Future Of Primary Care? Some Say ‘Medical Home’

Future Of Primary Care? Some Say ‘Medical Home’
August 26, 2010
http://www.npr.org/templates/story/story.php?storyId=129432707

the “patient-centered medical home.”

Dr. DOUG COUPER (Primary Care Physician): I was here for 12-hour days and felt like at times, like I had no personal life and no flexibility. And I was in this office or in the two exam rooms and just spent the time ping-ponging back and forth.

ROVNER: It got so bad at one point, he even considered leaving medicine. But he realized he couldnt.

Dr. COUPER: That’s not where I want to go. I really like taking care of patients. I like the interaction, that personal one-on-one encounter.

The idea, says Letourneau, is to have everyone “practicing at the top of their license

Another way Couper has improved his efficiency is his use of the nonhuman member of his team: Martin’s Point’s electronic medical record.

“We are used to, in America, ‘more is better.’ We apply that to health care,” she says.
“We assume that more health care is better, and it is not. And, in fact, it is often dangerous to us.”

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Community-based health care

How A Florida Medical School Cares For Communities In Need
May 14, 2013

Over the last decade, a pressing need for new doctors has led many universities to open medical schools.
Seventeen new schools have been accredited since 2005, and several are looking at new ways to train doctors.

Nationally, there’s a shortage of primary care doctors — one that’s expected to worsen as millions more Americans get access to health care under the Affordable Care Act.

telemedicine pilot

health literacy
http://www.npr.org/blogs/health/2013/05/14/183937762/how-a-florida-medical-school-cares-for-communities-in-need

Projecting US Primary Care Physician Workforce Needs: 2010-2025
Stephen M. Petterson, PhD, et al.
Ann Fam Med November/December 2012, 10(6):503-509
http://annfammed.org/content/10/6/503.full

Prognosis Worsens For Shortages In Primary Care
August 07, 2012
http://www.npr.org/2012/08/07/158370069/the-prognosis-for-the-shortage-in-primary-care

Practising Prevention

PRACTISING PREVENTION
with Dr. Ralph Snyderman
http://www.humanmedia.org/catalog/product_info.php?products_id=315

there are 130 medical specialities

incredible bright, at the top of her game

Primary care physician: 10 patients in 1 hour

“Pay me now or pay me later”

1. Nutrition
2. Exercise. Muscle mass protects against diabetes
3. Anger is an important initiating factor in many diseases, especially cardiovascular diseases. Being more compassionate with oneself …

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toothbrushing
http://www.nature.com/bdj/journal/v217/n3/full/sj.bdj.2014.651.html

http://www.npr.org/blogs/health/2014/06/16/320309856/father-devises-a-bionic-pancreas-to-help-son-with-diabetes

http://www.womenshealth.gov/screening-tests-and-vaccines/screening-tests-for-women

http://www.npr.org/sections/health-shots/2012/03/14/148520621/doctors-revamp-guidelines-for-pap-smears

How to Make Diseases Disappear
TED, Dec. 2016

preventive123