Practice under pressure : primary care physicians and their by Timothy Hoff
By Timothy Hoff
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Extra info for Practice under pressure : primary care physicians and their medicine in the twenty-first century
As such, it informs those who wish to know more about what things look like and where they might be headed. It incorporates developments in primary care and the larger health care system of which it is a part to identify current challenges, lost opportunities, and future adaptations that interact to shape primary care work and physicians in the future. To begin an analysis that focuses on the work and workers of primary care, it makes sense to address two fundamental questions: What does the typical primary care workday look like at present, and how has that workday evolved over time?
They will have to embrace new work and work roles, and think of other staff and patients in different ways. Yet having moved through one major form of adaptation over the past twenty years, in negotiating and making the best of a transactional business model in which all patients are customers or consumers, the ﬁeld’s enthusiasm and preparation for any new adaptation is not a given and remains a focus for empirical examination. Focusing on the People Who Are Primary Care Physicians The need for primary care to transform itself once again to maintain relevance in the twenty-ﬁrst century American health system makes the primary care workforce a major sociological focus.
Anything like that. Move through the physical. And then at the end of a quick physical exam that’s tailored to what their medical issues are, discuss what the plan is, whether any changes need to be made in medications, what the next steps for follow-up will be, referrals if necessary. I try to approach it the same way with every patient because I ﬁnd it helps me to ﬂow more smoothly, so if I deal with every patient in a similar way, I can stay on track with the time allotted for visits. (Harry, internist) There are advantages to PCPs becoming more directed and efﬁcient in the conduct of a patient visit.