Download or read book Primary Care Medicine for Specialists and Non Specialists written by John R. Hubbard and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 236 pages. Available in PDF, EPUB and Kindle. Book excerpt: Inspired by the enthusiastic response of psychiatrists and psychiatric residents to the recently published Primary Care Medicine for Psychiatrists: A Practitioner's Guide, the current volume is a concise, first-source guide to help specialists and other healthcare providers (especially psychiatrists, OB/GYN, and cardiologists) treat many general medicine problems. Each chapter has been reviewed by a specialist or doctor with particular interest in the area to assure the accuracy and timeliness of the material. Primary Care Medicine for Specialists and Non-Specialists is written in a concise, note-like format, and is designed to be used rather than read.

Download or read book Primary Care Medicine for Specialists and Non Specialists written by John R Hubbard and published by . This book was released on 2002-10-31 with total page 232 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Primary Care written by Committee on the Future of Primary Care and published by National Academies Press. This book was released on 1996-09-19 with total page 412 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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 base--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 systems--important to health care clinicians and those who train and employ them, policymakers at all levels, health care managers, payers, and interested individuals.

Download or read book Defining Primary Care written by Karl D. Yordy and published by National Academies. This book was released on 1994 with total page 56 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Searching for the Family Doctor written by Timothy J. Hoff and published by JHU Press. This book was released on 2022-03-01 with total page 287 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Download or read book Doctoring written by Eric J. Cassell M.D. and published by Oxford University Press. This book was released on 2002-11-14 with total page 221 pages. Available in PDF, EPUB and Kindle. Book excerpt: American medicine attracts some of the brightest and most motivated people the country has to offer, and it boasts the most advanced medical technology in the world, a wondrous parade of machines and techniques such as PET scans, MRI, angioplasty, endoscopy, bypasses, organ transplants, and much more besides. And yet, writes Dr. Eric Cassell, what started out early in the century as the exciting conquest of disease, has evolved into an overly expensive, over technologized, uncaring medicine, poorly suited to the health care needs of a society marked by an aging population and a predominance of chronic diseases. In Doctoring: The Nature of Primary Care Medicine, Dr. Cassell shows convincingly how much better fitted advanced concepts of primary care medicine are to America's health care needs. He offers valuable insights into how primary care physicians can be better trained to meet the needs of their patients, both well and sick, and to keep these patients as the focus of their practice. Modern medical training arose at a time when medical science was in ascendancy, Cassell notes. Thus the ideals of science--objectivity, rationality--became the ideals of medicine, and disease--the target of most medical research--became the logical focus of medical practice. When clinicians treat a patient with pneumonia, they are apt to be thinking about pneumonia in general--which is how they learn about the disease--rather than this person's pneumonia. This objective, rational approach has its value, but when it dominates a physician's approach to medicine, it can create problems. For instance, treating chronic disease--such as rheumatoid arthritis, diabetes, stroke, emphysema, and congestive heart failure--is not simply a matter of medical knowledge, for it demands a great deal of effort by the patients themselves: they have to keep their doctor appointments, take their medication, do their exercises, stop smoking. The patient thus has a profound effect on the course of the disease, and so for a physician to succeed, he or she must also be familiar with the patient's motivations, values, concerns, and relationship with the doctor. Many doctors eventually figure out how to put the patient at the center of their practice, but they should learn to do this at the training level, not haphazardly over time. To that end, the training of primary care physicians must recognize a distinction between doctoring itself and the medical science on which it is based, and should try to produce doctors who rely on both their scientific and subjective assessments of their patients' overall needs. There must be a return to careful observational and physical examination skills and finely tuned history taking and communication skills. Cassell also advocates the need to teach the behavior of both sick and well persons, evaluation of data from clinical epidemiology, decision making skills, and preventive medicine, as well as actively teaching how to make technology the servant rather than the master, and offers practical tips for instruction both in the classroom and in practice. Most important, Doctoring argues convincingly that primary care medicine should become a central focus of America's health care system, not merely a cost-saving measure as envisioned by managed care organizations. Indeed, Cassell shows that the primary care physician can fulfill a unique role in the medical community, and a vital role in society in general. He shows that primary care medicine is not a retreat from scientific medicine, but the natural next step for medicine to take in the coming century.

