Health care isn’t healing when the interests of the patient are placed second to the interests of the doctor. This often happens in practice-centered models of care, instead of patient-centered models of care. The goal of the practice-centered model is to increase the practice size and make money, while the goal of the patient-centered model is to make the patient healthy. When the doctor is more concerned about protocols, procedures, and billing, the patient often suffers.

Concerns over antibiotic prescription practices are one example of this. Doctors have found that the number of patient visits increases with the prescription of antibiotics. Prescribing antibiotics can fill the waiting room and avoid losing the patient to another doctor down the street who’ll willingly fill a prescription for the patient. This enables the doctor to make more money and fulfills the goal of the practice-centered model. Unfortunately, the patients are more likely to receive antibiotics when they don’t need them and end up with rebound infections of antibiotic-resistant “superbugs.”

The practice-centered model is directly linked to the increase in antibiotic resistance worldwide, as some doctors are prescribing antibiotics to 98 percent of their patients. According to the World Health Organization, antibiotic-resistant …read more

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