HEALTH-CARE-DELIVERY-CENTER-JUNGLE

PEDIATRICS ◽  
1977 ◽  
Vol 60 (2) ◽  
pp. 234-234
Author(s):  
William B. Bean ◽  
R. J. H.

If only some wise person or group had established land grant medical schools as well as technical colleges, the gravitational tug of medical science into laboratories would have been balanced by the daily correctives which the practical art of caring for the ill and ailing brings. This might have avoided the dissociation and fragmentation which seem to follow so regularly when a medical school-hospital collaboration is transmogrified into a teeming unzoned megalopolis-the modern health-care-delivery-center-jungle.

PEDIATRICS ◽  
1977 ◽  
Vol 59 (3) ◽  
pp. 323-324
Author(s):  
Robert D. Burnett ◽  
Mary Kaye Willian ◽  
Richard W. Olmsted

In the 1960s, predictions were made that the United States faced a "physician shortage."1,2 On the basis of these predictions, federal legislation subsidized the establishment of new medical schools and the expansion of those in existence. From 1968 to 1974, the number of medical school graduates rose from 7,973 to 11,613.3 Nevertheless, problems of availability of, and access to, health services remain. Mere increase in number of physicians is not the solution to the problem of health care delivery in the United States; in fact, there is concern that we now face an oversupply of physicians.4 The recently published Carnegie report recommends that only "one" new medical school be established.5


1988 ◽  
Vol 3 (1) ◽  
pp. 37-51 ◽  
Author(s):  
Steven Jonas

A significant portion of the deaths in the United States could have been prevented or postponed using known interventions. One reason this did not occur is because medical science and medical education are disease, not health, oriented. Since physicians are at the center of the health care delivery system, their disease orientation pervades the industry. Historically, there have been calls for physicians to focus more on disease prevention; however, medical education does not teach disease prevention/health promotion. There are several reasons for this: 1) medical school faculty conceptual discordance between “certainty” of curative disease vs. the “probability” of risk factor reduction; 2) gaps in the knowledge of effective interventions; 3) the concept that health promotion/disease prevention are outside the province of physicians; 4) the significant role of biomedical research grants on medical school funding; 5) the close association of medical education and the acute care hospital; and 6) the use of rote memory/lecture based teaching methods of traditional medicine vs. the problem-based learning necessary to teach disease prevention/health promotion. Some medical schools have begun to use problem based learning and to introduce health promotion concepts. Widespread and long-lasting change requires support of the leadership in medical schools and the preventive medicine/public health community, and grant funding from state and federal sources to support research on medical education research and change.


2019 ◽  
Author(s):  
Stanislaw P. Stawicki ◽  
Alyssa M. Green ◽  
Gary G. Lu ◽  
Gregory Domer ◽  
Timothy Oskin ◽  
...  

1995 ◽  
Vol 28 (3) ◽  
pp. 367-376
Author(s):  
Paul Sepping

The concept of the analytic attitude has helped to describe how psychotherapists approach the clinical situation. But with the acceleration of administrative change in modern health care delivery, clinicians are under increasing pressure to represent their patients' needs to their organization's career (that is, non-clinical) managers. This article suggests how therapists can fruitfully involve themselves in influencing the direction of organizational change to avoid (1) unnecessary compromise of their patients' interests and (2) the market-led trend to depersonalize the unique encounter we call therapy.


1979 ◽  
Vol 9 (3) ◽  
pp. 14-18
Author(s):  
Pascal James Imperato

Few would dispute the claim that traditional medical practitioners provide most of the health care in Africa today. The reasons for this are several and include the availability and accessibility of traditional practitioners to the mass of people and faith in their skills. In recent years much discussion has centered on the issue of integrating traditional practitioners into the modern health care delivery system (Good, 1977). Strong arguments have been mustered on either side of this question, and they are often presented with heated emotion. The degree and level of integration is also hotly disputed, and shades of opinion range from advocating dialogue between the two systems to proposing that traditional practitioners be “legitimized” and integrated into the modern health care delivery system. Most opinions on this broad subject area have been publicly voiced or written by those whose culture reference is western. We know very little about how traditional practitioners feel about the matter.


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