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- Page navigation anchor for Did I Miss Something?Did I Miss Something?
I couldn't find where the authors demonstrated that the physicians in the profiled practices experienced any more joy than their peers: it just seemed like they had been trained to run a little faster on the treadmill.
Did I miss something, or did the authors just ignore what seemed to be their basic premise?
Competing interests: ?? None declared
Competing Interests: None declared. - Page navigation anchor for Author response: Reinventing the WheelAuthor response: Reinventing the WheelShow More
Many thanks to Dr. Iliff for sharing his positive experience in primary care, and for echoing many of the conclusions of our study. We agree regarding the importance of integrating rather than fragmenting care: when a patient can see their primary care physician for management of one problem there is the opportunity to touch base on the patient's other conditions and to build trust and relationship. Such integration is...
Competing Interests: None declared. - Page navigation anchor for Reinventing the WheelReinventing the WheelShow More
I appreciate the thrust of this article, Dr. Young's thoughtful suggestions, and the careful response of the authors. When we ask this question, our specialty is headed in the right direction. So I'm going to toss in my two cents, having written extensively on this subject starting in an FPM article from 1998 (http://www.aafp.org/fpm/2003/1000/p23.html) and continuing with my "Making It" blog (http://blogs.aafp.org/fpm...
Competing Interests: None declared. - Page navigation anchor for Authors' response: In Search of Joy in PracticeAuthors' response: In Search of Joy in PracticeShow More
We are delighted by Dr. Young's response and couldn't agree more that fundamental changes are needed with respect to documentation requirements and tools. In fact, for primary care to add the most value and be a sustainable specialty, we believe change has to occur on many levels, including how healthcare resources are distributed, medical care is regulated and information is managed.
We also agree that the perv...
Competing Interests: None declared. - Page navigation anchor for Dig DeeperDig DeeperShow More
I applaud the efforts of the authors to seek out generalizable knowledge -- i.e. helpful hints -- for practice changes family physicians could possibly implement in their practices that might result in better job satisfaction. However, I was disappointed that their interviews did not dig deeper. The first line of the Discussion is the most important message: "The current practice model in primary care is unsustainable."...
Competing Interests: None declared.