Category

Dr. David Anthony Miranda

Dr. David Anthony Miranda Looks at the Increasing Prevalence of Specialized Telemedicine

By | Dr. David Anthony Miranda | No Comments

Dr. David Anthony Miranda Looks at the Increasing Prevalence of Specialized Telemedicine

 

Dr. David Anthony Miranda

Dr. David Anthony Miranda

A growing trend in the U.S. medical field, telemedicine is today becoming increasingly prevalent in urgent care, according to experienced Texas-based physician Dr. David Anthony Miranda. A general term for a number of rapidly evolving medical sector technologies, telemedicine has seen huge growth in day-to-day medicine in the last decade and has now begun to gain traction within specialized urgent and emergency room care.

 

Also known as telehealth, telemedicine has quickly spread largely thanks to the convenience afforded to patients, according to Dr. David Anthony Miranda, an experienced urgent care physician based in San Antonio, Texas. “Telehealth technology now offers patients a much quicker way of connecting with their physician thanks to the option of ‘at-home’ consultations,” explains the doctor.

 

With this in mind, Dr. David Anthony Miranda is keen to stress that emergency rooms and urgent care centers can no longer ignore the telemedicine or telehealth trend, something which has, until recently, he says, be more prevalent in routine care. “Once largely confined to routine medical care, with urgent care traffic on the increase year-on-year, emergency care doctors must begin to embrace the various telemedicine and telehealth offerings now available to specialist doctors and healthcare professionals,” says Dr. David Anthony Miranda.

 

 

Specialist Physician Dr. David Anthony Miranda Explores the Rapid Rise of Telemedicine Within Urgent and Emergency Care Fields.

 

Increased so-called urgent care ‘traffic,’ he says, now demonstrates a significant need for doctors in the field to adopt telemedicine. “Much as increased primary care traffic drove many family doctors to adopt early telehealth solutions, we in the urgent care sector must now follow suit as demand for medical care across the board continues to increase,” explains Dr. David Anthony Miranda.

 

A recent survey performed by Merritt Hawkins, a Dallas, Texas-based physician search and advanced practice recruiting firm, showed that a push from insurance companies to switch to telemedicine and other telehealth solutions was a major recent driving force in the adoption of the various currently available technologies, according to Dr. David Anthony Miranda.

 

In line with Merritt Hawkins’ findings, by 2020, it’s estimated that the global telemedicine market will reach a value of more than $36 billion according to market research firm Mordor Intelligence. “A figure of $36 billion,” Dr. David Anthony Miranda points out, “will put the market value at more than double what it was in 2015.”

 

“As such,” he adds, wrapping up, “telemedicine within urgent care must now be fully embraced by those who specialize in the field, just as it has been by other medical professionals and service providers in recent years.”

DR. DAVID ANTHONY MIRANDA UNDERSERVING COMMUNITIES

Dr. David Anthony Miranda reveals growing concerns surrounding primary care in medically underserved communities

By | Dr. David Anthony Miranda | No Comments

Dr. David Anthony Miranda reveals growing concerns surrounding primary care in medically underserved communities

 

Dr. David Anthony Miranda

Dr. David Anthony Miranda

Medically underserved communities—also known as medically underserved areas and medically underserved populations—are particular geographic locations wherein which residents suffer from a lack of, or reduced access to, primary medical care services and facilities. An urgent care physician based in San Antonio and specializing in care within medically underserved communities, Dr. David Anthony Miranda reveals more about the situation as concern grows surrounding the provision of primary care under such circumstances.

 

According to Texas-based Dr. Miranda, such geographic locations can range from individual suburbs to entire countries. “Many third world countries are considered wholly medically underserved,” he explains, “while in the U.S., it’s more typical to find smaller pockets within a particular city or state which are deemed to be underserved medically.”

 

The urgent care physician points toward his home state of Texas as an example. “From individual and neighboring counties to urban census tracts and civil divisions, a shortage of primary medical care services or facilities throughout the state has seen large swathes of Texas deemed medically underserved in recent years,” Dr. Miranda explains.

 

Indeed, a report carried out earlier this year by the Association of American Medical Colleges currently ranks Texas as 47th out of the 50 U.S. states in terms of adequate physician coverage in correlation with population numbers. An abundance of highly rural communities is, Dr. Miranda says, a significant contributing factor in the state’s struggle to provide sufficient primary medical care coverage. “The Association of American Medical Colleges has now declared Texas as ‘medically deprived’ based on its most recent findings,” he points out.

 

Dr. David Anthony Miranda shares growing concerns pertaining to primary medical care in Texas and across the U.S.

The second largest state in the U.S. covering over 268,000 square miles and home to a population of upwards of 28.3 million and growing, Texas has endured particular difficulties surrounding the provision of primary care since budget-balancing within the medical sector during the 1990s.

 

The state is currently working on the construction of numerous additional medical schools in an effort to see more qualified physicians living and working in Texas. “Extra efforts must also be made, however,” adds Dr. Miranda, wrapping up, “to increase the number of available residency positions open to newly qualified doctors, physicians, and other medical professionals if we’re going to really combat the problem, especially in the short term.”

 

Dr. David Anthony Miranda is a partner of Fit-Life MD, a physician-owned medical wellness and fitness clinic in San Antonio, Texas. The mission of Fit-Life MD is to improve the overall health and wellness of patients through individually designed and personalized treatment plans tailored toward general health and physical well-being. Dr. Miranda’s personal interests include investing in the stock market, especially publicly-traded healthcare stocks, as well as music, theater, and film.

Dr. David Miranda - Drive to Solve Texas Doctor Shortage

Drive to Solve Texas Doctor Shortage 

By | Dr. David Anthony Miranda | No Comments

Drive to Solve Texas Doctor Shortage

 

Dr. David Miranda - Texas Doctor Shortage

Dr. David Miranda – Texas Doctor Shortage

Urgent care specialist Dr. David Miranda explores the state of Texas’ efforts to solve its ongoing shortage of qualified physicians.

 

With almost ten percent of Texas’ counties having just one licensed physician according to a recent report by the Texas Medical Board, doctor shortages are an issue which the state is looking to address as a priority, according to Dr. David Miranda, an urgent care physician based in San Antonio.

 

“Approximately another ten percent of Texas’ 254 counties only have two or three qualified doctors,” he reveals, “meaning that medically underserved communities pose a significant risk to public health in the state.”

 

Dr. David Miranda is not alone in his concerns. In fact, the Association of American Medical Colleges has ranked Texas 47th out of the 50 U.S. states in terms of adequate physician coverage in relation to population. According to the association’s reporting, more doctors are desperately required in rural areas, many of which are currently considered ‘medically deprived’ according to its findings.

 

“This is a particular concern of mine,” says Dr. David Miranda, who specializes in the care of medically underserved, often rural populations.

 

The so-called Lone Star State is currently working on the construction of more medical schools, although according to Dr. Miranda, this alone will not solve matters. “The matter cannot be solved simply by building more medical schools,” he says, “especially not in the short term.”

 

Dr. David Miranda Opens Up

By 2020, the University of Houston and Sam Houston State University both plan to have established their own medical schools. Already, the new Dell Medical School at the University of Texas at Austin is open, as is the new University of Texas Rio Grande School of Medicine in Edinburg, plus the new University of the Incarnate School of Osteopathic Medicine in San Antonio.

 

“There’s also the Texas Christian University and the University of North Texas Health Science Center in Fort Worth which have partnered and each plan to start teaching medicine next year,” adds Dr. Miranda.

 

A lack of medical schools, however, he says, is not necessarily the problem. “Physicians cannot practice until they’ve completed a residency,” the doctor explains, “and, right now, the state’s hospitals do not have sufficient slots for the residency requests which they’re already receiving.”

 

This lack of residency places, says Dr. Miranda, is driving students to undertake their medical education or complete their post-graduate training elsewhere in the country. “Often, that’s where they’ll then stay and start their career, even if they’re a native Texan,” he suggests.

 

What’s required, then, says Dr. David Miranda, is a review of the costs associated with—and funds allocated toward—the provision of residency slots in the state. “Budget-balancing in the ’90s has compounded issues surrounding the shortage of doctors in Texas ever since,” he adds, wrapping up, “and it’s now vital that the Resident Physician Shortage Reduction Act which has been left to languish since 2017 be reexamined and expedited as a priority if we’re to prevent matters further worsening.”

 

Connect with Dr. David Miranda on Social!

Dr. David Anthony Miranda Addresses the Recent Closing of Freestanding ERs in Texas

By | Dr. David Anthony Miranda | No Comments

Dr. David Anthony Miranda Addresses the Recent Closing of Freestanding ERs in Texas

Dr. David Anthony Miranda - Freestanding ERs

Dr. David Anthony Miranda – Freestanding ERs

Since passing legislation in 2009 and issuing licenses to freestanding emergency rooms from 2010 onward. The state of Texas has seen an explosion in these numbers of these convenience-focused medical facilities. Especially during the years which have followed. Now, however, it’s an industry that’s struggling, according to Dr. David Anthony Miranda, an experienced urgent care physician based in San Antonio, Texas.

 

Intended to allow patients quicker, more convenient access to medical attention, freestanding emergency rooms were also seen as a way to ease overcrowding in larger, established hospitals, while simultaneously affording more local emergency room access to those living in rural communities. “It’s been suggested that the freestanding emergency room business model grew too fast for its own good,” explains Dr. Miranda.

 

Such facilities have also faced criticism for being more costly than existing, traditional hospitals, often unbeknownst to patients who had been led to believe that these freestanding emergency rooms were, in fact, a less expensive alternative.

 

“One of the biggest touted benefits of freestanding emergency rooms was that they would bring emergency medical care to rural communities across Texas,” reveals Dr. Miranda, who specializes in the care of medically underserved, predominantly rural populations. “Unfortunately, however,” he continues, “these facilities became more prominent in larger towns and cities than in more remote areas where they would’ve proved more beneficial.”

 

Urgent Care Physician Dr. David Anthony Miranda Explores the Ongoing Struggles Faced by Texas’ Freestanding Emergency Rooms.

Another criticism, Dr. Miranda points out, is that—as a business model—freestanding emergency rooms rely heavily on what he calls ‘a well-insured patient population,’ something which is less common in more rural settings. “Many freestanding emergency rooms are now opting not to renew their licenses,” says the physician.

 

Licensing numbers are also down, nearby hospitals acquire such facilities. Which they can then operate under their existing license or licenses, according to Dr. Miranda.

 

“The industry,” he continues, “showed great promise, and I myself worked in one of Houston’s early facilities. The location has played a large part in both the success and failure of many freestanding emergency rooms. Opening more successful locations now under the ownership of larger hospitals.

 

Dr. David Anthony Miranda believes that we need a renewed focus on pricing and location. Those living in rural sections of Texas will benefit most from freestanding ERs. There’s still hope for the industry as a whole says Dr. Miranda.

 

“Our freestanding emergency rooms play an important role in Texas. I hope that, with time and a renewed focus, license numbers for these vital facilities will once again increase.”