Hoff, Timothy. Practice Under Pressure : Primary Care Physicians And Their Medicine In The Twenty-First Century. New Brunswick, N.J.: Rutgers University Press, 2010. eBook Collection (EBSCOhost). Web. 28 January. 2016.
In Practice Under Pressure: Primary Care Physicians And Their Medicine In The Twenty-First Century, Timothy Hoff describes the troubling issues found in primary care medicine. By providing interviews, statistics, and studies, Hoff explains how primary care medicine is becoming increasingly difficult for primary care physicians. Some of the issues discussed in this book include decreased pay, longer work hours, and a larger volume of patients for physicians. Additionally, Hoff expands on the evolution of primary care in the United
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Barken includes a multitude of information and resources to explain how the field of primary care has changed since the 1980s. He includes studies, data, research, and his observations as a physician in this work. When it comes to this work’s usefulness to my research, it may be useful in allowing me to understand this field from a professional’s point of view. While this book contains narrative elements to it, it is undoubtedly an adequate source of information when researching the nature of the workplace in primary care …show more content…
Training, salary, job outlook, and qualifications are discussed in this book. Along with interviews from primary care physicians themselves, this book will help me research what is required of physicians in the field. Specifically, I will be able to learn about a primary care physician’s experience during residency and surgical rotations in medical school. Moreover, it will aid me in finding more issues that young primary care physicians encounter frequently. An example is the age inequality between doctors in this subspecialty. Overall, this work is particularly useful in my research when it comes to learning about what it takes for younger physicians to assimilate into the culture of primary care medicine in the twenty-first
The concepts discussed within the article regarding medicalization and changes within the field of medicine served to be new knowledge for me as the article addressed multiple different aspects regarding the growth of medicalization from a sociological standpoint. Furthermore, the article “The Shifting Engines of Medicalization” discussed the significant changes regarding medicalization that have evolved and are evidently practiced within the contemporary society today. For instance, changes have occurred within health policies, corporatized medicine, clinical freedom, authority and sovereignty exercised by physicians has reduced as other factors began to grow that gained importance within medical care (Conrad 4). Moreover, the article emphasized
When we see patients, we must remember that we are not simply treating a disease. We are caring for people with lives, hobbies, jobs, families, and friends, who are likely in a very vulnerable position. We must ensure that we use the status of physicians to benefit patients first and foremost, and do what we promised to when we entered the profession: provide care and improve quality of life, and hopefully leave the world a little better than it was
There has been a shortage of physicians, lack of inpatient beds, problems with ambulatory services, as well as not having proper methods of dealing with patient overflow, all in the past 10 years (Cummings & francescutti, 2006, p.101). The area of concern that have been worse...
Waitzkin, Howard. At the Front Lines of Medicine How the Health Care System Alienates Doctors and Mistreats Patients--and What We Can Do About It. New York: Rowman & Littlefield,, 2001. Print.
While the concept of the profession began in the 17th century, our paper will focus more on the contemporary American history starting in the 1940s. Dr. Amos Johnson, a founder of the American Board of Family Practice, hired a hospital orderly named Henry Treadwell to assist in the daily activities of his office. Dr. Johnson’s practice in Garland, North Carolina, initiated the spread of the physician assistant model across the state. Dr. Eugene Stead and his general medicine residents at Duke University took interest in this idea. In 1942, due to the lack of adequate medical care during World War II, Dr. Stead created a three year medical doctorate fast-track program. This sparked the idea that perhaps one day he could implement a similar program to alleviate the physician shortage in the United States.
Starfield, B, Cassady, C, Nanda, J, Forrest, C, & Berk, R. (1998). Consumer experiences and provider perceptions of the quality of primary care: implications for managed care. The Journal of Family Practice, 46(3), 216-226.
The article,”What is a Physician?” (2012) explains that being patient, tolerable, and being flexible are very important that benefit all health care workers. The article “What is a Physician?”, also goes to states that these traits are important because they provide a positive environment for everybody working with you. The article, “What is a Physician?” (2012) also goes on to state that optimism is very important for pediatrics because it can make a good relationship with your other health care workers. The article, “What is a Physician?” also states that these qualities can help your health care worker to gain reputation and even increase your salary in this profession.
It has been said by many experts that there has been a surplus of physicians in the past, but that there will soon be a shortage of physicians. This shortage will have been instigated by many factors, and is predicted to have various effects on society, both immediate and long term. There have been proposed solutions to this shortage, but there is a fine balance to be found with these many solutions and factors. However, once this balance is found, the long-term mending of the physician shortage may begin.
The second key point focuses on primary care. To be able to have health care that is functional and effective it starts with primary care. “A robust primary care system is the cornerstone for a more equitable health care system” (Fiscella, 2011). Restructuring of this program in certain areas is important “payment reform, enhancing the training pipeline, transforming practice, and buttressing the primary care safety net” (Fiscella, 2011).
Okie, S. (2012, May 17). The Evolving Primary Care Physician. In The New England Journal of Medicine. Retrieved February 10, 2014, from http://search.proquest.com.ezaccess.libraries.psu.edu/docview/1014419556/fulltextPDF?accountid=13158
It is no secret that the current healthcare reform is a contentious matter that promises to transform the way Americans view an already complex healthcare system. The newly insured population is expected to increase by an estimated 32 million while facing an expected shortage of up to 44,000 primary care physicians within the next 12 years (Doherty, 2010). Amidst these already overwhelming challenges, healthcare systems are becoming increasingly scrutinized to identify ways to improve cost containment and patient access (Curits & Netten, 2007). “Growing awareness of the importance of health promotion and disease prevention, the increased complexity of community-based care, and the need to use scarce human healthcare resources, especially family physicians, far more efficiently and effectively, have resulted in increased emphasis on primary healthcare renewal.” (Bailey, Jones & Way, 2006, p. 381).
Question Quote "I doubt that these experiences are unique to the hospitals or the medical school at which I have thus far trained. I expect that they pervade health care systems throughout the country. I give credit to my medical school for teaching me to be critical of the culture of medicine, apply interdisciplinary perspectives to clinical quandaries, and reflect on my experiences." (Brooks KC. 2015.)
In a 2012 collection of state workforce studies and reports, each state evidently needs more physicians. There are shortages of primary care physicians and specialists in every health professions: dental, mental health, pharmacy, and many others. Previously to the Affordable Care Act (ACA) passing, a convergence of difficulties had added to labor force problems. The ACA will inflict additional pressures on the health care labor force.
With the explosive growth in the 1990s of managed care that were sold by health insurance companies, physicians were suddenly renamed “providers.” That began the deprofessionalization of medicine, and within a short time patient became “consumers” (The New York Times). The shifts in American medicine are clearly leading to physicians' losing power, which results in deprofessionalization. The subsequent deprofessionalization of physicians should not surprise Americans. Although many people spend time and effort evaluating the present state of medicine, they fail to integrate an important piece of information: physicians and sociologists predicted all of today's events more than ten years ago (Hensel, 1988).
...dilemma for young doctors." Medical Education 44.8 (2010): 805-813. Academic Search Premier. EBSCO. Web. 30 Nov. 2013.