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mangamadaiyanlast Thursday at 7:34 AM5 repliesview on HN

Something to think about: perhaps the problem is with the duration of the appointment, and the difficulty of getting one in the first place? Elsewhere in the world, doctors can and do spend more than 12 minutes figuring out what's wrong with their patients. It's the healthcare system that's broken, and it _can_ be fixed without resorting to chatgpt. That it won't is the reality, though


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TeMPOraLlast Thursday at 9:06 AM

Can't really compete with LLMs on duration of attention - SOTA LLMs can ingest years of research on the spot, and spend however long you need on your case. No place on Earth has that many specialists available to people (much less affordable); you'd have to have 50% of the population become MDs, and that would still cover just one sub-specialty of one specialization.

uyzstvqslast Thursday at 10:01 AM

GP sessions being around 20 minutes is pretty standard in North American and European countries. You can't have standard hour-long GP sessions, as it'd become impossible to make a timely appointment, no matter which system.

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alcasalast Thursday at 1:57 PM

Having worked in rare disease diagnostics in a non-US country with good public healthcare, most patients had to fight their way to the correct speciality to get their diagnosis. Without the persistence of family/specific doctors, its not possible.

AI might provide the most scalable way to give this level of access/quality to a much wider range of people. If we integrate it well and provide easy ways for doctors to interface with this type of systems, it should be much more scalable, as verification should be faster.

bhelkeylast Thursday at 6:02 PM

The American Medical Association has long lobbied to reduce the number of medical schools, reduce the number of positions for new doctors, and limit what tasks nurse practitioners can do [1].

[1] https://petrieflom.law.harvard.edu/2022/03/15/ama-scope-of-p...

freddie_mercurylast Thursday at 8:29 PM

> Elsewhere in the world, doctors can and do spend more than 12 minutes figuring out what's wrong with their patients.

Where? According to "International variations in primary care physician consultation time: a systematic review of 67 countries" Sweden is the only country on the planet with an average consultation length longer than the US.

"We found that 18 countries representing about 50% of the global population spend 5 min or less with their primary care physicians."

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