Download or read book Fixing the Primary Care Crisis written by Stephen C Schimpff MD Fac and published by CreateSpace. This book was released on 2015-05-20 with total page 298 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this deeply researched yet controversial book, Stephen C. Schimpff, MD breaks definitive new ground to explain why our healthcare delivery system serves us so poorly, why it costs so much, and why government and insurer policy over many decades has not only failed to improve care delivery but actually has made it worse. He then demonstrates the necessary path to convert to world class healthcare at a very reasonable cost. Primary care physicians have been forced into a non-sustainable business model that drives them to schedule an unreasonable number of patient visits per day because insurance-based payment per visit is too low. In inflation adjusted dollars, PCPs earn less today than they did forty years ago but see about twice as many patients per day. Too many visits means not enough time per patient. Not enough time means it is easier to just refer a patient to a specialist, order a test or write a prescription when some more time would have resulted in a solution to the problem and saved the need and cost of specialist, test or medication. This has led to a diminishment of care quality and a major increase in costs. This is the crisis in primary care. When primary care physicians do have time with each patient, they can offer truly outstanding care for episodic issues, effectively address complex chronic illnesses (which consume 75-85% of all medical care costs), and provide effective preventive care while maintaining health and wellness-and do so within a deep personal relationship of trust and healing. Paradoxically, primary care need not be expensive. Insurance has made it so. The time has come to allow the primary care physician the ability to care at his or her highest level of professional education and training. The result will be better care at much less cost-the major theme of this book. Dr Schimpff shows how to revitalize the patient-doctor relationship and to put decision making back into the hands of patients and their physicians. We have incredible assets in American medicine but we have failed to bring them to patients in a timely, effective, customer friendly and cost effective manner. Despite its shortcomings, American medical care delivery can be corrected. The solution is to Fix The Primary Care Crisis. The "fix" is not difficult but lack of understanding by consumers/patients and inertia by physicians stymie implementation. Patients must insist and doctors must agree to the needed changes. If we want to see better and more affordable healthcare in this country, the changes discussed in this book must be implemented. The result will be medical care delivery that is forever very different -true healthcare - both better and less expensive. This book provides the needed information, the methodology and the roadmap to Fix The Primary Care Crisis.

Download or read book What Matters in Medicine written by David Loxterkamp and published by University of Michigan Press. This book was released on 2013-02-18 with total page 302 pages. Available in PDF, EPUB and Kindle. Book excerpt: Primary care has come into the limelight with the passage of the Patient Protection and Affordable Care Act, the unchecked and unsustainable rise in American health care expenditures, and the crest of Baby Boomers who are now Medicare-eligible and entering the most health care–intensive period of their lives. Yet how much is really known about primary care? What Matters in Medicine: Lessons from a Life in Primary Care is a look at the past, present, and future of general practice, which is not only the predecessor to the modern primary care movement, but its foundation. Through memoir and conversation, Dr. David Loxterkamp reflects on the heroes and role models who drew him to family medicine and on his many years in family practice in a rural Maine community, and provides a prescription for change in the way that doctors and patients approach their shared contract for good health and a happy life. This book will be useful to those on both sides of primary care, doctors and patients alike.

Download or read book Practice Under Pressure written by Timothy Hoff and published by . This book was released on 2010 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Through ninety-five in-depth interviews with primary care physicians (PCPs) working in different settings, as well as medical students and residents, Practice Under Pressure provides insight into the everyday lives of generalist physicians in the early twenty-first century, their work, stresses, hopes, expectations, and values. Supports this dialogue with secondary data and captures the changing face of primary care medicine's larger numbers of younger, female, and foreign-born physicians. From publisher description.

