| A generalist's place is (also) in the home. | |
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MedLine Citation:
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PMID: 7826455 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Regardless of how many generalist physicians we eventually have, patients will not get the treatment they need if doctors continue to work without house calls. For decades, patients have been coaxed out of their sickbeds to report to emergency rooms during "off hours," and once in the emergency room they are part of high-tech, test-driven health care. Only a return of the house call by the personal physician can reliably forestall this protocol-driven excess. There are obstacles aplenty to reviving the house call: few teachers survive who can teach this art; doctors now consider the house call burdensome work; present payment does not cover the costs; and doctors won't be safe on the streets at night. Some bureaucratic changes will be needed, of course, but most changes have to do with skills and attitudes. Care in the home is appropriate for many acute illnesses and chronic conditions. Patients need it, and doctors should provide it. |
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Authors:
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M C Greengold |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Academic medicine : journal of the Association of American Medical Colleges Volume: 70 ISSN: 1040-2446 ISO Abbreviation: Acad Med Publication Date: 1995 Jan |
Date Detail:
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Created Date: 1995-02-22 Completed Date: 1995-02-22 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8904605 Medline TA: Acad Med Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: S35-6 Citation Subset: AIM; IM |
Affiliation:
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Northridge Family Practice Residency Program, CA 91325. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Emergencies Family Practice* / economics Fees, Medical Health Care Reform House Calls* / economics Humans United States |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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