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Primary Care

When Doctors Don't Know

Brian Secemsky, M.D. | Posted 03.14.2014 | Healthy Living
Brian Secemsky, M.D.

I make it a point to include a statement of uncertainty when offering my assessment and plan to patients in situations where a constellation of symptoms don't immediately add up by the end of an office visit. Am I right to do this? Well, I don't know.

Four Concerns for Community Health Centers in a Post-Health Reform World

James R. Knickman | Posted 02.16.2014 | New York
James R. Knickman

With an estimated 1.6 million New Yorkers remaining uninsured even after health reform is implemented fully, some health centers (and hospitals, too) will continue to see large shares of uninsured patients.

Are We Underestimating Primary Care Capacity?

James R. Knickman | Posted 02.08.2014 | New York
James R. Knickman

Rather than relying on the traditional approach of almost begging young medical students to consider primary care, we should change regulations and energize the market so that care managers can deliver more aspects of primary care.

What You Need to Know About Primary Care Physicians

Brian Secemsky, M.D. | Posted 02.04.2014 | Healthy Living
Brian Secemsky, M.D.

If you haven't already, you will someday see a primary care doctor (PCP). It's practically unavoidable. The reason for this self-declared truth is that PCPs are the shape shifters of medicine, assuming various roles at different stages of an adult's life and wellbeing.

Where There Is No Doctor

Socheata Poeuv | Posted 02.03.2014 | Healthy Living
Socheata Poeuv

The FDA is going to have catch up with technology, doctors are going to have to practice letting go, the tort system is going to have to be reformed, and patients are going to step up if we're going to solve this health care crisis.

Reimagining Primary Care for New York's Patients

James R. Knickman | Posted 01.26.2014 | New York
James R. Knickman

As more people gain health insurance coverage, and as the health care system looks to save money and emphasize keeping people healthy (not just treating them once they're sick), primary care is becoming more important than ever.

The Balkanization of Consumers in American Health Care

Jane Sarasohn-Kahn | Posted 01.23.2014 | Healthy Living
Jane Sarasohn-Kahn

The latest Gallup Poll finds that more Americans cite health care and costs as the most important problem facing the nation, ahead of the economy and jobs.

Public Journal Club: New Method in Improving Blood Pressure Control

Brian Secemsky, M.D. | Posted 09.17.2013 | Healthy Living
Brian Secemsky, M.D.

Although further investigations may be useful in further legitimizing this innovative method in controlling blood pressure, this study demonstrates that there may be more effective ways in managing hypertension than the current standard of care.

What the US Can Learn From China's Health Care Reform

Leana Wen, M.D. | Posted 05.14.2013 | Politics
Leana Wen, M.D.

This year, America has a once-in-a-generation chance to fix our broken health care system. As policy-makers discuss implementation of the Accountable Care Act, they should learn from China's experience and decide whether they see medical care as a commodity or social provision.

A Radical Idea to Solve the Primary Care Physician Shortage

Lorie Eber | Posted 05.12.2013 | Healthy Living
Lorie Eber

Why not eliminate this anachronistic charade of the general practitioner and use nurse practitioners and physician assistants to fill the gap? This is already happening in rural areas, which sometimes lack even a single primary care physician.

Call Your Doctor... on a Rotary Phone

Tom Deegan | Posted 05.01.2013 | Healthy Living
Tom Deegan

Private practices will not disappear, but increasingly they will become a niche to provide good old fashioned service to the generation in the habit of "going to see my doctor," while the more mobile young have already discovered the instant gratification of clinics and particularly the ERs.

Doctors or Dinosaurs?

SidneyAnne Stone | Posted 03.17.2013 | Healthy Living
SidneyAnne Stone

When you visit your physician -- or general practitioner -- what usually happens? They usually give you a referral. Even if you don't have the type of insurance that requires referrals, if you have anything that requires a skill set beyond giving a flu shot, you will be referred elsewhere.

