I believe that increasing primary care is the better solution rather than expanding medical specialties. As Dr. Gawande’s car metaphor explained‚ a car put together with the best (specialties) parts can turn out to be just an expensive collection of junk. I believe it is the same with medicine‚ growing capabilities in different medical specialties is beneficial only if it is put together efficiently through primary care. Primary care is the first line of defense‚ which diagnose‚ treat and prevent
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Insoo Berg and Steve de Shazer developed steps into the practice of solution focused therapy in Milwaukee‚ USA. Solution focused therapy is a practice framework for social workers and other therapists. Solution focused therapy is a framework that primarily focuses on solution development. Other Frameworks lead therapy to focus on the past history of the problem that the client brings to therapy‚ and ending their sessions with a solution to the problem‚ or when the problem in no longer an issue for them
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his article describes a systematic program of research that focuses on Brief Strategic Family Therapy (BSFT) and the adaptations that were developed based on BSFT principles. The culture-specific origins of BSFT are reviewed‚ as well as its broader applications to the field of family therapy. Research is reviewed demonstrating that BSFT is a promising family-based approach to treating Hispanic youth behavior problems and drug abuse. Treatment innovations are described that address the combination
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Improvement in Primary Care Veronica Oglesbay Davenport University HCMG770 Lynn Szostek‚ PhD November 20‚ 2010 Abstract Primary care is medical care provide to patient on first contact with the medical system (primary care definition). Essential primary care provide health care for most of the simply illness before the patient need reference to a specialist. The actual health care environment has to deal with rapid constant changes. Changes that also affect the primary care practice‚ this
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The United States has prided itself for many years on the health care system which ranks highly in treatments of many diseases‚ cancers‚ and conditions. However‚ problems are emerging with the ever expanding healthcare sector and the industry cannot keep up. At the beginning of this year‚ CNN chief Medical Correspondent Dr. Sanjay Gupta wrote about the nine largest health issues in the United States. One of the topics was the simple lack of Doctors and healthcare professionals in the United States
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across the globe wait days and sometime weeks to see their primary care physician just to receive their annual checkup. According to the Association of American Medical Colleges‚ “Shortages in four broad categories will occur within the next ten years: primary care‚ medical specialties‚ surgical specialties‚ and other specialties. By 2025‚ the study estimates a shortfall of between 14‚900 and 35‚600 primary care physicians. Non-primary care specialties are expected to experience a shortfall of between
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The monthly quality improvement report comes across the desk of the primary care providers‚ and eyes immediately shift to the numbers of the disease that is at the forefront today‚ hypertension and diabetes. Although it may be these disease states that catch the providers’ attention‚ depression scores are equally as important. Chronic medical conditions and depressive disorder frequently occur together‚ so‚ what if the key to successful management of all disease processes was ensuring depression
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I spent my morning with Kathy Sullivan in the Primary Care Mental Health department at the VA hospital. Kathy’s job is to screen Veterans who are referred for a mental health assessment by their primary care providers. A Veteran’s physician will meet with them for annual visits and/or any other medical care that the Veteran requires. During their visit‚ if the physician at any time feels the Veteran is in need of a mental health assessment‚ they will send the patient over to Kathy’s office or
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of pediatric primary care in the United States are office-based primary care providers and pediatrician offices. Primary care entails offices that usually do not only see pediatric patients‚ but also adult patients so the focus is not primarily on the pediatric patient. There seems to be a lack of quality preventative care services for children that ultimately can lead to long term consequences on the child’s health. Not only are there not enough sources for pediatric primary care‚ there is also
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additional support for his nutrition and has not seen his primary care doctor in over three years. The social worker assigned to the facility Mr. Smith assists in connecting him to a meal program within the hospital network geared towards healthy meal options for seniors and connects to a new primary care physician within the hospital network‚ as his previously has retired. The team was able to ensure Mr. Smith was able to receive all of his care in the facility and got connected to resources after his
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