Are doctors and medical clinics become difficult to schedule appointments these days?

Around me;

PCP yes very

walk in clinics have sprung up every where like a jiffy lube for humans

they are everywhere and can handle an non emergent issue you would have gone to the er in the past for
 
And I want to know if this is a new fad with doctors offices and medical clinics now? Because it used to be that when you had an injury like a broken leg or arm or had the flu the medical clinics and doctors offices could see you right away if you were very ill. And not only has it affected doctors and medical clinics it also is hard to schedule dentist appointments too. Is this the new way that medical clinics and doctors offices are run now as well as dental offices too?

It's not a fad. It's the state of health care in this country right now. There are less providers (especially primary care) available. This was starting to happen before the pandemic, but Covid had such a detrimental effect on health care for several reasons (the sheer amount of providers who became very ill or died from covid, early retirement of some, mass exodus from health care fields for many who worked through the pandemic, etc.)

I moved in August of 2022. I began calling around for a new primary care physician immediately. I called approximately 35 practices and only ONE was taking new patients. The earliest appointment I could get was 8 months later. I haven't been able to find an ophthalmologist who is taking new patients and takes my insurance in my state. It's not uncommon for people in my area to travel to Boston for care, but I can't justify that for an eye appointment! It is well known in my state that we lack providers, but I moved to the most populated area of the state and didn't realize it would be such a problem here. I have a list of specialists I need to see and can't get into. The only thing that has been easy was scheduling a mammogram. I work in health care and went from working for a hospital system where I was limited to that system's providers to an outside-the-hospital organization that has much more diversity in where I can go, but it's so much harder here than it was in my old state.
 
The shortage of doctors started before Covid and was exasperated by many factors of Covid.

Medical school is hard to get into (only so many seats at each Medical school), expensive (over $200,000), is grueling, and takes a long time to complete.

There will be a shortage of doctors in the US for a long time, especially as our population ages.
 
When my mom and I were trying to get my dad to the doctor when he was not feeling well we got lucky because the doctor could see him at 7AM and it was New Year's Eve but now Dad's doctors now text him reminders of his appointments and it works out well. But what I think they should invent is doctors that can go to your house so you don't have to wait in long lines at the doctor's offices because this idea would work wonders
 


But what I think they should invent is doctors that can go to your house so you don't have to wait in long lines at the doctor's offices because this idea would work wonders

They did that in the past. It was called house calls. However, that would NOT improve matters. You'd still have the same finite number of doctors, but instead of them moving to the next appointment when finished seeing one patient, they'd have to drive to the next. That would decrease the number of patients that could be seen in a day thereby making people wait even longer for an appointment.
 
I’m looking for a new Dr. because my old one is on an indefinite sabbatical. It’s about a six week wait for my meet and greet appointment.
Is that your GP or your neurologist? Either way, it sucks. :flower3:

I’ve got the opposite problem. My GP took stress-leave for a year or so and her patients were seen by various others in their group practice. I discovered two others that I hugely preferred to her, but now that she’s back, neither of them will see me anymore. :(
 
But what I think they should invent is doctors that can go to your house so you don't have to wait in long lines at the doctor's offices because this idea would work wonders
To go along with what @seshat0120 said, if you have enough money, you can find doctors to make house calls. Look up "Concierge Doctors". Throw enough money at pretty much anyone and they'll fulfill your needs.
 


When my mom and I were trying to get my dad to the doctor when he was not feeling well we got lucky because the doctor could see him at 7AM and it was New Year's Eve but now Dad's doctors now text him reminders of his appointments and it works out well. But what I think they should invent is doctors that can go to your house so you don't have to wait in long lines at the doctor's offices because this idea would work wonders
We have mobile doctors here who do house calls. I've never used them but my friend has for her children.
 
Is that your GP or your neurologist? Either way, it sucks. :flower3:

I’ve got the opposite problem. My GP took stress-leave for a year or so and her patients were seen by various others in their group practice. I discovered two others that I hugely preferred to her, but now that she’s back, neither of them will see me anymore. :(

It’s my GP. I really liked him because he treated the patient as opposed to just treating the symptom.
 
My daughter had her yearly check up in February 2023. Doctor recommended she speak to a counselor/therapist to help with stress/anxiety (mostly related to school). Gave me a two page list of therapists to call. Left messages and those that returned calls were not taking on new patients and/or had no available appointments. I did eventually find one after calling my insurance company for in-network providers. That still took some work, many not accepting new patients. Daughter's PCP also wanted her to follow up with asthma doctor because of a cough. She coughs after she eats. She's been seeing the same asthma doctor for 6 years and couldn't get in until end of August. Now, her asthma doctor wants her to see a Gastroenterlogist for possible reflux. Can't get in until mid January 2024.
 
