HSC 4630 Lecture Notes - Lecture 13: Primary Care Physician, Spinal Manipulation, Hospital Medicine
Document Summary
Nurses make up the largest share of workers in the united states(69%) Able to treat conditions previously not treatable. Shift from inpatient to outpatient and home health care. The number of specialists per 1000 population has increased at a greater rate than that for primary care physicians. Both have to complete residency in chosen specialty. Patients first point of access to the health system to: Avert potential harm from interactions of multiple prescription drugs, prescribed by different doctors. Cost-reduction strategy, avoiding unnecessary specialist services, tests, procedures. Quality improvement strategy, due to better care coordination. Low status of primary care in medicine. Reimbursement rates by cms are lower for the types of counseling and patient education services essential to primary care practice, and higher for procedures and tests for specialty practice. Among med school grads, 86% had education debt at graduation, averaging about ,290 - the highest total to date.
