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NHS vs NHS-Scotland: Who Treats T1s better?
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<blockquote data-quote="david4503" data-source="post: 2528585" data-attributes="member: 557245"><p>Yes indeed, that’s probably also the story worldwide. Although, I will say it’s always nice when a doctor can add their in-depth endocrinological or other medical knowledge to your personal experience with Type 1. I have that with my endocrinologist/Primary Care doctor but that was not the case for me in hospital a few years ago (I started a thread on Type I hospital care).</p><p></p><p>My underlying concern about the doctor/nurse/consultant/patient relationship in the UK or anywhere else is, to put it bluntly, who’s got the power? If a GP sends you to a specialist who wants to do things you believe are not good for you, what options do you have? From what I’ve read, doctors and other healthcare people in the UK (including some bureaucrats) have great leverage over diabetics. For one thing, they can easily have your driver’s license revoked or suspended if they don’t feel, in their judgment, that you’re following their instructions adequately. At the very least, they can make life difficult for you. And the set rules don’t leave much room for maneuver either.</p><p></p><p>The whole issue of moving patient care from doctors to lesser-trained people like nurses and nurse practitioners also should be a concern, I’d say. It’s happening more and more in the U.S., particularly with lower-premium insurance plans. Doctors here generally hate it and they seem to be right about it compromising care. Diabetics in particular can’t afford to hand over responsibility for their care to anyone who isn’t up to it.</p></blockquote><p></p>
[QUOTE="david4503, post: 2528585, member: 557245"] Yes indeed, that’s probably also the story worldwide. Although, I will say it’s always nice when a doctor can add their in-depth endocrinological or other medical knowledge to your personal experience with Type 1. I have that with my endocrinologist/Primary Care doctor but that was not the case for me in hospital a few years ago (I started a thread on Type I hospital care). My underlying concern about the doctor/nurse/consultant/patient relationship in the UK or anywhere else is, to put it bluntly, who’s got the power? If a GP sends you to a specialist who wants to do things you believe are not good for you, what options do you have? From what I’ve read, doctors and other healthcare people in the UK (including some bureaucrats) have great leverage over diabetics. For one thing, they can easily have your driver’s license revoked or suspended if they don’t feel, in their judgment, that you’re following their instructions adequately. At the very least, they can make life difficult for you. And the set rules don’t leave much room for maneuver either. The whole issue of moving patient care from doctors to lesser-trained people like nurses and nurse practitioners also should be a concern, I’d say. It’s happening more and more in the U.S., particularly with lower-premium insurance plans. Doctors here generally hate it and they seem to be right about it compromising care. Diabetics in particular can’t afford to hand over responsibility for their care to anyone who isn’t up to it. [/QUOTE]
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