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Caring for Patients A Critique of the Medical Model
The late Allen Barbour a master clinician educator has distilled 40 years of experience into a book that is both practical and scholarly A book to be read cover to cover by health care providers of all types in training as well as midway through their careers Were he alive today Osler would be pleased to write the preface Annals of Internal Medicine A legacy of Barbour s 40 year career in teaching scholarship and patient care Caring for Patients is an excellent read The writing is crisp and lucid A gem of a book New England Journal of Medicine A book to be read cover to cover by health care providers of all types in training as well as midway through their careers Were he alive today Osler would be pleased to write the preface Annals of Internal Medicine quot Caring For Patients quot by Stanford physician Allen Barbour is an important medical book which addresses issues critical to routine medical practice An uncommon treatise like this could shape the future of one s medical practice as well as the economics of medical care Barbour points out that experienced physicians have been trained to diagnose and treat organic disease although most patients seen in any given medical practice have illness caused by personal distress many patients who come for help are not well accommodated by the biomedical system of diagnosis and treatment Many diagnoses are deferred indefinitely and evaluations are commonly extended and futile A major component of the soaring costs of modern medical care quot high tech quot diagnostic procedures are often ordered when seeking a disease based explanation for what are really unrecognized functional disorders In the organ based specialties physicians rule out conditions instead of ruling them in leading to both dilution of responsibility and collusive physician anonymity The author recalls Eugene Stead s famous comment quot What this patient needs is a Doctor quot Barbour considers several common functional disorders worth listin
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Doses from Medical Radiation Sources Important Questions to Ask about the Quality of Your Imaging Examination Medical and Dental Patient Issues Radiology Info Glossary of Terms
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RevolutionHealth com
Worth a look I think the logo look like a squirting stream of blood Like WebMD com and many insurers including Aetna RevolutionHealth com will also promote personal health records giving consumers a place to assemble their medical information prescription records and insurance payment claims for example But Mr Richel the Gartner analyst said there were high barriers to the concept s catching on One of the most hyped terms in the country is the personal health record he said Only a tiny fraction less than 1 percent of those who have access to their information in all of the health plans together actually look at it The complications he said include the technology issues involved in linking such records to the doctors hospitals and other health care providers that might be in a position to use them to improve a patient s treatment And consumers may have trouble compiling the data from various health care providers into a single record he said The real issue is that the providers don t want to give up that data Mr Richel said
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