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The
Medical Board does not
provide a referral service for consumers who need to choose
a doctor. However, the following information may help
you choose a doctor.
If
you have health insurance, the first place to check is
with your insurer or your employer's benefits office.
Many insurance plans now limit your choice to a list of
doctors who agree to certain requirements. Many plans
also require you to select a primary care physician (PCP)
from their list. The PCP is then responsible for your
care, and must make any necessary referrals to specialists
or other health professionals.
If
you are not limited to a list of doctors, most physicians
are listed in the telephone yellow pages, and in larger
communities, they are listed by specialty.
For
your main physician, you should consider a Family
Practitioner, General Practitioner, or Internal Medicine
Specialist (Internist); you also may want to choose an
Obstetrician/Gynecologist if you are a woman, or a Pediatrician
for your children. All of these doctors are considered
primary care practitioners, in that they can provide overall
management of your health care. If you are elderly, and
have conditions associated with aging, you may want to
seek a specialist in gerontology as your PCP. Regardless,
be sure your insurance will cover the doctor's services
before you incur any charges.
You
may want to talk with friends or coworkers about physicians
they like. If this is not feasible, most county medical
societies will give you names of physicians in your area
who are in the specialty you select. Look in the white
pages under [name of
your county] medical
society.
Once
you have some names, call the doctors and ask if they
are accepting new patients. Be sure to ask if they will
accept your insurance plan (insurance plan lists often
are outdated, as physicians are added or deleted from
the plan).
Ideally,
you should meet the physician and discuss your health
concerns while you are well. This may be a good time to
have an annual physical, but again make sure your insurance
will cover it. Most plans will not cover an informal visit
just to get acquainted.
Before
you make an appointment, call the Medical Board to verify
that he or she has a current California license. Also,
ask if there have been any disciplinary actions, or if
any charges are pending. This service is available by
calling (916) 263-2382. See Physician
License Verification for more information.
BEFORE
YOU GO:
Before your initial visit to a new
doctor, make a list of things you want to tell him or
her about your previous health history.
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Many
offices will ask you to fill out a form, and may want
details about:
any
surgeries you have had, and when;
any
current conditions you are being treated for;
prescription
drugs you take (you may want to bring the bottles so you
will have correct information about strength and dosages);
the
name and address of your previous doctor(s)
person
to contact in an emergency;
your
employer's address and phone number
the
company and policy number of your insurance. If you have
an insurance I.D. card, be sure to bring it.
QUESTIONS:
A very important step is to make a
list of questions you want answered. These may include:
the
doctor's specialty or special areas of practice;
who
covers his patients when he is not available;
whether
other physicians or non-physicians such as a nurse practitioner
or physician assistant will participate in your care,
and whether this is optional;
what
special training she may have in managing any medical
conditions you have (such as diabetes, heart disease,
high blood pressure, etc.);
whether
he will provide care for others in your family;
what
hospitals she can admit patients to; and if there are
any restrictions on the doctor's hospital privileges.
It
is important that your doctor is able to admit you to
a hospital if you need inpatient care. If he or she does
not have admitting privileges, make sure you understand
how hospitalizations will be handled.
AFTER
YOUR INITIAL VISIT:
You
should feel that you were treated courteously, that all
your questions were answered, and that you did not feel
rushed or dismissed.
Your
relationship with a doctor is one of the most intimate
in life; you should be able to trust him or her with the
most private situations or problems, and should feel that
your doctor is your ally.
After
the initial visit, if you are satisfied with what you
experienced, GREAT. If not, remember the choice
is yours. Try another doctor. It is your health that is
at stake.
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