Download or read book Community Oriented Primary Care written by Institute of Medicine and published by National Academies Press. This book was released on 1983-01-01 with total page 313 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book The Fifteen Minute Hour written by Marian R. Stuart and published by Greenwood. This book was released on 1993 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is a how-to manual for incorporating psychotherapy into the daily practice of primary care medicine. In the universe of primary care patients, many, if not all, have a behavioral component as part and parcel of their visit to a physician. Successfully recognizing and addressing these issues in a time-effective manner will benefit the patient while at the same time increasing the satisfaction of the caregiver. For family physicians and general internists and other providers of primary health care services such as pediatricians, college health physicians, emergency physicians, nurse practitioners, etc. as well as specialists in non-primary care fields.

Download or read book Pocket Primary Care written by Meghan M. Kiefer and published by Lippincott Williams & Wilkins. This book was released on 2014-03-06 with total page 376 pages. Available in PDF, EPUB and Kindle. Book excerpt: Support your clinical decision making and prepare for everyday challenges in the primary care setting with Pocket Primary Care, a brand new, pocket-sized loose-leaf resource that offers the most current, evidence-based approaches to delivering quality care in the outpatient setting. Representing the efforts of a dedicated team of primary care and specialist physicians at the Massachusetts General Hospital, this practical resource provides the key clinical data you need to manage your patients effectively and quickly. Gain insights into the most up-to-date evidence-based practices, accepted best practices, and expert opinions of physicians at Massachusetts General Hospital, including appropriate workups and when to refer. Quickly find the the information you need through tabs that make it easy to locate topics of interest. Customize the book to meet your specific needs by inserting your own notes into the 6-ring binder's front and back pockets, leaving out pages you don't need, or adding others to it. Get instant access to key clinical information on the most common issues seen in practice, including preventive medicine, cardiology, dermatology, endocrinology, GI, hematology, infectious disease, musculoskeletal complaints, neurology, ophthalmology, ENT, psychiatry, pulmonary, nephrology, women's health, men's health, and geriatrics.

Download or read book The Future of Nursing written by Institute of Medicine and published by National Academies Press. This book was released on 2011-02-08 with total page 700 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Future of Nursing explores how nurses' roles, responsibilities, and education should change significantly to meet the increased demand for care that will be created by health care reform and to advance improvements in America's increasingly complex health system. At more than 3 million in number, nurses make up the single largest segment of the health care work force. They also spend the greatest amount of time in delivering patient care as a profession. Nurses therefore have valuable insights and unique abilities to contribute as partners with other health care professionals in improving the quality and safety of care as envisioned in the Affordable Care Act (ACA) enacted this year. Nurses should be fully engaged with other health professionals and assume leadership roles in redesigning care in the United States. To ensure its members are well-prepared, the profession should institute residency training for nurses, increase the percentage of nurses who attain a bachelor's degree to 80 percent by 2020, and double the number who pursue doctorates. Furthermore, regulatory and institutional obstacles-including limits on nurses' scope of practice-should be removed so that the health system can reap the full benefit of nurses' training, skills, and knowledge in patient care. In this book, the Institute of Medicine makes recommendations for an action-oriented blueprint for the future of nursing.

