a rush, he told me to make another appointment and come back. I’m a consultant, out of town during the week, and it’s hard to make appointments, so I was irked as sin. This guy wouldn’t have done that to me, and I can certainly afford to pay. However, overall I like my doctor, but I sitll don’t appreciate the treatment, just because there are other folks waiting, since it was scheduled.

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