April 28th, 2010 by RyanDuBosar in Better Health Network, Health Policy, News, Opinion, Research
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Two new surveys take the temperature of the primary care working environment.
In the first, a collaboration between the Medical Group Management Association and the Association of Staff Physician Recruiters, recruiters took a median of six months to fill positions for internal medicine or family practice physicians, according to the In-House Recruitment Benchmarking Survey: 2010 Report Based on 2008 Data.
Among the findings:
— It cost less to recruit specialists, due to the economic downturn and a 30% rise in the use of Internet job boards as a primary recruitment method.
— It takes longer to fill a position in non-metropolitan areas, where the impact of the primary care shortage is greatest. Read more »
*This blog post was originally published at ACP Internist*
April 21st, 2010 by KevinMD in Better Health Network, Health Policy, Opinion
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It’s well documented on this blog that the primary care shortage will only worsen once most of America has access to affordable health insurance.
As I wrote in a recent op-ed, not only will there a shortage of primary care physicians, but nurse practitioners and physician assistants won’t alleviate the problem either, mostly because they are also enticed by the lucrative allure of specialty practice. Enter the three-year primary care physician. Apparently, the fourth year of medical school was deemed expendable. Read more »
*This blog post was originally published at KevinMD.com*
April 14th, 2010 by RyanDuBosar in Better Health Network, Health Policy, News, Opinion
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Nurse practitioners are demanding a wider scope of practice and even to be called “doctor” if they have a doctorate. And 28 states are considering giving them what they want, to which physician societies object.
Health policy analyst Jack Needleman (a Ph.D., so he gets to be called doctor, too), says the quality of care is the same. (He’s also an honorary fellow of the American Academy of Nursing.) AMA president-elect and internist Cecil B. Wilson, M.D., a Master of the American College of Physicians, (who is definitely called doctor) says the primary care shortage is a call for more physicians, not for fewer. Read more »
*This blog post was originally published at ACP Internist*
April 14th, 2010 by Davis Liu, M.D. in Better Health Network, Health Policy, Opinion, Research
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In a few years, every American will be required to have health insurance. As a result, the 32 million people currently uninsured will seek out a personal physician. This role typically is filled by a primary care doctor, like an internist or a family physician.
While passage of the healthcare reform bill affirmed the belief that having health insurance is a right rather than a privilege, the legislation falls short on building a healthcare system capable of absorbing the newly insured.
Universal healthcare coverage is not the same as providing universal access to medical care. Having an insurance card doesn’t guarantee that individuals can actually get care. Read more »
*This blog post was originally published at Saving Money and Surviving the Healthcare Crisis*
April 7th, 2010 by KevinMD in Better Health Network, Health Policy, Opinion, Primary Care Wednesdays
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Overuse of the emergency department is commonly discussed during the healthcare conversation, especially with the lack of primary care access shunting patients with seemingly routine symptoms to the ER. But is this a myth? That’s what two emergency physicians contend in a piece from Slate.
The emergency department is functioning just fine, they say: “Just 12 percent of ER visits are not urgent. People also tend to think ER visits cost far more than primary care, but even this is disputable. In fact, the marginal cost of treating less acute patients in the ER is lower than paying off-hours primary care doctors, as ERs are already open 24/7 to handle life-threatening emergencies.” Read more »
*This blog post was originally published at KevinMD.com*
