Medicine
Recent Blogs
Still Failure After All These Years
Acting Upon Discrimination in Health Spending
Understanding Common Errors in Quality Studies
Real Reasons for Rotten Outcomes
Too Many and Still the Wrong Clinicians
The Government Control Card Still Plays Well
Basic Health Access Web Basic Health Access Blog World of Rural Medical Education
- 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....
- Still Failure After All These Years
The following is a 2004 prediction specific to the year 2014 made by US Health Experts as captured by US News and World Report: In 10 years, the increasing use of online medical resources will yield substantial improvement in many of the pervasive problems...
- Acting Upon Discrimination In Health Spending
Spending Designs Discriminate Designs for spending send less to counties in most need of care that have populations with multiple dimensions of "left behind." This can be tracked by measuring distributions of Medicare dollars or by measuring workforce...
- The Government Control Card Still Plays Well
The Politifact Lie of the Year in 2010 was awarded to the term "Government Takeover." Government Takeover or Government Control in various forms emerged from Republicans, health insurance association consultants, and certain media outlets. A brief attempt...
- About Gme - Insider Trading Is More Than Just Wall Street
Insiders dominate the designs of health spending and the designs of health professional training. Not surprisingly these insiders shape workforce, services, and spending to just a few states and a few locations. Resident training is even more stacked...
Medicine
Distribution Failures Behind By Many Designs
The 3138 US Counties can be coded by physicians, by types of physicians such as active family physicians seen here, by population and by other demographics, including those age 65 that are increasing rapidly and even more in health care demand.
As previously noted, the locations with top concentrations of physicians have lowest proportions of family physicians and primary care.
Numerous forces interact to shape higher proportions of family physicians where care is most needed and where higher proportions of elderly are found. These are counties most behind in education, employment, and poverty in addition to health spending, health facilities, and health care workforce.
Slowest population growth is seen in counties most concentrated in health workforce. Highest cost of living and health care may shape most Americans elsewhere, especially the elderly and those on fixed or lower incomes.
Designs for health, education, and economics fail where needed. Population based distributions are more important where care is needed but are falling behind due to sequestration, cuts in Social Security, cuts in SNAP (nutrition), cuts in child development, cuts in early education, cuts in primary care and basic services, readmission penalties, pay for performance, and other impairments specific to small facilities, small practices, and care where needed.
As more funds are diverted outside of the county for consultants or software or technology in education and health care, less remains to deliver care.
High costs of recruiting teachers, clinicians, and others plus high costs of retaining them make it even more difficult.
Simplistic changes in small areas will not resolve health access and other problems.
Designs must be specific to the counties and populations in need.
Simplistic changes in small areas will not resolve health access and other problems.
Designs must be specific to the counties and populations in need.
William T Butler, MD, in his Academic Medicine's Season of Accountability and Social Responsibility
Still Failure After All These Years
Acting Upon Discrimination in Health Spending
Understanding Common Errors in Quality Studies
Real Reasons for Rotten Outcomes
Too Many and Still the Wrong Clinicians
The Government Control Card Still Plays Well
Rotten Apples, Rotten Support, or Rotten Media?
Improving Health Care is Not Likely for 2600 CountiesOpen Season Upon Small Health Care
Continue on to Open Season on Small Health By Big Media
Summary of Small Health Complexities
How To Resolve Health Access for 40 States Behind By Design
Preventing Rural Workforce By Design
Starting to Solve Societal Inequities - Support for a SMART Start from the Very Beginning of Life
Perverse Health Payment Dividing US - More for Fewer and Less for More, and Penalties for Those Caring for Those Most in Need
Global Fails Local But Local Focus Succeeds Globally
Domino Decline By Design - as ERs Close, Those Nearby Face Challenges, as Small or Rural Hospitals Close or Practices Where Needed...
Declines in Health Care Delivery Despite Increases in Health Spending - If We Keep Accelerating Non-Delivery Costs, We Can Continue to Remain Behind Health Care Demand
Best of Basic Health Access
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....
- Still Failure After All These Years
The following is a 2004 prediction specific to the year 2014 made by US Health Experts as captured by US News and World Report: In 10 years, the increasing use of online medical resources will yield substantial improvement in many of the pervasive problems...
- Acting Upon Discrimination In Health Spending
Spending Designs Discriminate Designs for spending send less to counties in most need of care that have populations with multiple dimensions of "left behind." This can be tracked by measuring distributions of Medicare dollars or by measuring workforce...
- The Government Control Card Still Plays Well
The Politifact Lie of the Year in 2010 was awarded to the term "Government Takeover." Government Takeover or Government Control in various forms emerged from Republicans, health insurance association consultants, and certain media outlets. A brief attempt...
- About Gme - Insider Trading Is More Than Just Wall Street
Insiders dominate the designs of health spending and the designs of health professional training. Not surprisingly these insiders shape workforce, services, and spending to just a few states and a few locations. Resident training is even more stacked...