'Inappropriate Use of the ER': An Emergency Physician's Flirtation With the ER

Leana Wen, M.D. | Posted 02.09.2013 | Healthy Living
Leana Wen, M.D.

Policymakers should be aware that even well-informed patients with good access to primary care need the ER. Legislation should aim to increase availability of primary care, but not penalize for use of emergency services.

Primary Care Is in Crisis

Lydia Dugdale, M.D. | Posted 02.06.2013 | Healthy Living
Lydia Dugdale, M.D.

The insufferable pace of primary care combined with the erosion of the doctor-patient relationship deters young physicians from entering the field. In my graduating class of 30 or so internal medicine trainees, only two of us chose to go into primary care.

Unexpected Consequences: Are We Ready for Them as Our Health System Changes?

James R. Knickman | Posted 12.15.2012 | New York
James R. Knickman

As we work to expand access to health care and preventive services, to improve quality and efficiency, and curb costs, what might we lose? And, what might end up being better than expected?

The New Doctor in Town

Brian Secemsky, M.D. | Posted 12.01.2012 | Comedy
Brian Secemsky, M.D.

Although it may be a little tricky to schedule an appointment, it is well worth the wait. To get an initial meet-and-greet exam with the nurse, one must have all standard vaccines previously administered.

Should You Get An Annual Physical?

Glenn D. Braunstein, M.D. | Posted 11.04.2012 | Healthy Living
Glenn D. Braunstein, M.D.

For those of you who get annual physicals, check out with your physician whether this is a necessary checkup. You may be pleasantly surprised that you can forego this routine ritual and see that your kids do it, instead.

When Hospitals Become Factories

Barron H. Lerner | Posted 07.14.2012 | Healthy Living
Barron H. Lerner

In recent years, medical educators have warned that hospitals are growing more impersonal and have urged young doctors to treat patients as people -- not diseases.

Meet Dr. Hadland and Dr. Vassy

Robert Accordino M.D., M.Sc. | Posted 06.30.2012 | Gay Voices
Robert Accordino M.D., M.Sc.

During our primary-care crisis, should the U.S. be using valuable resources to deport Harvard-trained primary-care physicians who want to serve patients and also remain in the same country as their spouses? According to DOMA, it should.

Service in Resource-Poor Settings

Gifty Maria Ntim | Posted 05.27.2012 | Impact
Gifty Maria Ntim

Leaving the academic world of residency to work in a community health center has made it apparent how complex it is to serve in a climate where money dictates who, what and how you are able to assist.

Police Say They Catch Hospital Worker Sexually Assaulting Unconscious Patient

The Huffington Post | Andy Campbell | Posted 01.30.2012 | Crime

Utah police say they caught a hospital worker in the act of sexually assaulting an unconscious patient. Cops in Logan say they brought an extremely...

Helping a Sick Loved One Transition From Hospital to Home

Kathryn Haslanger | Posted 01.10.2012 | Healthy Living
Kathryn Haslanger

The day a family member enters the hospital is the day to start planning for the trip back home. Nobody wants to go to the hospital, but as hospital stays get shorter, an increasing burden is falling on family caregivers.

RIP Marcus Welby, MD

Dave Chase | Posted 12.05.2011 | Politics
Dave Chase

What happened to the old family doctor represented by Marcus Welby? Insurance killed him. Fortunately, new practice models are changing that.

The Decline Of Primary Care: The Silent Crisis Undermining U.S. Health Care

John Geyman | Posted 10.11.2011 | Politics
John Geyman

Amidst all the crises confronting our country today there is another major crisis: the continued deterioration of primary care that threatens to break up the very foundation of U.S. health care.

Primary Care Docs to Insurers: Go Away

Wendell Potter | Posted 10.04.2011 | Business
Wendell Potter

No other country in the developed world allows insurance companies to control its health care system like the U.S. does, and the fact that we do is one big reason why America spends so much more on health care than anyone else on the planet.