Is There a Doctor in the House?

Is There a Doctor in the House?
Author: Richard M. Scheffler
Publisher: Stanford University Press
Total Pages: 257
Release: 2008
Genre: Medical
ISBN: 080470032X

This data-driven book analyzes factors that will improve the efficiency and quality of the American health care delivery system through the lens of physician supply in an era of managed care. Presenting policy recommendations and a broad range of perspectives from conversations with experts in health economics, medical education, and health policy, Scheffler's work makes accessible a critical and complex area of health care.

Searching for the Family Doctor

Searching for the Family Doctor
Author: Timothy J. Hoff
Publisher: JHU Press
Total Pages: 287
Release: 2022-03-01
Genre: Medical
ISBN: 1421443015

With family doctors increasingly overburdened, bureaucratized, and burned out, how can the field change before it's too late? Over the past few decades, as American medical practice has become increasingly specialized, the number of generalists—doctors who care for the whole person—has plummeted. On paper, family medicine sounds noble; in practice, though, the field is so demanding in scope and substance, and the health system so favorable to specialists, that it cannot be fulfilled by most doctors. In Searching for the Family Doctor, Timothy J. Hoff weaves together the early history of the family practice specialty in the United States with the personal narratives of modern-day family doctors. By formalizing this area of practice and instituting specialist-level training requirements, the originators of family practice hoped to increase respect for generalists, improve the pipeline of young medical graduates choosing primary care, and, in so doing, have a major positive impact on the way patients receive care. Drawing on in-depth interviews with fifty-five family doctors, Hoff shows us how these medical professionals have had their calling transformed not only by the indifferent acts of an unsupportive health care system but by the hand of their own medical specialty—a specialty that has chosen to pursue short- over long-term viability, conformity over uniqueness, and protectionism over collaboration. A specialty unable to innovate to keep its membership cohesive and focused on fulfilling the generalist ideal. The family doctor, Hoff explains, was conceived of as a powered-up version of the "country doctor" idea. At a time when doctor-patient relationships are evaporating in the face of highly transactional, fast-food-style medical practice, this ideal seems both nostalgic and revolutionary. However, the realities of highly bureaucratic reimbursement and quality-of-care requirements, educational debt, and ongoing consolidation of the old-fashioned independent doctor's office into corporate health systems have stacked the deck against the altruists and true believers who are drawn to the profession of family practice. As more family doctors wind up working for big health care corporations, their career paths grow more parochial, balkanizing the specialty. Their work roles and professional identities are increasingly niche-oriented. Exploring how to save primary care by giving family doctors a fighting chance to become the generalists we need in our lives, Searching for the Family Doctor is required reading for anyone interested in the troubled state of modern medicine.

Is There a (primary Care) Doctor in the House?

Is There a (primary Care) Doctor in the House?
Author: Robert J. Cullen
Publisher:
Total Pages: 0
Release: 2017
Genre:
ISBN:

As a result of a number of factors including compensation, practice environments, and socialization in medical school, there is an accelerating shortage in the number of primary care physicians in the U.S. In 2010, in its 20th Report to Congress, the Council on Graduate Medical Education called for increasing the percentage of primary care physicians from 32% to at least 40% to address this shortage. With the implementation of the Affordable Care Act, millions of uninsured and underinsured persons have become insured and enter the mainstream of healthcare. The Affordable Care Act contains several important provisions to expand the primary care workforce. Graduate medical education is central to development of this workforce. This study aims to answer the following research question: How is an individual primary care graduate medical education residency program affected by and responding to the implementation of the Affordable Care Act and the current and projected primary care physician shortages exacerbated by the Affordable Care Act? Case study methods were used to pursue this question in the context of a primary care graduate medical education residency program. Several useful implications for teaching, learning, and policy implementation emerged from this inquiry based on following themes, which emerged; the Affordable Care Act Impact, Model of Care, Advocacy, Resident Encouragement, and the Joy of Practice. This study found for the case study primary care residency program; a positive impact by the Affordable Care Act implementation, the Patient-Centered Medical Home Model of Care is well suited for primary care residency training and faculty role modeling including the Joy of Practice may encourage residents to pursue primary care practice post residency.

Primary Care

Primary Care
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 411
Release: 1996-09-05
Genre: Medical
ISBN: 0309175690

Ask for a definition of primary care, and you are likely to hear as many answers as there are health care professionals in your survey. Primary Care fills this gap with a detailed definition already adopted by professional organizations and praised at recent conferences. This volume makes recommendations for improving primary care, building its organization, financing, infrastructure, and knowledge baseâ€"as well as developing a way of thinking and acting for primary care clinicians. Are there enough primary care doctors? Are they merely gatekeepers? Is the traditional relationship between patient and doctor outmoded? The committee draws conclusions about these and other controversies in a comprehensive and up-to-date discussion that covers: The scope of primary care. Its philosophical underpinnings. Its value to the patient and the community. Its impact on cost, access, and quality. This volume discusses the needs of special populations, the role of the capitation method of payment, and more. Recommendations are offered for achieving a more multidisciplinary education for primary care clinicians. Research priorities are identified. Primary Care provides a forward-thinking view of primary care as it should be practiced in the new integrated health care delivery systemsâ€"important to health care clinicians and those who train and employ them, policymakers at all levels, health care managers, payers, and interested individuals.

