Medicine
The Graham Center has released a study indicating that 45% of primary care physicians are found in small practices with 5 or fewer physicians. Studies by county and by zip code indicate substantial portions of the American population dependent upon small practices. Studies concede that small practices and hospitals have problems with the rapid changes and redesigns
Can small practices recover after the last 4 years of "Damn the Torpedoes" reorganization and rapid change?
Government, insurance, and foundation designers of health care have facilitated rapid change without consideration of the landscape of health access. Health access workforce where needed:
There remains the ignorance of the importance of permanent broadest generalist clinicians, most primary care experience, long term continuity of primary care clinicians, insufficient revenue for primary care, consequences of innovative payment designs, consequences of being forced to spend even more while generating less revenue
And all more important in small practices and those most needed for most Americans falling further behind.
Small hospitals and small practices are fragile. Once they are gone, their patients will have no where to go and no way to spend local dollars locally, where care and economic impact are most needed.
Graham Center Small Practices
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Medicine
Damn the Reality of Small Practices - Full Speed Ahead
The Graham Center has released a study indicating that 45% of primary care physicians are found in small practices with 5 or fewer physicians. Studies by county and by zip code indicate substantial portions of the American population dependent upon small practices. Studies concede that small practices and hospitals have problems with the rapid changes and redesigns
Can small practices recover after the last 4 years of "Damn the Torpedoes" reorganization and rapid change?
Government, insurance, and foundation designers of health care have facilitated rapid change without consideration of the landscape of health access. Health access workforce where needed:
- Is about half primary care and half non-primary care clinician
- Is more likely to involve smaller practices as clinician need increases
- Is more likely to involve family physicians due to the enhanced distribution of FM
- Is more likely to involve older physicians nearer to retirement - more vulnerable to the rapid change
There remains the ignorance of the importance of permanent broadest generalist clinicians, most primary care experience, long term continuity of primary care clinicians, insufficient revenue for primary care, consequences of innovative payment designs, consequences of being forced to spend even more while generating less revenue
And all more important in small practices and those most needed for most Americans falling further behind.
Small hospitals and small practices are fragile. Once they are gone, their patients will have no where to go and no way to spend local dollars locally, where care and economic impact are most needed.
Graham Center Small Practices
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Blogs indicate that primary care can be recovered and should be recovered.
Robert C. Bowman, M.D. [email protected]
Basic Health Access Web Basic Health Access Blog World of Rural Medical Education
Dr. Bowman is the North American Co-Editor of Rural and Remote Health. He was the founding chair of the Rural Medical Educators Group of the National Rural Health Association and the long term chair of the STFM Group on Rural Health.
- The Impact Of Maldistribution Of Awareness
Health designs in the United States work for few people in a few locations at high cost. This health design spends so much on administrative and highly specialized services that basic services and basic health access are insufficient for most Americans....
- Stop The Hit Glitches And Delays For Better Care
Water is essential for life, but floods are destructive. Health information is essential for life, but floods of information, software, hardware, techs, consultants, and salespeople are too much - too much for cost, too much for patients to comprehend,...
- Will Small Health Make The News Long Enough To Matter?
It is about time that Small Health Care received some attention as the small hospitals and small practices, but will this continue. Off and on over past decades, primary care has received much attention, but the attention has not resulted in changes in...
- More Reasons For Lesser Performance For Small Health
America is aging. With increases in age, Americans become more dependent and have more care needs in areas such as health, activities of daily living, finances, and more. Aging in America is not equitably distributed. States like Alaska and many of the...
- Too Many And The Wrong Clinicians
Expansions of clinicians are out of control. There appear to be no obstacles to accelerating numbers of clinicians. This is the result of more sources of clinicians plus expansions in US MD, US DO, Caribbean, non-citizen international, nurse practitioner,...