I think what we're seeing is the result of all of the baby boomer retiring. There were so many people in the age group, and as they retire, there are just not enough younger people coming up behind them. This coupled with the fact that fewer new doctors are choosing Primary Care as it doesn't pay as well as other specialties.
 
When my mom and I were trying to get my dad to the doctor when he was not feeling well we got lucky because the doctor could see him at 7AM and it was New Year's Eve but now Dad's doctors now text him reminders of his appointments and it works out well. But what I think they should invent is doctors that can go to your house so you don't have to wait in long lines at the doctor's offices because this idea would work wonders
Its called Concierge Health Care. You can sign up and they come to you.
 
My dad went through the same thing when he was going to the doctor for a checkup last week and Dad made the appointment the week before and he went on Tuesday for nothing and all Dad did was wait in the waiting room when he got there and Dad was NEVER seen and there was about 50 patients with various illnesses who were first and Dad was put at the bottom of the list. My mom tried to get Dad in there faster because she had called after Dad went and they also told her that they were short on doctors and were not seeing patients until after Christmas and told my mom to make Dad's appointment after the holidays and when my father got home and told us what happened we couldn't believe our eyes what they had told Dad. What I think doctor's offices and medical clinics should do is to have one line and one room for illnesses the second line for serious illnesses and the third line would be for shots and checkups. Because I mainly think why seeing doctors has changed today is because the doctors are constantly adding new patients and the new patients get a first chance at everything. But what if you are very injured or have a child with a broken leg or arm or your child gets a bad fever and you have to be told to wait four or five hours to see the doctor? I think if they had doctors that did house calls you could see a doctor much easily in your home without having to wait a long time. But what are people going to do if they need serious surgery and the doctors and surgeons can't schedule surgeries or people need casts for their broken arms or legs?
 
My dad went through the same thing when he was going to the doctor for a checkup last week and Dad made the appointment the week before and he went on Tuesday for nothing and all Dad did was wait in the waiting room when he got there and Dad was NEVER seen and there was about 50 patients with various illnesses who were first and Dad was put at the bottom of the list. My mom tried to get Dad in there faster because she had called after Dad went and they also told her that they were short on doctors and were not seeing patients until after Christmas and told my mom to make Dad's appointment after the holidays and when my father got home and told us what happened we couldn't believe our eyes what they had told Dad. What I think doctor's offices and medical clinics should do is to have one line and one room for illnesses the second line for serious illnesses and the third line would be for shots and checkups. Because I mainly think why seeing doctors has changed today is because the doctors are constantly adding new patients and the new patients get a first chance at everything. But what if you are very injured or have a child with a broken leg or arm or your child gets a bad fever and you have to be told to wait four or five hours to see the doctor? I think if they had doctors that did house calls you could see a doctor much easily in your home without having to wait a long time. But what are people going to do if they need serious surgery and the doctors and surgeons can't schedule surgeries or people need casts for their broken arms or legs?
This is a very complex issue with many layers. What you’ve described is sort of the idea behind an ER. But doctor’s offices are not ERs; they’re not set up that way.

I remember when I was little (in the 60s) having a doctor come to the house to see me when I was sick. (My mother always told the story afterward that our German Shepherd wasn’t happy about it when he came near me.) But even then it was sort of rare to happen. Today, practitioners are allotted 20 minutes (yes, 20 minutes) to see each patient, treat them, and document everything in the electronic medical record, in order to keep up with patient flow. Which, of course, is a nearly impossible task. (This is one reason why they get behind, and why they’ve also become unhappy because they often have to complete their documentation by staying late or doing work at home each night, so many just leave to go to something else more professionally satisfying.) It doesn’t help that people come in with multiple related medical issues today and want to talk about other problems (or chat, in general) while there, etc. This is just one example. (One of my closest friends is an NP in this type of practice.)

Just in the past day I was taking to two different friends about these same issues. One said the doctor her son was seeing actually said something completely shocking and rude to them as he was leaving the practice. (And they are very nice and reasonable people.) And the other said her daughter was in bad pain and needed a root canal. She showed up at the endodontist for her scheduled appt, taking the day off from work and all, but when she arrived they told her they’d “given her appt away” because she hadn’t “confirmed” that she was coming via a text they’d sent out! 😳 So she had to reschedule. Wth!

