In this week’s lecture, we studied the “Marcus Welby Medicine”(MWM) model. In MWM, primary care physicians serve as the “captain of the ship” who direct our health care system, and what separates Dr. Welby from other “sales” people is trust. In fact, as Dr. Arrow mentions in his article, “the social obligation for best practice is part of the commodity the physician sells”. Patients cannot directly measure whether the MD is trustworthy, but believes that the socialization within the medical community fosters appropriate MD motivations.

We also learned that despite being fondly remembered as an “ideal” example of how a primary care physician (PCP) should operate, the MWM model was subject to inefficiencies such as demand inducement.

Your discussion assignment for this week is the following.

Your initial post is due by Fri 4/15 at 11:59 pm.

Your reply to at least one classmate’s answer is due by Sun 4/17 at 11:59 pm. Your reply can elaborate off the initial post, provide further examples based on the initial post, provide anecdotes or offer suggestions to your classmates based on your own experience.

Topic: Marcus Welby Medicine in the 21st Century

Step 1: Read Dr. Arrow’s paper to review the MWM model: Wk10_Arrow.pdf