Reviving Primary Care

Reviving Primary Care
Author: John Fry
Publisher: CRC Press
Total Pages: 192
Release: 2018-05-08
Genre: Medical
ISBN: 1315346052

The quality of health care in the US depends on the patient's ability to pay and his or her insurance cover, at an annual cost of $3600 per head of population. In the UK, the quality of care costs less at an annual cost of $1000 per head of population, although care is sometimes delayed through a lack of resources. This book compares the two systems from the viewpoint of primary care, identifying some models of excellence from which both can benefit. It draws on the experience of the NHS reforms in the UK and the political imperative to control costs and improve the service in the US.

Restoring Primary Care

Restoring Primary Care
Author: Anton J Kuzel
Publisher: CRC Press
Total Pages: 162
Release: 2018-04-19
Genre: Medical
ISBN: 1315357569

To many practitioners, managers and patients, US primary care is in crisis. Primary care physicians are often overworked and undervalued, and both patients and care providers can feel locked into structures that lack compassion and are unfit for their intended purposes. Healthcare reforms aim to resolve the situation, but changes may take years to deliver and are contingent on numerous outside factors. What steps are within care providers' power to take now? This book lays out a course to deliver compassionate care, quality, and efficiency that - unlike many current patient-centred medical home initiatives in the US - does not require outside funding. After reflecting on avoidable problems and harms in primary care, the book offers stories of hope from innovative clinicians across the US before presenting ten practical, deliverable steps to lift primary care provision from 'poor' or 'mediocre' to 'great'. This book will be of interest to practicing family physicians and general internists, but will also be useful reading for health system leaders, healthcare insurance purchasers and insurance company executives.

Defining Primary Care

Defining Primary Care
Author: Karl D. Yordy
Publisher: National Academies
Total Pages: 56
Release: 1994
Genre: Medical policy
ISBN:

Community Oriented Primary Care

Community Oriented Primary Care
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 313
Release: 1983-01-01
Genre: Medical
ISBN: 030903339X

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.

Making Sense of a Primary Care-Led Health Service

Making Sense of a Primary Care-Led Health Service
Author: Peter Littlejohns
Publisher: CRC Press
Total Pages: 186
Release: 2018-04-19
Genre: Medical
ISBN: 1315342758

The shift of services from acute hospitals to general practice requires clinicians to become actively involved in the process of change. This book sets out to demonstrate that with careful planning, implementation and evaluation of this process, problems can be avoided and the quality of service enhanced. The authors demonstrate a clear understanding of the practical issues involved and their evident enthusiasm for the opportunities now available will stimulate innovation in hospital staff, the health care team in general practice and NHS managers responsible for the delivery of a more efficient and responsible service.

Primary Care and Public Health

Primary Care and Public Health
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 212
Release: 2012-07-19
Genre: Medical
ISBN: 0309255201

Ensuring that members of society are healthy and reaching their full potential requires the prevention of disease and injury; the promotion of health and well-being; the assurance of conditions in which people can be healthy; and the provision of timely, effective, and coordinated health care. Achieving substantial and lasting improvements in population health will require a concerted effort from all these entities, aligned with a common goal. The Health Resources and Services Administration (HRSA) and the Centers for Disease Control and Prevention (CDC) requested that the Institute of Medicine (IOM) examine the integration of primary care and public health. Primary Care and Public Health identifies the best examples of effective public health and primary care integration and the factors that promote and sustain these efforts, examines ways by which HRSA and CDC can use provisions of the Patient Protection and Affordable Care Act to promote the integration of primary care and public health, and discusses how HRSA-supported primary care systems and state and local public health departments can effectively integrate and coordinate to improve efforts directed at disease prevention. This report is essential for all health care centers and providers, state and local policy makers, educators, government agencies, and the public for learning how to integrate and improve population health.

Scrubbed Out

Scrubbed Out
Author: Salah D. Salman
Publisher: AuthorHouse
Total Pages: 156
Release: 2011-09-06
Genre: Medical
ISBN: 1463428200

The medical profession today is not controlled by doctors or nurses. It's controlled by corporations, administrators, and bureaucratsit's become a business. Scrubbed Out presents a critique of the today's business of medicine and the profit-driven mindset that ignores human needs. Salah D. Salman is a doctor himself, concerned with the double standards and unscrupulous dealings of today's community of health care decision-makers. He does not hesitate to place the blame where it belongssometimes even with major teaching institutions and professional societies. Dr. Salman believes that a revolution is necessary to turn the system around, and offers the radical solutions necessary to reverse the trends of a downward-spiraling industry.

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.