Your Messages Inbox
Most Viewed Abstracts
1. Report Shows Shift in Starting Salaries for Physicians 2. 2008 Exclusive Survey—Earnings: Good news for primary care income 3. Medicare pay-for-reporting effort draws fire from frustrated doctors 4. Debunking Myths in the US Healthcare System 5. Doctors and the DEA Free full text
Your Article Summary
See Latest ArticlesThe Demise of Primary Care: A Diatribe From the Trenches
Annals of Internal Medicine, 05/20/09
Norenberg DD - Medical school graduates are avoiding primary care. The very aspects that once attracted students have been subverted. The breadth of practice that was once appealing has become the breadth of heavy-handed scrutiny, as politicians and business leaders have demanded quality—simplistically defined as dogmatic adherence to a standard. Individualized clinical judgment has been devalued; thinking has been replaced by algorithms. Practice guidelines have been usurped by pay-for-performance police, on patrol for deviations—not understanding that knowing and allowing for exceptions is the heart and soul of primary care. The coercive surveillance of "Quality Improvement" has become oppressive, making single organ–system specialties increasingly attractive (or at least more tolerable). Generalists are spending so much time proving they are good doctors, they don't have time to be good doctors. A remedy is suggested: a pilot project of volunteer salaried internists (more trusted, less audited) commissioned to our expandable national health care program, Medicare.
Related Articles
National Primary Care Week Addresses Critical Shortage of Physicians in United States
American Medical Student Association, 10/21/09
Relevance Score: 72%
Provincial primary care and cancer engagement strategy
Canadian Family Physician, 11/16/09
Relevance Score: 71%
Short-term outcomes in patients attending a primary care-based addiction shared care program
Canadian Family Physician, 11/16/09
Relevance Score: 71%
ACPM recommends primary care have systems in place for screening and treating depression
EurekAlert, 10/07/09
Relevance Score: 71%
Screening adults for depression in primary care: A position statement of the American College of Preventive Medicine
The Journal of Family Practice, 10/02/09
Relevance Score: 71%
Today in Managed Care...keeping you current
Receive free subspecialty "5-minute updates" via email
Analysing management policies for operating room planning using simulation
Health Care Management Science, 12/11/09
Rural-urban differences in health-seeking for the treatment of childhood malaria in south-east Nigeria
Health Policy, 12/11/09
Expenditure on obstetric care and the protective effect of insurance on the poor: lessons from two Indonesian districts
Health Policy and Planning, 12/11/09
Article Search
Sponsor