The last time I was at the dentist I had a conversation with him about my cleanings. He mentioned I’d missed one. I‘d had shingles post-Covid. (I’d called the office to tell them and it was their choice to have me cancel.) I’d made several attempts to reschedule via the texting system they have in place, but they never got me in. Feeling “accused” a bit, I showed the dentist the text thread, and he was shocked, and a little angry with his staff about it, saying those cleanings are basically what keep them afloat, so super important to their practice.

I think there’s a lot that most of us don’t understand that go into how these practices operate and how exceedingly complex and regulated they have become. I’ve worked in hospitals for the past forty years and things have changed a great deal, and there are rules, policies and regulations that we all have to follow when dealing with things. We don’t always like them, either, but it’s how it is. I’m not sure it will get better. I mean, some things may. But others will become more regulated.

Count your blessings if you belong to a good medical practice and are relatively happy with your care! It’s rough out there!
 
Knock on wood but I'm very lucky with my pcp at Kaiser. I was a little miffed at him last month as he answered my emailed kind of rudely but then his office scheduled a phone appointment a few days later. He was extremely kind on the phone so must have been having a crappy day. I expect a call from his office tomorrow as my culture came back for e-coli so expecting a run to the pharmacy tomorrow. The dermatology dept at Kaiser is on the new low. Maybe it's all of us in our 60's that layed out in the sun with baby oil years ago? Now you have to go to your PCP, have them take a high def picture and then the dermatologist will decide if they need to see you. Mine sent pictures and the dermatologist office told me to go back and get another picture. I sent an email telling them no, I am not driving across town and then having them decide by a picture. They gave me an appointment 4 months out. so I just had my forehead cut and my nose cut and I'm now sporting bandages. One culture said she didn't get enough. Oh joy. Those shots hurt. My sister on the other hand has the same dermatologist and can just make an appointment as she had skin cancer in the past.
edited to add: He emailed. Look at the time! I told him Thanks but go to bed! LOL
Oct 31, 2023 at 12:40:00 AM
Message body:
Hello Ms. XXXX,
Blood culture finally came back on the 28th, good news we have many different medications to choose from except Bactrim. This means we can use Cipro, which is neither a penicillin nor a sulfa medication.
Medications in the pharmacy, pick it up anytime.
 
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My dad went through the same thing when he was going to the doctor for a checkup last week and Dad made the appointment the week before and he went on Tuesday for nothing and all Dad did was wait in the waiting room when he got there and Dad was NEVER seen and there was about 50 patients with various illnesses who were first and Dad was put at the bottom of the list. My mom tried to get Dad in there faster because she had called after Dad went and they also told her that they were short on doctors and were not seeing patients until after Christmas and told my mom to make Dad's appointment after the holidays and when my father got home and told us what happened we couldn't believe our eyes what they had told Dad. What I think doctor's offices and medical clinics should do is to have one line and one room for illnesses the second line for serious illnesses and the third line would be for shots and checkups. Because I mainly think why seeing doctors has changed today is because the doctors are constantly adding new patients and the new patients get a first chance at everything. But what if you are very injured or have a child with a broken leg or arm or your child gets a bad fever and you have to be told to wait four or five hours to see the doctor? I think if they had doctors that did house calls you could see a doctor much easily in your home without having to wait a long time. But what are people going to do if they need serious surgery and the doctors and surgeons can't schedule surgeries or people need casts for their broken arms or legs?
Serious injury - ER. Emergency surgery - ER. Vaccinations - local pharmacy. Not sure what you think happens in a doctor's office, but most of the things you list don't require the actual PCP. Was your dad going to a specialist?
 
Healthcare these days is forcing people to become more creative.

After a medical emergency this past summer, I prefer physicians assistants and nurse practitioners. Easier to book, caring, and informative.

My insurance covers bloodwork, but sometimes I want to check something out without a doctor's note. In those cases, I just order my own blood tests from walkinlab.com or privatemdlab.com
 
I had scheduled my physical about 4 or 5 months ago soonest was 10/29. About a month ago they called to saying they had to reschedule so now it’s not until 11/24

But now I’m getting rather nasty messages that they won’t get me refills on my meds until I schedule a physical.

If they’d check the schedule they’d see I do have an appointment

Also this morning I get a phone call at 730am. About my new RX from a new dr. And to call them back so after I came to I called back. Only to be told they start phone calls at 730 but they don’t answer phones till 830. It would have been nice to be told that when they woke me up.
 
Issue I have been having is many Doctors have hours in offices in different locations. I picked my primary Cardiologist based on where his office is. Except, that ISN'T his primary office. He only is there 4 hours a month and it is the location closest to my home. And those four hours of appointments are booked nine months in advance. I can get into one of the two other locations he is at without much of a wait.
 

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