Download or read book Behavioral Medicine in Primary Care written by Mitchell D. Feldman and published by McGraw Hill Professional. This book was released on 2003 with total page 402 pages. Available in PDF, EPUB and Kindle. Book excerpt: Use a Behavioral Medicine Approach to Improve Clinical Outcome "All primary care physicians, their residents, and students would benefit from the central message of this book: medical practice occurs in the context of the physician-patient relationship, and only by understanding, managing, and using that relationship in an ethical, supportive, and effective fashion can primary care practice be conducted appropriately. -- Journal of General Internal Medicine * "Cohesively edited...bolstered by clinical vignettes...well positioned as an introduction for the physician-teacher and physician-in-training to the demands of the expanding role of physician as therapist....[Other texts] are not directed at the physician-in-training, are not case based, and are not as useful as a quick reference." -- Annals of Internal Medicine * "An excellent resource...Our family practice residency program has recently adopted this text as the primary resource for our behavioral science curriculum and provides each resident with a copy. It would be similarly useful for internists, nurse practitioners, and other primary care practitioners in training...Primary care health psychologists, medical school faculty, and others needing a compact and useful reference in this area will find this book highly valuable." -- Annals of Behavioral Science & Medical Education * "Doctors Feldman and Christensen have done primary care practice a good and important service with the publication of their book. It remains for clinicians and teachers to open their minds and practices to the ideas within it." -- From the Foreword, by Steven A. Schroeder, MD * Of the first edition. Authored bynationally recognized experts, this outstanding reference offers essential behavioral insights and practical management strategies that will help clinicians and students build a strong relationship with their patients and ensure that they provide the best possible treatment for medical and psychiatric disorders. No other resource so effectively examines how behavior - from the standpoint of the clinician as well as the patient - affects treatment decisions and results. Features and Topics Covered: *New chapter on "Complementary & Alternative Medicine" *All chapters substantially revised and updated *Up-to-date information on psychopharmacologic treatment of psychiatric illnesses *Greater emphasis on evidence-based medicine *Practical approach to behavior change *Mental disorders as they commonly occur in medical practice *Issues in the relationship between provider and patient *Adherence to medical treatment *Care of the dying *Dealing with medical errors *Physician well-being *Clinical vignettes *Updated references and web resources

Download or read book The Behavioral Health Specialist in Primary Care written by Mary Ann Burg, PhD, MSW, LCSW and published by Springer Publishing Company. This book was released on 2015-09-10 with total page 338 pages. Available in PDF, EPUB and Kindle. Book excerpt: Patients with chronic conditions often need psychosocial support and brief counseling to help them make the lifestyle and behavioral changes required to prevent disease complications. This innovative text, with contributions from respected clinicians and researchers in all arenas of behavioral health, provides comprehensive training for all health professionals including those in medicine, nursing, social work, mental health, and clinical and health psychology who desire targeted evidence-based training in Behavioral Health skills . Rich case examples drawn from typical patient presentations demonstrate the relationship between physical and psychological health and the complexity of behavior change in chronic illness. This text is a timely, relevant and practical resource for all members of the primary care team. It prepares team members to work in the model of patient-centered integrated care in accordance with the recommendations of the Affordable Health Care Act (ACA) and the National Committee for Quality Assurance (NCQA) medical home standards for identifying patient needs and providing coordinated and comprehensive patient care. It focuses on knowledge and skills needed for working with the most common chronic conditions such as diabetes, obesity, chronic pain, cardiovascular conditions, sleep disorders, geriatric conditions, cancer-related conditions, and substance abuse. It includes chapters on epidemiological trends in chronic illness and systems medicine. Theories of health behavior and behavior change and evidence-based interventions provide a foundation for skill development, followed by detailed coverage of the requirements for behavioral management of specific chronic conditions. Sample referrals and consultation notes provide concrete examples of how the behavioral health specialist might respond to a referral. . Key Features: Provides comprehensive graduate-level training for the role of Behavioral Health Specialist Describes the health promotion and counseling skills needed to function as part of an integrated health team Focuses on proficiencies needed for working with common chronic conditions Addresses the psychosocial components of primary care disorders Includes case examples demonstrating the relationship between physical and psychological health and the complexity of behavior change in chronic illness

Download or read book Doctoring written by Eric J. Cassell and published by Oxford University Press, USA. This book was released on 2002 with total page 224 pages. Available in PDF, EPUB and Kindle. Book excerpt: Addressing the problems facing medicine and medical education Cassell discusses the new generalism and the skills that physicians-in-training must be taught in order to practice the art of doctoring which centres on the person not the disease.

Download or read book The Social Transformation of American Medicine written by Paul Starr and published by . This book was released on 1982 with total page 532 pages. Available in PDF, EPUB and Kindle. Book excerpt: Winner of the 1983 Pulitzer Prize and the Bancroft Prize in American History, this is a landmark history of how the entire American health care system of doctors, hospitals, health plans, and government programs has evolved over the last two centuries. "The definitive social history of the medical profession in America....A monumental achievement."—H. Jack Geiger, M.D., New York Times Book Review