Breaking Point

Breaking Point
Author: John P. Geyman
Publisher: John Geyman, M.D.
Total Pages: 252
Release: 2011
Genre: Medical
ISBN: 0983773408

Our market-based, profit-driven health care system in the United States has put necessary care increasingly beyond the reach of ordinary Americans. Primary health care, the fundamental foundation of all high-performing health care systems in the world, is a critical but ignored casualty of the current system. Unfortunately, primary care is often poorly understood, even within the health professions. This book describes what has become a crisis in primary care, defines its central role, analyzes the reasons for its decline, and assesses its impacts on patients and families. A constructive approach is presented to rebuild and transform U.S. primary care with the urgent goal to address the nation's problems of access, cost, quality and equity of health care for all Americans.

Child Support Assurance Act of 1992

Child Support Assurance Act of 1992
Author: United States. Congress. Senate. Committee on Labor and Human Resources. Subcommittee on Children, Family, Drugs and Alcoholism
Publisher:
Total Pages: 452
Release: 1992
Genre: Law
ISBN: 9780160391453

New Directions in Geriatric Medicine

New Directions in Geriatric Medicine
Author: Lee Ann Lindquist
Publisher: Springer
Total Pages: 163
Release: 2016-04-09
Genre: Medical
ISBN: 3319281372

This book is designed to present the clinical geriatric trends within general internal medicine and family practice, which practitioners often encounter in caring for their older adult patients. Chapters focus on increasingly difficult clinical decisions that practitioners have to make in caring for older adults, who often experience medical complications due to memory loss, physical disability, and multiple chronic conditions. Written by experts in geriatric medicine, each of these chapters start with the most up-to-date clinical geriatric research and provide specific examples or case studies on how to use this information to address the clinical needs of older adult patients. In addition, there is a set of concise “take-home points” for each chapter that are easy to commit to memory and implement in clinical care of aging patients. As the only book to focus on current trends in geriatric research and evidence-based eldercare practice, Clinical Trends in Geriatric Medicine is of great value to internists, family practitioners, geriatricians, nurses, and physician assistants who care for older adults.

You and Your Doctor

You and Your Doctor
Author: Tania Heller, M.D.
Publisher: McFarland
Total Pages: 209
Release: 2014-01-10
Genre: Health & Fitness
ISBN: 078648974X

Changes in the healthcare field have threatened the once sacred relationship between patient and physician. While much has been written for physicians and other healthcare providers on the subject of the doctor-patient relationship, information tailored for patients remains lacking. This volume offers practical information to help patients make the most of their interaction with their doctors. Among the topics are finding the right physician, gaining telephone access, ensuring good communication between health care providers, protecting personal information, seeking a second opinion, and using walk-in clinics. In-depth interviews with primary care physicians and medical specialists provide a unique perspective on issues of importance to patients, from pediatrics to geriatrics.

Family Medicine

Family Medicine
Author: J. L. Buckingham
Publisher: Springer Science & Business Media
Total Pages: 1399
Release: 2013-06-29
Genre: Medical
ISBN: 1475739990

JOHN S. MILLIS In 1966 the Citizens Commission on Graduate Medical Education observed that the explosive growth in biomedical science and the consequent increase in medical skill and technology of the twentieth century had made it possible for physicians to respond to the episodes of illness of patients with an ever-increasing effectiveness, but that the increase in knowledge and technology had forced most physicians to concentrate upon a disease entity, an organ or organ system, or a particular mode of diagnosis or therapy. As a result there had been a growing lack of continuing and comprehensive patient care. The Commission expressed the opinion that "Now, in order to bring medicine's enhanced diagnostic and therapeutic powers fully to the benefit of society, it is necessary to have many physicians who can put medicine together again. "! The Commission proceeded to recommend the education and training of sub stantial numbers of Primary Physicians who would, by assuming primary responsi bility for the patient's welfare in sickness and in health, provide continuing and comprehensive health care to the citizens of the United States. In 1978 it is clear that the recommendation has been accepted by the public, the medical profession, and medical education. There has been a vigorous response in the development of family medicine and in the fields of internal medicine, pediatrics, and obstetrics. One is particularly impressed by the wide acceptance on the part of medical students of the concept of the primary physician. Dr. John S.

Primary Care Workforce Issues

Primary Care Workforce Issues
Author: United States. Congress. Senate. Committee on Finance
Publisher: Executive Office of the President
Total Pages: 112
Release: 1993
Genre: Education
ISBN: