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Author: Timothy J. Hoff Publisher: JHU Press ISBN: 1421443015 Category : Medical Languages : en Pages : 287
Book Description
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.
Author: Timothy J. Hoff Publisher: JHU Press ISBN: 1421443015 Category : Medical Languages : en Pages : 287
Book Description
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.
Author: Institute of Medicine Publisher: National Academies Press ISBN: 0309175690 Category : Medical Languages : en Pages : 411
Book Description
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.
Author: Allan H. Goroll Publisher: Lippincott Williams & Wilkins ISBN: Category : Medical Languages : en Pages : 1042
Book Description
This easy-to-use reference helps practitioners quickly diagnose common skin disorders and determine appropriate treatment options. More than 500 fullcolor images speed diagnosis by showing the reader distinguishing characteristics of each disorder, as well as providing clear comparisons between similar looking conditions. Features of the text include fornulary tables of leading topical agents and preparations by brand name, as well as patient handouts in English and Spanish. Basic derm rologic procedures are presented in a simple, easyto-understand format, making this guide an invaluable reference for office surgery. The Second Edition features new, larger photos, more patient handouts, and new material on several disorders. Also included is an expanded basic procedures section with new and more detailed procedures and more illustrations and photos of necessary equipment.
Author: Timothy Hoff Publisher: Rutgers University Press ISBN: 0813548357 Category : Medical Languages : en Pages : 251
Book Description
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 rich insight into the everyday lives of generalist physicians in the early twenty-first centuryùtheir work, stresses, hopes, expectations, and values. Timothy Hoff supports this dialogue with secondary data, statistics, and in-depth comparisons that capture the changing face of primary care medicineùlarger numbers of younger, female, and foreign-born physicians.
Author: Susan H. McDaniel Publisher: Springer Science & Business Media ISBN: 1475720963 Category : Medical Languages : en Pages : 398
Book Description
A family orientation in health care can provide a wider understanding of illness and a broader range of solutions than the classic biomedical model. This volume thus offers practical guidance for the physician who would like to take greater advantage of this resource. The result is a readable guide, structured around step-by-step protocols that are vividly illustrated with case studies drawn from the authors extensive experience at the University of Rochester School of Medicine.
Author: Marilyn Winterton Edmunds Publisher: Elsevier Health Sciences ISBN: 0323340040 Category : Medical Languages : en Pages : 435
Book Description
Confidently perform the most common office procedures with Procedures for the Primary Care Provider, 3rd Edition. This practical, spiral-bound reference provides step-by-step illustrated guidelines for basic and advanced office procedures commonly performed by Nurse Practitioners and Physician's Assistants. Each procedure follows a consistent format including a brief description of the procedure, a review of relevant anatomy and physiology, indications and contraindications, precautions, assessment, patient preparation, treatment alternatives, a list of equipment needed, and a step-by-step illustrated procedure. This third edition features nine new procedures, new illustrations, a more user-friendly full-color design, and much more. - Need-to-know coverage of the most common office procedures performed by NPs, PAs, and other primary care providers makes this book an excellent guide for clinicians who may not perform these procedures regularly. - Consistent procedure format includes a brief description of the procedure, a review of relevant anatomy and physiology, indications and contraindications, precautions, assessment, patient preparation, treatment alternatives, a list of equipment needed, and a step-by-step illustrated procedure. - Detailed illustrations (nearly 400 drawings and photographs) clearly demonstrate the steps of each procedure. - Step-by-step numbered guidelines for each procedure allow for quick reference. - An introductory chapter covers legal, educational, and reimbursement factors related to performing common office procedures. - Appendixes, including the Sample Checklist for Certification and the Sample Consent Form for Procedure, provide you with commonly used forms in an easy to access location.
Author: M. Patrice Eiff Publisher: Elsevier Health Sciences ISBN: 1455725021 Category : Medical Languages : en Pages : 398
Book Description
Fracture Management for Primary Care provides the guidance you need to evaluate and treat common fractures, as well as identify uncommon fractures that should be referred to a specialist. Drs. M. Patrice Eiff and Robert Hatch emphasize the current best guidelines for imaging and treating fractures so that you can make accurate identifications and select appropriate treatment. Detailed descriptions and illustrations combined with evidence-based coverage give you the confidence you need to make the right decisions. Online access to procedural videos and patient handouts at expertconsult.com make this quick, practical resource even more convenient for primary care clinicians who manage fractures. Access the information you need, the way you need it with a template format for presenting each type of fracture. Diagnose fractures accurately with the many high-quality images. Clearly see the anatomic relationships of bones and joints through schematic illustrations. Reference key information quickly and easily thanks to one-page management tables that summarize pertinent aspects of diagnosis and treatment. Treat displaced fractures using detailed, step-by-step descriptions of the most common reduction techniques. Access the fully searchable text online at expertconsult.com, along with video clips of reduction maneuvers and downloadable patient education and rehabilitation instruction handouts. Accurately identify fractures using optimal imaging guidelines. Apply splints and casts with confidence thanks to detailed descriptions and illustrations of technique. Tap into the latest best practices through more evidence-based coverage and updated references. Effectively manage emergency situations using guidelines for emergent referral, greater detail regarding methods for closed reductions for fractures and dislocations, and more.
Author: Institute of Medicine Publisher: National Academies Press ISBN: 0309053994 Category : Medical Languages : en Pages : 412
Book Description
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.
Author: Timothy J. Hoff
Author: Timothy J. Hoff
Author: Karl D. Yordy
Author: Institute of Medicine
Author: Allan H. Goroll
Author: Timothy Hoff
Author: Susan H. McDaniel
Author: Marilyn Winterton Edmunds
Author: M. Patrice Eiff
Author: Institute of Medicine
Author: David Loxterkamp