Một số lời khuyên cho việc chọn bác sĩ cá nhân tốt nhất

Một số lời khuyên cho việc chọn bác sĩ cá nhân tốt nhất.

Your primary care physician is possibly your most important health care professional. Don’t just pick a name off your insurance’s list—here’s what the experts suggest.

Consider location, location, location

It might not seem like a big deal to travel 45 minutes to find a doctor you can trust—but it might when you’re really sick and can barely muster energy to get out of bed. “Location matters because of convenience, and you never want to underestimate convenience,” says Paula Muto, MD, CEO and founder of UBERDOC. “When you need a doctor, you don’t want to travel far, especially if you need to schedule a visit more than once year.” One study from the University of Michigan Medical School found that patients had a greater disease burden as their distance from their primary care physician increased.

Check the type of doctor

Even if you can tell the difference between a DO and an MD, you might not know the difference between family medicine and internal medicine. “The differences in training fosters unique skill sets between the two specialties that patients can consider when choosing a primary care doctor,” says Lindsay Nakaishi, MD, MPH, chief resident at the UPMC Shadyside Family Health Center. “Family medicine practitioners care for patients of all ages from birth to death, which can include prenatal, obstetric, gynecologic, pediatric, adult, and geriatric care. Internal medicine providers typically offer care for adults starting at 18 years old, and may refer out to an OBGYN provider for women’s healthcare needs.” Family practitioners may focus on disease prevention, but internal medicine doctors often have a subspecialty—so if you have a particular health problem, seek out one who knows your issue. Also, although you might refer to your primary care physician as a GP (general practitioner), that’s not an actual specialty requiring a board certification.

See how available they are

You want to make the most of your next doctor’s appointment, but it can be really frustrating when you have to wait months to get in. Again, convenience plays a role here, although it might not have to do with the quality of care you receive. “Some providers may have a limited schedule with fewer available appointments, resulting in longer wait times for routine appointments,” says Ida Tuwatananurak, DO, chief resident at the UPMC Shadyside Family Health Center. “However, patients may want to choose a doctor whose practice can see them within one to two days—or same day—for acute concerns.” In general, it’s best to see a primary care doctor who knows you, rather than having to go to an urgent care or the ER.

Remember your time is valuable, too

There are some things you shouldn’t do before a doctor’s appointment, and one of them is arrive late, because they might not hold your appointment slot. But once you get there, you might be the one waiting—another frustration for busy people. “Sometimes the wait is not the fault of the doctor—it could be the office procedures holding things up,” says Dr. Muto. “But, if there are few people in the waiting room, it’s probably the doctor.” Taking time with patients is great, but if it’s a consistent problem, it might be time to find someone who makes, and sticks to, a more realistic schedule.

The receptionist can be the gatekeeper

One trick for how to find a good doctor is to make nice with the support team. “We never want to underestimate the importance of the office staff, because often times they will be the ones to arrange any follow-up appointments, visits, or care that is needed,” says Dr. Muto. So if the receptionist is always unfriendly, you might want to think twice about continuing to go there—but first, ask your doctor about it when you do get in to see her. “There are many reasons a practice may seem disorganized or unhelpful—for example, the practice may be understaffed, the workers may be in the process of training, the practice may be transitioning leadership, or the staff could just be having a bad day,” Dr. Nakaishi says. “Patients can talk to their doctor about any concerns with how the office is functioning so they can actively work on remedying the issues.”

You should be comfortable opening up

You want to be able to really communicate with your doctor, and you can’t do that if you don’t feel comfortable divulging private, and possibly embarrassing, info. “Medicine is a contact sport based on trust and communication,” says Dr. Muto. “If you’re uncomfortable, it may be hard for you to convey a symptom to your doctor.” For a specialist who might be the only person who can perform what you need done, you might be willing to accept a lack of bedside manner. But for your primary care doctor, choose one you feel at ease with