tag:blogger.com,1999:blog-7772182113499451603.post6949924573622249782..comments2024-03-27T10:50:53.692-05:00Comments on Real Psychiatry: Live by the Customer Satisfaction Ratings and Die By ThemGeorge Dawson, MD, DFAPAhttp://www.blogger.com/profile/03474899831557543486noreply@blogger.comBlogger4125tag:blogger.com,1999:blog-7772182113499451603.post-30214398519986232902014-10-06T22:39:39.224-05:002014-10-06T22:39:39.224-05:00The only thing more onerous than patient satisfact...The only thing more onerous than patient satisfaction surveys is the so-called employee performance review. It is generally about trying to humiliate the people doing the work by those who don't even know how to coach. I worked at a place where employees were encouraged to submit anonymous criticisms about one another that everyone had to respond to and then come up with an improvement plan. What organization would want to give a blank check to the most personality disordered among us and base their "employee improvement" based on that nonsense? <br /><br />In his book: "Get Rid of the Performance Review: How Companies Can Stop Intimidating, Start Managing - and Focus on What Really Matters" Samuel Culbert comments on this practice:<br /><br />"A case in point is the performance review fad called 360-degree feedback because it comes from a variety of sources. So does hate mail. People are told, "I can't tell you who said this," as if the alleged truth teller has no axe to grind and that the timing of the allegation is unrelated to a specific motive or problematic relationship."<br /><br />Reminds me of one of my Dilbert books: <br /><br />"What Do You call a Sociopath In A Cubicle? (Answer: A Coworker)."George Dawson, MD, DFAPAhttps://www.blogger.com/profile/03474899831557543486noreply@blogger.comtag:blogger.com,1999:blog-7772182113499451603.post-76261108667489075342014-10-06T18:51:34.890-05:002014-10-06T18:51:34.890-05:00For an analogy in the business world - employee sa...For an analogy in the business world - employee satisfaction surveys. After the results are published, schedule endless meetings to beat employees over the head with them and place all of the burden on them to fix the issues. (A co-worker once remarked "Why do we have to work so hard so that we will be satisfied with managers' performance"). <br /><br />In addition, do not implement any policies employees come up with except the most cosmetic ones and/or implement management inspired ones that only make things worse while they claim it is what employees wanted.<br /><br />Result: Employees give up on being honest on surveys and rate everything as good to buy themselves some relief from being badgered by management.<br /><br />End Result: Nothing ever good. Lousy or evil management continues to look great and nothing changes for the better.<br /><br />If psychiatrists appease or write off difficult patients to get good patient sat. scores, managers do not care. They still look good. Better in fact, since they can claim they are the reason for it. Plus, they don't have to expend resources on the highest users of services. It's a win-win for them.<br /><br />Welcome to my world<br /><br />Isn't it wonderful?<br />RBnoreply@blogger.comtag:blogger.com,1999:blog-7772182113499451603.post-24250111794267123522014-10-06T17:57:18.111-05:002014-10-06T17:57:18.111-05:00Other ways for psychiatrists to avoid negative com...Other ways for psychiatrists to avoid negative comments from patients on rating forms and doctor rating websites: do not accept any difficult or complex cases, and by all means do not treat anyone with borderline personality disorder.David M. Allen M.D.https://www.blogger.com/profile/06280912088483192599noreply@blogger.comtag:blogger.com,1999:blog-7772182113499451603.post-713243008154297422014-10-06T16:32:34.123-05:002014-10-06T16:32:34.123-05:00These patient surveys are time suckers and how man...These patient surveys are time suckers and how many people complete them? I never do them, even though I find my providers, and those who see family members (whom I help out with their medical problems) to be competent and caring doctors. I feel guilty that I don't do these surveys because these are all great doctors, but it's hard enough getting people to their myriad appointments and I already don't get my own health problems treated promptly. I don't do the ones from restaurants to get a free meal, either. DOES ANYONE FILL OUT THESE STUPID FORMS?<br /><br />As a psychiatric patient, it bothers me when you mention some clinics aren't treating mental disorders due to these stupid surveys. How do they word that? Mental patients not welcome here? Of course not, but still, I have to wonder. Mental patients not welcome here appears to be what they mean to say. I've always gone to community clinics for health care, and they always have had a psychiatrist or two on staff, or coming by once a week, even if that's not the psychiatrist I went to. So that's surprising information to me.Jupiter Fournoreply@blogger.com